CARIN Digital Insurance Card
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This page is part of the CARIN Digital Insurance Card (v1.1.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: C4DIC Extended Copay Type - TTL Representation

Active as of 2024-04-16

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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:id [ fhir:v "C4DICExtendedCopayTypeCS"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This case-sensitive code system <code>http://hl7.org/fhir/us/insurance-card/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></tr><tr><td style=\"white-space:nowrap\">FamOutDed<a name=\"C4DICExtendedCopayTypeCS-FamOutDed\"> </a></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></tr><tr><td style=\"white-space:nowrap\">FamRxOutDed<a name=\"C4DICExtendedCopayTypeCS-FamRxOutDed\"> </a></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></tr><tr><td style=\"white-space:nowrap\">FamOutMax<a name=\"C4DICExtendedCopayTypeCS-FamOutMax\"> </a></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></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></tr><tr><td style=\"white-space:nowrap\">FamRxInMax<a name=\"C4DICExtendedCopayTypeCS-FamRxInMax\"> </a></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></tr><tr><td style=\"white-space:nowrap\">IndInDed<a name=\"C4DICExtendedCopayTypeCS-IndInDed\"> </a></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></tr><tr><td style=\"white-space:nowrap\">IndRxInDed<a name=\"C4DICExtendedCopayTypeCS-IndRxInDed\"> </a></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></tr><tr><td style=\"white-space:nowrap\">IndInMax<a name=\"C4DICExtendedCopayTypeCS-IndInMax\"> </a></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></tr><tr><td style=\"white-space:nowrap\">IndRxInMax<a name=\"C4DICExtendedCopayTypeCS-IndRxInMax\"> </a></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></tr></table></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "claims" ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/us/insurance-card/CodeSystem/C4DICExtendedCopayTypeCS"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "1.1.0"] ; # 
  fhir:name [ fhir:v "C4DICExtendedCopayTypeCS"] ; # 
  fhir:title [ fhir:v "C4DIC Extended Copay Type"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2024-04-16T17:28:04+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Payer/Provider Information Exchange Work Group"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International / Payer/Provider Information Exchange Work Group" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/claims" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "pie@lists.HL7.org" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This code system includes an extended set of Copay Type codes."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "This CodeSystem is not copyrighted."] ; # 
  fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "17"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "FamOutDed" ] ;
fhir:display [ fhir:v "Family Out of Network Deductible" ]
  ] [
fhir:code [ fhir:v "FamInDed" ] ;
fhir:display [ fhir:v "Family In Network Deductible" ]
  ] [
fhir:code [ fhir:v "FamRxOutDed" ] ;
fhir:display [ fhir:v "Family Pharmacy Out of Network Deductible" ]
  ] [
fhir:code [ fhir:v "FamRxInDed" ] ;
fhir:display [ fhir:v "Family Pharmacy In Network Deductible" ]
  ] [
fhir:code [ fhir:v "FamOutMax" ] ;
fhir:display [ fhir:v "Family Out of Network Out of Pocket Maximum" ]
  ] [
fhir:code [ fhir:v "FamInMax" ] ;
fhir:display [ fhir:v "Family In Network Out of Pocket Maximum" ]
  ] [
fhir:code [ fhir:v "FamRxOutMax" ] ;
fhir:display [ fhir:v "Family Pharmacy Out of Network Out of Pocket Maximum" ]
  ] [
fhir:code [ fhir:v "FamRxInMax" ] ;
fhir:display [ fhir:v "Family Pharmacy In Network Out of Pocket Maximum" ]
  ] [
fhir:code [ fhir:v "IndOutDed" ] ;
fhir:display [ fhir:v "Invidual Out of Network Deductible" ]
  ] [
fhir:code [ fhir:v "IndInDed" ] ;
fhir:display [ fhir:v "Individual In Network Deductible" ]
  ] [
fhir:code [ fhir:v "IndRxOutDed" ] ;
fhir:display [ fhir:v "Individual Pharmacy Out of Network Deductible" ]
  ] [
fhir:code [ fhir:v "IndRxInDed" ] ;
fhir:display [ fhir:v "Individual Pharmacy In Network Deductible" ]
  ] [
fhir:code [ fhir:v "IndOutMax" ] ;
fhir:display [ fhir:v "Individual Out of Network Out of Pocket Maximum" ]
  ] [
fhir:code [ fhir:v "IndInMax" ] ;
fhir:display [ fhir:v "Individual In Network Out of Pocket Maximum" ]
  ] [
fhir:code [ fhir:v "IndRxOutMax" ] ;
fhir:display [ fhir:v "Individual Pharmacy Out of Network Out of Pocket Maximum" ]
  ] [
fhir:code [ fhir:v "IndRxInMax" ] ;
fhir:display [ fhir:v "Individual Pharmacy In Network Out of Pocket Maximum" ]
  ] [
fhir:code [ fhir:v "rx" ] ;
fhir:display [ fhir:v "Prescription" ]
  ] ) . #