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Source1

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113762.1.4.1104.12",
  "meta": {
    "versionId": "6",
    "lastUpdated": "2024-02-01T16:08:57.000-05:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablevalueset",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-valueset-cqfm",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm"
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-author",
      "valueContactDetail": {
        "name": "Yale Author"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate": "2025-03-12"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate": "2023-02-14"
    }
  ],
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1104.12",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113762.1.4.1104.12"
    }
  ],
  "version": "20230214",
  "name": "MedicareAdvantagePayer",
  "title": "Medicare Advantage Payer",
  "status": "active",
  "date": "2023-02-14T01:02:32-05:00",
  "publisher": "Yale",
  "description": "CCDE",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "(Clinical Focus: The purpose of this value set is to identify concepts for Medicare Advantage payer types.),(Data Element Scope: This value set may use a model element related to Patient Characteristic.),(Inclusion Criteria: Includes concepts that identify a patient with Medicare Advantage as a payer source.),(Exclusion Criteria: Excludes concepts that represent Medicare Fee-For-Service as a payer source.)",
  "compose": {
    "include": [
      {
        "system": "https://nahdo.org/sopt",
        "concept": [
          {
            "code": "11",
            "display": "Medicare Managed Care (Includes Medicare Advantage Plans)"
          },
          {
            "code": "111",
            "display": "Medicare HMO"
          },
          {
            "code": "1111",
            "display": "Medicare Chronic Condition Special Needs Plan (C-SNP)"
          },
          {
            "code": "1112",
            "display": "Medicare Institutional Special Needs Plan (I-SNP)"
          },
          {
            "code": "112",
            "display": "Medicare PPO"
          },
          {
            "code": "113",
            "display": "Medicare POS"
          },
          {
            "code": "119",
            "display": "Medicare Managed Care Other"
          },
          {
            "code": "123",
            "display": "Medicare Medical Savings Account (MSA)"
          },
          {
            "code": "13",
            "display": "Medicare Hospice"
          },
          {
            "code": "14",
            "display": "Dual Eligibility Medicare/Medicaid Organization"
          },
          {
            "code": "141",
            "display": "Dual Eligible Special Needs Plan (D-SNP)"
          },
          {
            "code": "142",
            "display": "Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP)"
          },
          {
            "code": "19",
            "display": "Medicare Other"
          },
          {
            "code": "191",
            "display": "Medicare Pharmacy Benefit Manager"
          }
        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:39fcdf0d-71ba-40a9-ac97-c497085b77ad",
    "timestamp": "2025-05-23T18:12:33-04:00",
    "total": 14,
    "contains": [
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
        "code": "11",
        "display": "Medicare Managed Care (Includes Medicare Advantage Plans)"
      },
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
        "code": "111",
        "display": "Medicare HMO"
      },
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
        "code": "1111",
        "display": "Medicare Chronic Condition Special Needs Plan (C-SNP)"
      },
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
        "code": "1112",
        "display": "Medicare Institutional Special Needs Plan (I-SNP)"
      },
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
        "code": "112",
        "display": "Medicare PPO"
      },
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
        "code": "113",
        "display": "Medicare POS"
      },
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
        "code": "119",
        "display": "Medicare Managed Care Other"
      },
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
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        "display": "Medicare Medical Savings Account (MSA)"
      },
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
        "code": "13",
        "display": "Medicare Hospice"
      },
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
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        "display": "Dual Eligibility Medicare/Medicaid Organization"
      },
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
        "code": "141",
        "display": "Dual Eligible Special Needs Plan (D-SNP)"
      },
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
        "code": "142",
        "display": "Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP)"
      },
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
        "code": "19",
        "display": "Medicare Other"
      },
      {
        "system": "https://nahdo.org/sopt",
        "version": "9.2",
        "code": "191",
        "display": "Medicare Pharmacy Benefit Manager"
      }
    ]
  }
}