Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 ValueSet

Financial Management icon Work Group Maturity Level: 4Trial Use Use Context: Country: World
Official URL: Version: 5.0.0
draft as of 2023-03-26 Computable Name: CoverageCopayTypeCodes
Flags: OID: 2.16.840.1.113883.4.642.3.527

This value set is used in the following places:

This value set includes sample Coverage Copayment Type codes.


This expansion generated 26 Mar 2023

This value set contains 10 concepts

Expansion based on Coverage Copay Type Codes v0.1.0 (CodeSystem) icon

  gpvisit icon Office Visit

An office visit for a general practitioner of a discipline.

  spvisit icon Office Visit

An office visit for a specialist practitioner of a discipline

  emergency icon

An episode in an emergency department.

  inpthosp icon Hospital

An episode of an Inpatient hospital stay.

  televisit icon

A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.

  urgentcare icon Care

A visit to an urgent care facility - typically a community care clinic.

  copaypct icon Percentage

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

  copay icon Amount

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

  deductible icon

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

  maxoutofpocket icon out of pocket

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


See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

LvlA few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe 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
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code