AU eRequesting Implementation Guide
0.2.0-preview - Preview Australia flag

This page is part of the AU eRequesting (v0.2.0-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

: AU eRequesting Coverage Type and Self-Pay Codes - XML Representation

Page standards status: Draft Maturity Level: 0

Raw xml | Download


<ValueSet xmlns="http://hl7.org/fhir">
  <id value="au-erequesting-coverage-type"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet au-erequesting-coverage-type</b></p><a name="au-erequesting-coverage-type"> </a><a name="hcau-erequesting-coverage-type"> </a><a name="au-erequesting-coverage-type-en-AU"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href="http://terminology.hl7.org/6.1.0/CodeSystem-coverage-selfpay.html"><code>http://terminology.hl7.org/CodeSystem/coverage-selfpay</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="http://terminology.hl7.org/6.1.0/CodeSystem-coverage-selfpay.html#coverage-selfpay-pay">pay</a></td><td style="color: #cccccc">Pay</td><td>An individual or organization is paying directly for goods and services.</td></tr><tr><td><a href="http://terminology.hl7.org/6.1.0/CodeSystem-coverage-selfpay.html#coverage-selfpay-payconc">payconc</a></td><td style="color: #cccccc">Concession</td><td>An individual or organization is paying directly a concessional fee for goods and services.</td></tr></table></li><li>Include these codes as defined in <a href="http://terminology.hl7.org/6.1.0/CodeSystem-v3-ActCode.html"><code>http://terminology.hl7.org/CodeSystem/v3-ActCode</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="http://terminology.hl7.org/6.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-PUBLICPOL">PUBLICPOL</a></td><td style="color: #cccccc">public healthcare</td><td>Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service).</td></tr><tr><td><a href="http://terminology.hl7.org/6.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-VET">VET</a></td><td style="color: #cccccc">veteran health program</td><td>**Definition:** Services provided directly and through contracted and operated veteran health programs.</td></tr></table></li></ul></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="draft">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org.au/fhir/ereq/ImplementationGuide/hl7.fhir.au.ereq"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org.au/fhir/ereq/ValueSet/au-erequesting-coverage-type"/>
  <version value="0.2.0-preview"/>
  <name value="AUeRequestingCoverageTypeAndSelf-PayCodes"/>
  <title value="AU eRequesting Coverage Type and Self-Pay Codes"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2024-10-31"/>
  <publisher value="HL7 Australia"/>
  <contact>
    <name value="HL7 Australia"/>
    <telecom>
      <system value="url"/>
      <value value="https://confluence.hl7.org/display/HAFWG"/>
    </telecom>
  </contact>
  <contact>
    <name value="HL7 Australia FHIR Work Group"/>
    <telecom>
      <system value="url"/>
      <value value="https://confluence.hl7.org/display/HAFWG"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="Coverage type and self-pay codes typically used in the Australian eRequesting context."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="AU"/>
    </coding>
  </jurisdiction>
  <copyright value="HL7 International"/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-selfpay"/>
      <concept>
        <code value="pay"/>
      </concept>
      <concept>
        <code value="payconc"/>
      </concept>
    </include>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <concept>
        <code value="PUBLICPOL"/>
      </concept>
      <concept>
        <code value="VET"/>
      </concept>
    </include>
  </compose>
</ValueSet>