| Package | hl7.fhir.us.davinci-drug-formulary |
| Resource Type | CodeSystem |
| Id | usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/us/davinci-drug-formulary/https://build.fhir.org/ig/HL7/davinci-pdex-formulary/CodeSystem-usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE.html |
| URL | http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE |
| Version | 2.1.0 |
| Status | active |
| Date | 2025-02-26T01:23:59+00:00 |
| Name | CostShareOptionCS |
| Title | Codes qualifying the type of cost share amount |
| Realm | us |
| Authority | hl7 |
| Description | Codes for qualifier of copay amount |
| Content | complete |
| ValueSet | |
| CoinsuranceOptionVS | Qualifier for coinsurance rate |
| CopayOptionVS | Qualifier of copay amount |
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: CodeSystem usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE
This case-sensitive code system http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE defines the following codes:
FHIR{
"resourceType": "CodeSystem",
"id": "usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "phx"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/davinci-drug-formulary/ImplementationGuide/hl7.fhir.us.davinci-drug-formulary"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.25.74595174031514506193398850787025340071.16.2"
}
],
"version": "2.1.0",
"name": "CostShareOptionCS",
"title": "Codes qualifying the type of cost share amount",
"status": "active",
"experimental": false,
"date": "2025-02-26T01:23:59+00:00",
"publisher": "HL7 International / Pharmacy",
"contact": [
{
"name": "HL7 International / Pharmacy",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/medication"
},
{
"system": "email",
"value": "pharmacy@lists.HL7.org"
}
]
}
],
"description": "Codes for qualifier of copay amount",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"caseSensitive": true,
"content": "complete",
"count": 8,
"concept": [
{
"code": "after-deductible",
"display": "After Deductible",
"definition": "The consumer first pays the deductible, and after the deductible is met, the consumer is responsible only for the cost-share amount (this indicates that this benefit is subject to the deductible)."
},
{
"code": "before-deductible",
"display": "Before Deductible",
"definition": "The consumer first pays the cost share amount, and any net remaining allowed charges accrue to the deductible (this indicates that this benefit is subject to the deductible)."
},
{
"code": "no-charge",
"display": "No Charge",
"definition": "No cost sharing is charged (this indicates that this benefit is not subject to the deductible)."
},
{
"code": "no-charge-after-deductible",
"display": "No Charge After Deductible",
"definition": "The consumer first pays the deductible, and after the deductible is met, no cost share amount is charged (this indicates that this benefit is subject to the deductible)."
},
{
"code": "charge",
"display": "Charge",
"definition": "The consumer always pays just the cost share amount and the issuer pays the remainder of allowed charges (this indicates that this benefit is not subject to the deductible)."
},
{
"code": "coinsurance-not-applicable",
"display": "Coinsurance Not Applicable",
"definition": "The consumer pays only a copay. Note: When using Not Applicable for coinsurance, Not Applicable cannot also be used for copay (unless the drug tier type is Medical Service Drugs)."
},
{
"code": "copay-not-applicable",
"display": "Copay Not Applicable",
"definition": "Deductible is not applicable: Zero-deductible cost sharing represented by a co-pay value of 'Not applicable' and co-insurance value of 'No charge'."
},
{
"code": "deductible-waived",
"display": "Deductible Waived",
"definition": "The consumer pays the cost share amount with deductible requirement waived."
}
]
}