Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot
Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot
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
| Official URL: http://nphies.sa/terminology/ValueSet/benefit-category | Version: 0.3.0 | |||
| Active as of 2024-08-11 | Computable Name: BenefitCategory | |||
Copyright/Legal: nphies 2020+ (https://nphies.sa) |
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Codes for the categories of benefits.
References
version: 16; Last updated: 2024-08-11 18:26:55+0300
http://nphies.sa/terminology/CodeSystem/benefit-category
Expansion performed internally based on codesystem Benefit Category v0.3.0 (CodeSystem)
This value set contains 84 concepts
| Code | System | Display (en-US) | Definition |
| 14 | http://nphies.sa/terminology/CodeSystem/benefit-category | Dental Care | Dental Care. |
| 15 | http://nphies.sa/terminology/CodeSystem/benefit-category | Dental Crowns | Dental Crowns. |
| 19 | http://nphies.sa/terminology/CodeSystem/benefit-category | Medically Related Transportation | Medically Related Transportation. |
| 4 | http://nphies.sa/terminology/CodeSystem/benefit-category | Diagnostic XRay | Diagnostic XRay. |
| 3 | http://nphies.sa/terminology/CodeSystem/benefit-category | Consultation | Consultation. |
| 28 | http://nphies.sa/terminology/CodeSystem/benefit-category | Vision Coverage | Vision Coverage. |
| 27 | http://nphies.sa/terminology/CodeSystem/benefit-category | Hearing Coverage | Hearing Coverage. |
| 17 | http://nphies.sa/terminology/CodeSystem/benefit-category | Hospital Room and Board | Hospital Room and Board. |
| 9 | http://nphies.sa/terminology/CodeSystem/benefit-category | Restorative | Restorative. |
| 5 | http://nphies.sa/terminology/CodeSystem/benefit-category | Diagnostic Lab | Diagnostic Lab. |
| 2 | http://nphies.sa/terminology/CodeSystem/benefit-category | Surgical | Surgical. |
| 25 | http://nphies.sa/terminology/CodeSystem/benefit-category | Medical Coverage | Medical Coverage. |
| 13 | http://nphies.sa/terminology/CodeSystem/benefit-category | Health Benefit Plan Coverage | Health Benefit Plan Coverage. |
| 18 | http://nphies.sa/terminology/CodeSystem/benefit-category | Major Medical | Major Medical. |
| 10 | http://nphies.sa/terminology/CodeSystem/benefit-category | Endodontics | Endodontics. |
| 12 | http://nphies.sa/terminology/CodeSystem/benefit-category | Adjunctive Dental Services | Adjunctive Dental Services. |
| 24 | http://nphies.sa/terminology/CodeSystem/benefit-category | Renal Dialysis | Renal dialysis. |
| 16 | http://nphies.sa/terminology/CodeSystem/benefit-category | Dental Accident | Dental Accident. |
| 11 | http://nphies.sa/terminology/CodeSystem/benefit-category | Maxillofacial Prosthetics | Maxillofacial Prosthetics. |
| 23 | http://nphies.sa/terminology/CodeSystem/benefit-category | Maternity | Maternity. |
| 22 | http://nphies.sa/terminology/CodeSystem/benefit-category | Donor Procedures | Donor Procedures such as organ harvest. |
| 20 | http://nphies.sa/terminology/CodeSystem/benefit-category | In-vitro Fertilization | In-vitro Fertilization. |
| 7 | http://nphies.sa/terminology/CodeSystem/benefit-category | Diagnostic Dental | Diagnostic Dental. |
| 6 | http://nphies.sa/terminology/CodeSystem/benefit-category | Renal Supplies | Renal Supplies excluding Dialysis. |
| 1 | http://nphies.sa/terminology/CodeSystem/benefit-category | Medical Care | Medical Care. |
| 26 | http://nphies.sa/terminology/CodeSystem/benefit-category | Dental Coverage | Dental Coverage. |
| 21 | http://nphies.sa/terminology/CodeSystem/benefit-category | MRI Scan | MRI Scan. |
| 8 | http://nphies.sa/terminology/CodeSystem/benefit-category | Periodontics | Periodontics. |
| 30 | http://nphies.sa/terminology/CodeSystem/benefit-category | OP Medical | OP Medical |
| 31 | http://nphies.sa/terminology/CodeSystem/benefit-category | Max Copay | Max Copay |
| 29 | http://nphies.sa/terminology/CodeSystem/benefit-category | Mental Health | Mental Health |
| 40 | http://nphies.sa/terminology/CodeSystem/benefit-category | Ear Piercing of female newborn | Ear Piercing of female newborn |
| 39 | http://nphies.sa/terminology/CodeSystem/benefit-category | Circumcision of male newborn | Circumcision of male newborn |
| 55 | http://nphies.sa/terminology/CodeSystem/benefit-category | Rehabilitation | Rehabilitation |
| 48 | http://nphies.sa/terminology/CodeSystem/benefit-category | Acquired valvular heart disease | Acquired valvular heart disease |
| 56 | http://nphies.sa/terminology/CodeSystem/benefit-category | Pharmacy | Pharmacy |
| 35 | http://nphies.sa/terminology/CodeSystem/benefit-category | Alzheimer's Disease | Alzheimer's Disease |
| 44 | http://nphies.sa/terminology/CodeSystem/benefit-category | Outpatient Treatment expenses-for hospital out of the minimum unified network | Outpatient Treatment expenses-for hospital out of the minimum unified network |
| 49 | http://nphies.sa/terminology/CodeSystem/benefit-category | Autism Management | Autism Management |
| 41 | http://nphies.sa/terminology/CodeSystem/benefit-category | Dental Prosthesis | Dental Prosthesis |
| 54 | http://nphies.sa/terminology/CodeSystem/benefit-category | Long term care | Long term care |
| 45 | http://nphies.sa/terminology/CodeSystem/benefit-category | Outpatient Treatment expenses-for non-hospital out of the minimum unified network | Outpatient Treatment expenses-for non-hospital out of the minimum unified network |
| 34 | http://nphies.sa/terminology/CodeSystem/benefit-category | Chronic Psychiatric Cases | Chronic Psychiatric Cases |
| 50 | http://nphies.sa/terminology/CodeSystem/benefit-category | Disability Compensations | Disability Compensations |
| 52 | http://nphies.sa/terminology/CodeSystem/benefit-category | Newborn Screening Programs for Hearing Impairment & critical congenital heart disease | Newborn Screening Programs for Hearing Impairment & critical congenital heart disease |
| 36 | http://nphies.sa/terminology/CodeSystem/benefit-category | Infertility & Related Procedures | Infertility & Related Procedures |
| 46 | http://nphies.sa/terminology/CodeSystem/benefit-category | Companion Room and Board | Companion Room and Board |
| 42 | http://nphies.sa/terminology/CodeSystem/benefit-category | Vision Surgery | Vision Surgery |
| 47 | http://nphies.sa/terminology/CodeSystem/benefit-category | Repatriation of Mortal Remains | Repatriation of Mortal Remains |
| 51 | http://nphies.sa/terminology/CodeSystem/benefit-category | Obesity Surgery | Obesity Surgery |
| 37 | http://nphies.sa/terminology/CodeSystem/benefit-category | Orthodontic Treatment | Orthodontic Treatment |
| 53 | http://nphies.sa/terminology/CodeSystem/benefit-category | Home Healthcare | Home Healthcare |
| 32 | http://nphies.sa/terminology/CodeSystem/benefit-category | Medical Equipment | Medical Equipment |
| 43 | http://nphies.sa/terminology/CodeSystem/benefit-category | Outpatient Treatment expenses-within minimum unified network | Outpatient Treatment expenses-within minimum unified network |
| 33 | http://nphies.sa/terminology/CodeSystem/benefit-category | Acute Psychiatric Cases | Acute Psychiatric Cases |
| 38 | http://nphies.sa/terminology/CodeSystem/benefit-category | Check ups | Check ups |
| 62 | http://nphies.sa/terminology/CodeSystem/benefit-category | Basic Homecare coverage | Basic Homecare coverage |
| 64 | http://nphies.sa/terminology/CodeSystem/benefit-category | Hip and Knee Replacement | Hip and Knee Replacement |
| 67 | http://nphies.sa/terminology/CodeSystem/benefit-category | Outpatient Treatment expenses - Primary clinic | Outpatient Treatment expenses - Primary clinic |
| 79 | http://nphies.sa/terminology/CodeSystem/benefit-category | Genetic diseases | Genetic diseases |
| 74 | http://nphies.sa/terminology/CodeSystem/benefit-category | Complications arising from treatment of a covered benefit | Complications arising from treatment of a covered benefit |
| 80 | http://nphies.sa/terminology/CodeSystem/benefit-category | Inpatient Medical Coverage | Inpatient Medical Coverage |
| 82 | http://nphies.sa/terminology/CodeSystem/benefit-category | Maternity Complications Coverage | Maternity Complications Coverage |
| 77 | http://nphies.sa/terminology/CodeSystem/benefit-category | Delivery of premature babies | Delivery of premature babies |
| 65 | http://nphies.sa/terminology/CodeSystem/benefit-category | Impairment medical management | Impairment medical management |
| 71 | http://nphies.sa/terminology/CodeSystem/benefit-category | Psychiatry coverage | Psychiatry coverage |
| 60 | http://nphies.sa/terminology/CodeSystem/benefit-category | Advanced Obesity Medical Management | Advanced Obesity Medical Management |
| 68 | http://nphies.sa/terminology/CodeSystem/benefit-category | Outpatient Treatment expenses - specialized clinic with referral | Outpatient Treatment expenses - specialized clinic with referral |
| 84 | http://nphies.sa/terminology/CodeSystem/benefit-category | Telemedicine | Telemedicine |
| 58 | http://nphies.sa/terminology/CodeSystem/benefit-category | Advanced Dental Coverage | Advanced Dental Coverage |
| 61 | http://nphies.sa/terminology/CodeSystem/benefit-category | Basic and Preventive Dental Coverage | Basic and Preventive Dental Coverage |
| 69 | http://nphies.sa/terminology/CodeSystem/benefit-category | Outpatient Treatment expenses - specialized clinic without referral | Outpatient Treatment expenses - specialized clinic without referral |
| 72 | http://nphies.sa/terminology/CodeSystem/benefit-category | Renal transplant | Renal transplant |
| 75 | http://nphies.sa/terminology/CodeSystem/benefit-category | Congenital anomalies | Congenital anomalies |
| 78 | http://nphies.sa/terminology/CodeSystem/benefit-category | Emergency Service coverage | Emergency Service coverage |
| 59 | http://nphies.sa/terminology/CodeSystem/benefit-category | Advanced Homecare coverage | Advanced Homecare coverage |
| 83 | http://nphies.sa/terminology/CodeSystem/benefit-category | New-born coverage | New-born coverage |
| 63 | http://nphies.sa/terminology/CodeSystem/benefit-category | Contraception Coverage (Birth Control) | Contraception Coverage (Birth Control) |
| 66 | http://nphies.sa/terminology/CodeSystem/benefit-category | OP Prescribed Generic and Invented Medicines - with no generic alternative available | OP Prescribed Generic and Invented Medicines - with no generic alternative available |
| 73 | http://nphies.sa/terminology/CodeSystem/benefit-category | Root canal dental coverage | Root canal dental coverage |
| 57 | http://nphies.sa/terminology/CodeSystem/benefit-category | OP Prescribed Invented Medicines - with generic alternative | OP Prescribed Invented Medicines - with generic alternative |
| 76 | http://nphies.sa/terminology/CodeSystem/benefit-category | Costs of national program for the early examination of newborn to limit impairment | Costs of national program for the early examination of newborn to limit impairment |
| 70 | http://nphies.sa/terminology/CodeSystem/benefit-category | Pediatric vision coverage | Pediatric vision coverage |
| 81 | http://nphies.sa/terminology/CodeSystem/benefit-category | Life sustaining and interventions altering medical outcomes | Life sustaining and interventions altering medical outcomes |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The 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 |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |