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Requisition Payer CodeSystem Code system

Canonical../CodeSystem/nexus-requisition-payer
Statusdraft · 1.26.0
Contentcomplete
SourceFSH · JSON

Who pays for the tests on a laboratory requisition -- the payer box ticked on the provincial requisition form.

Carried on Coverage.type.coding, on a Coverage contained in the requisition ServiceRequest and referenced from its insurance element. It is contained rather than referenced out so that a reprint reproduces what the sheet said from the resource alone.

R4's example binding on Coverage.type classifies insurance products; this records something narrower -- which of three printed boxes was ticked -- and is declared locally to keep that correspondence with the form exact.

This is the category, not the paying party. Coverage.payor names who pays. A third-party payer is a box on the sheet, and this system carries no way to identify one; where that identity matters it belongs on payor.

The list is closed: it is the set of boxes the form prints.

Code Display Definition
ohip OHIP-insured The tests are billed to the provincial insurance plan.
wsib WSIB The tests are billed to the workplace safety and insurance board, for a work-related claim.
third-party Third-party The tests are not covered by the provincial plan and are billed elsewhere -- to the patient, an employer, or another payer. The form asks only that the box be ticked; it does not …