<ValueSet xmlns="http://hl7.org/fhir">
  <id value="irrs-coverage-type" />
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>irrs-coverage-type</h2>
      <p>This value set includes codes from the following code systems:</p>
      <ul>
        <li>Include these codes as defined in <a href="CodeSystem-irrs-coverage-type.html"><code>http://cihi.ca/fhir/irrs/CodeSystem/irrs-coverage-type</code></a><table class="none"><tr><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="CodeSystem-irrs-coverage-type.html#irrs-coverage-type-FEDOTH">FEDOTH</a></td><td>Other federal government program</td><td /></tr><tr><td><a href="CodeSystem-irrs-coverage-type.html#irrs-coverage-type-INPUBLICPOL">INPUBLICPOL</a></td><td>In-province or territory public healthcare</td><td /></tr><tr><td><a href="CodeSystem-irrs-coverage-type.html#irrs-coverage-type-outcountrypay">outcountrypay</a></td><td>Out of country resident self-pay</td><td /></tr><tr><td><a href="CodeSystem-irrs-coverage-type.html#irrs-coverage-type-OUTPUBLICPOL">OUTPUBLICPOL</a></td><td>Out-of-province or territory public healthcare</td><td /></tr><tr><td><a href="CodeSystem-irrs-coverage-type.html#irrs-coverage-type-PUBTRUSTEE">PUBTRUSTEE</a></td><td>Public trustee pay</td><td /></tr></table></li>
        <li>Include these codes as defined in <a href="http://hl7.org/fhir/codesystem-coverage-selfpay.html"><code>http://hl7.org/fhir/coverage-selfpay</code></a><table class="none"><tr><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="http://hl7.org/fhir/codesystem-coverage-selfpay.html#coverage-selfpay-pay">pay</a></td><td>An individual or organization is paying directly for goods and services.</td><td>An individual or oraganization is paying directly for goods and services.</td></tr></table></li>
        <li>Include these codes as defined in <a href="http://hl7.org/fhir/v3/ActCode/cs.html"><code>http://hl7.org/fhir/v3/ActCode</code></a><table class="none"><tr><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="http://hl7.org/fhir/v3/ActCode/cs.html#v3-ActCode-HIP">HIP</a></td><td>health insurance plan policy</td><td>Definition: A health insurance policy that covers healthcare benefits by protecting covered parties from medical expenses arising from health conditions, sickness, or accidental injury as well as preventive care. Health insurance policies explicitly exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy.<br />
                        
                           Discussion: Health insurance policies are offered by health insurance plans that typically reimburse providers for covered services on a fee-for-service basis, that is, a fee that is the allowable amount that a provider may charge.  This is in contrast to managed care plans, which typically prepay providers a per-member/per-month amount or capitation as reimbursement for all covered services rendered.  Health insurance plans include indemnity and healthcare services plans.</td></tr><tr><td><a href="http://hl7.org/fhir/v3/ActCode/cs.html#v3-ActCode-IND">IND</a></td><td>indigenous peoples health program</td><td>Definition: Services provided directly and through contracted and operated indigenous peoples health programs.<br />
                        
                           Example: Indian Health Service in the U.S.</td></tr><tr><td><a href="http://hl7.org/fhir/v3/ActCode/cs.html#v3-ActCode-VET">VET</a></td><td>veteran health program</td><td>Definition: Services provided directly and through contracted and operated veteran health programs.</td></tr><tr><td><a href="http://hl7.org/fhir/v3/ActCode/cs.html#v3-ActCode-WCBPOL">WCBPOL</a></td><td>worker's compensation</td><td>Insurance policy for injuries sustained in the work place or in the course of employment.</td></tr></table></li>
        <li>Include these codes as defined in <a href="http://hl7.org/fhir/v3/NullFlavor/cs.html"><code>http://hl7.org/fhir/v3/NullFlavor</code></a><table class="none"><tr><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="http://hl7.org/fhir/v3/NullFlavor/cs.html#v3-NullFlavor-UNK">UNK</a></td><td>unknown</td><td>Description:A proper value is applicable, but not known.<br />
                        
                           Usage Notes: This means the actual value is not known.  If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used.  No properties should be included for a datatype with this property unless:<br />
                        
                           Those properties themselves directly translate to a semantic of "unknown".  (E.g. a local code sent as a translation that conveys 'unknown')
                           Those properties further qualify the nature of what is unknown.  (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)</td></tr></table></li>
      </ul>
    </div>
  </text>
  <url value="http://cihi.ca/fhir/irrs/ValueSet/irrs-coverage-type" />
  <version value="1.0" />
  <name value="irrs-coverage-type" />
  <status value="active" />
  <date value="2018-11-16T16:40:38+00:00" />
  <publisher value="CIHI" />
  <contact>
    <telecom>
      <system value="other" />
      <value value="http:\\cihi.ca" />
    </telecom>
  </contact>
  <compose>
    <include>
      <system value="http://cihi.ca/fhir/irrs/CodeSystem/irrs-coverage-type" />
      <version value="1.0" />
      <concept>
        <code value="FEDOTH" />
        <display value="Other federal government program" />
      </concept>
      <concept>
        <code value="INPUBLICPOL" />
        <display value="In-province or territory public healthcare" />
      </concept>
      <concept>
        <code value="outcountrypay" />
        <display value="Out of country resident self-pay" />
      </concept>
      <concept>
        <code value="OUTPUBLICPOL" />
        <display value="Out-of-province or territory public healthcare" />
      </concept>
      <concept>
        <code value="PUBTRUSTEE" />
        <display value="Public trustee pay" />
      </concept>
    </include>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/coverage-selfpay" />
      <version value="3.0.1" />
      <concept>
        <code value="pay" />
        <display value="An individual or organization is paying directly for goods and services." />
      </concept>
    </include>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
      <version value="2016-11-11" />
      <concept>
        <code value="HIP" />
        <display value="health insurance plan policy" />
      </concept>
      <concept>
        <code value="IND" />
        <display value="indigenous peoples health program" />
      </concept>
      <concept>
        <code value="VET" />
        <display value="veteran health program" />
      </concept>
      <concept>
        <code value="WCBPOL" />
        <display value="worker's compensation" />
      </concept>
    </include>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
      <version value="2016-11-11" />
      <concept>
        <code value="UNK" />
        <display value="unknown" />
      </concept>
    </include>
  </compose>
</ValueSet>