ValueSet Comparison between http://hl7.org/fhir/ValueSet/coverage-type vs http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591

Messages

Metadata

Name	Value		Comments
compose.inactive
compose.lockedDate
copyright	HL7 International.		Removed the item 'HL7 International.'
date	2019-11-01T09:29:23+11:00	2022-11-18T01:02:49-05:00	Values Differ
description	This value set includes Coverage Type codes.	Name changed on 2023-06-02 per JIRA https://jira.hl7.org/browse/FHIR-39982	Values Differ
experimental	false
immutable
jurisdiction
jurisdiction[0]			Added the item ''
name	CoverageTypeAndSelf-PayCodes	PayerType	Values Differ
publisher	Financial Management	HL7 Terminology	Values Differ
purpose		(Clinical Focus: Categories of types of health care payer entities as defined by the US Public Health Data Consortium SOP code system),(Data Element Scope: @code in CCDA r2.1 template Planned Coverage [act: identifier urn:oid:2.16.840.1.113883.10.20.22.4.129 (open)] DYNAMIC),(Inclusion Criteria: All codes in the code system),(Exclusion Criteria: none)	Added the item '(Clinical Focus: Categories of types of health care payer entities as defined by the US Public Health Data Consortium SOP code system),(Data Element Scope: @code in CCDA r2.1 template Planned Coverage [act: identifier urn:oid:2.16.840.1.113883.10.20.22.4.129 (open)] DYNAMIC),(Inclusion Criteria: All codes in the code system),(Exclusion Criteria: none)'
status	draft	active	Values Differ
title	Coverage Type and Self-Pay Codes	Payer Type	Values Differ
url	http://hl7.org/fhir/ValueSet/coverage-type	http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591	Values Differ
version	4.0.1	20221118	Values Differ

Definition

Item	Property		Value		Comments
include	http://terminology.hl7.org/CodeSystem/coverage-selfpay				Removed Include
include					Removed Include
include		https://nahdo.org/sopt		Version: 9.2	Added Include

Expansion

System	Code	Display		Comments
http://terminology.hl7.org/CodeSystem/coverage-selfpay	pay	Pay		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	_ActCoverageTypeCode	ActCoverageTypeCode		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	_ActInsurancePolicyCode	ActInsurancePolicyCode		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	EHCPOL	extended healthcare		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	HSAPOL	health spending account		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	AUTOPOL	automobile		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	COL	collision coverage policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	UNINSMOT	uninsured motorist policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	PUBLICPOL	public healthcare		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	DENTPRG	dental program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	DISEASEPRG	public health program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	CANPRG	women's cancer detection program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	ENDRENAL	end renal program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	HIVAIDS	HIV-AIDS program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	MANDPOL	mandatory health program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	MENTPRG	mental health program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SAFNET	safety net clinic program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SUBPRG	substance use program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SUBSIDIZ	subsidized health program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SUBSIDMC	subsidized managed care program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SUBSUPP	subsidized supplemental health program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	WCBPOL	worker's compensation		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	_ActInsuranceTypeCode	ActInsuranceTypeCode		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	_ActHealthInsuranceTypeCode	ActHealthInsuranceTypeCode		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	DENTAL	dental care policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	DISEASE	disease specific policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	DRUGPOL	drug policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	HIP	health insurance plan policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	LTC	long term care policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	MCPOL	managed care policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	POS	point of service policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	HMO	health maintenance organization policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	PPO	preferred provider organization policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	MENTPOL	mental health policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SUBPOL	substance use policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	VISPOL	vision care policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	DIS	disability insurance policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	EWB	employee welfare benefit plan policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	FLEXP	flexible benefit plan policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	LIFE	life insurance policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	ANNU	annuity policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	TLIFE	term life insurance policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	ULIFE	universal life insurance policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	PNC	property and casualty insurance policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	REI	reinsurance policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SURPL	surplus line insurance policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	UMBRL	umbrella liability insurance policy		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	_ActProgramTypeCode	ActProgramTypeCode		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	CHAR	charity program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	CRIME	crime victim program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	EAP	employee assistance program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	GOVEMP	government employee health program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	HIRISK	high risk pool program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	IND	indigenous peoples health program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	MILITARY	military health program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	RETIRE	retiree health program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	SOCIAL	social service program		Removed from expansion
http://terminology.hl7.org/CodeSystem/v3-ActCode	VET	veteran health program		Removed from expansion
https://nahdo.org/sopt	1		MEDICARE	Added to expansion
https://nahdo.org/sopt	11		Medicare Managed Care (Includes Medicare Advantage Plans)	Added to expansion
https://nahdo.org/sopt	111		Medicare HMO	Added to expansion
https://nahdo.org/sopt	1111		Medicare Chronic Condition Special Needs Plan (C-SNP)	Added to expansion
https://nahdo.org/sopt	1112		Medicare Institutional Special Needs Plan (I-SNP)	Added to expansion
https://nahdo.org/sopt	112		Medicare PPO	Added to expansion
https://nahdo.org/sopt	113		Medicare POS	Added to expansion
https://nahdo.org/sopt	119		Medicare Managed Care Other	Added to expansion
https://nahdo.org/sopt	12		Medicare (Non-managed Care)	Added to expansion
https://nahdo.org/sopt	121		Medicare FFS	Added to expansion
https://nahdo.org/sopt	122		Medicare Drug Benefit	Added to expansion
https://nahdo.org/sopt	123		Medicare Medical Savings Account (MSA)	Added to expansion
https://nahdo.org/sopt	129		Medicare Non-managed Care Other	Added to expansion
https://nahdo.org/sopt	13		Medicare Hospice	Added to expansion
https://nahdo.org/sopt	14		Dual Eligibility Medicare/Medicaid Organization	Added to expansion
https://nahdo.org/sopt	141		Dual Eligible Special Needs Plan (D-SNP)	Added to expansion
https://nahdo.org/sopt	142		Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP)	Added to expansion
https://nahdo.org/sopt	19		Medicare Other	Added to expansion
https://nahdo.org/sopt	191		Medicare Pharmacy Benefit Manager	Added to expansion
https://nahdo.org/sopt	2		MEDICAID	Added to expansion
https://nahdo.org/sopt	21		Medicaid (Managed Care)	Added to expansion
https://nahdo.org/sopt	211		Medicaid HMO	Added to expansion
https://nahdo.org/sopt	212		Medicaid PPO	Added to expansion
https://nahdo.org/sopt	213		Medicaid PCCM (Primary Care Case Management)	Added to expansion
https://nahdo.org/sopt	219		Medicaid Managed Care Other	Added to expansion
https://nahdo.org/sopt	22		Medicaid (Non-managed Care Plan)	Added to expansion
https://nahdo.org/sopt	23		Medicaid/SCHIP	Added to expansion
https://nahdo.org/sopt	25		Medicaid - Out of State	Added to expansion
https://nahdo.org/sopt	26		Medicaid - Long Term Care	Added to expansion
https://nahdo.org/sopt	29		Medicaid Other	Added to expansion
https://nahdo.org/sopt	291		Medicaid Pharmacy Benefit Manager	Added to expansion
https://nahdo.org/sopt	299		Medicaid - Dental	Added to expansion
https://nahdo.org/sopt	3		OTHER GOVERNMENT (Federal/State/Local) (excluding Department of Corrections)	Added to expansion
https://nahdo.org/sopt	31		Department of Defense	Added to expansion
https://nahdo.org/sopt	311		TRICARE (CHAMPUS)	Added to expansion
https://nahdo.org/sopt	3111		TRICARE Prime--HMO	Added to expansion
https://nahdo.org/sopt	3112		TRICARE Extra--PPO	Added to expansion
https://nahdo.org/sopt	3113		TRICARE Standard - Fee For Service	Added to expansion
https://nahdo.org/sopt	3114		TRICARE For Life--Medicare Supplement	Added to expansion
https://nahdo.org/sopt	3115		TRICARE Reserve Select	Added to expansion
https://nahdo.org/sopt	3116		Uniformed Services Family Health Plan (USFHP) -- HMO	Added to expansion
https://nahdo.org/sopt	3119		Department of Defense - (other)	Added to expansion
https://nahdo.org/sopt	312		Military Treatment Facility	Added to expansion
https://nahdo.org/sopt	3121		Enrolled Prime--HMO	Added to expansion
https://nahdo.org/sopt	3122		Non-enrolled Space Available	Added to expansion
https://nahdo.org/sopt	3123		TRICARE For Life (TFL)	Added to expansion
https://nahdo.org/sopt	313		Dental --Stand Alone	Added to expansion
https://nahdo.org/sopt	32		Department of Veterans Affairs	Added to expansion
https://nahdo.org/sopt	321		Veteran care-Care provided to Veterans	Added to expansion
https://nahdo.org/sopt	3211		Direct Care-Care provided in VA facilities	Added to expansion
https://nahdo.org/sopt	3212		Indirect Care-Care provided outside VA facilities	Added to expansion
https://nahdo.org/sopt	32121		Fee Basis	Added to expansion
https://nahdo.org/sopt	32122		Foreign Fee/Foreign Medical Program (FMP)	Added to expansion
https://nahdo.org/sopt	32123		Contract Nursing Home/Community Nursing Home	Added to expansion
https://nahdo.org/sopt	32124		State Veterans Home	Added to expansion
https://nahdo.org/sopt	32125		Sharing Agreements	Added to expansion
https://nahdo.org/sopt	32126		Other Federal Agency	Added to expansion
https://nahdo.org/sopt	32127		Dental Care	Added to expansion
https://nahdo.org/sopt	32128		Vision Care	Added to expansion
https://nahdo.org/sopt	322		Non-veteran care	Added to expansion
https://nahdo.org/sopt	3221		Civilian Health and Medical Program for the VA (CHAMPVA)	Added to expansion
https://nahdo.org/sopt	3222		Spina Bifida Health Care Program (SB)	Added to expansion
https://nahdo.org/sopt	3223		Children of Women Vietnam Veterans (CWVV)	Added to expansion
https://nahdo.org/sopt	3229		Other non-veteran care	Added to expansion
https://nahdo.org/sopt	33		Indian Health Service or Tribe	Added to expansion
https://nahdo.org/sopt	331		Indian Health Service - Regular	Added to expansion
https://nahdo.org/sopt	332		Indian Health Service - Contract	Added to expansion
https://nahdo.org/sopt	333		Indian Health Service - Managed Care	Added to expansion
https://nahdo.org/sopt	334		Indian Tribe - Sponsored Coverage	Added to expansion
https://nahdo.org/sopt	34		HRSA Program	Added to expansion
https://nahdo.org/sopt	341		Title V (MCH Block Grant)	Added to expansion
https://nahdo.org/sopt	342		Migrant Health Program	Added to expansion
https://nahdo.org/sopt	343		Ryan White Act	Added to expansion
https://nahdo.org/sopt	344		Disaster-related (includes Covid-19)	Added to expansion
https://nahdo.org/sopt	349		Other	Added to expansion
https://nahdo.org/sopt	35		Black Lung	Added to expansion
https://nahdo.org/sopt	36		State Government	Added to expansion
https://nahdo.org/sopt	361		State SCHIP program (codes for individual states)	Added to expansion
https://nahdo.org/sopt	362		Specific state programs (list/ local code)	Added to expansion
https://nahdo.org/sopt	369		State, not otherwise specified (other state)	Added to expansion
https://nahdo.org/sopt	37		Local Government	Added to expansion
https://nahdo.org/sopt	371		Local - Managed care	Added to expansion
https://nahdo.org/sopt	3711		HMO	Added to expansion
https://nahdo.org/sopt	3712		PPO	Added to expansion
https://nahdo.org/sopt	3713		POS	Added to expansion
https://nahdo.org/sopt	372		FFS/Indemnity	Added to expansion
https://nahdo.org/sopt	379		Local, not otherwise specified (other local, county)	Added to expansion
https://nahdo.org/sopt	38		Other Government (Federal, State, Local not specified)	Added to expansion
https://nahdo.org/sopt	381		Federal, State, Local not specified managed care	Added to expansion
https://nahdo.org/sopt	3811		Federal, State, Local not specified - HMO	Added to expansion
https://nahdo.org/sopt	3812		Federal, State, Local not specified - PPO	Added to expansion
https://nahdo.org/sopt	3813		Federal, State, Local not specified - POS	Added to expansion
https://nahdo.org/sopt	3819		Federal, State, Local not specified - not specified managed care	Added to expansion
https://nahdo.org/sopt	382		Federal, State, Local not specified - FFS	Added to expansion
https://nahdo.org/sopt	389		Federal, State, Local not specified - Other	Added to expansion
https://nahdo.org/sopt	39		Other Federal	Added to expansion
https://nahdo.org/sopt	391		Federal Employee Health Plan - Use when known	Added to expansion
https://nahdo.org/sopt	4		DEPARTMENTS OF CORRECTIONS	Added to expansion
https://nahdo.org/sopt	41		Corrections Federal	Added to expansion
https://nahdo.org/sopt	42		Corrections State	Added to expansion
https://nahdo.org/sopt	43		Corrections Local	Added to expansion
https://nahdo.org/sopt	44		Corrections Unknown Level	Added to expansion
https://nahdo.org/sopt	5		PRIVATE HEALTH INSURANCE	Added to expansion
https://nahdo.org/sopt	51		Managed Care (Private)	Added to expansion
https://nahdo.org/sopt	511		Commercial Managed Care - HMO	Added to expansion
https://nahdo.org/sopt	512		Commercial Managed Care - PPO	Added to expansion
https://nahdo.org/sopt	513		Commercial Managed Care - POS	Added to expansion
https://nahdo.org/sopt	514		Exclusive Provider Organization	Added to expansion
https://nahdo.org/sopt	515		Gatekeeper PPO (GPPO)	Added to expansion
https://nahdo.org/sopt	516		Commercial Managed Care - Pharmacy Benefit Manager	Added to expansion
https://nahdo.org/sopt	517		Commercial Managed Care - Dental	Added to expansion
https://nahdo.org/sopt	519		Managed Care, Other (non HMO)	Added to expansion
https://nahdo.org/sopt	52		Private Health Insurance - Indemnity	Added to expansion
https://nahdo.org/sopt	521		Commercial Indemnity	Added to expansion
https://nahdo.org/sopt	522		Self-insured (ERISA) Administrative Services Only (ASO) plan	Added to expansion
https://nahdo.org/sopt	523		Medicare supplemental policy (as second payer)	Added to expansion
https://nahdo.org/sopt	524		Indemnity Insurance - Dental	Added to expansion
https://nahdo.org/sopt	529		Private health insurance--other commercial Indemnity	Added to expansion
https://nahdo.org/sopt	53		Managed Care (private) or private health insurance (indemnity), not otherwise specified	Added to expansion
https://nahdo.org/sopt	54		Organized Delivery System	Added to expansion
https://nahdo.org/sopt	55		Small Employer Purchasing Group	Added to expansion
https://nahdo.org/sopt	56		Specialized Stand-Alone Plan	Added to expansion
https://nahdo.org/sopt	561		Dental	Added to expansion
https://nahdo.org/sopt	562		Vision	Added to expansion
https://nahdo.org/sopt	59		Other Private Insurance	Added to expansion
https://nahdo.org/sopt	6		BLUE CROSS/BLUE SHIELD	Added to expansion
https://nahdo.org/sopt	61		BC Managed Care	Added to expansion
https://nahdo.org/sopt	611		BC Managed Care - HMO	Added to expansion
https://nahdo.org/sopt	612		BC Managed Care - PPO	Added to expansion
https://nahdo.org/sopt	613		BC Managed Care - POS	Added to expansion
https://nahdo.org/sopt	614		BC Managed Care - Dental	Added to expansion
https://nahdo.org/sopt	619		BC Managed Care - Other	Added to expansion
https://nahdo.org/sopt	62		BC Insurance Indemnity	Added to expansion
https://nahdo.org/sopt	621		BC Indemnity	Added to expansion
https://nahdo.org/sopt	622		BC Self-insured (ERISA) Administrative Services Only (ASO)Plan	Added to expansion
https://nahdo.org/sopt	623		BC Medicare Supplemental Plan	Added to expansion
https://nahdo.org/sopt	629		BC Indemnity - Dental	Added to expansion
https://nahdo.org/sopt	7		MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private)	Added to expansion
https://nahdo.org/sopt	71		HMO	Added to expansion
https://nahdo.org/sopt	72		PPO	Added to expansion
https://nahdo.org/sopt	73		POS	Added to expansion
https://nahdo.org/sopt	79		Other Managed Care	Added to expansion
https://nahdo.org/sopt	8		NO PAYMENT from an Organization/Agency/Program/Private Payer Listed	Added to expansion
https://nahdo.org/sopt	81		Self-pay (Includes applicants for insurance and Medicaid applicants)	Added to expansion
https://nahdo.org/sopt	82		No Charge	Added to expansion
https://nahdo.org/sopt	821		Charity	Added to expansion
https://nahdo.org/sopt	822		Professional Courtesy	Added to expansion
https://nahdo.org/sopt	823		Research/Clinical Trial	Added to expansion
https://nahdo.org/sopt	83		Refusal to Pay/Bad Debt	Added to expansion
https://nahdo.org/sopt	84		Hill Burton Free Care	Added to expansion
https://nahdo.org/sopt	85		Research/Donor	Added to expansion
https://nahdo.org/sopt	89		No Payment, Other	Added to expansion
https://nahdo.org/sopt	9		MISCELLANEOUS/OTHER	Added to expansion
https://nahdo.org/sopt	91		Foreign National	Added to expansion
https://nahdo.org/sopt	92		Other (Non-government)	Added to expansion
https://nahdo.org/sopt	93		Disability Insurance	Added to expansion
https://nahdo.org/sopt	94		Long-term Care Insurance	Added to expansion
https://nahdo.org/sopt	95		Worker's Compensation	Added to expansion
https://nahdo.org/sopt	951		Worker's Comp HMO	Added to expansion
https://nahdo.org/sopt	953		Worker's Comp Fee-for-Service	Added to expansion
https://nahdo.org/sopt	954		Worker's Comp Other Managed Care	Added to expansion
https://nahdo.org/sopt	959		Worker's Comp, Other unspecified	Added to expansion
https://nahdo.org/sopt	96		Auto Insurance (includes no fault)	Added to expansion
https://nahdo.org/sopt	97		Legal Liability / Liability Insurance	Added to expansion
https://nahdo.org/sopt	98		Other specified but not otherwise classifiable (includes Hospice - Unspecified plan)	Added to expansion
https://nahdo.org/sopt	99		No Typology Code available for payment source	Added to expansion
https://nahdo.org/sopt	9999		Unavailable / No Payer Specified / Blank	Added to expansion