This page is part of the FHIR Specification (v4.1.0: Release 4B Ballot #1). 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
Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative |
Raw XML (canonical form + also see XML Format Specification)
Definition for Code System CoverageCoPayTypeCodes
<?xml version="1.0" encoding="UTF-8"?> <CodeSystem xmlns="http://hl7.org/fhir"> <id value="coverage-copay-type"/> <meta> <lastUpdated value="2021-03-11T17:06:20.662+11:00"/> <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> </meta> <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/structuredefinition-wg"> <valueCode value="fm"/> </extension> <url value="http://terminology.hl7.org/CodeSystem/coverage-copay-type"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.1.1149"/> </identifier> <version value="4.1.0"/> <name value="CoverageCoPayTypeCodes"/> <title value="Coverage CoPay Type Codes"/> <status value="draft"/> <publisher value="Financial Management"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org/fhir"/> </telecom> </contact> <description value="This codeset includes Coverage Copayment Type codes."/> <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>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.