R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). 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.json

Financial Management Work GroupMaturity Level: N/ABallot Status: Informative

Raw JSON (canonical form)

Definition for Code System Benefit Type Codes

{
  "resourceType": "CodeSystem",
  "id": "benefit-type",
  "meta": {
    "lastUpdated": "2018-04-03T12:05:46.262+10:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
      "valueString": "Draft"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    }
  ],
  "url": "http://hl7.org/fhir/benefit-type",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.4.642.1.607"
  },
  "version": "3.3.0",
  "name": "Benefit Type Codes",
  "status": "draft",
  "experimental": true,
  "publisher": "Financial Management",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "description": "This value set includes a smattering of Benefit type codes.",
  "copyright": "This is an example set.",
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/benefit-type",
  "content": "complete",
  "concept": [
    {
      "code": "benefit",
      "display": "Benefit",
      "definition": "Maximum benefit allowable."
    },
    {
      "code": "deductible",
      "display": "Deductible",
      "definition": "Cost to be incurred before benefits are applied"
    },
    {
      "code": "visit",
      "display": "Visit",
      "definition": "Service visit"
    },
    {
      "code": "room",
      "display": "Room",
      "definition": "Type of room"
    },
    {
      "code": "copay",
      "display": "Copayment per service",
      "definition": "Copayment per service"
    },
    {
      "code": "copay-percent",
      "display": "Copayment Percent per service",
      "definition": "Copayment percentage per service"
    },
    {
      "code": "copay-maximum",
      "display": "Copayment maximum per service",
      "definition": "Copayment maximum per service"
    },
    {
      "code": "vision-exam",
      "display": "Vision Exam",
      "definition": "Vision Exam"
    },
    {
      "code": "vision-glasses",
      "display": "Vision Glasses",
      "definition": "Frames and lenses"
    },
    {
      "code": "vision-contacts",
      "display": "Vision Contacts Coverage",
      "definition": "Contact Lenses"
    },
    {
      "code": "medical-primarycare",
      "display": "Medical Primary Health Coverage",
      "definition": "Medical Primary Health Coverage"
    },
    {
      "code": "pharmacy-dispense",
      "display": "Pharmacy Dispense Coverage",
      "definition": "Pharmacy Dispense Coverage"
    }
  ]
}

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.