Requisition Payer CodeSystem Code system¶
| Canonical | ../CodeSystem/nexus-requisition-payer |
|---|---|
| Status | draft · 1.26.0 |
| Content | complete |
| Source | FSH · 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 … |