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Packageca.on.oh.setp.iar.dev
Resource TypeValueSet
IdValueSet-irrs-coverage-type.json
FHIR VersionR4
Sourcehttps://simplifier.net/resolve?scope=ca.on.oh.setp.iar.dev@1.0.0-ballot1-dev&canonical=http://cihi.ca/fhir/irrs/ValueSet/irrs-coverage-type
URLhttp://cihi.ca/fhir/irrs/ValueSet/irrs-coverage-type
Version1.0
Statusactive
Date2018-11-16T16:40:38+00:00
Nameirrs-coverage-type
Realmca
Authorityhl7

Resources that use this resource

StructureDefinition
ca.on.oh.setp.iar.dev#1.0.0-ballot1-devprofile-coverageCoverage IAR

Resources that this resource uses

CodeSystem
ca.on.oh.setp.iar.dev#1.0.0-ballot1-devirrs-coverage-typeirrs-coverage-type
hl7.terminology#currentcoverage-selfpayCoverage SelfPay Codes
hl7.terminology#currentv3-ActCodeActCode
hl7.terminology#currentv3-NullFlavorNullFlavor

Narrative

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

irrs-coverage-type

This value set includes codes from the following code systems:

  • Include these codes as defined in http://cihi.ca/fhir/irrs/CodeSystem/irrs-coverage-type
    CodeDisplay
    FEDOTHOther federal government program
    INPUBLICPOLIn-province or territory public healthcare
    outcountrypayOut of country resident self-pay
    OUTPUBLICPOLOut-of-province or territory public healthcare
    PUBTRUSTEEPublic trustee pay
  • Include these codes as defined in http://hl7.org/fhir/coverage-selfpay
    CodeDisplay
    payAn individual or organization is paying directly for goods and services.An individual or oraganization is paying directly for goods and services.
  • Include these codes as defined in http://hl7.org/fhir/v3/ActCode
    CodeDisplay
    HIPhealth insurance plan policyDefinition: A health insurance policy that covers healthcare benefits by protecting covered parties from medical expenses arising from health conditions, sickness, or accidental injury as well as preventive care. Health insurance policies explicitly exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy.
    Discussion: Health insurance policies are offered by health insurance plans that typically reimburse providers for covered services on a fee-for-service basis, that is, a fee that is the allowable amount that a provider may charge. This is in contrast to managed care plans, which typically prepay providers a per-member/per-month amount or capitation as reimbursement for all covered services rendered. Health insurance plans include indemnity and healthcare services plans.
    INDindigenous peoples health programDefinition: Services provided directly and through contracted and operated indigenous peoples health programs.
    Example: Indian Health Service in the U.S.
    VETveteran health programDefinition: Services provided directly and through contracted and operated veteran health programs.
    WCBPOLworker's compensationInsurance policy for injuries sustained in the work place or in the course of employment.
  • Include these codes as defined in http://hl7.org/fhir/v3/NullFlavor
    CodeDisplay
    UNKunknownDescription:A proper value is applicable, but not known.
    Usage Notes: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:
    Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown') Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Source1

{
  "resourceType": "ValueSet",
  "id": "irrs-coverage-type",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://cihi.ca/fhir/irrs/ValueSet/irrs-coverage-type",
  "version": "1.0",
  "name": "irrs-coverage-type",
  "status": "active",
  "date": "2018-11-16T16:40:38+00:00",
  "publisher": "CIHI",
  "contact": [
    {
      "telecom": [
        {
          "system": "other",
          "value": "http:\\\\cihi.ca"
        }
      ]
    }
  ],
  "compose": {
    "include": [
      {
        "system": "http://cihi.ca/fhir/irrs/CodeSystem/irrs-coverage-type",
        "version": "1.0",
        "concept": [
          {
            "code": "FEDOTH",
            "display": "Other federal government program"
          },
          {
            "code": "INPUBLICPOL",
            "display": "In-province or territory public healthcare"
          },
          {
            "code": "outcountrypay",
            "display": "Out of country resident self-pay"
          },
          {
            "code": "OUTPUBLICPOL",
            "display": "Out-of-province or territory public healthcare"
          },
          {
            "code": "PUBTRUSTEE",
            "display": "Public trustee pay"
          }
        ]
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/coverage-selfpay",
        "version": "3.0.1",
        "concept": [
          {
            "code": "pay",
            "display": "An individual or organization is paying directly for goods and services."
          }
        ]
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "2016-11-11",
        "concept": [
          {
            "code": "HIP",
            "display": "health insurance plan policy"
          },
          {
            "code": "IND",
            "display": "indigenous peoples health program"
          },
          {
            "code": "VET",
            "display": "veteran health program"
          },
          {
            "code": "WCBPOL",
            "display": "worker's compensation"
          }
        ]
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "version": "2016-11-11",
        "concept": [
          {
            "code": "UNK",
            "display": "unknown"
          }
        ]
      }
    ]
  }
}