National Directory of Healthcare Providers & Services (NDH) Implementation Guide
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This page is part of the National Directory of Healthcare Providers and Services (NDH) Implementation Guide (v1.0.0-ballot: STU1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

ValueSet: NDH Insurance Coverage Type Value Set

Official URL: http://hl7.org/fhir/us/ndh/ValueSet/NdhCoverageTypeVS Version: 1.0.0-ballot
Active as of 2023-07-30 Computable Name: NdhCoverageTypeVS

Codes for NDH Insurance Coverage Type.

References

Logical Definition (CLD)

  • Include these codes as defined in http://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCS
    CodeDisplayDefinition
    medicalMedicalMedical insurance coverage.
    dentalDentalDental insurance coverage.
    menthlthMental HealthMental health insurance coverage.
    substanceabuseSubstance AbuseSubstance abuse services insurance coverage.
    visionVisionVision insurance coverage.
    drugDrugPrescription drug coverage.
    stcShort Term CareShort term care.
    ltcLong Term CareLong term care.
    hospiceHospiceHospice insurance coverage.
    homehealthHome HealthHome health services insurance coverage.
    dmeposDMEPOSDurable Medical Equipment, Prosthetics/Orthotics and Supplies.
    imagingadvAdvanced Imaging (CT/PET Scans, MRIs)Advances imaging techniques services (CT/PET Scans, MRIs) coverage.
    prevPreventive Care/Screening/ImmunizationRoutine healthcare services to prevent health related problems eligible benefits.
    rehabRehabilitationRehabilitation.

 

Expansion

This value set contains 14 concepts

Expansion based on NDH Payer Characteristics Code System v1.0.0-ballot (CodeSystem)

CodeSystemDisplayDefinition
  medicalhttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSMedical

Medical insurance coverage.

  dentalhttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSDental

Dental insurance coverage.

  menthlthhttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSMental Health

Mental health insurance coverage.

  substanceabusehttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSSubstance Abuse

Substance abuse services insurance coverage.

  visionhttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSVision

Vision insurance coverage.

  drughttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSDrug

Prescription drug coverage.

  stchttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSShort Term Care

Short term care.

  ltchttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSLong Term Care

Long term care.

  hospicehttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSHospice

Hospice insurance coverage.

  homehealthhttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSHome Health

Home health services insurance coverage.

  dmeposhttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSDMEPOS

Durable Medical Equipment, Prosthetics/Orthotics and Supplies.

  imagingadvhttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSAdvanced Imaging (CT/PET Scans, MRIs)

Advances imaging techniques services (CT/PET Scans, MRIs) coverage.

  prevhttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSPreventive Care/Screening/Immunization

Routine healthcare services to prevent health related problems eligible benefits.

  rehabhttp://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCSRehabilitation

Rehabilitation.

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