HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.0.1 - STU1 Release 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 (v1.0.1: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: UDS Plus Insurance Codes - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "CodeSystem",
  "id" : "uds-plus-insurance-codes",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "informative",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://fhir.org/guides/hrsa/uds-plus/ImplementationGuide/fhir.hrsa.uds-plus"
          }
        ]
      }
    }
  ],
  "url" : "http://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codes",
  "version" : "1.0.1",
  "name" : "UDSPlusInsuranceCodes",
  "title" : "UDS Plus Insurance Codes",
  "status" : "active",
  "experimental" : true,
  "date" : "2022-09-06",
  "publisher" : "HRSA BPHC",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://bphc.hrsa.gov/"
        }
      ]
    }
  ],
  "description" : "The UDS Plus CodeSystem is a 'starter set' of codes supported for identifying insurance types used by patients in UDS+ program.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "valueSet" : "http://fhir.org/guides/hrsa/uds-plus/ValueSet/uds-plus-insurance-codes",
  "content" : "complete",
  "count" : 9,
  "concept" : [
    {
      "code" : "none-or-uninsured",
      "display" : "None or Uninsured",
      "definition" : "Patient does not have insurance"
    },
    {
      "code" : "medicaid-title-19-21",
      "display" : "Medicaid Title X1X",
      "definition" : "Patients with Medicaid (Title X1X) insurance"
    },
    {
      "code" : "chip-medicaid",
      "display" : "CHIP Medicaid",
      "definition" : "Patients with CHIP Medicaid insurance"
    },
    {
      "code" : "medicare",
      "display" : "Medicare",
      "definition" : "Patients with Medicare insurance"
    },
    {
      "code" : "dually-eligible-medicaid-medicare",
      "display" : "Dually Eligible",
      "definition" : "Patients with both Medicare and Medicaid"
    },
    {
      "code" : "medicare-and-private",
      "display" : "Medicare and Private",
      "definition" : "Patients with both Medicare and Private insurance such as Medigap"
    },
    {
      "code" : "other-non-chip-public-insurance",
      "display" : "Other Non CHIP Public Insurance",
      "definition" : "Patients who have other public insurance which is non CHIP"
    },
    {
      "code" : "other-public-insurance-chip",
      "display" : "Other Public Insurance CHIP",
      "definition" : "Patients who have other public insurance which is CHIP"
    },
    {
      "code" : "private-insurance",
      "display" : "Private Insurance",
      "definition" : "Patients has Private Insurance"
    }
  ]
}