HRSA 2024 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
2.0.0 - STU2 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 (v2.0.0: STU2) 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

ValueSet: Uds Plus Insurance Codes

Official URL: http://fhir.org/guides/hrsa/uds-plus/ValueSet/uds-plus-insurance-codes Version: 2.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: UdsPlusInsuranceCodes

The Uds Plus Insurance Codes is a 'starter set' of codes for identifying the source of the insurance for Patients.

References

Logical Definition (CLD)

Generated Narrative: ValueSet uds-plus-insurance-codes

version: 1; Last updated: 2022-08-04 15:52:33+0000;

Information Source: #3Te0anOrvocKgcow

Profile: Shareable ValueSet

This value set includes codes based on the following rules:

  • Include all codes defined in http://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codes
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0
    CodeDisplayDefinition
    UNK Unknown **Description:**A proper value is applicable, but not known.

    **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:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. 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.)
    ASKU Asked but Unknown Information was sought but not found (e.g., patient was asked but didn't know)
    NASK Not Asked This information has not been sought (e.g., patient was not asked)

 

Expansion

ValueSet

This value set contains 12 concepts

CodeSystemDisplay (en-US)Definition
  none-or-uninsuredhttp://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codesNone or Uninsured

Patient does not have insurance

  medicaid-title-19-21http://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codesMedicaid Title X1X

Patients with Medicaid (Title X1X) insurance

  chip-medicaidhttp://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codesCHIP Medicaid

Patients with CHIP Medicaid insurance

  medicarehttp://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codesMedicare

Patients with Medicare insurance

  dually-eligible-medicaid-medicarehttp://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codesDually Eligible

Patients with both Medicare and Medicaid

  medicare-and-privatehttp://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codesMedicare and Private

Patients with both Medicare and Private insurance such as Medigap

  other-non-chip-public-insurancehttp://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codesOther Non CHIP Public Insurance

Patients who have other public insurance which is non CHIP

  other-public-insurance-chiphttp://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codesOther Public Insurance CHIP

Patients who have other public insurance which is CHIP

  private-insurancehttp://fhir.org/guides/hrsa/uds-plus/CodeSystem/uds-plus-insurance-codesPrivate Insurance

Patients has Private Insurance

  UNKhttp://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0Unknown

**Description:**A proper value is applicable, but not known.

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:

  1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
  2. 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.)
  ASKUhttp://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0Asked but Unknown

Information was sought but not found (e.g., patient was asked but didn't know)

  NASKhttp://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0Not Asked

This information has not been sought (e.g., patient was not asked)

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code