Healthcare Financial Services IG Edition 1
0.3.0 - ci-build
Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
: Coverage Copay Type - JSON Representation
| Active as of 2025-06-23 |
{
"resourceType" : "CodeSystem",
"id" : "coverage-copay-type",
"meta" : {
"versionId" : "3",
"lastUpdated" : "2024-08-15T11:54:20.238+03:00"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem coverage-copay-type</b></p><a name=\"coverage-copay-type\"> </a><a name=\"hccoverage-copay-type\"> </a><a name=\"coverage-copay-type-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 3; Last updated: 2024-08-15 11:54:20+0300</p></div><p>This case-sensitive code system <code>http://nphies.sa/terminology/CodeSystem/coverage-copay-type</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>Arabic (ar)</b></td></tr><tr><td style=\"white-space:nowrap\">maxoutofpocket<a name=\"coverage-copay-type-maxoutofpocket\"> </a></td><td>Maximum out of pocket</td><td>The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually</td><td>الحد الأقصى للمبلغ المدفوع من المريض</td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"coverage-copay-type-copay\"> </a></td><td>Copay Amount</td><td>A standard fixed currency amount applied to all classes or service or product not otherwise specified.</td><td>قيمة التحمل/المشاركة المالية</td></tr><tr><td style=\"white-space:nowrap\">gpvisit<a name=\"coverage-copay-type-gpvisit\"> </a></td><td>GP Office Visit</td><td>An office visit for a general practitioner of a discipline.</td><td>زيارة للممارس العام</td></tr><tr><td style=\"white-space:nowrap\">copaypct<a name=\"coverage-copay-type-copaypct\"> </a></td><td>Copay Percentage</td><td>A standard percentage applied to all classes or service or product not otherwise specified.</td><td>النسبة المئوية للتحمل/المشاركة المالية</td></tr><tr><td style=\"white-space:nowrap\">spvisit<a name=\"coverage-copay-type-spvisit\"> </a></td><td>Specialist Office Visit</td><td>An office visit for a specialist practitioner of a discipline</td><td>زيارة للطبيب المتخصص</td></tr><tr><td style=\"white-space:nowrap\">deductible<a name=\"coverage-copay-type-deductible\"> </a></td><td>Deductible</td><td>The accumulated amount of patient payment before the coverage begins to pay for services.</td><td>المستحق الذاتي/مستحق ما قبل التغطية</td></tr><tr><td style=\"white-space:nowrap\">maxcopay<a name=\"coverage-copay-type-maxcopay\"> </a></td><td>maxcopay</td><td>A maximum amout of payment for services which a patient is expected to incur per episode.</td><td>أقصى قيمة تحمل/مشاركة مالية</td></tr></table></div>"
},
"url" : "http://nphies.sa/terminology/CodeSystem/coverage-copay-type",
"version" : "0.3.0",
"name" : "CoverageCopayType",
"title" : "Coverage Copay Type",
"status" : "active",
"experimental" : false,
"date" : "2025-06-23T22:09:21+03:00",
"publisher" : "HL7 Saudi Arabia",
"contact" : [
{
"name" : "HL7 Saudi Arabia",
"telecom" : [
{
"system" : "url",
"value" : "http://test-project.org/test-publisher"
}
]
}
],
"description" : "Cost category. This value set includes sample Coverage Copayment Type codes.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "SA",
"display" : "Saudi Arabia"
}
]
}
],
"copyright" : "nphies 2020+ (https://nphies.sa)",
"caseSensitive" : true,
"compositional" : false,
"versionNeeded" : false,
"content" : "complete",
"concept" : [
{
"code" : "maxoutofpocket",
"display" : "Maximum out of pocket",
"definition" : "The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually",
"designation" : [
{
"language" : "ar",
"value" : "الحد الأقصى للمبلغ المدفوع من المريض"
}
]
},
{
"code" : "copay",
"display" : "Copay Amount",
"definition" : "A standard fixed currency amount applied to all classes or service or product not otherwise specified.",
"designation" : [
{
"language" : "ar",
"value" : "قيمة التحمل/المشاركة المالية"
}
]
},
{
"code" : "gpvisit",
"display" : "GP Office Visit",
"definition" : "An office visit for a general practitioner of a discipline.",
"designation" : [
{
"language" : "ar",
"value" : "زيارة للممارس العام"
}
]
},
{
"code" : "copaypct",
"display" : "Copay Percentage",
"definition" : "A standard percentage applied to all classes or service or product not otherwise specified.",
"designation" : [
{
"language" : "ar",
"value" : "النسبة المئوية للتحمل/المشاركة المالية"
}
]
},
{
"code" : "spvisit",
"display" : "Specialist Office Visit",
"definition" : "An office visit for a specialist practitioner of a discipline",
"designation" : [
{
"language" : "ar",
"value" : "زيارة للطبيب المتخصص"
}
]
},
{
"code" : "deductible",
"display" : "Deductible",
"definition" : "The accumulated amount of patient payment before the coverage begins to pay for services.",
"designation" : [
{
"language" : "ar",
"value" : "المستحق الذاتي/مستحق ما قبل التغطية"
}
]
},
{
"code" : "maxcopay",
"display" : "maxcopay",
"definition" : "A maximum amout of payment for services which a patient is expected to incur per episode.",
"designation" : [
{
"language" : "ar",
"value" : "أقصى قيمة تحمل/مشاركة مالية"
}
]
}
]
}