DaVinci Payer Data Exchange (PDex) US Drug Formulary | STU2 Ballot
1.2.0 - STU2 Ballot

This page is part of the US Drug Formulary (v1.2.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

: Code for qualifier for coinsurance rate codes - 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 "usdf-CoinsuranceOptionCS"];
  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/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS 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\">after-deductible<a name=\"usdf-CoinsuranceOptionCS-after-deductible\"> </a></td><td>After Deductible</td><td>The consumer first pays the deductible, and after the deductible is met, the consumer pays the coinsurance portion of allowed charges (this indicates that this benefit is subject to the deductible).</td></tr><tr><td style=\"white-space:nowrap\">no-charge<a name=\"usdf-CoinsuranceOptionCS-no-charge\"> </a></td><td>No Charge</td><td>No cost sharing is charged (this indicates that this benefit is not subject to the deductible).</td></tr><tr><td style=\"white-space:nowrap\">no-charge-after-deductible<a name=\"usdf-CoinsuranceOptionCS-no-charge-after-deductible\"> </a></td><td>No Charge After Deductible</td><td>The consumer first pays the deductible, and after the deductible is met, no coinsurance is charged (this indicates that this benefit is subject to the deductible).</td></tr><tr><td style=\"white-space:nowrap\">charge<a name=\"usdf-CoinsuranceOptionCS-charge\"> </a></td><td>Charge</td><td>The consumer always pays just the coinsurance and the issuer pays the remainder of allowed charges (this indicates that this benefit is not subject to the deductible).</td></tr><tr><td style=\"white-space:nowrap\">not-applicable<a name=\"usdf-CoinsuranceOptionCS-not-applicable\"> </a></td><td>Not Applicable</td><td>The consumer pays only a copay. Note: When using Not Applicable for coinsurance, Not Applicable cannot also be used for copay (unless the drug tier type is Medical Service Drugs).</td></tr><tr><td style=\"white-space:nowrap\">deductible-waived<a name=\"usdf-CoinsuranceOptionCS-deductible-waived\"> </a></td><td>Deductible Waived</td><td>The consumer pays the coinsurance with deductible requirement waived.</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS"];
  fhir:CodeSystem.version [ fhir:value "1.2.0"];
  fhir:CodeSystem.name [ fhir:value "CoInsuranceOptionCS"];
  fhir:CodeSystem.title [ fhir:value "Code for qualifier for coinsurance rate codes"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.date [ fhir:value "2021-12-03T18:37:11+00:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "HL7 Pharmacy Working Group"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "HL7 Pharmacy Working Group" ];
     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:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "pharmacy@lists.HL7.org" ]     ]
  ];
  fhir:CodeSystem.description [ fhir:value "Code for qualifier for coinsurance rate"];
  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:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.count [ fhir:value "6"^^xsd:nonNegativeInteger];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "after-deductible" ];
     fhir:CodeSystem.concept.display [ fhir:value "After Deductible" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The consumer first pays the deductible, and after the deductible is met, the consumer pays the coinsurance portion of allowed charges (this indicates that this benefit is subject to the deductible)." ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "no-charge" ];
     fhir:CodeSystem.concept.display [ fhir:value "No Charge" ];
     fhir:CodeSystem.concept.definition [ fhir:value "No cost sharing is charged (this indicates that this benefit is not subject to the deductible)." ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "no-charge-after-deductible" ];
     fhir:CodeSystem.concept.display [ fhir:value "No Charge After Deductible" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The consumer first pays the deductible, and after the deductible is met, no coinsurance is charged (this indicates that this benefit is subject to the deductible)." ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "charge" ];
     fhir:CodeSystem.concept.display [ fhir:value "Charge" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The consumer always pays just the coinsurance and the issuer pays the remainder of allowed charges (this indicates that this benefit is not subject to the deductible)." ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "not-applicable" ];
     fhir:CodeSystem.concept.display [ fhir:value "Not Applicable" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The consumer pays only a copay. Note: When using Not Applicable for coinsurance, Not Applicable cannot also be used for copay (unless the drug tier type is Medical Service Drugs)." ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "deductible-waived" ];
     fhir:CodeSystem.concept.display [ fhir:value "Deductible Waived" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The consumer pays the coinsurance with deductible requirement waived." ]
  ].

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

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