Healthcare Financial Services IG Edition 1
0.3.0 - ci-build Saudi Arabia flag

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

ValueSet: Coverage Copay Type

Official URL: http://nphies.sa/terminology/ValueSet/coverage-copay-type Version: 0.3.0
Active as of 2024-08-15 Computable Name: CoverageCopayType

Copyright/Legal: nphies 2020+ (https://nphies.sa)

Codes indicating the type of service for which a copay is specified and copayment maximum limit or rate.

References

Logical Definition (CLD)

Generated Narrative: ValueSet coverage-copay-type

version: 6; Last updated: 2024-08-15 11:54:23+0300

 

Expansion

ValueSet

Expansion performed internally based on codesystem Coverage Copay Type v0.3.0 (CodeSystem)

This value set contains 7 concepts

CodeSystemDisplay (en-US)Definition
  maxoutofpockethttp://nphies.sa/terminology/CodeSystem/coverage-copay-typeMaximum out of pocket

The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually

  copayhttp://nphies.sa/terminology/CodeSystem/coverage-copay-typeCopay Amount

A standard fixed currency amount applied to all classes or service or product not otherwise specified.

  gpvisithttp://nphies.sa/terminology/CodeSystem/coverage-copay-typeGP Office Visit

An office visit for a general practitioner of a discipline.

  copaypcthttp://nphies.sa/terminology/CodeSystem/coverage-copay-typeCopay Percentage

A standard percentage applied to all classes or service or product not otherwise specified.

  spvisithttp://nphies.sa/terminology/CodeSystem/coverage-copay-typeSpecialist Office Visit

An office visit for a specialist practitioner of a discipline

  deductiblehttp://nphies.sa/terminology/CodeSystem/coverage-copay-typeDeductible

The accumulated amount of patient payment before the coverage begins to pay for services.

  maxcopayhttp://nphies.sa/terminology/CodeSystem/coverage-copay-typemaxcopay

A maximum amout of payment for services which a patient is expected to incur per episode.


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