Extensions for Using Data Elements from FHIR R5 in FHIR R4
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Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

ValueSet: R5V3ActCoverageLimitCodeForR4

Official URL: http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActCoverageLimitCode-for-R4 Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: R5V3ActCoverageLimitCodeForR4

This cross-version ValueSet represents content from http://terminology.hl7.org/ValueSet/v3-ActCoverageLimitCode|2.0.0 for use in FHIR R4.

This value set is part of the cross-version definitions generated to enable use of the value set http://terminology.hl7.org/ValueSet/v3-ActCoverageLimitCode|2.0.0 as defined in FHIR R5 in FHIR R4.

The source value set is bound to the following FHIR R5 elements:

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

Following are the generation technical comments:

FHIR ValueSet http://terminology.hl7.org/ValueSet/v3-ActCoverageLimitCode|2.0.0, defined in FHIR R5 does not have any mapping to FHIR R4

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActCode version 📍8.0.0
    CodeDisplayDefinition
    COVMXcoverage maximum**Definition:** Codes representing the maximum coverate or financial participation requirements.
    COVPRDcoverage periodCodes representing the time period during which coverage is available; or financial participation requirements are in effect.
    LFEMXlife time maximum**Definition:** Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.
    NETAMTNet AmountMaximum net amount that will be covered for the product or service specified.
    PRDMXperiod maximum**Definition:** Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.
    UNITPRICEUnit PriceMaximum unit price that will be covered for the authorized product or service.
    UNITQTYUnit QuantityMaximum number of items that will be covered of the product or service specified.
    _ActCoveragePartyLimitGroupCodeActCoveragePartyLimitGroupCodeCodes representing the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.
    _ActCoverageQuantityLimitCodeActCoverageQuantityLimitCodeMaximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.
    _ActCoveredPartyLimitCodeActCoveredPartyLimitCodeCodes representing the types of covered parties that may receive covered benefits under a policy or program.

 

Expansion

This value set expansion contains 10 concepts.

SystemVersionCodeDisplayDefinitionJSONXML
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  COVMXcoverage maximum

Definition: Codes representing the maximum coverate or financial participation requirements.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  COVPRDcoverage period

Codes representing the time period during which coverage is available; or financial participation requirements are in effect.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  LFEMXlife time maximum

Definition: Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NETAMTNet Amount

Maximum net amount that will be covered for the product or service specified.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  PRDMXperiod maximum

Definition: Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  UNITPRICEUnit Price

Maximum unit price that will be covered for the authorized product or service.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  UNITQTYUnit Quantity

Maximum number of items that will be covered of the product or service specified.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  _ActCoveragePartyLimitGroupCodeActCoveragePartyLimitGroupCode

Codes representing the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  _ActCoverageQuantityLimitCodeActCoverageQuantityLimitCode

Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  _ActCoveredPartyLimitCodeActCoveredPartyLimitCode

Codes representing the types of covered parties that may receive covered benefits under a policy or program.


Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code