CARIN Digital Insurance Card
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## : C4DIC Extended Copay Type - TTL Representation

Page standards status: Trial-use | Maturity Level: 2

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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 -------------------------------------------------------------------

    <http://hl7.org/fhir/CodeSystem/C4DICExtendedCopayTypeCS> a fhir:CodeSystem ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:Resource.id [ fhir:value "C4DICExtendedCopayTypeCS"] ;
      fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ] ;
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem C4DICExtendedCopayTypeCS</b></p><a name=\"C4DICExtendedCopayTypeCS\"> </a><a name=\"hcC4DICExtendedCopayTypeCS\"> </a><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/C4DICExtendedCopayTypeCS</code> 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\">FamOutDed<a name=\"C4DICExtendedCopayTypeCS-FamOutDed\"> </a></td><td>Family Out of Network Deductible</td><td>Family Out of Network Deductible</td></tr><tr><td style=\"white-space:nowrap\">FamInDed<a name=\"C4DICExtendedCopayTypeCS-FamInDed\"> </a></td><td>Family In Network Deductible</td><td>Family In Network Deductible</td></tr><tr><td style=\"white-space:nowrap\">FamRxOutDed<a name=\"C4DICExtendedCopayTypeCS-FamRxOutDed\"> </a></td><td>Family Pharmacy Out of Network Deductible</td><td>Family Pharmacy Out of Network Deductible</td></tr><tr><td style=\"white-space:nowrap\">FamRxInDed<a name=\"C4DICExtendedCopayTypeCS-FamRxInDed\"> </a></td><td>Family Pharmacy In Network Deductible</td><td>Family Pharmacy In Network Deductible</td></tr><tr><td style=\"white-space:nowrap\">FamOutMax<a name=\"C4DICExtendedCopayTypeCS-FamOutMax\"> </a></td><td>Family Out of Network Out of Pocket Maximum</td><td>Family Out of Network Out of Pocket Maximum</td></tr><tr><td style=\"white-space:nowrap\">FamInMax<a name=\"C4DICExtendedCopayTypeCS-FamInMax\"> </a></td><td>Family In Network Out of Pocket Maximum</td><td>Family In Network Out of Pocket Maximum</td></tr><tr><td style=\"white-space:nowrap\">FamRxOutMax<a name=\"C4DICExtendedCopayTypeCS-FamRxOutMax\"> </a></td><td>Family Pharmacy Out of Network Out of Pocket Maximum</td><td>Family Pharmacy Out of Network Out of Pocket Maximum</td></tr><tr><td style=\"white-space:nowrap\">FamRxInMax<a name=\"C4DICExtendedCopayTypeCS-FamRxInMax\"> </a></td><td>Family Pharmacy In Network Out of Pocket Maximum</td><td>Family Pharmacy In Network Out of Pocket Maximum</td></tr><tr><td style=\"white-space:nowrap\">IndOutDed<a name=\"C4DICExtendedCopayTypeCS-IndOutDed\"> </a></td><td>Invidual Out of Network Deductible</td><td>Individual Out of Network Deductible</td></tr><tr><td style=\"white-space:nowrap\">IndInDed<a name=\"C4DICExtendedCopayTypeCS-IndInDed\"> </a></td><td>Individual In Network Deductible</td><td>Individual In Network Deductible</td></tr><tr><td style=\"white-space:nowrap\">IndRxOutDed<a name=\"C4DICExtendedCopayTypeCS-IndRxOutDed\"> </a></td><td>Individual Pharmacy Out of Network Deductible</td><td>Individual Pharmacy Out of Network Deductible</td></tr><tr><td style=\"white-space:nowrap\">IndRxInDed<a name=\"C4DICExtendedCopayTypeCS-IndRxInDed\"> </a></td><td>Individual Pharmacy In Network Deductible</td><td>Individual Pharmacy In Network Deductible</td></tr><tr><td style=\"white-space:nowrap\">IndOutMax<a name=\"C4DICExtendedCopayTypeCS-IndOutMax\"> </a></td><td>Individual Out of Network Out of Pocket Maximum</td><td>Individual Out of Network Out of Pocket Maximum</td></tr><tr><td style=\"white-space:nowrap\">IndInMax<a name=\"C4DICExtendedCopayTypeCS-IndInMax\"> </a></td><td>Individual In Network Out of Pocket Maximum</td><td>Individual In Network Out of Pocket Maximum</td></tr><tr><td style=\"white-space:nowrap\">IndRxOutMax<a name=\"C4DICExtendedCopayTypeCS-IndRxOutMax\"> </a></td><td>Individual Pharmacy Out of Network Out of Pocket Maximum</td><td>Individual Pharmacy Out of Network Out of Pocket Maximum</td></tr><tr><td style=\"white-space:nowrap\">IndRxInMax<a name=\"C4DICExtendedCopayTypeCS-IndRxInMax\"> </a></td><td>Individual Pharmacy In Network Out of Pocket Maximum</td><td>Individual Pharmacy In Network Out of Pocket Maximum</td></tr><tr><td style=\"white-space:nowrap\">rx<a name=\"C4DICExtendedCopayTypeCS-rx\"> </a></td><td>Prescription</td><td>Prescription</td></tr></table></div>"
      ] ;
      fhir:DomainResource.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
         fhir:Extension.valueCode [ fhir:value "claims" ]
      ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
         fhir:Extension.valueInteger [
           fhir:value "2"^^xsd:integer ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
             fhir:Extension.valueCanonical [
               fhir:value "http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card" ;
               fhir:link <http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card>
             ]
           ]
         ]
      ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
         fhir:Extension.valueCode [
           fhir:value "trial-use" ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
             fhir:Extension.valueCanonical [
               fhir:value "http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card" ;
               fhir:link <http://hl7.org/fhir/us/insurance-card/ImplementationGuide/hl7.fhir.us.insurance-card>
             ]
           ]
         ]
      ] ;
      fhir:CodeSystem.url [ fhir:value "http://terminology.hl7.org/CodeSystem/C4DICExtendedCopayTypeCS"] ;
      fhir:CodeSystem.identifier [
         fhir:index 0 ;
         fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
         fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.40.9.16.2" ]
      ] ;
      fhir:CodeSystem.version [ fhir:value "2.0.0-ballot"] ;
      fhir:CodeSystem.name [ fhir:value "C4DICExtendedCopayTypeCS"] ;
      fhir:CodeSystem.title [ fhir:value "C4DIC Extended Copay Type"] ;
      fhir:CodeSystem.status [ fhir:value "active"] ;
      fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
      fhir:CodeSystem.date [ fhir:value "2026-08-13T02:29:19+10:00"^^xsd:dateTime] ;
      fhir:CodeSystem.publisher [ fhir:value "HL7 International / Payer/Provider Information Exchange Work Group"] ;
      fhir:CodeSystem.contact [
         fhir:index 0 ;
         fhir:ContactDetail.name [ fhir:value "HL7 International / Payer/Provider Information Exchange Work Group" ] ;
         fhir:ContactDetail.telecom [
           fhir:index 0 ;
           fhir:ContactPoint.system [ fhir:value "url" ] ;
           fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/claims" ]
         ], [
           fhir:index 1 ;
           fhir:ContactPoint.system [ fhir:value "email" ] ;
           fhir:ContactPoint.value [ fhir:value "pie@lists.HL7.org" ]
         ]
      ] ;
      fhir:CodeSystem.description [ fhir:value "This code system includes an extended set of Copay Type codes."] ;
      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.copyright [ fhir:value "This CodeSystem is not copyrighted."] ;
      fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
      fhir:CodeSystem.content [ fhir:value "complete"] ;
      fhir:CodeSystem.count [ fhir:value "17"^^xsd:nonNegativeInteger] ;
      fhir:CodeSystem.concept [
         fhir:index 0 ;
         fhir:CodeSystem.concept.code [ fhir:value "FamOutDed" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Family Out of Network Deductible" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Family Out of Network Deductible" ]
      ], [
         fhir:index 1 ;
         fhir:CodeSystem.concept.code [ fhir:value "FamInDed" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Family In Network Deductible" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Family In Network Deductible" ]
      ], [
         fhir:index 2 ;
         fhir:CodeSystem.concept.code [ fhir:value "FamRxOutDed" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Family Pharmacy Out of Network Deductible" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Family Pharmacy Out of Network Deductible" ]
      ], [
         fhir:index 3 ;
         fhir:CodeSystem.concept.code [ fhir:value "FamRxInDed" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Family Pharmacy In Network Deductible" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Family Pharmacy In Network Deductible" ]
      ], [
         fhir:index 4 ;
         fhir:CodeSystem.concept.code [ fhir:value "FamOutMax" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Family Out of Network Out of Pocket Maximum" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Family Out of Network Out of Pocket Maximum" ]
      ], [
         fhir:index 5 ;
         fhir:CodeSystem.concept.code [ fhir:value "FamInMax" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Family In Network Out of Pocket Maximum" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Family In Network Out of Pocket Maximum" ]
      ], [
         fhir:index 6 ;
         fhir:CodeSystem.concept.code [ fhir:value "FamRxOutMax" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Family Pharmacy Out of Network Out of Pocket Maximum" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Family Pharmacy Out of Network Out of Pocket Maximum" ]
      ], [
         fhir:index 7 ;
         fhir:CodeSystem.concept.code [ fhir:value "FamRxInMax" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Family Pharmacy In Network Out of Pocket Maximum" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Family Pharmacy In Network Out of Pocket Maximum" ]
      ], [
         fhir:index 8 ;
         fhir:CodeSystem.concept.code [ fhir:value "IndOutDed" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Invidual Out of Network Deductible" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Individual Out of Network Deductible" ]
      ], [
         fhir:index 9 ;
         fhir:CodeSystem.concept.code [ fhir:value "IndInDed" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Individual In Network Deductible" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Individual In Network Deductible" ]
      ], [
         fhir:index 10 ;
         fhir:CodeSystem.concept.code [ fhir:value "IndRxOutDed" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Individual Pharmacy Out of Network Deductible" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Individual Pharmacy Out of Network Deductible" ]
      ], [
         fhir:index 11 ;
         fhir:CodeSystem.concept.code [ fhir:value "IndRxInDed" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Individual Pharmacy In Network Deductible" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Individual Pharmacy In Network Deductible" ]
      ], [
         fhir:index 12 ;
         fhir:CodeSystem.concept.code [ fhir:value "IndOutMax" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Individual Out of Network Out of Pocket Maximum" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Individual Out of Network Out of Pocket Maximum" ]
      ], [
         fhir:index 13 ;
         fhir:CodeSystem.concept.code [ fhir:value "IndInMax" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Individual In Network Out of Pocket Maximum" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Individual In Network Out of Pocket Maximum" ]
      ], [
         fhir:index 14 ;
         fhir:CodeSystem.concept.code [ fhir:value "IndRxOutMax" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Individual Pharmacy Out of Network Out of Pocket Maximum" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Individual Pharmacy Out of Network Out of Pocket Maximum" ]
      ], [
         fhir:index 15 ;
         fhir:CodeSystem.concept.code [ fhir:value "IndRxInMax" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Individual Pharmacy In Network Out of Pocket Maximum" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Individual Pharmacy In Network Out of Pocket Maximum" ]
      ], [
         fhir:index 16 ;
         fhir:CodeSystem.concept.code [ fhir:value "rx" ] ;
         fhir:CodeSystem.concept.display [ fhir:value "Prescription" ] ;
         fhir:CodeSystem.concept.definition [ fhir:value "Prescription" ]
      ] .

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

    <http://hl7.org/fhir/CodeSystem/C4DICExtendedCopayTypeCS.ttl> a owl:Ontology ;
      owl:imports fhir:fhir.ttl ;
      owl:versionIRI <http://build.fhir.org/CodeSystem/C4DICExtendedCopayTypeCS.ttl> .