Release 4B Ballot #1

This page is part of the FHIR Specification v4.1.0: R4B Ballot. About the R4B version of FHIR. The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4

4.3.14.249 Code System http://terminology.hl7.org/CodeSystem/coverage-copay-type

Financial Management Work Group Maturity Level: 0Informative Use Context: Any

This is a code system defined by the FHIR project.

Summary

Defining URL:http://terminology.hl7.org/CodeSystem/coverage-copay-type
Version:4.1.0
Name:CoverageCoPayTypeCodes
Title:Coverage CoPay Type Codes
Definition:

This codeset includes Coverage Copayment Type codes.

Committee:Financial Management Work Group
OID:2.16.840.1.113883.4.642.1.1149 (for OID based terminology systems)
Copyright:

HL7 Inc.

Source ResourceXML / JSON

This Code system is used in the following value sets:

4.3.14.249.1 Content

This code system http://terminology.hl7.org/CodeSystem/coverage-copay-type defines the following codes:

CodeDisplayDefinition
gpvisit GP Office VisitAn office visit for a general practitioner of a discipline.
spvisit Specialist Office VisitAn office visit for a specialist practitioner of a discipline
emergency EmergencyAn episode in an emergency department.
inpthosp Inpatient HospitalAn episode of an Inpatient hospital stay.
televisit Tele-visitA visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.
urgentcare Urgent CareA visit to an urgent care facility - typically a community care clinic.
copaypct Copay PercentageA standard percentage applied to all classes or service or product not otherwise specified.
copay Copay AmountA standard fixed currency amount applied to all classes or service or product not otherwise specified.
deductible DeductibleThe accumulated amount of patient payment before the coverage begins to pay for services.
maxoutofpocket Maximum out of pocketThe maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.

 

See the full registry of code systems defined as part of FHIR.

Explanation of the columns that may appear on this page:

LevelA few code lists that FHIR defines are hierarchical - each code is assigned a level. See Code System for further information.
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe 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
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code