This page is part of the Consumer Real-time Pharmacy Benefit Check (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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: RtpbcPatientPayTypeCodeSystem - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "rtpbc-patient-pay-type"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2019-12-08T05:00:00.000+00:00"^^xsd:dateTime ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">deductible<a name=\"rtpbc-patient-pay-type-deductible\"> </a></td><td>Deductible</td><td>Amount to be collected from a patient to be applied to a periodic deductible</td></tr><tr><td style=\"white-space:nowrap\">coinsurance<a name=\"rtpbc-patient-pay-type-coinsurance\"> </a></td><td>Per prescription coinsurance</td><td>Amount to be collected from a patient to satisfy a per prescription coinsurance</td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"rtpbc-patient-pay-type-copay\"> </a></td><td>Copay</td><td>Amount to be collected from the patient to satisfy a per prescription copay</td></tr><tr><td style=\"white-space:nowrap\">tax<a name=\"rtpbc-patient-pay-type-tax\"> </a></td><td>Tax</td><td>Amount to be collected from the patient for sales tax</td></tr><tr><td style=\"white-space:nowrap\">cash-price<a name=\"rtpbc-patient-pay-type-cash-price\"> </a></td><td>Full product cash price</td><td>Full product cash price before discounts or coupons</td></tr><tr><td style=\"white-space:nowrap\">coupon-discount<a name=\"rtpbc-patient-pay-type-coupon-discount\"> </a></td><td>Coupon discount amount</td><td>Coupon discount reducing the amount to be collected from the patient</td></tr><tr><td style=\"white-space:nowrap\">member-discount<a name=\"rtpbc-patient-pay-type-member-discount\"> </a></td><td>Member discount amount</td><td>Member discount reducing the amount to be collected from the patient</td></tr><tr><td style=\"white-space:nowrap\">other-discount<a name=\"rtpbc-patient-pay-type-other-discount\"> </a></td><td>Other discount amount</td><td>Other discount reducing the amount to be collected from the patient</td></tr><tr><td style=\"white-space:nowrap\">other-cost<a name=\"rtpbc-patient-pay-type-other-cost\"> </a></td><td>Other cost</td><td>Other amount to be collected from the patient</td></tr><tr><td style=\"white-space:nowrap\">eligible<a name=\"rtpbc-patient-pay-type-eligible\"> </a></td><td>Eligible amount</td><td>Amount that is considered for adjudication</td></tr><tr><td style=\"white-space:nowrap\">total<a name=\"rtpbc-patient-pay-type-total\"> </a></td><td>Total patient responsibility</td><td>Amount equalling the total patient responsibility for a prescription product's cost</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type"];
  fhir:CodeSystem.version [ fhir:value "1.0.0"];
  fhir:CodeSystem.name [ fhir:value "RtpbcPatientPayTypeCodeSystem"];
  fhir:CodeSystem.title [ fhir:value "RTPBC Patient Pay Type Code System"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean];
  fhir:CodeSystem.date [ fhir:value "2020-05-23T00:00:00-05:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "HL7 International - Pharmacy"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "HL7 International - Pharmacy" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/medication" ]     ]
  ], [
     fhir:index 1;
     fhir:ContactDetail.name [ fhir:value "Frank McKinney" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "frank.mckinney@pocp.com" ]     ]
  ];
  fhir:CodeSystem.description [ fhir:value "This code system defines components of a patient's responsibility for a prescription product's cost."];
  fhir:CodeSystem.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ];
       fhir:Coding.display [ fhir:value "United States of America" ]     ]
  ];
  fhir:CodeSystem.caseSensitive [ fhir:value "false"^^xsd:boolean];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "deductible" ];
     fhir:CodeSystem.concept.display [ fhir:value "Deductible" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Amount to be collected from a patient to be applied to a periodic deductible" ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "coinsurance" ];
     fhir:CodeSystem.concept.display [ fhir:value "Per prescription coinsurance" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Amount to be collected from a patient to satisfy a per prescription coinsurance" ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "copay" ];
     fhir:CodeSystem.concept.display [ fhir:value "Copay" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Amount to be collected from the patient to satisfy a per prescription copay" ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "tax" ];
     fhir:CodeSystem.concept.display [ fhir:value "Tax" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Amount to be collected from the patient for sales tax" ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "cash-price" ];
     fhir:CodeSystem.concept.display [ fhir:value "Full product cash price" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Full product cash price before discounts or coupons" ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "coupon-discount" ];
     fhir:CodeSystem.concept.display [ fhir:value "Coupon discount amount" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Coupon discount reducing the amount to be collected from the patient" ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "member-discount" ];
     fhir:CodeSystem.concept.display [ fhir:value "Member discount amount" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Member discount reducing the amount to be collected from the patient" ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "other-discount" ];
     fhir:CodeSystem.concept.display [ fhir:value "Other discount amount" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Other discount reducing the amount to be collected from the patient" ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "other-cost" ];
     fhir:CodeSystem.concept.display [ fhir:value "Other cost" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Other amount to be collected from the patient" ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "eligible" ];
     fhir:CodeSystem.concept.display [ fhir:value "Eligible amount" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Amount that is considered for adjudication" ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "total" ];
     fhir:CodeSystem.concept.display [ fhir:value "Total patient responsibility" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Amount equalling the total patient responsibility for a prescription product's cost" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.