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Packagehl7.fhir.uv.xver-r5.r4b
Resource TypeCodeSystem
IdCodeSystem-coverage-copay-type.json
FHIR VersionR4B

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Narrative

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

This code system http://terminology.hl7.org/CodeSystem/coverage-copay-type defines the following codes:

CodeDisplayDefinition
gpvisit GP Office VisitAn office visit for a general practitioner of a discipline.
spvisit Specialist Office VisitAn office visit for a specialist practitioner of a discipline
emergency EmergencyAn episode in an emergency department.
inpthosp Inpatient HospitalAn episode of an Inpatient hospital stay.
televisit Tele-visitA visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.
urgentcare Urgent CareA visit to an urgent care facility - typically a community care clinic.
copaypct Copay PercentageA standard percentage applied to all classes or service or product not otherwise specified.
copay Copay AmountA standard fixed currency amount applied to all classes or service or product not otherwise specified.
deductible DeductibleThe accumulated amount of patient payment before the coverage begins to pay for services.
maxoutofpocket Maximum out of pocketThe maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.

Source1

{
  "resourceType": "CodeSystem",
  "id": "coverage-copay-type",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r5.r4b"
        },
        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/coverage-copay-type",
  "version": "0.1.0",
  "name": "CoverageCopayTypeCodes",
  "title": "Coverage Copay Type Codes",
  "status": "draft",
  "experimental": false,
  "date": "2023-02-26T04:07:30+10:00",
  "publisher": "Financial Management",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]
    },
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "description": "This value set includes sample Coverage Copayment Type codes.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "copyright": "This is an example set.",
  "caseSensitive": true,
  "valueSet": "http://terminology.hl7.org/ValueSet/coverage-copay-type|1.0.1",
  "content": "complete",
  "concept": [
    {
      "code": "gpvisit",
      "display": "GP Office Visit",
      "definition": "An office visit for a general practitioner of a discipline."
    },
    {
      "code": "spvisit",
      "display": "Specialist Office Visit",
      "definition": "An office visit for a specialist practitioner of a discipline"
    },
    {
      "code": "emergency",
      "display": "Emergency",
      "definition": "An episode in an emergency department."
    },
    {
      "code": "inpthosp",
      "display": "Inpatient Hospital",
      "definition": "An episode of an Inpatient hospital stay."
    },
    {
      "code": "televisit",
      "display": "Tele-visit",
      "definition": "A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference."
    },
    {
      "code": "urgentcare",
      "display": "Urgent Care",
      "definition": "A visit to an urgent care facility - typically a community care clinic."
    },
    {
      "code": "copaypct",
      "display": "Copay Percentage",
      "definition": "A standard percentage applied to all classes or service or product not otherwise specified."
    },
    {
      "code": "copay",
      "display": "Copay Amount",
      "definition": "A standard fixed currency amount applied to all classes or service or product not otherwise specified."
    },
    {
      "code": "deductible",
      "display": "Deductible",
      "definition": "The accumulated amount of patient payment before the coverage begins to pay for services."
    },
    {
      "code": "maxoutofpocket",
      "display": "Maximum out of pocket",
      "definition": "The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually."
    }
  ]
}