FHIR IG Statistics: ValueSet/CoinsuranceOptionVS
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/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE| Code | Display | Definition |
| after-deductible | After Deductible | 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). |
| no-charge | No Charge | No cost sharing is charged (this indicates that this benefit is not subject to the deductible). |
| no-charge-after-deductible | No Charge After Deductible | 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). |
| charge | Charge | 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). |
| coinsurance-not-applicable | Coinsurance Not Applicable | 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). |
| deductible-waived | Deductible Waived | The consumer pays the cost share amount with deductible requirement waived. |
Source
{
"resourceType": "ValueSet",
"id": "CoinsuranceOptionVS",
"text": {
"status": "extensions",
"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/ValueSet/CoinsuranceOptionVS",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.25.74595174031514506193398850787025340071.48.2"
}
],
"version": "2.1.0",
"name": "CoinsuranceOptionVS",
"title": "Qualifier for coinsurance rate",
"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": "Qualifier for coinsurance rate",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"compose": {
"include": [
{
"system": "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE",
"concept": [
{
"code": "after-deductible"
},
{
"code": "no-charge"
},
{
"code": "no-charge-after-deductible"
},
{
"code": "charge"
},
{
"code": "coinsurance-not-applicable"
},
{
"code": "deductible-waived"
}
]
}
]
}
}
FHIR