{
  "description": "Identifies the primary source of payment for THIS treatment episode at the time of admission.",
  "compose": {
    "include": [ {
      "system": "https://signalbhn.org/fhir/CodeSystem/questionnaire-dacods-source-of-payment-for-treatment",
      "concept": [ {
        "code": "1",
        "display": "Self pay"
      }, {
        "code": "2",
        "display": "MSO funds"
      }, {
        "code": "3",
        "display": "Blue Cross/Blue Shield"
      }, {
        "code": "4",
        "display": "Medicare"
      }, {
        "code": "5",
        "display": "Medicaid"
      }, {
        "code": "6",
        "display": "Active duty military/dependent government health plan"
      }, {
        "code": "7",
        "display": "Other government payments (includes TANF and/or core services)"
      }, {
        "code": "8",
        "display": "Worker's Compensation"
      }, {
        "code": "9",
        "display": "Other health insurance companies"
      }, {
        "code": "10",
        "display": "No charge (free, charity, special research, teaching)"
      }, {
        "code": "11",
        "display": "Other"
      }, {
        "code": "12",
        "display": "Colorado ATR (Not available for Modalities 7, 14, 15, 16, 17)"
      } ]
    } ]
  },
  "_filename": "valueset-questionnaire-dacods-source-of-payment-for-treatment.json",
  "package_name": "signal.core.r4",
  "date": null,
  "meta": {
    "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset" ]
  },
  "publisher": "Signal",
  "name": "QuestionnaireDACODSSourceOfPaymentForTreatment",
  "type": null,
  "experimental": "true",
  "resourceType": "ValueSet",
  "expansion": {
    "contains": [ {
      "code": "1",
      "system": "https://signalbhn.org/fhir/CodeSystem/questionnaire-dacods-source-of-payment-for-treatment",
      "display": "Self pay"
    }, {
      "code": "2",
      "system": "https://signalbhn.org/fhir/CodeSystem/questionnaire-dacods-source-of-payment-for-treatment",
      "display": "MSO funds"
    }, {
      "code": "3",
      "system": "https://signalbhn.org/fhir/CodeSystem/questionnaire-dacods-source-of-payment-for-treatment",
      "display": "Blue Cross/Blue Shield"
    }, {
      "code": "4",
      "system": "https://signalbhn.org/fhir/CodeSystem/questionnaire-dacods-source-of-payment-for-treatment",
      "display": "Medicare"
    }, {
      "code": "5",
      "system": "https://signalbhn.org/fhir/CodeSystem/questionnaire-dacods-source-of-payment-for-treatment",
      "display": "Medicaid"
    }, {
      "code": "6",
      "system": "https://signalbhn.org/fhir/CodeSystem/questionnaire-dacods-source-of-payment-for-treatment",
      "display": "Active duty military/dependent government health plan"
    }, {
      "code": "7",
      "system": "https://signalbhn.org/fhir/CodeSystem/questionnaire-dacods-source-of-payment-for-treatment",
      "display": "Other government payments (includes TANF and/or core services)"
    }, {
      "code": "8",
      "system": "https://signalbhn.org/fhir/CodeSystem/questionnaire-dacods-source-of-payment-for-treatment",
      "display": "Worker's Compensation"
    }, {
      "code": "9",
      "system": "https://signalbhn.org/fhir/CodeSystem/questionnaire-dacods-source-of-payment-for-treatment",
      "display": "Other health insurance companies"
    }, {
      "code": "10",
      "system": "https://signalbhn.org/fhir/CodeSystem/questionnaire-dacods-source-of-payment-for-treatment",
      "display": "No charge (free, charity, special research, teaching)"
    }, {
      "code": "11",
      "system": "https://signalbhn.org/fhir/CodeSystem/questionnaire-dacods-source-of-payment-for-treatment",
      "display": "Other"
    }, {
      "code": "12",
      "system": "https://signalbhn.org/fhir/CodeSystem/questionnaire-dacods-source-of-payment-for-treatment",
      "display": "Colorado ATR (Not available for Modalities 7, 14, 15, 16, 17)"
    } ],
    "timestamp": "2023-07-31T18:35:33.1743667+00:00"
  },
  "title": "Questionnaire DACODS Source Of Payment For Treatment",
  "package_version": "0.2.7",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "pa"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "draft"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 1
  } ],
  "status": "draft",
  "id": "d9da5136-2a97-41e8-a460-4f9f3af2f0ad",
  "kind": null,
  "url": "https://signalbhn.org/fhir/ValueSet/questionnaire-dacods-source-of-payment-for-treatment",
  "version": "6.0.0",
  "contact": [ {
    "telecom": [ {
      "value": "http://hl7.org/fhir",
      "system": "url"
    } ]
  } ]
}