Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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: R5 R4B R4

4.4.1.746 ValueSet http://hl7.org/fhir/ValueSet/coverage-copay-type

Financial Management Work Group Maturity Level: 2Trial Use Use Context: Any

This is a value set defined by the FHIR project.

Summary

Defining URL:http://hl7.org/fhir/ValueSet/coverage-copay-type
Version:5.0.0-ballot
Name:CoverageCopayTypeCodes
Title:Coverage Copay Type Codes
Status:draft
Definition:

This value set includes sample Coverage Copayment Type codes.

Committee:Financial Management Work Group
OID:2.16.840.1.113883.4.642.3.527 (for OID based terminology systems)
Copyright:

This is an example set.

Flags:

This value set is used in the following places:

4.4.1.746.1 Content Logical Definition

 

4.4.1.746.2 Expansion

This expansion generated 07 Sep 2022

This value set contains 10 concepts

Expansion based on Coverage Copay Type Codes v0.1.0 (CodeSystem)

CodeSystemDisplayDefinition
  gpvisit http://terminology.hl7.org/CodeSystem/coverage-copay-typeGP Office Visit

An office visit for a general practitioner of a discipline.

  spvisit http://terminology.hl7.org/CodeSystem/coverage-copay-typeSpecialist Office Visit

An office visit for a specialist practitioner of a discipline

  emergency http://terminology.hl7.org/CodeSystem/coverage-copay-typeEmergency

An episode in an emergency department.

  inpthosp http://terminology.hl7.org/CodeSystem/coverage-copay-typeInpatient Hospital

An episode of an Inpatient hospital stay.

  televisit http://terminology.hl7.org/CodeSystem/coverage-copay-typeTele-visit

A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.

  urgentcare http://terminology.hl7.org/CodeSystem/coverage-copay-typeUrgent Care

A visit to an urgent care facility - typically a community care clinic.

  copaypct http://terminology.hl7.org/CodeSystem/coverage-copay-typeCopay Percentage

A standard percentage applied to all classes or service or product not otherwise specified.

  copay http://terminology.hl7.org/CodeSystem/coverage-copay-typeCopay Amount

A standard fixed currency amount applied to all classes or service or product not otherwise specified.

  deductible http://terminology.hl7.org/CodeSystem/coverage-copay-typeDeductible

The accumulated amount of patient payment before the coverage begins to pay for services.

  maxoutofpocket http://terminology.hl7.org/CodeSystem/coverage-copay-typeMaximum out of pocket

The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.

 

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

LvlA few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code