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Resource ValueSet/FHIR Server from package hl7.fhir.us.ndh#current (94 ms)

Package hl7.fhir.us.ndh
Type ValueSet
Id Id
FHIR Version R4
Source http://hl7.org/fhir/us/ndh/https://build.fhir.org/ig/HL7/fhir-us-ndh/ValueSet-NdhBenefitTypeVS.html
Url http://hl7.org/fhir/us/ndh/ValueSet/NdhBenefitTypeVS
Version 1.0.0-ballot
Status active
Date 2024-09-11T20:26:48+00:00
Name NdhBenefitTypeVS
Title NDH Benefit Type Value Set
Experimental False
Realm us
Authority hl7
Description Codes for NDH Insurance Benefit Type.

Resources that use this resource

StructureDefinition
ndh-InsurancePlan NDH Base InsurancePlan Profile

Resources that this resource uses

CodeSystem
NdhPayerCharacteristicsCS NDH Payer Characteristics Code System


Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet NdhBenefitTypeVS

  • Include these codes as defined in http://hl7.org/fhir/us/ndh/CodeSystem/NdhPayerCharacteristicsCS
    CodeDisplayDefinition
    pcpovPrimary Care Visit to Treat an Injury or IllnessBenefit 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.
    specialistovSpecialist Office VisitCovered healthcare service rendered to a patient by a specialty provider.
    mlpovOther Practitioner Office Visit (Nurse, Physician Assistant) - Mid Level ProfessionalBenefit plan covers covered health related services rendered by a practioner other than MD or DO and referred to as other practitioner.
    outpatientOutpatient 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.
    outpatstxOutpatient Surgery Physician/Surgical ServicesBenefit plan covers surgical services rendered to patient outside of a facility admission, referred to as outpatient.
    hospservHospice ServicesBenefit plan covers hospice services.
    routinedentalRoutine Dental Services (Adult)Benefit plan covers routine dental services.
    infertilitytxInfertility TreatmentBenefit plan covers eligible infertility treatment services.
    ltnhcLong-Term/Custodial Nursing Home CareLong-Term/Custodial Nursing Home Care.
    privatenursePrivate-Duty NursingPrivate-Duty Nursing.
    routineeyeRoutine Eye Exam (Adult)Routine Eye Exam (Adult).
    ucserviceUrgent Care Centers or FacilitiesUrgent Care Centers or Facilities.
    homehealthHome HealthHome health services insurance coverage.
    erserviceEmergency Room ServicesEmergency Room Services.
    ambulanceEmergency Room ServicesEmergency Room Services.
    inpatienthospitalInpatient Hospital Services (e.g., Hospital Stay)A person who is hospitalized for at least one night to receive treatment or participate in a study.
    inpatientproviderInpatient Physician and Surgical ServicesA healthcare provider who is delivering healthcare services in a hospital environment.
    bariatricsurgBariatric SurgeryBariatric surgery service Skilled nursing service (qualifier value).
    cosmeticsurgCosmetic SurgeryCosmetic surgery service Skilled nursing service (qualifier value).
    skillednursingSkilled Nursing FacilitySkilled nursing service (qualifier value).
    ppnatalcarePrenatal and Postnatal CarePrenatal and Postnatal services.
    maternitycareDelivery and All Inpatient Services for Maternity CareAll maternity care services.
    menthlthoutpMental/Behavioral Health Outpatient ServicesMental health service delivered in an outpatient setting.
    menthlthinpMental/Behavioral Health Inpatient ServicesMental health service delivered in an hospital or inpatient facility setting.
    sadoutpSubstance Abuse Disorder Outpatient ServicesSubstance abuse related services delivered in a outpatient setting.
    sadinpSubstance Abuse Disorder Inpatient ServicesSubstance abuse related services delivered in a inpatient setting.
    drggenricGeneric DrugsGeneric drugs eligible benefits.
    drgbrandPreferred Brand DrugsPreferred brand drugs eligible benefits.
    drgnonpreferredNon-Preferred Brand DrugsNon-Preferred drugs brands eligible benefits.
    drgspecialtySpecialty DrugsBenefit plan covers specialty drugs.
    rehaboutpOutpatient Rehabilitation ServicesBenefit plan covers outpatient rehabilitation services.
    servicehablitationHabilitation ServicesHabilitation Services.
    chiroChiropractic CareBenefit plan covers chiropractor eligible benefits.
    dmeDurable Medical EquipmentBenefit plan covers Durable medical equipment eligible benefits.
    hearingaidsHearing AidsBenefit plan covers hearing aids.
    imgctpetmriImaging (CT/PET Scans, MRIs)Benefit plan covers advances imaging techniques services (CT/PET Scans, MRIs) eligible services.
    prevPreventive Care/Screening/ImmunizationRoutine healthcare services to prevent health related problems eligible benefits.
    rtnpodRoutine Foot CareRoutine Foot Care.
    acupunctureAcupunctureBenefit plan covers acupuncture treatment.
    weightlossWeight Loss ProgramsBenefit plan covers weight loss services eligible benefits.
    rtneyechldRoutine Eye Exam for ChildrenRoutine eye exam for children eligible benefits.
    glasseschldEye Glasses for ChildrenEye glasses children eligible benefits.
    rtndntlchldDental Check-Up for ChildrenDental Check-Up for Children.
    speachthpyRehabilitative Speech TherapyBenefit plan covers rehabilitative speech therapy eligible benefits.
    rehaboccandptRehabilitative Occupational and Rehabilitative Physical TherapyBenefit plan covers rehabilitative occupational and rehabilitative physical eligible benefits.
    wellbabyWell Baby Visits and CareRegularly 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.
    laboutpLaboratory Outpatient and Professional ServicesBenefit plan covers laboratory testing and related professional services received as outpatient.
    imagingdxX-rays and Diagnostic ImagingBenefit plan covers diagnostic imaging procedures that produce images of internal structures of the human body and uses radiation to diagnose and treat diseases.
    dntlbaschldBasic Dental Care - ChildBenefit plan covers diagnostic basic dental care.
    orthochldOrthodontia - ChildBenefit plan covers orthodontia for children.
    dntlmajchldMajor Dental Care - ChildBenefit plan covers major dental care for children.
    dntlbasadltBasic Dental Care - AdultBenefit plan covers basic dental care for adults.
    orthodadltOrthodontia - AdultBenefits plan covers services provided that are required for orthodontic purposes for an adult.
    dntlmajadltMajor Dental Care - AdultBenefit plan covers major dental care for adult.
    abortionAbortion for Which Public Funding is ProhibitedBenefit plan covers services for abortion for which public funding is prohibited.
    transplantTransplantBenefit plan covers transplant related services.
    accdntlAccidental DentalBenefit plan covers dental care services related to an accident.
    dialysisDialysisThe plan benefit covers services used to treat end stage renal disease.
    testallrgyAllergy TestingThe 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.
    chemotherapyChemotherapyThe plan benefits cover services the use of drugs and approved chemicals to treat disease.
    radiationRadiationThe plan benefits cover services the use radiation to treat disease.
    edudiabDiabetes EducationThe 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.
    prostheticProsthetic DevicesPlan benefit covers services related to prosthesis devices.
    infusiontxInfusion TherapyPlan benefit covers services related to infusion therapy.
    tmjtxTreatment for Temporomandibular Joint DisordersPlan benefit covers services related to treatment of Temporomandibular Joint disorder.
    nutritionNutritional CounselingNutritional Counseling.
    reconsurgReconstructive SurgeryPlan 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" : "2024-09-11T20:26:48+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.