Resource ValueSet/FHIR Server from package hl7.fhir.us.ndh#current (62 ms)
Resources that use this resource
Resources that this resource uses
Narrative
Note: links and images are rebased to the (stated) source
- Include these codes as defined in
http://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCS
Code | Display | Definition |
pcpov | Primary Care Visit to Treat an Injury or Illness | Benefit plan covers services rendered by a primary care physician during an office visit with the purpose to treat injury or illness, except for preventive care services. |
specialistov | Specialist Office Visit | Covered healthcare service rendered to a patient by a specialty provider. |
mlpov | Other Practitioner Office Visit (Nurse, Physician Assistant) - Mid Level Professional | Benefit plan covers covered health related services rendered by a practioner other than MD or DO and referred to as other practitioner. |
outpatient | Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | Benefit plan covers health related services rendered to patient at an outpatient facility, outside of a facility that requires a patient admission. |
outpatstx | Outpatient Surgery Physician/Surgical Services | Benefit plan covers surgical services rendered to patient outside of a facility admission, referred to as outpatient. |
hospserv | Hospice Services | Benefit plan covers hospice services. |
routinedental | Routine Dental Services (Adult) | Benefit plan covers routine dental services. |
infertilitytx | Infertility Treatment | Benefit plan covers eligible infertility treatment services. |
ltnhc | Long-Term/Custodial Nursing Home Care | Long-Term/Custodial Nursing Home Care. |
privatenurse | Private-Duty Nursing | Private-Duty Nursing. |
routineeye | Routine Eye Exam (Adult) | Routine Eye Exam (Adult). |
ucservice | Urgent Care Centers or Facilities | Urgent Care Centers or Facilities. |
homehealth | Home Health | Home health services insurance coverage. |
erservice | Emergency Room Services | Emergency Room Services. |
ambulance | Emergency Room Services | Emergency Room Services. |
inpatienthospital | Inpatient Hospital Services (e.g., Hospital Stay) | A person who is hospitalized for at least one night to receive treatment or participate in a study. |
inpatientprovider | Inpatient Physician and Surgical Services | A healthcare provider who is delivering healthcare services in a hospital environment. |
bariatricsurg | Bariatric Surgery | Bariatric surgery service Skilled nursing service (qualifier value). |
cosmeticsurg | Cosmetic Surgery | Cosmetic surgery service Skilled nursing service (qualifier value). |
skillednursing | Skilled Nursing Facility | Skilled nursing service (qualifier value). |
ppnatalcare | Prenatal and Postnatal Care | Prenatal and Postnatal services. |
maternitycare | Delivery and All Inpatient Services for Maternity Care | All maternity care services. |
menthlthoutp | Mental/Behavioral Health Outpatient Services | Mental health service delivered in an outpatient setting. |
menthlthinp | Mental/Behavioral Health Inpatient Services | Mental health service delivered in an hospital or inpatient facility setting. |
sadoutp | Substance Abuse Disorder Outpatient Services | Substance abuse related services delivered in a outpatient setting. |
sadinp | Substance Abuse Disorder Inpatient Services | Substance abuse related services delivered in a inpatient setting. |
drggenric | Generic Drugs | Generic drugs eligible benefits. |
drgbrand | Preferred Brand Drugs | Preferred brand drugs eligible benefits. |
drgnonpreferred | Non-Preferred Brand Drugs | Non-Preferred drugs brands eligible benefits. |
drgspecialty | Specialty Drugs | Benefit plan covers specialty drugs. |
rehaboutp | Outpatient Rehabilitation Services | Benefit plan covers outpatient rehabilitation services. |
servicehablitation | Habilitation Services | Habilitation Services. |
chiro | Chiropractic Care | Benefit plan covers chiropractor eligible benefits. |
dme | Durable Medical Equipment | Benefit plan covers Durable medical equipment eligible benefits. |
hearingaids | Hearing Aids | Benefit plan covers hearing aids. |
imgctpetmri | Imaging (CT/PET Scans, MRIs) | Benefit plan covers advances imaging techniques services (CT/PET Scans, MRIs) eligible services. |
prev | Preventive Care/Screening/Immunization | Routine healthcare services to prevent health related problems eligible benefits. |
rtnpod | Routine Foot Care | Routine Foot Care. |
acupuncture | Acupuncture | Benefit plan covers acupuncture treatment. |
weightloss | Weight Loss Programs | Benefit plan covers weight loss services eligible benefits. |
rtneyechld | Routine Eye Exam for Children | Routine eye exam for children eligible benefits. |
glasseschld | Eye Glasses for Children | Eye glasses children eligible benefits. |
rtndntlchld | Dental Check-Up for Children | Dental Check-Up for Children. |
speachthpy | Rehabilitative Speech Therapy | Benefit plan covers rehabilitative speech therapy eligible benefits. |
rehaboccandpt | Rehabilitative Occupational and Rehabilitative Physical Therapy | Benefit plan covers rehabilitative occupational and rehabilitative physical eligible benefits. |
wellbaby | Well Baby Visits and Care | Regularly scheduled, preventive care services, including immunizations, provided to children up to an age as specified by a health insurance company or mandated by a government agency. |
laboutp | Laboratory Outpatient and Professional Services | Benefit plan covers laboratory testing and related professional services received as outpatient. |
imagingdx | X-rays and Diagnostic Imaging | Benefit plan covers diagnostic imaging procedures that produce images of internal structures of the human body and uses radiation to diagnose and treat diseases. |
dntlbaschld | Basic Dental Care - Child | Benefit plan covers diagnostic basic dental care. |
orthochld | Orthodontia - Child | Benefit plan covers orthodontia for children. |
dntlmajchld | Major Dental Care - Child | Benefit plan covers major dental care for children. |
dntlbasadlt | Basic Dental Care - Adult | Benefit plan covers basic dental care for adults. |
orthodadlt | Orthodontia - Adult | Benefits plan covers services provided that are required for orthodontic purposes for an adult. |
dntlmajadlt | Major Dental Care - Adult | Benefit plan covers major dental care for adult. |
abortion | Abortion for Which Public Funding is Prohibited | Benefit plan covers services for abortion for which public funding is prohibited. |
transplant | Transplant | Benefit plan covers transplant related services. |
accdntl | Accidental Dental | Benefit plan covers dental care services related to an accident. |
dialysis | Dialysis | The plan benefit covers services used to treat end stage renal disease. |
testallrgy | Allergy Testing | The plan benefits covers services for diagnostic procedures ordered or performed to evaluate whether a sensitivity to a substance is present. This test may be associated with specimen collection and/or substance administration challenge activities. |
chemotherapy | Chemotherapy | The plan benefits cover services the use of drugs and approved chemicals to treat disease. |
radiation | Radiation | The plan benefits cover services the use radiation to treat disease. |
edudiab | Diabetes Education | The plan benefits cover services related to instruction or training that encourages behaviors most likely to optimize health potentials through information about diabetes; facilitates the prevention of diabetes. |
prosthetic | Prosthetic Devices | Plan benefit covers services related to prosthesis devices. |
infusiontx | Infusion Therapy | Plan benefit covers services related to infusion therapy. |
tmjtx | Treatment for Temporomandibular Joint Disorders | Plan benefit covers services related to treatment of Temporomandibular Joint disorder. |
nutrition | Nutritional Counseling | Nutritional Counseling. |
reconsurg | Reconstructive Surgery | Plan benefit covers services related to reconstructive surgery. |
Source
{
"resourceType" : "ValueSet",
"id" : "NdhBenefitTypeVS",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet NdhBenefitTypeVS</b></p><a name=\"NdhBenefitTypeVS\"> </a><a name=\"hcNdhBenefitTypeVS\"> </a><a name=\"NdhBenefitTypeVS-en-US\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-NdhPayerCharacteristicsCS.html\"><code>http://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCS</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-pcpov\">pcpov</a></td><td>Primary Care Visit to Treat an Injury or Illness</td><td>Benefit plan covers services rendered by a primary care physician during an office visit with the purpose to treat injury or illness, except for preventive care services.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-specialistov\">specialistov</a></td><td>Specialist Office Visit</td><td>Covered healthcare service rendered to a patient by a specialty provider.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-mlpov\">mlpov</a></td><td>Other Practitioner Office Visit (Nurse, Physician Assistant) - Mid Level Professional</td><td>Benefit plan covers covered health related services rendered by a practioner other than MD or DO and referred to as other practitioner.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-outpatient\">outpatient</a></td><td>Outpatient Facility Fee (e.g., Ambulatory Surgery Center)</td><td>Benefit plan covers health related services rendered to patient at an outpatient facility, outside of a facility that requires a patient admission.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-outpatstx\">outpatstx</a></td><td>Outpatient Surgery Physician/Surgical Services</td><td>Benefit plan covers surgical services rendered to patient outside of a facility admission, referred to as outpatient.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-hospserv\">hospserv</a></td><td>Hospice Services</td><td>Benefit plan covers hospice services.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-routinedental\">routinedental</a></td><td>Routine Dental Services (Adult)</td><td>Benefit plan covers routine dental services.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-infertilitytx\">infertilitytx</a></td><td>Infertility Treatment</td><td>Benefit plan covers eligible infertility treatment services.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-ltnhc\">ltnhc</a></td><td>Long-Term/Custodial Nursing Home Care</td><td>Long-Term/Custodial Nursing Home Care.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-privatenurse\">privatenurse</a></td><td>Private-Duty Nursing</td><td>Private-Duty Nursing.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-routineeye\">routineeye</a></td><td>Routine Eye Exam (Adult)</td><td>Routine Eye Exam (Adult).</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-ucservice\">ucservice</a></td><td>Urgent Care Centers or Facilities</td><td>Urgent Care Centers or Facilities.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-homehealth\">homehealth</a></td><td>Home Health</td><td>Home health services insurance coverage.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-erservice\">erservice</a></td><td>Emergency Room Services</td><td>Emergency Room Services.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-ambulance\">ambulance</a></td><td>Emergency Room Services</td><td>Emergency Room Services.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-inpatienthospital\">inpatienthospital</a></td><td>Inpatient Hospital Services (e.g., Hospital Stay)</td><td>A person who is hospitalized for at least one night to receive treatment or participate in a study.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-inpatientprovider\">inpatientprovider</a></td><td>Inpatient Physician and Surgical Services</td><td>A healthcare provider who is delivering healthcare services in a hospital environment.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-bariatricsurg\">bariatricsurg</a></td><td>Bariatric Surgery</td><td>Bariatric surgery service Skilled nursing service (qualifier value).</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-cosmeticsurg\">cosmeticsurg</a></td><td>Cosmetic Surgery</td><td>Cosmetic surgery service Skilled nursing service (qualifier value).</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-skillednursing\">skillednursing</a></td><td>Skilled Nursing Facility</td><td>Skilled nursing service (qualifier value).</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-ppnatalcare\">ppnatalcare</a></td><td>Prenatal and Postnatal Care</td><td>Prenatal and Postnatal services.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-maternitycare\">maternitycare</a></td><td>Delivery and All Inpatient Services for Maternity Care</td><td>All maternity care services.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-menthlthoutp\">menthlthoutp</a></td><td>Mental/Behavioral Health Outpatient Services</td><td>Mental health service delivered in an outpatient setting.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-menthlthinp\">menthlthinp</a></td><td>Mental/Behavioral Health Inpatient Services</td><td>Mental health service delivered in an hospital or inpatient facility setting.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-sadoutp\">sadoutp</a></td><td>Substance Abuse Disorder Outpatient Services</td><td>Substance abuse related services delivered in a outpatient setting.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-sadinp\">sadinp</a></td><td>Substance Abuse Disorder Inpatient Services</td><td>Substance abuse related services delivered in a inpatient setting.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-drggenric\">drggenric</a></td><td>Generic Drugs</td><td>Generic drugs eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-drgbrand\">drgbrand</a></td><td>Preferred Brand Drugs</td><td>Preferred brand drugs eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-drgnonpreferred\">drgnonpreferred</a></td><td>Non-Preferred Brand Drugs</td><td>Non-Preferred drugs brands eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-drgspecialty\">drgspecialty</a></td><td>Specialty Drugs</td><td>Benefit plan covers specialty drugs.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-rehaboutp\">rehaboutp</a></td><td>Outpatient Rehabilitation Services</td><td>Benefit plan covers outpatient rehabilitation services.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-servicehablitation\">servicehablitation</a></td><td>Habilitation Services</td><td>Habilitation Services.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-chiro\">chiro</a></td><td>Chiropractic Care</td><td>Benefit plan covers chiropractor eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-dme\">dme</a></td><td>Durable Medical Equipment</td><td>Benefit plan covers Durable medical equipment eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-hearingaids\">hearingaids</a></td><td>Hearing Aids</td><td>Benefit plan covers hearing aids.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-imgctpetmri\">imgctpetmri</a></td><td>Imaging (CT/PET Scans, MRIs)</td><td>Benefit plan covers advances imaging techniques services (CT/PET Scans, MRIs) eligible services.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-prev\">prev</a></td><td>Preventive Care/Screening/Immunization</td><td>Routine healthcare services to prevent health related problems eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-rtnpod\">rtnpod</a></td><td>Routine Foot Care</td><td>Routine Foot Care.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-acupuncture\">acupuncture</a></td><td>Acupuncture</td><td>Benefit plan covers acupuncture treatment.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-weightloss\">weightloss</a></td><td>Weight Loss Programs</td><td>Benefit plan covers weight loss services eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-rtneyechld\">rtneyechld</a></td><td>Routine Eye Exam for Children</td><td>Routine eye exam for children eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-glasseschld\">glasseschld</a></td><td>Eye Glasses for Children</td><td>Eye glasses children eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-rtndntlchld\">rtndntlchld</a></td><td>Dental Check-Up for Children</td><td>Dental Check-Up for Children.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-speachthpy\">speachthpy</a></td><td>Rehabilitative Speech Therapy</td><td>Benefit plan covers rehabilitative speech therapy eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-rehaboccandpt\">rehaboccandpt</a></td><td>Rehabilitative Occupational and Rehabilitative Physical Therapy</td><td>Benefit plan covers rehabilitative occupational and rehabilitative physical eligible benefits.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-wellbaby\">wellbaby</a></td><td>Well Baby Visits and Care</td><td>Regularly scheduled, preventive care services, including immunizations, provided to children up to an age as specified by a health insurance company or mandated by a government agency.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-laboutp\">laboutp</a></td><td>Laboratory Outpatient and Professional Services</td><td>Benefit plan covers laboratory testing and related professional services received as outpatient.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-imagingdx\">imagingdx</a></td><td>X-rays and Diagnostic Imaging</td><td>Benefit plan covers diagnostic imaging procedures that produce images of internal structures of the human body and uses radiation to diagnose and treat diseases.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-dntlbaschld\">dntlbaschld</a></td><td>Basic Dental Care - Child</td><td>Benefit plan covers diagnostic basic dental care.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-orthochld\">orthochld</a></td><td>Orthodontia - Child</td><td>Benefit plan covers orthodontia for children.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-dntlmajchld\">dntlmajchld</a></td><td>Major Dental Care - Child</td><td>Benefit plan covers major dental care for children.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-dntlbasadlt\">dntlbasadlt</a></td><td>Basic Dental Care - Adult</td><td>Benefit plan covers basic dental care for adults.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-orthodadlt\">orthodadlt</a></td><td>Orthodontia - Adult</td><td>Benefits plan covers services provided that are required for orthodontic purposes for an adult.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-dntlmajadlt\">dntlmajadlt</a></td><td>Major Dental Care - Adult</td><td>Benefit plan covers major dental care for adult.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-abortion\">abortion</a></td><td>Abortion for Which Public Funding is Prohibited</td><td>Benefit plan covers services for abortion for which public funding is prohibited.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-transplant\">transplant</a></td><td>Transplant</td><td>Benefit plan covers transplant related services.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-accdntl\">accdntl</a></td><td>Accidental Dental</td><td>Benefit plan covers dental care services related to an accident.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-dialysis\">dialysis</a></td><td>Dialysis</td><td>The plan benefit covers services used to treat end stage renal disease.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-testallrgy\">testallrgy</a></td><td>Allergy Testing</td><td>The plan benefits covers services for diagnostic procedures ordered or performed to evaluate whether a sensitivity to a substance is present. This test may be associated with specimen collection and/or substance administration challenge activities.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-chemotherapy\">chemotherapy</a></td><td>Chemotherapy</td><td>The plan benefits cover services the use of drugs and approved chemicals to treat disease.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-radiation\">radiation</a></td><td>Radiation</td><td>The plan benefits cover services the use radiation to treat disease.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-edudiab\">edudiab</a></td><td>Diabetes Education</td><td>The plan benefits cover services related to instruction or training that encourages behaviors most likely to optimize health potentials through information about diabetes; facilitates the prevention of diabetes.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-prosthetic\">prosthetic</a></td><td>Prosthetic Devices</td><td>Plan benefit covers services related to prosthesis devices.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-infusiontx\">infusiontx</a></td><td>Infusion Therapy</td><td>Plan benefit covers services related to infusion therapy.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-tmjtx\">tmjtx</a></td><td>Treatment for Temporomandibular Joint Disorders</td><td>Plan benefit covers services related to treatment of Temporomandibular Joint disorder.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-nutrition\">nutrition</a></td><td>Nutritional Counseling</td><td>Nutritional Counseling.</td></tr><tr><td><a href=\"CodeSystem-NdhPayerCharacteristicsCS.html#NdhPayerCharacteristicsCS-reconsurg\">reconsurg</a></td><td>Reconstructive Surgery</td><td>Plan benefit covers services related to reconstructive surgery.</td></tr></table></li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "pa"
}
],
"url" : "http://hl7.org/fhir/us/ndh/ValueSet/NdhBenefitTypeVS",
"version" : "1.0.0-ballot",
"name" : "NdhBenefitTypeVS",
"title" : "NDH Benefit Type Value Set",
"status" : "active",
"experimental" : false,
"date" : "2024-11-25T15:37:27+00:00",
"publisher" : "HL7 International / Patient Administration",
"contact" : [
{
"name" : "HL7 International / Patient Administration",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/pafm"
},
{
"system" : "email",
"value" : "pafm@lists.hl7.org"
}
]
}
],
"description" : "Codes for NDH Insurance Benefit Type.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"compose" : {
"include" : [
{
"system" : "http://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCS",
"concept" : [
{
"code" : "pcpov",
"display" : "Primary Care Visit to Treat an Injury or Illness"
},
{
"code" : "specialistov",
"display" : "Specialist Office Visit"
},
{
"code" : "mlpov",
"display" : "Other Practitioner Office Visit (Nurse, Physician Assistant) - Mid Level Professional"
},
{
"code" : "outpatient",
"display" : "Outpatient Facility Fee (e.g., Ambulatory Surgery Center)"
},
{
"code" : "outpatstx",
"display" : "Outpatient Surgery Physician/Surgical Services"
},
{
"code" : "hospserv",
"display" : "Hospice Services"
},
{
"code" : "routinedental",
"display" : "Routine Dental Services (Adult)"
},
{
"code" : "infertilitytx",
"display" : "Infertility Treatment"
},
{
"code" : "ltnhc",
"display" : "Long-Term/Custodial Nursing Home Care"
},
{
"code" : "privatenurse",
"display" : "Private-Duty Nursing"
},
{
"code" : "routineeye",
"display" : "Routine Eye Exam (Adult)"
},
{
"code" : "ucservice",
"display" : "Urgent Care Centers or Facilities"
},
{
"code" : "homehealth",
"display" : "Home Health"
},
{
"code" : "erservice",
"display" : "Emergency Room Services"
},
{
"code" : "ambulance",
"display" : "Emergency Room Services"
},
{
"code" : "inpatienthospital",
"display" : "Inpatient Hospital Services (e.g., Hospital Stay)"
},
{
"code" : "inpatientprovider",
"display" : "Inpatient Physician and Surgical Services"
},
{
"code" : "bariatricsurg",
"display" : "Bariatric Surgery"
},
{
"code" : "cosmeticsurg",
"display" : "Cosmetic Surgery"
},
{
"code" : "skillednursing",
"display" : "Skilled Nursing Facility"
},
{
"code" : "ppnatalcare",
"display" : "Prenatal and Postnatal Care"
},
{
"code" : "maternitycare",
"display" : "Delivery and All Inpatient Services for Maternity Care"
},
{
"code" : "menthlthoutp",
"display" : "Mental/Behavioral Health Outpatient Services"
},
{
"code" : "menthlthinp",
"display" : "Mental/Behavioral Health Inpatient Services"
},
{
"code" : "sadoutp",
"display" : "Substance Abuse Disorder Outpatient Services"
},
{
"code" : "sadinp",
"display" : "Substance Abuse Disorder Inpatient Services"
},
{
"code" : "drggenric",
"display" : "Generic Drugs"
},
{
"code" : "drgbrand",
"display" : "Preferred Brand Drugs"
},
{
"code" : "drgnonpreferred",
"display" : "Non-Preferred Brand Drugs"
},
{
"code" : "drgspecialty",
"display" : "Specialty Drugs"
},
{
"code" : "rehaboutp",
"display" : "Outpatient Rehabilitation Services"
},
{
"code" : "servicehablitation",
"display" : "Habilitation Services"
},
{
"code" : "chiro",
"display" : "Chiropractic Care"
},
{
"code" : "dme",
"display" : "Durable Medical Equipment"
},
{
"code" : "hearingaids",
"display" : "Hearing Aids"
},
{
"code" : "imgctpetmri",
"display" : "Imaging (CT/PET Scans, MRIs)"
},
{
"code" : "prev",
"display" : "Preventive Care/Screening/Immunization"
},
{
"code" : "rtnpod",
"display" : "Routine Foot Care"
},
{
"code" : "acupuncture",
"display" : "Acupuncture"
},
{
"code" : "weightloss",
"display" : "Weight Loss Programs"
},
{
"code" : "rtneyechld",
"display" : "Routine Eye Exam for Children"
},
{
"code" : "glasseschld",
"display" : "Eye Glasses for Children"
},
{
"code" : "rtndntlchld",
"display" : "Dental Check-Up for Children"
},
{
"code" : "speachthpy",
"display" : "Rehabilitative Speech Therapy"
},
{
"code" : "rehaboccandpt",
"display" : "Rehabilitative Occupational and Rehabilitative Physical Therapy"
},
{
"code" : "wellbaby",
"display" : "Well Baby Visits and Care"
},
{
"code" : "laboutp",
"display" : "Laboratory Outpatient and Professional Services"
},
{
"code" : "imagingdx",
"display" : "X-rays and Diagnostic Imaging"
},
{
"code" : "dntlbaschld",
"display" : "Basic Dental Care - Child"
},
{
"code" : "orthochld",
"display" : "Orthodontia - Child"
},
{
"code" : "dntlmajchld",
"display" : "Major Dental Care - Child"
},
{
"code" : "dntlbasadlt",
"display" : "Basic Dental Care - Adult"
},
{
"code" : "orthodadlt",
"display" : "Orthodontia - Adult"
},
{
"code" : "dntlmajadlt",
"display" : "Major Dental Care - Adult"
},
{
"code" : "abortion",
"display" : "Abortion for Which Public Funding is Prohibited"
},
{
"code" : "transplant",
"display" : "Transplant"
},
{
"code" : "accdntl",
"display" : "Accidental Dental"
},
{
"code" : "dialysis",
"display" : "Dialysis"
},
{
"code" : "testallrgy",
"display" : "Allergy Testing"
},
{
"code" : "chemotherapy",
"display" : "Chemotherapy"
},
{
"code" : "radiation",
"display" : "Radiation"
},
{
"code" : "edudiab",
"display" : "Diabetes Education"
},
{
"code" : "prosthetic",
"display" : "Prosthetic Devices"
},
{
"code" : "infusiontx",
"display" : "Infusion Therapy"
},
{
"code" : "tmjtx",
"display" : "Treatment for Temporomandibular Joint Disorders"
},
{
"code" : "nutrition",
"display" : "Nutritional Counseling"
},
{
"code" : "reconsurg",
"display" : "Reconstructive Surgery"
}
]
}
]
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.