HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.2.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Coverage Copay Type Codes - TTL Representation

Draft as of 2023-07-17 Maturity Level: 2

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "coverage-copay-type"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2020-04-09T21:10:28.568+00:00"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/shareablecodesystem>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://terminology.hl7.org/CodeSystem/coverage-copay-type</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">gpvisit<a name=\"coverage-copay-type-gpvisit\"> </a></td><td>GP Office Visit</td><td>An office visit for a general practitioner of a discipline.</td></tr><tr><td style=\"white-space:nowrap\">spvisit<a name=\"coverage-copay-type-spvisit\"> </a></td><td>Specialist Office Visit</td><td>An office visit for a specialist practitioner of a discipline</td></tr><tr><td style=\"white-space:nowrap\">emergency<a name=\"coverage-copay-type-emergency\"> </a></td><td>Emergency</td><td>An episode in an emergency department.</td></tr><tr><td style=\"white-space:nowrap\">inpthosp<a name=\"coverage-copay-type-inpthosp\"> </a></td><td>Inpatient Hospital</td><td>An episode of an Inpatient hospital stay.</td></tr><tr><td style=\"white-space:nowrap\">televisit<a name=\"coverage-copay-type-televisit\"> </a></td><td>Tele-visit</td><td>A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.</td></tr><tr><td style=\"white-space:nowrap\">urgentcare<a name=\"coverage-copay-type-urgentcare\"> </a></td><td>Urgent Care</td><td>A visit to an urgent care facility - typically a community care clinic.</td></tr><tr><td style=\"white-space:nowrap\">copaypct<a name=\"coverage-copay-type-copaypct\"> </a></td><td>Copay Percentage</td><td>A standard percentage applied to all classes or service or product not otherwise specified.</td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"coverage-copay-type-copay\"> </a></td><td>Copay Amount</td><td>A standard fixed currency amount applied to all classes or service or product not otherwise specified.</td></tr><tr><td style=\"white-space:nowrap\">deductible<a name=\"coverage-copay-type-deductible\"> </a></td><td>Deductible</td><td>The accumulated amount of patient payment before the coverage begins to pay for services.</td></tr><tr><td style=\"white-space:nowrap\">maxoutofpocket<a name=\"coverage-copay-type-maxoutofpocket\"> </a></td><td>Maximum out of pocket</td><td>The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.</td></tr></table></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "fm" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2"^^xsd:integer ]
  ] ) ; # 
  fhir:url [ fhir:v "http://terminology.hl7.org/CodeSystem/coverage-copay-type"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.1.1149" ]
  ] ) ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "CoverageCopayTypeCodes"] ; # 
  fhir:title [ fhir:v "Coverage Copay Type Codes"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2023-07-17T22:16:15-06:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Financial Management"] ; # 
  fhir:contact ( [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]     ] )
  ] [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This value set includes sample Coverage Copayment Type codes."] ; # 
  fhir:copyright [ fhir:v "This is an example set."] ; # 
  fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:valueSet [
fhir:v "http://terminology.hl7.org/ValueSet/coverage-copay-type"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/ValueSet/coverage-copay-type>
  ] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "gpvisit" ] ;
fhir:display [ fhir:v "GP Office Visit" ] ;
fhir:definition [ fhir:v "An office visit for a general practitioner of a discipline." ]
  ] [
fhir:code [ fhir:v "spvisit" ] ;
fhir:display [ fhir:v "Specialist Office Visit" ] ;
fhir:definition [ fhir:v "An office visit for a specialist practitioner of a discipline" ]
  ] [
fhir:code [ fhir:v "emergency" ] ;
fhir:display [ fhir:v "Emergency" ] ;
fhir:definition [ fhir:v "An episode in an emergency department." ]
  ] [
fhir:code [ fhir:v "inpthosp" ] ;
fhir:display [ fhir:v "Inpatient Hospital" ] ;
fhir:definition [ fhir:v "An episode of an Inpatient hospital stay." ]
  ] [
fhir:code [ fhir:v "televisit" ] ;
fhir:display [ fhir:v "Tele-visit" ] ;
fhir:definition [ fhir:v "A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference." ]
  ] [
fhir:code [ fhir:v "urgentcare" ] ;
fhir:display [ fhir:v "Urgent Care" ] ;
fhir:definition [ fhir:v "A visit to an urgent care facility - typically a community care clinic." ]
  ] [
fhir:code [ fhir:v "copaypct" ] ;
fhir:display [ fhir:v "Copay Percentage" ] ;
fhir:definition [ fhir:v "A standard percentage applied to all classes or service or product not otherwise specified." ]
  ] [
fhir:code [ fhir:v "copay" ] ;
fhir:display [ fhir:v "Copay Amount" ] ;
fhir:definition [ fhir:v "A standard fixed currency amount applied to all classes or service or product not otherwise specified." ]
  ] [
fhir:code [ fhir:v "deductible" ] ;
fhir:display [ fhir:v "Deductible" ] ;
fhir:definition [ fhir:v "The accumulated amount of patient payment before the coverage begins to pay for services." ]
  ] [
fhir:code [ fhir:v "maxoutofpocket" ] ;
fhir:display [ fhir:v "Maximum out of pocket" ] ;
fhir:definition [ fhir:v "The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually." ]
  ] ) . #