LinuxForHealth FHIR Implementation Guide
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LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions

: Payer Claim Type Codes - TTL Representation

Active as of 2022-11-10

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "payer-claim-type"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-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></tr><tr><td style=\"white-space:nowrap\">absentee<a name=\"payer-claim-type-absentee\"> </a></td><td>Absentee</td></tr><tr><td style=\"white-space:nowrap\">adminfee<a name=\"payer-claim-type-adminfee\"> </a></td><td>Administrative Fee</td></tr><tr><td style=\"white-space:nowrap\">capitation<a name=\"payer-claim-type-capitation\"> </a></td><td>Capitation Payment</td></tr><tr><td style=\"white-space:nowrap\">eap<a name=\"payer-claim-type-eap\"> </a></td><td>Employee Assistance (EAP)</td></tr><tr><td style=\"white-space:nowrap\">emppremcont<a name=\"payer-claim-type-emppremcont\"> </a></td><td>Employee Premium Contribution</td></tr><tr><td style=\"white-space:nowrap\">financial<a name=\"payer-claim-type-financial\"> </a></td><td>Financial information coming from the clinical data set</td></tr><tr><td style=\"white-space:nowrap\">hearing<a name=\"payer-claim-type-hearing\"> </a></td><td>Hearing</td></tr><tr><td style=\"white-space:nowrap\">hra<a name=\"payer-claim-type-hra\"> </a></td><td>Health Risk Appraisal (HRA)</td></tr><tr><td style=\"white-space:nowrap\">lifeins<a name=\"payer-claim-type-lifeins\"> </a></td><td>Life Insurance</td></tr><tr><td style=\"white-space:nowrap\">institutional<a name=\"payer-claim-type-institutional\"> </a></td><td>Institutional; Hospital, clinic and typically inpatient claims</td></tr><tr><td style=\"white-space:nowrap\">ltd<a name=\"payer-claim-type-ltd\"> </a></td><td>Long Term Disability (LTD)</td></tr><tr><td style=\"white-space:nowrap\">medical<a name=\"payer-claim-type-medical\"> </a></td><td>Medical claim; Institutional/Professional unknown</td></tr><tr><td style=\"white-space:nowrap\">oral<a name=\"payer-claim-type-oral\"> </a></td><td>Oral; Dental, Denture and Hygiene claims</td></tr><tr><td style=\"white-space:nowrap\">pharmacy<a name=\"payer-claim-type-pharmacy\"> </a></td><td>Pharmacy; Pharmacy claims for goods and services</td></tr><tr><td style=\"white-space:nowrap\">premium<a name=\"payer-claim-type-premium\"> </a></td><td>Premium Payment</td></tr><tr><td style=\"white-space:nowrap\">premiuminc<a name=\"payer-claim-type-premiuminc\"> </a></td><td>Premium Income (Revenue)</td></tr><tr><td style=\"white-space:nowrap\">professional<a name=\"payer-claim-type-professional\"> </a></td><td>Professional; Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting</td></tr><tr><td style=\"white-space:nowrap\">std<a name=\"payer-claim-type-std\"> </a></td><td>Short Term Disability (STD)</td></tr><tr><td style=\"white-space:nowrap\">vision<a name=\"payer-claim-type-vision\"> </a></td><td>Vision; Vision claims for professional services and products such as glasses and contact lenses</td></tr><tr><td style=\"white-space:nowrap\">workercomp<a name=\"payer-claim-type-workercomp\"> </a></td><td>Worker's Compensation</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"payer-claim-type-other\"> </a></td><td>Other</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type"];
  fhir:CodeSystem.version [ fhir:value "8.0.0"];
  fhir:CodeSystem.name [ fhir:value "PayerClaimTypeCodeSystem"];
  fhir:CodeSystem.title [ fhir:value "Payer Claim Type Codes"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.date [ fhir:value "2022-11-10T16:00:46+00:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "LinuxForHealth Team"];
  fhir:CodeSystem.description [ fhir:value "Payer codes for the coverage type under which the claim was paid"];
  fhir:CodeSystem.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.count [ fhir:value "21"^^xsd:nonNegativeInteger];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "absentee" ];
     fhir:CodeSystem.concept.display [ fhir:value "Absentee" ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "adminfee" ];
     fhir:CodeSystem.concept.display [ fhir:value "Administrative Fee" ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "capitation" ];
     fhir:CodeSystem.concept.display [ fhir:value "Capitation Payment" ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "eap" ];
     fhir:CodeSystem.concept.display [ fhir:value "Employee Assistance (EAP)" ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "emppremcont" ];
     fhir:CodeSystem.concept.display [ fhir:value "Employee Premium Contribution" ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "financial" ];
     fhir:CodeSystem.concept.display [ fhir:value "Financial information coming from the clinical data set" ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "hearing" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hearing" ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "hra" ];
     fhir:CodeSystem.concept.display [ fhir:value "Health Risk Appraisal (HRA)" ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "lifeins" ];
     fhir:CodeSystem.concept.display [ fhir:value "Life Insurance" ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "institutional" ];
     fhir:CodeSystem.concept.display [ fhir:value "Institutional; Hospital, clinic and typically inpatient claims" ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "ltd" ];
     fhir:CodeSystem.concept.display [ fhir:value "Long Term Disability (LTD)" ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.concept.code [ fhir:value "medical" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medical claim; Institutional/Professional unknown" ]
  ], [
     fhir:index 12;
     fhir:CodeSystem.concept.code [ fhir:value "oral" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oral; Dental, Denture and Hygiene claims" ]
  ], [
     fhir:index 13;
     fhir:CodeSystem.concept.code [ fhir:value "pharmacy" ];
     fhir:CodeSystem.concept.display [ fhir:value "Pharmacy; Pharmacy claims for goods and services" ]
  ], [
     fhir:index 14;
     fhir:CodeSystem.concept.code [ fhir:value "premium" ];
     fhir:CodeSystem.concept.display [ fhir:value "Premium Payment" ]
  ], [
     fhir:index 15;
     fhir:CodeSystem.concept.code [ fhir:value "premiuminc" ];
     fhir:CodeSystem.concept.display [ fhir:value "Premium Income (Revenue)" ]
  ], [
     fhir:index 16;
     fhir:CodeSystem.concept.code [ fhir:value "professional" ];
     fhir:CodeSystem.concept.display [ fhir:value "Professional; Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting" ]
  ], [
     fhir:index 17;
     fhir:CodeSystem.concept.code [ fhir:value "std" ];
     fhir:CodeSystem.concept.display [ fhir:value "Short Term Disability (STD)" ]
  ], [
     fhir:index 18;
     fhir:CodeSystem.concept.code [ fhir:value "vision" ];
     fhir:CodeSystem.concept.display [ fhir:value "Vision; Vision claims for professional services and products such as glasses and contact lenses" ]
  ], [
     fhir:index 19;
     fhir:CodeSystem.concept.code [ fhir:value "workercomp" ];
     fhir:CodeSystem.concept.display [ fhir:value "Worker's Compensation" ]
  ], [
     fhir:index 20;
     fhir:CodeSystem.concept.code [ fhir:value "other" ];
     fhir:CodeSystem.concept.display [ fhir:value "Other" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.