HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.5.0: Release) based on FHIR (HL7® FHIR® Standard) 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

: Benefit Category Codes - TTL Representation

Draft as of 2024-03-09 Maturity Level: 1

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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 "ex-benefitcategory"] ; # 
  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 case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/ex-benefitcategory</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\">1<a name=\"ex-benefitcategory-1\"> </a></td><td>Medical Care</td><td>Medical Care.</td></tr><tr><td style=\"white-space:nowrap\">2<a name=\"ex-benefitcategory-2\"> </a></td><td>Surgical</td><td>Surgical.</td></tr><tr><td style=\"white-space:nowrap\">3<a name=\"ex-benefitcategory-3\"> </a></td><td>Consultation</td><td>Consultation.</td></tr><tr><td style=\"white-space:nowrap\">4<a name=\"ex-benefitcategory-4\"> </a></td><td>Diagnostic XRay</td><td>Diagnostic XRay.</td></tr><tr><td style=\"white-space:nowrap\">5<a name=\"ex-benefitcategory-5\"> </a></td><td>Diagnostic Lab</td><td>Diagnostic Lab.</td></tr><tr><td style=\"white-space:nowrap\">14<a name=\"ex-benefitcategory-14\"> </a></td><td>Renal Supplies</td><td>Renal Supplies excluding Dialysis.</td></tr><tr><td style=\"white-space:nowrap\">23<a name=\"ex-benefitcategory-23\"> </a></td><td>Diagnostic Dental</td><td>Diagnostic Dental.</td></tr><tr><td style=\"white-space:nowrap\">24<a name=\"ex-benefitcategory-24\"> </a></td><td>Periodontics</td><td>Periodontics.</td></tr><tr><td style=\"white-space:nowrap\">25<a name=\"ex-benefitcategory-25\"> </a></td><td>Restorative</td><td>Restorative.</td></tr><tr><td style=\"white-space:nowrap\">26<a name=\"ex-benefitcategory-26\"> </a></td><td>Endodontics</td><td>Endodontics.</td></tr><tr><td style=\"white-space:nowrap\">27<a name=\"ex-benefitcategory-27\"> </a></td><td>Maxillofacial Prosthetics</td><td>Maxillofacial Prosthetics.</td></tr><tr><td style=\"white-space:nowrap\">28<a name=\"ex-benefitcategory-28\"> </a></td><td>Adjunctive Dental Services</td><td>Adjunctive Dental Services.</td></tr><tr><td style=\"white-space:nowrap\">30<a name=\"ex-benefitcategory-30\"> </a></td><td>Health Benefit Plan Coverage</td><td>Health Benefit Plan Coverage.</td></tr><tr><td style=\"white-space:nowrap\">35<a name=\"ex-benefitcategory-35\"> </a></td><td>Dental Care</td><td>Dental Care.</td></tr><tr><td style=\"white-space:nowrap\">36<a name=\"ex-benefitcategory-36\"> </a></td><td>Dental Crowns</td><td>Dental Crowns.</td></tr><tr><td style=\"white-space:nowrap\">37<a name=\"ex-benefitcategory-37\"> </a></td><td>Dental Accident</td><td>Dental Accident.</td></tr><tr><td style=\"white-space:nowrap\">49<a name=\"ex-benefitcategory-49\"> </a></td><td>Hospital Room and Board</td><td>Hospital Room and Board.</td></tr><tr><td style=\"white-space:nowrap\">55<a name=\"ex-benefitcategory-55\"> </a></td><td>Major Medical</td><td>Major Medical.</td></tr><tr><td style=\"white-space:nowrap\">56<a name=\"ex-benefitcategory-56\"> </a></td><td>Medically Related Transportation</td><td>Medically Related Transportation.</td></tr><tr><td style=\"white-space:nowrap\">61<a name=\"ex-benefitcategory-61\"> </a></td><td>In-vitro Fertilization</td><td>In-vitro Fertilization.</td></tr><tr><td style=\"white-space:nowrap\">62<a name=\"ex-benefitcategory-62\"> </a></td><td>MRI Scan</td><td>MRI Scan.</td></tr><tr><td style=\"white-space:nowrap\">63<a name=\"ex-benefitcategory-63\"> </a></td><td>Donor Procedures</td><td>Donor Procedures such as organ harvest.</td></tr><tr><td style=\"white-space:nowrap\">69<a name=\"ex-benefitcategory-69\"> </a></td><td>Maternity</td><td>Maternity.</td></tr><tr><td style=\"white-space:nowrap\">76<a name=\"ex-benefitcategory-76\"> </a></td><td>Renal Dialysis</td><td>Renal dialysis.</td></tr><tr><td style=\"white-space:nowrap\">F1<a name=\"ex-benefitcategory-F1\"> </a></td><td>Medical Coverage</td><td>Medical Coverage.</td></tr><tr><td style=\"white-space:nowrap\">F3<a name=\"ex-benefitcategory-F3\"> </a></td><td>Dental Coverage</td><td>Dental Coverage.</td></tr><tr><td style=\"white-space:nowrap\">F4<a name=\"ex-benefitcategory-F4\"> </a></td><td>Hearing Coverage</td><td>Hearing Coverage.</td></tr><tr><td style=\"white-space:nowrap\">F6<a name=\"ex-benefitcategory-F6\"> </a></td><td>Vision Coverage</td><td>Vision Coverage.</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 "1"^^xsd:integer ]
  ] ) ; # 
  fhir:url [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-benefitcategory"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.1.1175" ]
  ] ) ; # 
  fhir:version [ fhir:v "1.0.0"] ; # 
  fhir:name [ fhir:v "BenefitCategoryCodes"] ; # 
  fhir:title [ fhir:v "Benefit Category Codes"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2024-03-09T11:11:30-07:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Health Level Seven International"] ; # 
  fhir:contact ( [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "hq@HL7.org" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This value set includes examples of Benefit Category codes."] ; # 
  fhir:copyright [ fhir:v "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license"] ; # 
  fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:valueSet [
fhir:v "http://terminology.hl7.org/ValueSet/ex-benefitcategory"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/ValueSet/ex-benefitcategory>
  ] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "Medical Care" ] ;
fhir:definition [ fhir:v "Medical Care." ]
  ] [
fhir:code [ fhir:v "2" ] ;
fhir:display [ fhir:v "Surgical" ] ;
fhir:definition [ fhir:v "Surgical." ]
  ] [
fhir:code [ fhir:v "3" ] ;
fhir:display [ fhir:v "Consultation" ] ;
fhir:definition [ fhir:v "Consultation." ]
  ] [
fhir:code [ fhir:v "4" ] ;
fhir:display [ fhir:v "Diagnostic XRay" ] ;
fhir:definition [ fhir:v "Diagnostic XRay." ]
  ] [
fhir:code [ fhir:v "5" ] ;
fhir:display [ fhir:v "Diagnostic Lab" ] ;
fhir:definition [ fhir:v "Diagnostic Lab." ]
  ] [
fhir:code [ fhir:v "14" ] ;
fhir:display [ fhir:v "Renal Supplies" ] ;
fhir:definition [ fhir:v "Renal Supplies excluding Dialysis." ]
  ] [
fhir:code [ fhir:v "23" ] ;
fhir:display [ fhir:v "Diagnostic Dental" ] ;
fhir:definition [ fhir:v "Diagnostic Dental." ]
  ] [
fhir:code [ fhir:v "24" ] ;
fhir:display [ fhir:v "Periodontics" ] ;
fhir:definition [ fhir:v "Periodontics." ]
  ] [
fhir:code [ fhir:v "25" ] ;
fhir:display [ fhir:v "Restorative" ] ;
fhir:definition [ fhir:v "Restorative." ]
  ] [
fhir:code [ fhir:v "26" ] ;
fhir:display [ fhir:v "Endodontics" ] ;
fhir:definition [ fhir:v "Endodontics." ]
  ] [
fhir:code [ fhir:v "27" ] ;
fhir:display [ fhir:v "Maxillofacial Prosthetics" ] ;
fhir:definition [ fhir:v "Maxillofacial Prosthetics." ]
  ] [
fhir:code [ fhir:v "28" ] ;
fhir:display [ fhir:v "Adjunctive Dental Services" ] ;
fhir:definition [ fhir:v "Adjunctive Dental Services." ]
  ] [
fhir:code [ fhir:v "30" ] ;
fhir:display [ fhir:v "Health Benefit Plan Coverage" ] ;
fhir:definition [ fhir:v "Health Benefit Plan Coverage." ]
  ] [
fhir:code [ fhir:v "35" ] ;
fhir:display [ fhir:v "Dental Care" ] ;
fhir:definition [ fhir:v "Dental Care." ]
  ] [
fhir:code [ fhir:v "36" ] ;
fhir:display [ fhir:v "Dental Crowns" ] ;
fhir:definition [ fhir:v "Dental Crowns." ]
  ] [
fhir:code [ fhir:v "37" ] ;
fhir:display [ fhir:v "Dental Accident" ] ;
fhir:definition [ fhir:v "Dental Accident." ]
  ] [
fhir:code [ fhir:v "49" ] ;
fhir:display [ fhir:v "Hospital Room and Board" ] ;
fhir:definition [ fhir:v "Hospital Room and Board." ]
  ] [
fhir:code [ fhir:v "55" ] ;
fhir:display [ fhir:v "Major Medical" ] ;
fhir:definition [ fhir:v "Major Medical." ]
  ] [
fhir:code [ fhir:v "56" ] ;
fhir:display [ fhir:v "Medically Related Transportation" ] ;
fhir:definition [ fhir:v "Medically Related Transportation." ]
  ] [
fhir:code [ fhir:v "61" ] ;
fhir:display [ fhir:v "In-vitro Fertilization" ] ;
fhir:definition [ fhir:v "In-vitro Fertilization." ]
  ] [
fhir:code [ fhir:v "62" ] ;
fhir:display [ fhir:v "MRI Scan" ] ;
fhir:definition [ fhir:v "MRI Scan." ]
  ] [
fhir:code [ fhir:v "63" ] ;
fhir:display [ fhir:v "Donor Procedures" ] ;
fhir:definition [ fhir:v "Donor Procedures such as organ harvest." ]
  ] [
fhir:code [ fhir:v "69" ] ;
fhir:display [ fhir:v "Maternity" ] ;
fhir:definition [ fhir:v "Maternity." ]
  ] [
fhir:code [ fhir:v "76" ] ;
fhir:display [ fhir:v "Renal Dialysis" ] ;
fhir:definition [ fhir:v "Renal dialysis." ]
  ] [
fhir:code [ fhir:v "F1" ] ;
fhir:display [ fhir:v "Medical Coverage" ] ;
fhir:definition [ fhir:v "Medical Coverage." ]
  ] [
fhir:code [ fhir:v "F3" ] ;
fhir:display [ fhir:v "Dental Coverage" ] ;
fhir:definition [ fhir:v "Dental Coverage." ]
  ] [
fhir:code [ fhir:v "F4" ] ;
fhir:display [ fhir:v "Hearing Coverage" ] ;
fhir:definition [ fhir:v "Hearing Coverage." ]
  ] [
fhir:code [ fhir:v "F6" ] ;
fhir:display [ fhir:v "Vision Coverage" ] ;
fhir:definition [ fhir:v "Vision Coverage." ]
  ] ) . #