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 - XML Representation
| Active as of 2025-06-23 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="coverage-copay-type"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2024-08-15T11:54:20.238+03:00"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<url value="http://nphies.sa/terminology/CodeSystem/coverage-copay-type"/>
<version value="0.3.0"/>
<name value="CoverageCopayType"/>
<title value="Coverage Copay Type"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-06-23T22:09:21+03:00"/>
<publisher value="HL7 Saudi Arabia"/>
<contact>
<name value="HL7 Saudi Arabia"/>
<telecom>
<system value="url"/>
<value value="http://test-project.org/test-publisher"/>
</telecom>
</contact>
<description
value="Cost category. This value set includes sample Coverage Copayment Type codes."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="SA"/>
<display value="Saudi Arabia"/>
</coding>
</jurisdiction>
<copyright value="nphies 2020+ (https://nphies.sa)"/>
<caseSensitive value="true"/>
<compositional value="false"/>
<versionNeeded value="false"/>
<content value="complete"/>
<concept>
<code value="maxoutofpocket"/>
<display value="Maximum out of pocket"/>
<definition
value="The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually"/>
<designation>
<language value="ar"/>
<value value="الحد الأقصى للمبلغ المدفوع من المريض"/>
</designation>
</concept>
<concept>
<code value="copay"/>
<display value="Copay Amount"/>
<definition
value="A standard fixed currency amount applied to all classes or service or product not otherwise specified."/>
<designation>
<language value="ar"/>
<value value="قيمة التحمل/المشاركة المالية"/>
</designation>
</concept>
<concept>
<code value="gpvisit"/>
<display value="GP Office Visit"/>
<definition
value="An office visit for a general practitioner of a discipline."/>
<designation>
<language value="ar"/>
<value value="زيارة للممارس العام"/>
</designation>
</concept>
<concept>
<code value="copaypct"/>
<display value="Copay Percentage"/>
<definition
value="A standard percentage applied to all classes or service or product not otherwise specified."/>
<designation>
<language value="ar"/>
<value value="النسبة المئوية للتحمل/المشاركة المالية"/>
</designation>
</concept>
<concept>
<code value="spvisit"/>
<display value="Specialist Office Visit"/>
<definition
value="An office visit for a specialist practitioner of a discipline"/>
<designation>
<language value="ar"/>
<value value="زيارة للطبيب المتخصص"/>
</designation>
</concept>
<concept>
<code value="deductible"/>
<display value="Deductible"/>
<definition
value="The accumulated amount of patient payment before the coverage begins to pay for services."/>
<designation>
<language value="ar"/>
<value value="المستحق الذاتي/مستحق ما قبل التغطية"/>
</designation>
</concept>
<concept>
<code value="maxcopay"/>
<display value="maxcopay"/>
<definition
value="A maximum amout of payment for services which a patient is expected to incur per episode."/>
<designation>
<language value="ar"/>
<value value="أقصى قيمة تحمل/مشاركة مالية"/>
</designation>
</concept>
</CodeSystem>