FHIR Cross-Version Extensions package for FHIR R4 from FHIR R4B - Version 0.0.1-snapshot-2. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 0 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="coverage-copay-type"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>This code system http://terminology.hl7.org/CodeSystem/coverage-copay-type 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">gpvisit
<a name="coverage-copay-type-gpvisit"> </a>
</td>
<td>GP Office Visit</td>
<td>An office visit for a general practitioner of a discipline.</td>
</tr>
<tr>
<td style="white-space:nowrap">spvisit
<a name="coverage-copay-type-spvisit"> </a>
</td>
<td>Specialist Office Visit</td>
<td>An office visit for a specialist practitioner of a discipline</td>
</tr>
<tr>
<td style="white-space:nowrap">emergency
<a name="coverage-copay-type-emergency"> </a>
</td>
<td>Emergency</td>
<td>An episode in an emergency department.</td>
</tr>
<tr>
<td style="white-space:nowrap">inpthosp
<a name="coverage-copay-type-inpthosp"> </a>
</td>
<td>Inpatient Hospital</td>
<td>An episode of an Inpatient hospital stay.</td>
</tr>
<tr>
<td style="white-space:nowrap">televisit
<a name="coverage-copay-type-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 style="white-space:nowrap">urgentcare
<a name="coverage-copay-type-urgentcare"> </a>
</td>
<td>Urgent Care</td>
<td>A visit to an urgent care facility - typically a community care clinic.</td>
</tr>
<tr>
<td style="white-space:nowrap">copaypct
<a name="coverage-copay-type-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 style="white-space:nowrap">copay
<a name="coverage-copay-type-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 style="white-space:nowrap">deductible
<a name="coverage-copay-type-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 style="white-space:nowrap">maxoutofpocket
<a name="coverage-copay-type-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>
</table>
</div>
</text>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r4b.r4"/>
</extension>
<extension url="version">
<valueString value="0.0.1-snapshot-2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fm"/>
</extension>
<url value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/>
<version value="4.3.0"/>
<name value="CoverageCoPayTypeCodes"/>
<title value="Coverage CoPay Type Codes"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2025-09-13T16:38:45-04:00"/>
<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 codeset includes Coverage Copayment Type codes."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<copyright value="HL7 Inc."/>
<caseSensitive value="true"/>
<content value="complete"/>
<concept>
<code value="gpvisit"/>
<display value="GP Office Visit"/>
<definition
value="An office visit for a general practitioner of a discipline."/>
</concept>
<concept>
<code value="spvisit"/>
<display value="Specialist Office Visit"/>
<definition
value="An office visit for a specialist practitioner of a discipline"/>
</concept>
<concept>
<code value="emergency"/>
<display value="Emergency"/>
<definition value="An episode in an emergency department."/>
</concept>
<concept>
<code value="inpthosp"/>
<display value="Inpatient Hospital"/>
<definition value="An episode of an Inpatient hospital stay."/>
</concept>
<concept>
<code value="televisit"/>
<display value="Tele-visit"/>
<definition
value="A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference."/>
</concept>
<concept>
<code value="urgentcare"/>
<display value="Urgent Care"/>
<definition
value="A visit to an urgent care facility - typically a community care clinic."/>
</concept>
<concept>
<code value="copaypct"/>
<display value="Copay Percentage"/>
<definition
value="A standard percentage applied to all classes or service or product not otherwise specified."/>
</concept>
<concept>
<code value="copay"/>
<display value="Copay Amount"/>
<definition
value="A standard fixed currency amount applied to all classes or service or product not otherwise specified."/>
</concept>
<concept>
<code value="deductible"/>
<display value="Deductible"/>
<definition
value="The accumulated amount of patient payment before the coverage begins to pay for services."/>
</concept>
<concept>
<code value="maxoutofpocket"/>
<display value="Maximum out of pocket"/>
<definition
value="The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually."/>
</concept>
</CodeSystem>