STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3

Codesystem-benefit-type.xml

Raw XML (canonical form)

Definition for Code System Benefit Type Codes

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="benefit-type"/>
  <meta>
    <lastUpdated value="2016-08-11T17:02:54.322+10:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/codesystem-shareable-definition"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>Benefit Type Codes</h2>
      <div>
        <p>This value set includes a smattering of Benefit type codes.</p>

      </div>
      <p>
        <b>Copyright Statement:</b> This is an example set.
      </p>
      <p>This code system http://hl7.org/fhir/benefit-type defines the following codes:</p>
      <table class="codes">
        <tr>
          <td>
            <b>Code</b>
          </td>
          <td>
            <b>Display</b>
          </td>
          <td>
            <b>Definition</b>
          </td>
        </tr>
        <tr>
          <td>benefit
            <a name="benefit-type-benefit"> </a>
          </td>
          <td>Benefit</td>
          <td>Maximum benefit allowable.</td>
        </tr>
        <tr>
          <td>deductable
            <a name="benefit-type-deductable"> </a>
          </td>
          <td>Deductable</td>
          <td>Cost to be incurred before benefits are applied</td>
        </tr>
        <tr>
          <td>visit
            <a name="benefit-type-visit"> </a>
          </td>
          <td>Visit</td>
          <td>Service visit</td>
        </tr>
        <tr>
          <td>room
            <a name="benefit-type-room"> </a>
          </td>
          <td>Room</td>
          <td>Type of room</td>
        </tr>
        <tr>
          <td>copay
            <a name="benefit-type-copay"> </a>
          </td>
          <td>Copayment per service</td>
          <td>Copayment per service</td>
        </tr>
        <tr>
          <td>copay-percent
            <a name="benefit-type-copay-percent"> </a>
          </td>
          <td>Copayment Percent per service</td>
          <td>Copayment percentage per service</td>
        </tr>
        <tr>
          <td>copay-maximum
            <a name="benefit-type-copay-maximum"> </a>
          </td>
          <td>Copayment maximum per service</td>
          <td>Copayment maximum per service</td>
        </tr>
        <tr>
          <td>vision-exam
            <a name="benefit-type-vision-exam"> </a>
          </td>
          <td>Vision Exam</td>
          <td>Vision Exam</td>
        </tr>
        <tr>
          <td>vision-glasses
            <a name="benefit-type-vision-glasses"> </a>
          </td>
          <td>Vision Glasses</td>
          <td>Frames and lenses</td>
        </tr>
        <tr>
          <td>vision-contacts
            <a name="benefit-type-vision-contacts"> </a>
          </td>
          <td>Vision Contacts Coverage</td>
          <td>Contact Lenses</td>
        </tr>
        <tr>
          <td>medical-primarycare
            <a name="benefit-type-medical-primarycare"> </a>
          </td>
          <td>Medical Primary Health Coverage</td>
          <td>Medical Primary Health Coverage</td>
        </tr>
        <tr>
          <td>pharmacy-dispense
            <a name="benefit-type-pharmacy-dispense"> </a>
          </td>
          <td>Pharmacy Dispense Coverage</td>
          <td>Pharmacy Dispense Coverage</td>
        </tr>
      </table>
    </div>
  </text>
  <url value="http://hl7.org/fhir/benefit-type"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.1.483"/>
  </identifier>
  <version value="1.6.0"/>
  <name value="Benefit Type Codes"/>
  <status value="draft"/>
  <experimental value="true"/>
  <publisher value="Financial Management"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <description value="This value set includes a smattering of Benefit type codes."/>
  <copyright value="This is an example set."/>
  <caseSensitive value="true"/>
  <valueSet value="http://hl7.org/fhir/ValueSet/benefit-type"/>
  <content value="complete"/>
  <concept>
    <code value="benefit"/>
    <display value="Benefit"/>
    <definition value="Maximum benefit allowable."/>
  </concept>
  <concept>
    <code value="deductable"/>
    <display value="Deductable"/>
    <definition value="Cost to be incurred before benefits are applied"/>
  </concept>
  <concept>
    <code value="visit"/>
    <display value="Visit"/>
    <definition value="Service visit"/>
  </concept>
  <concept>
    <code value="room"/>
    <display value="Room"/>
    <definition value="Type of room"/>
  </concept>
  <concept>
    <code value="copay"/>
    <display value="Copayment per service"/>
    <definition value="Copayment per service"/>
  </concept>
  <concept>
    <code value="copay-percent"/>
    <display value="Copayment Percent per service"/>
    <definition value="Copayment percentage per service"/>
  </concept>
  <concept>
    <code value="copay-maximum"/>
    <display value="Copayment maximum per service"/>
    <definition value="Copayment maximum per service"/>
  </concept>
  <concept>
    <code value="vision-exam"/>
    <display value="Vision Exam"/>
    <definition value="Vision Exam"/>
  </concept>
  <concept>
    <code value="vision-glasses"/>
    <display value="Vision Glasses"/>
    <definition value="Frames and lenses"/>
  </concept>
  <concept>
    <code value="vision-contacts"/>
    <display value="Vision Contacts Coverage"/>
    <definition value="Contact Lenses"/>
  </concept>
  <concept>
    <code value="medical-primarycare"/>
    <display value="Medical Primary Health Coverage"/>
    <definition value="Medical Primary Health Coverage"/>
  </concept>
  <concept>
    <code value="pharmacy-dispense"/>
    <display value="Pharmacy Dispense Coverage"/>
    <definition value="Pharmacy Dispense Coverage"/>
  </concept>
</CodeSystem>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.