XIG: CodeSystem/applicability

FHIR IG Statistics: CodeSystem/applicability

Package	hl7.terminology
Resource Type	CodeSystem
Id	applicability
FHIR Version	R5
Source	http://terminology.hl7.org/https://build.fhir.org/ig/HL7/UTG/CodeSystem-applicability.html
URL	http://terminology.hl7.org/CodeSystem/applicability
Version	1.0.1
Status	active
Date	2018-06-05T14:06:02+00:00
Name	BenefitCostApplicability
Title	Benefit cost applicability
Realm	uv
Authority	hl7
Description	Whether the cost applies to in-network or out-of-network providers.
Copyright	This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license
Content	complete

Resources that use this resource

ValueSet
insuranceplan-applicability	Benefit cost applicability

Resources that this resource uses

No resources found

Narrative

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

Generated Narrative: CodeSystem applicability

Last updated: 2024-04-24 00:00:00+0000

Profile: Shareable CodeSystem

This case-sensitive code system http://terminology.hl7.org/CodeSystem/applicability defines the following codes:

Code	Display	Definition
in-network	In Network	Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
out-of-network	Out of Network	Provider is not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates
other	Other	Other applicability

Source

{
  "resourceType": "CodeSystem",
  "id": "applicability",
  "meta": {
    "lastUpdated": "2024-04-24T00:00:00+00:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "pa"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/applicability",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.1.0"
    }
  ],
  "version": "1.0.1",
  "name": "BenefitCostApplicability",
  "title": "Benefit cost applicability",
  "status": "active",
  "experimental": false,
  "date": "2018-06-05T14:06:02+00:00",
  "publisher": "Health Level Seven International",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        },
        {
          "system": "email",
          "value": "hq@HL7.org"
        }
      ]
    }
  ],
  "description": "Whether the cost applies to in-network or out-of-network providers.",
  "copyright": "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license",
  "caseSensitive": true,
  "valueSet": "http://terminology.hl7.org/ValueSet/insuranceplan-applicability",
  "content": "complete",
  "concept": [
    {
      "code": "in-network",
      "display": "In Network",
      "definition": "Provider is contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"
    },
    {
      "code": "out-of-network",
      "display": "Out of Network",
      "definition": "Provider is  not contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates"
    },
    {
      "code": "other",
      "display": "Other",
      "definition": "Other applicability"
    }
  ]
}