AU eRequesting Implementation Guide
0.3.0-preview - Preview Australia flag

This page is part of the AU eRequesting (v0.3.0-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

ValueSet: AU eRequesting Coverage Type and Self-Pay Codes

Official URL: http://terminology.hl7.org.au/ValueSet/au-erequesting-coverage-type Version: 0.3.0-preview
Standards status: Draft Maturity Level: 0 Computable Name: AUeRequestingCoverageTypeAndSelf-PayCodes
Other Identifiers: OID:2.16.840.1.113883.2.3.4.2.4.35

Copyright/Legal: HL7 International

Coverage type and self-pay codes typically used in the Australian eRequesting context.

References

Logical Definition (CLD)

Generated Narrative: ValueSet au-erequesting-coverage-type

Profile: https://healthterminologies.gov.au/fhir/StructureDefinition/composed-value-set-4

This value set includes codes based on the following rules:

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/coverage-selfpay
    CodeDisplayDefinition
    payPayAn individual or organization is paying directly for goods and services.
    payconcConcessionAn individual or organization is paying directly a concessional fee for goods and services.
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActCode
    CodeDisplayDefinition
    PUBLICPOL public healthcare 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).
    VET veteran health program **Definition:** Services provided directly and through contracted and operated veteran health programs.

 

Expansion

ValueSet

This value set contains 4 concepts

CodeSystemDisplay (en)Definition
  payhttp://terminology.hl7.org/CodeSystem/coverage-selfpay

An individual or organization is paying directly for goods and services.

  payconchttp://terminology.hl7.org/CodeSystem/coverage-selfpay

An individual or organization is paying directly a concessional fee for goods and services.

  PUBLICPOLhttp://terminology.hl7.org/CodeSystem/v3-ActCodepublic healthcare

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).

  VEThttp://terminology.hl7.org/CodeSystem/v3-ActCodeveteran health program

Definition: Services provided directly and through contracted and operated veteran health programs.

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