{
"description": "This code system defines components of a patient's responsibility for a prescription product's cost. (The contents of this code system are expected to be incorporated into the THO code system https://terminology.hl7.org/en/CodeSystem-adjudication.html)",
"_filename": "CodeSystem-rtpbc-patient-pay-type-temporary.json",
"package_name": "hl7.fhir.us.carin-rtpbc",
"date": "2026-03-01T00:00:00-05:00",
"publisher": "HL7 International / Pharmacy",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166",
"display": "United States of America"
} ]
} ],
"content": "complete",
"name": "RtpbcPatientPayTypeCodeSystem",
"type": null,
"experimental": "false",
"resourceType": "CodeSystem",
"title": "RTPBC Patient Pay Type Code System (Temporary)",
"package_version": "2.0.0-ballot",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "phx"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/carin-rtpbc/ImplementationGuide/hl7.fhir.us.carin-rtpbc"
} ]
}
} ],
"status": "active",
"id": "daa029cb-d3cd-487a-a505-d8bf201565fd",
"kind": null,
"count": 13,
"url": "http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-patient-pay-type-temporary",
"concept": [ {
"code": "deductible",
"display": "Deductible",
"definition": "Amount to be collected from a patient to be applied to a periodic deductible"
}, {
"code": "accumulated-deductible",
"display": "Accumulated deductible",
"definition": "Total deductible paid after amount associated with this request"
}, {
"code": "remaining-deductible",
"display": "Remaining deductible",
"definition": "Remaining deductible amount after payment associated with this request"
}, {
"code": "coinsurance",
"display": "Per prescription coinsurance",
"definition": "Amount to be collected from a patient to satisfy a per prescription coinsurance"
}, {
"code": "copay",
"display": "Copay",
"definition": "Amount to be collected from the patient to satisfy a per prescription copay"
}, {
"code": "tax",
"display": "Tax",
"definition": "Amount to be collected from the patient for sales tax"
}, {
"code": "cash-price",
"display": "Full product cash price",
"definition": "Full product cash price before discounts or coupons"
}, {
"code": "coupon-discount",
"display": "Coupon discount amount",
"definition": "Coupon discount reducing the amount to be collected from the patient"
}, {
"code": "member-discount",
"display": "Member discount amount",
"definition": "Member discount reducing the amount to be collected from the patient"
}, {
"code": "other-discount",
"display": "Other discount amount",
"definition": "Other discount reducing the amount to be collected from the patient"
}, {
"code": "other-cost",
"display": "Other cost",
"definition": "Other amount to be collected from the patient"
}, {
"code": "eligible",
"display": "Eligible amount",
"definition": "Amount that is considered for adjudication"
}, {
"code": "total",
"display": "Total patient responsibility",
"definition": "Amount equalling the total patient responsibility for a prescription product's cost"
} ],
"caseSensitive": false,
"version": "2.0.0-ballot",
"contact": [ {
"name": "HL7 International / Pharmacy",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/medication",
"system": "url"
} ]
}, {
"name": "Frank McKinney",
"telecom": [ {
"value": "fm@frankmckinney.com",
"system": "email"
} ]
} ]
}