Release 4

Codesystem-ex-benefitcategory.json

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

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

Definition for Code System BenefitCategoryCodes

{
  "resourceType" : "CodeSystem",
  "id" : "ex-benefitcategory",
  "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/ex-benefitcategory",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.4.1175"
  }],
  "version" : "4.0.1",
  "name" : "BenefitCategoryCodes",
  "title" : "Benefit Category Codes",
  "status" : "draft",
  "experimental" : false,
  "publisher" : "Financial Management",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  }],
  "description" : "This value set includes examples of Benefit Category codes.",
  "copyright" : "This is an example set.",
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory",
  "content" : "complete",
  "concept" : [{
    "code" : "1",
    "display" : "Medical Care",
    "definition" : "Medical Care."
  },
  {
    "code" : "2",
    "display" : "Surgical",
    "definition" : "Surgical."
  },
  {
    "code" : "3",
    "display" : "Consultation",
    "definition" : "Consultation."
  },
  {
    "code" : "4",
    "display" : "Diagnostic XRay",
    "definition" : "Diagnostic XRay."
  },
  {
    "code" : "5",
    "display" : "Diagnostic Lab",
    "definition" : "Diagnostic Lab."
  },
  {
    "code" : "14",
    "display" : "Renal Supplies",
    "definition" : "Renal Supplies excluding Dialysis."
  },
  {
    "code" : "23",
    "display" : "Diagnostic Dental",
    "definition" : "Diagnostic Dental."
  },
  {
    "code" : "24",
    "display" : "Periodontics",
    "definition" : "Periodontics."
  },
  {
    "code" : "25",
    "display" : "Restorative",
    "definition" : "Restorative."
  },
  {
    "code" : "26",
    "display" : "Endodontics",
    "definition" : "Endodontics."
  },
  {
    "code" : "27",
    "display" : "Maxillofacial Prosthetics",
    "definition" : "Maxillofacial Prosthetics."
  },
  {
    "code" : "28",
    "display" : "Adjunctive Dental Services",
    "definition" : "Adjunctive Dental Services."
  },
  {
    "code" : "30",
    "display" : "Health Benefit Plan Coverage",
    "definition" : "Health Benefit Plan Coverage."
  },
  {
    "code" : "35",
    "display" : "Dental Care",
    "definition" : "Dental Care."
  },
  {
    "code" : "36",
    "display" : "Dental Crowns",
    "definition" : "Dental Crowns."
  },
  {
    "code" : "37",
    "display" : "Dental Accident",
    "definition" : "Dental Accident."
  },
  {
    "code" : "49",
    "display" : "Hospital Room and Board",
    "definition" : "Hospital Room and Board."
  },
  {
    "code" : "55",
    "display" : "Major Medical",
    "definition" : "Major Medical."
  },
  {
    "code" : "56",
    "display" : "Medically Related Transportation",
    "definition" : "Medically Related Transportation."
  },
  {
    "code" : "61",
    "display" : "In-vitro Fertilization",
    "definition" : "In-vitro Fertilization."
  },
  {
    "code" : "62",
    "display" : "MRI Scan",
    "definition" : "MRI Scan."
  },
  {
    "code" : "63",
    "display" : "Donor Procedures",
    "definition" : "Donor Procedures such as organ harvest."
  },
  {
    "code" : "69",
    "display" : "Maternity",
    "definition" : "Maternity."
  },
  {
    "code" : "76",
    "display" : "Renal Dialysis",
    "definition" : "Renal dialysis."
  },
  {
    "code" : "F1",
    "display" : "Medical Coverage",
    "definition" : "Medical Coverage."
  },
  {
    "code" : "F3",
    "display" : "Dental Coverage",
    "definition" : "Dental Coverage."
  },
  {
    "code" : "F4",
    "display" : "Hearing Coverage",
    "definition" : "Hearing Coverage."
  },
  {
    "code" : "F6",
    "display" : "Vision Coverage",
    "definition" : "Vision 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.