HL7 Terminology
1.0.0 - Publication

This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Coverage Copay Type Codes - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="coverage-copay-type"/>
  <meta>
    <lastUpdated value="2020-04-09T17:10:28.568-04:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
            
      <h2>Coverage Copay Type Codes</h2>
            
      <div>
              
        <p>This value set includes sample Coverage Copayment Type codes.</p>

            
      </div>
            
      <p>
              
        <b>Copyright Statement:</b> This is an example set.
            
      </p>
            
      <p>This code system http://terminology.hl7.org/CodeSystem/coverage-copay-type 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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/>
  </extension>
  <url value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.1.1149"/>
  </identifier>
  <version value="4.2.0"/>
  <name value="CoverageCopayTypeCodes"/>
  <title value="Coverage Copay Type Codes"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2020-05-09T12:49:00-04:00"/>
  <publisher value="Financial Management"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <description
               value="This value set includes sample Coverage Copayment Type codes."/>
  <copyright value="This is an example set."/>
  <caseSensitive value="true"/>
  <valueSet value="http://terminology.hl7.org/ValueSet/coverage-copay-type"/>
  <content value="complete"/>
  <concept>
    <code value="gpvisit"/>
    <display value="GP Office Visit"/>
    <definition
                value="An office visit for a general practitioner of a discipline."/>
  </concept>
  <concept>
    <code value="spvisit"/>
    <display value="Specialist Office Visit"/>
    <definition
                value="An office visit for a specialist practitioner of a discipline"/>
  </concept>
  <concept>
    <code value="emergency"/>
    <display value="Emergency"/>
    <definition value="An episode in an emergency department."/>
  </concept>
  <concept>
    <code value="inpthosp"/>
    <display value="Inpatient Hospital"/>
    <definition value="An episode of an Inpatient hospital stay."/>
  </concept>
  <concept>
    <code value="televisit"/>
    <display value="Tele-visit"/>
    <definition
                value="A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference."/>
  </concept>
  <concept>
    <code value="urgentcare"/>
    <display value="Urgent Care"/>
    <definition
                value="A visit to an urgent care facility - typically a community care clinic."/>
  </concept>
  <concept>
    <code value="copaypct"/>
    <display value="Copay Percentage"/>
    <definition
                value="A standard percentage applied to all classes or service or product not otherwise specified."/>
  </concept>
  <concept>
    <code value="copay"/>
    <display value="Copay Amount"/>
    <definition
                value="A standard fixed currency amount applied to all classes or service or product not otherwise specified."/>
  </concept>
  <concept>
    <code value="deductible"/>
    <display value="Deductible"/>
    <definition
                value="The accumulated amount of patient payment before the coverage begins to pay for services."/>
  </concept>
  <concept>
    <code value="maxoutofpocket"/>
    <display value="Maximum out of pocket"/>
    <definition
                value="The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually."/>
  </concept>
</CodeSystem>