Release 4 Value Set

Financial Management Work Group Maturity Level: 2Trial Use Use Context: Any

This is a value set defined by the FHIR project.


Defining URL:
Title:Coverage Copay Type Codes

This value set includes sample Coverage Copayment Type codes.

Committee:Financial Management Work Group
OID:2.16.840.1.113883.4.642.3.527 (for OID based terminology systems)

This is an example set.

Source ResourceXML / JSON

This value set is used in the following places:

This value set includes codes from the following code systems:


This expansion generated 21 Jan 2021

This value set contains 10 concepts

Expansion based on version 4.0.1

All codes from system

gpvisitGP Office VisitAn office visit for a general practitioner of a discipline.
spvisitSpecialist Office VisitAn office visit for a specialist practitioner of a discipline
emergencyEmergencyAn episode in an emergency department.
inpthospInpatient HospitalAn episode of an Inpatient hospital stay.
televisitTele-visitA visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.
urgentcareUrgent CareA visit to an urgent care facility - typically a community care clinic.
copaypctCopay PercentageA standard percentage applied to all classes or service or product not otherwise specified.
copayCopay AmountA standard fixed currency amount applied to all classes or service or product not otherwise specified.
deductibleDeductibleThe accumulated amount of patient payment before the coverage begins to pay for services.
maxoutofpocketMaximum out of pocketThe maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.


See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

LvlA few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code