FHIR © HL7.org  |  Server Home  |  XIG Home  |  Server Source  |  FHIR  

FHIR IG Statistics: ValueSet/CopayOptionVS

Packagehl7.fhir.us.davinci-drug-formulary
TypeValueSet
IdCopayOptionVS
FHIR VersionR4
Sourcehttp://hl7.org/fhir/us/davinci-drug-formulary/https://build.fhir.org/ig/HL7/davinci-pdex-formulary/ValueSet-CopayOptionVS.html
URLhttp://hl7.org/fhir/us/davinci-drug-formulary/ValueSet/CopayOptionVS
Version2.1.0
Statusactive
Date2025-02-26T01:23:59+00:00
NameCopayOptionVS
TitleQualifier of copay amount
Realmus
Authorityhl7
DescriptionQualifier of copay amount

Resources that use this resource

StructureDefinition
usdf-PayerInsurancePlanPayer Insurance Plan

Resources that this resource uses

CodeSystem
usdf-CostShareOptionCS-TEMPORARY-TRIAL-USECodes qualifying the type of cost share amount

Narrative

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

Generated Narrative: ValueSet CopayOptionVS

  • Include these codes as defined in http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CostShareOptionCS-TEMPORARY-TRIAL-USE
    CodeDisplayDefinition
    after-deductibleAfter DeductibleThe 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).
    before-deductibleBefore DeductibleThe 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).
    no-chargeNo ChargeNo cost sharing is charged (this indicates that this benefit is not subject to the deductible).
    no-charge-after-deductibleNo Charge After DeductibleThe 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).
    chargeChargeThe 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).
    copay-not-applicableCopay Not ApplicableDeductible is not applicable: Zero-deductible cost sharing represented by a co-pay value of 'Not applicable' and co-insurance value of 'No charge'.
    deductible-waivedDeductible WaivedThe consumer pays the cost share amount with deductible requirement waived.

Source

{
  "resourceType": "ValueSet",
  "id": "CopayOptionVS",
  "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/CopayOptionVS",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.25.74595174031514506193398850787025340071.48.3"
    }
  ],
  "version": "2.1.0",
  "name": "CopayOptionVS",
  "title": "Qualifier of copay 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": "Qualifier of copay amount",
  "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": "before-deductible"
          },
          {
            "code": "no-charge"
          },
          {
            "code": "no-charge-after-deductible"
          },
          {
            "code": "charge"
          },
          {
            "code": "copay-not-applicable"
          },
          {
            "code": "deductible-waived"
          }
        ]
      }
    ]
  }
}