Resource ValueSet/FHIR Server from package us.nlm.vsac#0.21.0 (78 ms)

Resources that use this resource

No resources found

Resources that this resource uses

CodeSystem
https://nahdo.org/sopt	Source of Payment Typology
https://nahdo.org/sopt	Source of Payment Typology

Source

{
  "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" : "2024-02-21"
    },
    {
      "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:e947ed36-3b8b-483a-9a72-e4b1268fd9dc",
    "timestamp" : "2024-12-10T06:11:27-05:00",
    "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",
        "code" : "123",
        "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",
        "code" : "14",
        "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"
      }
    ]
  },
  "text" : {
  }
}

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