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Packagehl7.fhir.uv.xver-r5.r3
Resource TypeValueSet
IdValueSet-R5-coverage-copay-type-for-R3.json
FHIR VersionR3
Sourcehttp://hl7.org/fhir/uv/xver-r5.r3/0.1.0/ValueSet-R5-coverage-copay-type-for-R3.html
URLhttp://hl7.org/fhir/uv/xver/ValueSet/R5-coverage-copay-type-for-R3
Version0.1.0
Statusactive
Date2026-03-17T21:02:03.8104715+00:00
NameR5CoverageCopayTypeForR3
TitleCross-version ValueSet R5.CoverageCopayTypeCodes for use in FHIR STU3
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/coverage-copay-type|5.0.0` for use in FHIR STU3.
PurposeThis value set is part of the cross-version definitions generated to enable use of the value set `http://hl7.org/fhir/ValueSet/coverage-copay-type|5.0.0` as defined in FHIR R5 in FHIR STU3. The source value set is bound to the following FHIR R5 elements: * `Coverage.costToBeneficiary.type` as Extensible Across FHIR versions, the value set has been mapped as: * `http://hl7.org/fhir/ValueSet/coverage-copay-type|5.0.0` * `http://hl7.org/fhir/ValueSet/coverage-copay-type|4.3.0` * `http://hl7.org/fhir/ValueSet/coverage-copay-type|4.0.1` Note that all concepts are included in this cross-version definition because no concepts have compatible representations Following are the generation technical comments: All concepts in the comparison are listed as identical. The source and target value sets have the same number of active concepts (10). All concepts in the comparison are listed as identical. The source and target value sets have the same number of active concepts (10). FHIR ValueSet `http://hl7.org/fhir/ValueSet/coverage-copay-type|5.0.0`, defined in FHIR R5 does not have any mapping to FHIR STU3

Resources that use this resource

StructureDefinition
hl7.fhir.uv.xver-r5.r3#0.1.0extension-Coverage.costToBeneficiaryR5: Patient payments for services/products (new)

Resources that this resource uses

CodeSystem
hl7.terminology#currentcoverage-copay-typeCoverage Copay Type Codes

Narrative

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

Generated Narrative: ValueSet R5-coverage-copay-type-for-R3

This value set expansion contains 10 concepts.

SystemVersionCodeDisplayDefinition
http://terminology.hl7.org/CodeSystem/coverage-copay-type0.1.0  copayCopay AmountA standard fixed currency amount applied to all classes or service or product not otherwise specified.
http://terminology.hl7.org/CodeSystem/coverage-copay-type0.1.0  copaypctCopay PercentageA standard percentage applied to all classes or service or product not otherwise specified.
http://terminology.hl7.org/CodeSystem/coverage-copay-type0.1.0  deductibleDeductibleThe accumulated amount of patient payment before the coverage begins to pay for services.
http://terminology.hl7.org/CodeSystem/coverage-copay-type0.1.0  emergencyEmergencyAn episode in an emergency department.
http://terminology.hl7.org/CodeSystem/coverage-copay-type0.1.0  gpvisitGP Office VisitAn office visit for a general practitioner of a discipline.
http://terminology.hl7.org/CodeSystem/coverage-copay-type0.1.0  inpthospInpatient HospitalAn episode of an Inpatient hospital stay.
http://terminology.hl7.org/CodeSystem/coverage-copay-type0.1.0  maxoutofpocketMaximum out of pocketThe maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.
http://terminology.hl7.org/CodeSystem/coverage-copay-type0.1.0  spvisitSpecialist Office VisitAn office visit for a specialist practitioner of a discipline
http://terminology.hl7.org/CodeSystem/coverage-copay-type0.1.0  televisitTele-visitA visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.
http://terminology.hl7.org/CodeSystem/coverage-copay-type0.1.0  urgentcareUrgent CareA visit to an urgent care facility - typically a community care clinic.

Source1

{
  "resourceType": "ValueSet",
  "id": "R5-coverage-copay-type-for-R3",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 4
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r5.r3"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ValueSet/R5-coverage-copay-type-for-R3",
  "version": "0.1.0",
  "name": "R5CoverageCopayTypeForR3",
  "title": "Cross-version ValueSet R5.CoverageCopayTypeCodes for use in FHIR STU3",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "Financial Management",
  "contact": [
    {
      "name": "Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description": "This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/coverage-copay-type|5.0.0` for use in FHIR STU3.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://hl7.org/fhir/ValueSet/coverage-copay-type|5.0.0` as defined in FHIR R5\r\nin FHIR STU3.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* `Coverage.costToBeneficiary.type` as Extensible\r\n\r\nAcross FHIR versions, the value set has been mapped as:\r\n* `http://hl7.org/fhir/ValueSet/coverage-copay-type|5.0.0`\n* `http://hl7.org/fhir/ValueSet/coverage-copay-type|4.3.0`\n* `http://hl7.org/fhir/ValueSet/coverage-copay-type|4.0.1`\r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\nAll concepts in the comparison are listed as identical.\nThe source and target value sets have the same number of active concepts (10).\nAll concepts in the comparison are listed as identical.\nThe source and target value sets have the same number of active concepts (10).\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/coverage-copay-type|5.0.0`, defined in FHIR R5 does not have any mapping to FHIR STU3",
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
        "version": "0.1.0",
        "concept": [
          {
            "code": "copay",
            "display": "Copay Amount"
          },
          {
            "code": "copaypct",
            "display": "Copay Percentage"
          },
          {
            "code": "deductible",
            "display": "Deductible"
          },
          {
            "code": "emergency",
            "display": "Emergency"
          },
          {
            "code": "gpvisit",
            "display": "GP Office Visit"
          },
          {
            "code": "inpthosp",
            "display": "Inpatient Hospital"
          },
          {
            "code": "maxoutofpocket",
            "display": "Maximum out of pocket"
          },
          {
            "code": "spvisit",
            "display": "Specialist Office Visit"
          },
          {
            "code": "televisit",
            "display": "Tele-visit"
          },
          {
            "code": "urgentcare",
            "display": "Urgent Care"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2026-03-17T21:02:03.8104715+00:00",
    "contains": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
        "version": "0.1.0",
        "code": "copay",
        "display": "Copay Amount"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
        "version": "0.1.0",
        "code": "copaypct",
        "display": "Copay Percentage"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
        "version": "0.1.0",
        "code": "deductible",
        "display": "Deductible"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
        "version": "0.1.0",
        "code": "emergency",
        "display": "Emergency"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
        "version": "0.1.0",
        "code": "gpvisit",
        "display": "GP Office Visit"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
        "version": "0.1.0",
        "code": "inpthosp",
        "display": "Inpatient Hospital"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
        "version": "0.1.0",
        "code": "maxoutofpocket",
        "display": "Maximum out of pocket"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
        "version": "0.1.0",
        "code": "spvisit",
        "display": "Specialist Office Visit"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
        "version": "0.1.0",
        "code": "televisit",
        "display": "Tele-visit"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
        "version": "0.1.0",
        "code": "urgentcare",
        "display": "Urgent Care"
      }
    ]
  }
}