Release 4

Codesystem-benefit-type.json

Financial Management Work GroupMaturity Level: N/AStandards Status: Informative

Raw JSON (canonical form + also see JSON Format Specification)

Definition for Code System BenefitTypeCodes

{
  "resourceType" : "CodeSystem",
  "id" : "benefit-type",
  "meta" : {
    "lastUpdated" : "2021-01-21T15:34:20.265+00:00",
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "draft"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  }],
  "url" : "http://terminology.hl7.org/CodeSystem/benefit-type",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.4.1176"
  }],
  "version" : "4.0.1",
  "name" : "BenefitTypeCodes",
  "title" : "Benefit Type Codes",
  "status" : "draft",
  "experimental" : false,
  "publisher" : "Financial Management",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  }],
  "description" : "This value set includes a smattering of Benefit type codes.",
  "copyright" : "This is an example set.",
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-type",
  "content" : "complete",
  "concept" : [{
    "code" : "benefit",
    "display" : "Benefit",
    "definition" : "Maximum benefit allowable."
  },
  {
    "code" : "deductible",
    "display" : "Deductible",
    "definition" : "Cost to be incurred before benefits are applied"
  },
  {
    "code" : "visit",
    "display" : "Visit",
    "definition" : "Service visit"
  },
  {
    "code" : "room",
    "display" : "Room",
    "definition" : "Type of room"
  },
  {
    "code" : "copay",
    "display" : "Copayment per service",
    "definition" : "Copayment per service"
  },
  {
    "code" : "copay-percent",
    "display" : "Copayment Percent per service",
    "definition" : "Copayment percentage per service"
  },
  {
    "code" : "copay-maximum",
    "display" : "Copayment maximum per service",
    "definition" : "Copayment maximum per service"
  },
  {
    "code" : "vision-exam",
    "display" : "Vision Exam",
    "definition" : "Vision Exam"
  },
  {
    "code" : "vision-glasses",
    "display" : "Vision Glasses",
    "definition" : "Frames and lenses"
  },
  {
    "code" : "vision-contacts",
    "display" : "Vision Contacts Coverage",
    "definition" : "Contact Lenses"
  },
  {
    "code" : "medical-primarycare",
    "display" : "Medical Primary Health Coverage",
    "definition" : "Medical Primary Health Coverage"
  },
  {
    "code" : "pharmacy-dispense",
    "display" : "Pharmacy Dispense Coverage",
    "definition" : "Pharmacy Dispense Coverage"
  }]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.