Extensions for Using Data Elements from FHIR R4B in FHIR STU3
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Extensions for Using Data Elements from FHIR R4B in FHIR STU3 - Downloaded Version null See the Directory of published versions

: R4BCoverageCopayTypeForR3 - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R4B-coverage-copay-type-for-R3"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R4B-coverage-copay-type-for-R3</b></p><a name="R4B-coverage-copay-type-for-R3"> </a><a name="hcR4B-coverage-copay-type-for-R3"> </a><p>This value set expansion contains 10 concepts.</p><table class="codes"><tr><td><b>System</b></td><td><b>Version</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name="R4B-coverage-copay-type-for-R3-http://terminology.hl7.org/CodeSystem/coverage-copay-type-copay"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-copay-type</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-copay-type.html#coverage-copay-type-copay">copay</a></td><td>Copay Amount</td><td>A standard fixed currency amount applied to all classes or service or product not otherwise specified.</td></tr><tr><td><a name="R4B-coverage-copay-type-for-R3-http://terminology.hl7.org/CodeSystem/coverage-copay-type-copaypct"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-copay-type</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-copay-type.html#coverage-copay-type-copaypct">copaypct</a></td><td>Copay Percentage</td><td>A standard percentage applied to all classes or service or product not otherwise specified.</td></tr><tr><td><a name="R4B-coverage-copay-type-for-R3-http://terminology.hl7.org/CodeSystem/coverage-copay-type-deductible"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-copay-type</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-copay-type.html#coverage-copay-type-deductible">deductible</a></td><td>Deductible</td><td>The accumulated amount of patient payment before the coverage begins to pay for services.</td></tr><tr><td><a name="R4B-coverage-copay-type-for-R3-http://terminology.hl7.org/CodeSystem/coverage-copay-type-emergency"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-copay-type</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-copay-type.html#coverage-copay-type-emergency">emergency</a></td><td>Emergency</td><td>An episode in an emergency department.</td></tr><tr><td><a name="R4B-coverage-copay-type-for-R3-http://terminology.hl7.org/CodeSystem/coverage-copay-type-gpvisit"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-copay-type</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-copay-type.html#coverage-copay-type-gpvisit">gpvisit</a></td><td>GP Office Visit</td><td>An office visit for a general practitioner of a discipline.</td></tr><tr><td><a name="R4B-coverage-copay-type-for-R3-http://terminology.hl7.org/CodeSystem/coverage-copay-type-inpthosp"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-copay-type</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-copay-type.html#coverage-copay-type-inpthosp">inpthosp</a></td><td>Inpatient Hospital</td><td>An episode of an Inpatient hospital stay.</td></tr><tr><td><a name="R4B-coverage-copay-type-for-R3-http://terminology.hl7.org/CodeSystem/coverage-copay-type-maxoutofpocket"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-copay-type</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-copay-type.html#coverage-copay-type-maxoutofpocket">maxoutofpocket</a></td><td>Maximum out of pocket</td><td>The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.</td></tr><tr><td><a name="R4B-coverage-copay-type-for-R3-http://terminology.hl7.org/CodeSystem/coverage-copay-type-spvisit"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-copay-type</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-copay-type.html#coverage-copay-type-spvisit">spvisit</a></td><td>Specialist Office Visit</td><td>An office visit for a specialist practitioner of a discipline</td></tr><tr><td><a name="R4B-coverage-copay-type-for-R3-http://terminology.hl7.org/CodeSystem/coverage-copay-type-televisit"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-copay-type</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-copay-type.html#coverage-copay-type-televisit">televisit</a></td><td>Tele-visit</td><td>A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.</td></tr><tr><td><a name="R4B-coverage-copay-type-for-R3-http://terminology.hl7.org/CodeSystem/coverage-copay-type-urgentcare"> </a><code>http://terminology.hl7.org/CodeSystem/coverage-copay-type</code></td><td>4.3.0</td><td style="white-space:nowrap">  <a href="CodeSystem-coverage-copay-type.html#coverage-copay-type-urgentcare">urgentcare</a></td><td>Urgent Care</td><td>A visit to an urgent care facility - typically a community care clinic.</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r4b.r3"/>
    </extension>
    <extension url="version">
      <valueString value="0.1.0"/>
    </extension>
    <extension url="uri">
      <valueUri
                value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueUri
                  value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/xver/ValueSet/R4B-coverage-copay-type-for-R3"/>
  <version value="0.1.0"/>
  <name value="R4BCoverageCopayTypeForR3"/>
  <title
         value="Cross-version ValueSet R4B.CoverageCopayTypeCodes for use in FHIR STU3"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T21:02:03.8104715+00:00"/>
  <publisher value="Financial Management"/>
  <contact>
    <name value="Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
  </contact>
  <description
               value="This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/coverage-copay-type|4.3.0` for use in FHIR STU3."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <purpose
           value="This value set is part of the cross-version definitions generated to enable use of the
value set `http://hl7.org/fhir/ValueSet/coverage-copay-type|4.3.0` as defined in FHIR R4B
in FHIR STU3.

The source value set is bound to the following FHIR R4B elements:
* `Coverage.costToBeneficiary.type` as Extensible

Across FHIR versions, the value set has been mapped as:
* `http://hl7.org/fhir/ValueSet/coverage-copay-type|4.3.0`
* `http://hl7.org/fhir/ValueSet/coverage-copay-type|4.0.1`

Note that all concepts are included in this cross-version definition because no concepts have compatible representations

Following are the generation technical comments:
All concepts in the comparison are listed as identical.
The source and target value sets have the same number of active concepts (10).
FHIR ValueSet `http://hl7.org/fhir/ValueSet/coverage-copay-type|4.3.0`, defined in FHIR R4B does not have any mapping to FHIR STU3"/>
  <compose>
    <include>
      <system
              value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
      <version value="4.3.0"/>
      <concept>
        <code value="copay"/>
        <display value="Copay Amount"/>
      </concept>
      <concept>
        <code value="copaypct"/>
        <display value="Copay Percentage"/>
      </concept>
      <concept>
        <code value="deductible"/>
        <display value="Deductible"/>
      </concept>
      <concept>
        <code value="emergency"/>
        <display value="Emergency"/>
      </concept>
      <concept>
        <code value="gpvisit"/>
        <display value="GP Office Visit"/>
      </concept>
      <concept>
        <code value="inpthosp"/>
        <display value="Inpatient Hospital"/>
      </concept>
      <concept>
        <code value="maxoutofpocket"/>
        <display value="Maximum out of pocket"/>
      </concept>
      <concept>
        <code value="spvisit"/>
        <display value="Specialist Office Visit"/>
      </concept>
      <concept>
        <code value="televisit"/>
        <display value="Tele-visit"/>
      </concept>
      <concept>
        <code value="urgentcare"/>
        <display value="Urgent Care"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
      <version value="4.3.0"/>
      <code value="copay"/>
      <display value="Copay Amount"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
      <version value="4.3.0"/>
      <code value="copaypct"/>
      <display value="Copay Percentage"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
      <version value="4.3.0"/>
      <code value="deductible"/>
      <display value="Deductible"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
      <version value="4.3.0"/>
      <code value="emergency"/>
      <display value="Emergency"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
      <version value="4.3.0"/>
      <code value="gpvisit"/>
      <display value="GP Office Visit"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
      <version value="4.3.0"/>
      <code value="inpthosp"/>
      <display value="Inpatient Hospital"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
      <version value="4.3.0"/>
      <code value="maxoutofpocket"/>
      <display value="Maximum out of pocket"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
      <version value="4.3.0"/>
      <code value="spvisit"/>
      <display value="Specialist Office Visit"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
      <version value="4.3.0"/>
      <code value="televisit"/>
      <display value="Tele-visit"/>
    </contains>
    <contains>
      <system
              value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
      <version value="4.3.0"/>
      <code value="urgentcare"/>
      <display value="Urgent Care"/>
    </contains>
  </expansion>
</ValueSet>