R6 Ballot (1st Draft)

This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions

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

Financial Management icon Work Group Maturity Level: 4Trial Use Use Context: Country: World
Official URL: http://hl7.org/fhir/ValueSet/coverage-copay-type Version: 6.0.0-ballot1
draft as of 2023-12-18 Computable Name: CoverageCopayTypeCodes
Flags: OID: 2.16.840.1.113883.4.642.3.527

This value set is used in the following places:

4.4.1.693.1 Definition

This value set includes sample Coverage Copayment Type codes.

4.4.1.693.2 Content Logical Definition

 

4.4.1.693.3 Expansion

This expansion generated 18 Dec 2023

Expansion based on codesystem Coverage Copay Type Codes v1.0.0 (CodeSystem) icon

This value set contains 10 concepts

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

An office visit for a general practitioner of a discipline.

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

An office visit for a specialist practitioner of a discipline

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

An episode in an emergency department.

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

An episode of an Inpatient hospital stay.

  televisit iconhttp://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 iconhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeUrgent Care

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

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

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

  copay iconhttp://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 iconhttp://terminology.hl7.org/CodeSystem/coverage-copay-typeDeductible

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

  maxoutofpocket iconhttp://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