HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.1.0 - STU1 Release 1.1 - Standard for Trial-Use International flag

This page is part of the HRSA Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+ or uds-plus) FHIR IG (v1.1.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: UDS Plus Insurance Codes - XML Representation

Page standards status: Trial-use Maturity Level: 2

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="uds-plus-insurance-codes"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem uds-plus-insurance-codes</b></p><a name="uds-plus-insurance-codes"> </a><a name="hcuds-plus-insurance-codes"> </a><a name="uds-plus-insurance-codes-en-US"> </a><p>This case-sensitive code system <code>http://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codes</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">none-or-uninsured<a name="uds-plus-insurance-codes-none-or-uninsured"> </a></td><td>None or Uninsured</td><td>Patient does not have insurance</td></tr><tr><td style="white-space:nowrap">medicaid-title-19-21<a name="uds-plus-insurance-codes-medicaid-title-19-21"> </a></td><td>Medicaid Title X1X</td><td>Patients with Medicaid (Title X1X) insurance</td></tr><tr><td style="white-space:nowrap">chip-medicaid<a name="uds-plus-insurance-codes-chip-medicaid"> </a></td><td>CHIP Medicaid</td><td>Patients with CHIP Medicaid insurance</td></tr><tr><td style="white-space:nowrap">medicare<a name="uds-plus-insurance-codes-medicare"> </a></td><td>Medicare</td><td>Patients with Medicare insurance</td></tr><tr><td style="white-space:nowrap">dually-eligible-medicaid-medicare<a name="uds-plus-insurance-codes-dually-eligible-medicaid-medicare"> </a></td><td>Dually Eligible</td><td>Patients with both Medicare and Medicaid</td></tr><tr><td style="white-space:nowrap">medicare-and-private<a name="uds-plus-insurance-codes-medicare-and-private"> </a></td><td>Medicare and Private</td><td>Patients with both Medicare and Private insurance such as Medigap</td></tr><tr><td style="white-space:nowrap">other-non-chip-public-insurance<a name="uds-plus-insurance-codes-other-non-chip-public-insurance"> </a></td><td>Other Non CHIP Public Insurance</td><td>Patients who have other public insurance which is non CHIP</td></tr><tr><td style="white-space:nowrap">other-public-insurance-chip<a name="uds-plus-insurance-codes-other-public-insurance-chip"> </a></td><td>Other Public Insurance CHIP</td><td>Patients who have other public insurance which is CHIP</td></tr><tr><td style="white-space:nowrap">private-insurance<a name="uds-plus-insurance-codes-private-insurance"> </a></td><td>Private Insurance</td><td>Patients has Private Insurance</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://fhir.org/guides/hrsa/uds-plus/ImplementationGuide/fhir.hrsa.uds-plus"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://fhir.org/guides/hrsa/uds-plus/ImplementationGuide/fhir.hrsa.uds-plus"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codes"/>
  <version value="1.1.0"/>
  <name value="UDSPlusInsuranceCodes"/>
  <title value="UDS Plus Insurance Codes"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2022-09-06"/>
  <publisher value="HRSA BPHC"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://bphc.hrsa.gov/"/>
    </telecom>
  </contact>
  <description
               value="The UDS Plus CodeSystem is a 'starter set' of codes supported for identifying insurance types used by patients in UDS+ program."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <valueSet
            value="http://fhir.org/guides/hrsa/uds-plus/ValueSet/uds-plus-insurance-codes"/>
  <content value="complete"/>
  <count value="9"/>
  <concept>
    <code value="none-or-uninsured"/>
    <display value="None or Uninsured"/>
    <definition value="Patient does not have insurance"/>
  </concept>
  <concept>
    <code value="medicaid-title-19-21"/>
    <display value="Medicaid Title X1X"/>
    <definition value="Patients with Medicaid (Title X1X) insurance"/>
  </concept>
  <concept>
    <code value="chip-medicaid"/>
    <display value="CHIP Medicaid"/>
    <definition value="Patients with CHIP Medicaid insurance"/>
  </concept>
  <concept>
    <code value="medicare"/>
    <display value="Medicare"/>
    <definition value="Patients with Medicare insurance"/>
  </concept>
  <concept>
    <code value="dually-eligible-medicaid-medicare"/>
    <display value="Dually Eligible"/>
    <definition value="Patients with both Medicare and Medicaid"/>
  </concept>
  <concept>
    <code value="medicare-and-private"/>
    <display value="Medicare and Private"/>
    <definition
                value="Patients with both Medicare and Private insurance such as Medigap"/>
  </concept>
  <concept>
    <code value="other-non-chip-public-insurance"/>
    <display value="Other Non CHIP Public Insurance"/>
    <definition
                value="Patients who have other public insurance which is non CHIP"/>
  </concept>
  <concept>
    <code value="other-public-insurance-chip"/>
    <display value="Other Public Insurance CHIP"/>
    <definition
                value="Patients who have other public insurance which is CHIP"/>
  </concept>
  <concept>
    <code value="private-insurance"/>
    <display value="Private Insurance"/>
    <definition value="Patients has Private Insurance"/>
  </concept>
</CodeSystem>