FHIR Cross-Version Extensions package for FHIR R4 from FHIR R4B - Version 0.0.1-snapshot-2. See the Directory of published versions

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• XML
• JSON
• TTL

: Benefit Type Codes - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "benefit-type",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <p>This code system http://terminology.hl7.org/CodeSystem/benefit-type defines the following codes:</p>\n            <table class=\"codes\">\n              <tr>\n                <td style=\"white-space:nowrap\">\n                  <b>Code</b>\n                </td>\n                <td>\n                  <b>Display</b>\n                </td>\n                <td>\n                  <b>Definition</b>\n                </td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">benefit\n                  <a name=\"benefit-type-benefit\"> </a>\n                </td>\n                <td>Benefit</td>\n                <td>Maximum benefit allowable.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">deductible\n                  <a name=\"benefit-type-deductible\"> </a>\n                </td>\n                <td>Deductible</td>\n                <td>Cost to be incurred before benefits are applied</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">visit\n                  <a name=\"benefit-type-visit\"> </a>\n                </td>\n                <td>Visit</td>\n                <td>Service visit</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">room\n                  <a name=\"benefit-type-room\"> </a>\n                </td>\n                <td>Room</td>\n                <td>Type of room</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">copay\n                  <a name=\"benefit-type-copay\"> </a>\n                </td>\n                <td>Copayment per service</td>\n                <td>Copayment per service</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">copay-percent\n                  <a name=\"benefit-type-copay-percent\"> </a>\n                </td>\n                <td>Copayment Percent per service</td>\n                <td>Copayment percentage per service</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">copay-maximum\n                  <a name=\"benefit-type-copay-maximum\"> </a>\n                </td>\n                <td>Copayment maximum per service</td>\n                <td>Copayment maximum per service</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">vision-exam\n                  <a name=\"benefit-type-vision-exam\"> </a>\n                </td>\n                <td>Vision Exam</td>\n                <td>Vision Exam</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">vision-glasses\n                  <a name=\"benefit-type-vision-glasses\"> </a>\n                </td>\n                <td>Vision Glasses</td>\n                <td>Frames and lenses</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">vision-contacts\n                  <a name=\"benefit-type-vision-contacts\"> </a>\n                </td>\n                <td>Vision Contacts Coverage</td>\n                <td>Contact Lenses</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">medical-primarycare\n                  <a name=\"benefit-type-medical-primarycare\"> </a>\n                </td>\n                <td>Medical Primary Health Coverage</td>\n                <td>Medical Primary Health Coverage</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">pharmacy-dispense\n                  <a name=\"benefit-type-pharmacy-dispense\"> </a>\n                </td>\n                <td>Pharmacy Dispense Coverage</td>\n                <td>Pharmacy Dispense Coverage</td>\n              </tr>\n            </table>\n          </div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "packageId",
          "valueId" : "hl7.fhir.uv.xver-r4b.r4"
        },
        {
          "url" : "version",
          "valueString" : "0.0.1-snapshot-2"
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    }
  ],
  "url" : "http://terminology.hl7.org/CodeSystem/benefit-type",
  "version" : "4.3.0",
  "name" : "BenefitTypeCodes",
  "title" : "Benefit Type Codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2025-09-13T16:38:45-04:00",
  "publisher" : "Financial Management",
  "contact" : [
    {
      "name" : "Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "This value set includes a smattering of Benefit type codes.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "copyright" : "This is an example set.",
  "caseSensitive" : true,
  "content" : "complete",
  "concept" : [
    {
      "code" : "benefit",
      "display" : "Benefit",
      "definition" : "Maximum benefit allowable."
    },
    {
      "code" : "deductible",
      "display" : "Deductible",
      "definition" : "Cost to be incurred before benefits are applied"
    },
    {
      "code" : "visit",
      "display" : "Visit",
      "definition" : "Service visit"
    },
    {
      "code" : "room",
      "display" : "Room",
      "definition" : "Type of room"
    },
    {
      "code" : "copay",
      "display" : "Copayment per service",
      "definition" : "Copayment per service"
    },
    {
      "code" : "copay-percent",
      "display" : "Copayment Percent per service",
      "definition" : "Copayment percentage per service"
    },
    {
      "code" : "copay-maximum",
      "display" : "Copayment maximum per service",
      "definition" : "Copayment maximum per service"
    },
    {
      "code" : "vision-exam",
      "display" : "Vision Exam",
      "definition" : "Vision Exam"
    },
    {
      "code" : "vision-glasses",
      "display" : "Vision Glasses",
      "definition" : "Frames and lenses"
    },
    {
      "code" : "vision-contacts",
      "display" : "Vision Contacts Coverage",
      "definition" : "Contact Lenses"
    },
    {
      "code" : "medical-primarycare",
      "display" : "Medical Primary Health Coverage",
      "definition" : "Medical Primary Health Coverage"
    },
    {
      "code" : "pharmacy-dispense",
      "display" : "Pharmacy Dispense Coverage",
      "definition" : "Pharmacy Dispense Coverage"
    }
  ]
}