HL7.FHIR.US.CARIN-RTPBC\RtbpcPatientPayTypeValueSet

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 in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

ValueSet: RtbpcPatientPayTypeValueSet

Summary

Defining URL:

http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-patient-pay-type

Version:

1.0.0

Name:

RtbpcPatientPayTypeValueSet

Status:

Active

Title:

RTPBC Patient Pay Type Value Set

Definition:

This value set contains components of a patient's responsibility for a prescription product's cost.

Publisher:

HL7 International - Pharmacy

Source Resource:

XML / JSON / Turtle

References

RTPBC Response Using ClaimResponse

Logical Definition (CLD)

Include all codes defined in http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type

Expansion

This value set contains 11 concepts

Expansion based on RTPBC Patient Pay Type Code System v1.0.0 (CodeSystem)

All codes from system http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type

Code	Display	Definition
deductible	Deductible	Amount to be collected from a patient to be applied to a periodic deductible
coinsurance	Per prescription coinsurance	Amount to be collected from a patient to satisfy a per prescription coinsurance
copay	Copay	Amount to be collected from the patient to satisfy a per prescription copay
tax	Tax	Amount to be collected from the patient for sales tax
cash-price	Full product cash price	Full product cash price before discounts or coupons
coupon-discount	Coupon discount amount	Coupon discount reducing the amount to be collected from the patient
member-discount	Member discount amount	Member discount reducing the amount to be collected from the patient
other-discount	Other discount amount	Other discount reducing the amount to be collected from the patient
other-cost	Other cost	Other amount to be collected from the patient
eligible	Eligible amount	Amount that is considered for adjudication
total	Total patient responsibility	Amount equalling the total patient responsibility for a prescription product's cost

Explanation of the columns that may appear on this page:

Level

A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies

Source

The source of the definition of the code (when the value set draws in codes defined elsewhere)

Code

The code (used as the code in the resource instance)

Display

The 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

Definition

An explanation of the meaning of the concept

Comments

Additional notes about how to use the code