// Contains ValueSets for Codes Defined WITHIN this IG ValueSet: C4BBAdjudicationCategoryDiscriminator Title: "C4BB Adjudication Category Discriminator Value Set" Description: "Used as the discriminator for adjudication.category and item.adjudication.category for the CARIN IG for Blue Button®" * codes from valueset C4BBAdjudication // 20210127 CAS: Added to resolve the issue where this "all slices" discriminator (category) required ValueSet did not include a valueset reuuired for the required benefitpaymentstatus slice discriminator // Removed according to FHIR-38059 //* codes from valueset C4BBPayerBenefitPaymentStatus * codes from system C4BBAdjudicationDiscriminator * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBTotalCategoryDiscriminator Title: "C4BB Total Category Discriminator Value Set" Description: "Used as the discriminator for total.category for the CARIN IG for Blue Button®" * codes from valueset C4BBAdjudication * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBClaimInstitutionalCareTeamRole Title: "C4BB Claim Institutional Care Team Role Value Set" Description: "Describes functional roles of the care team members." * $CareTeamRoleCodeCS#primary * C4BBClaimCareTeamRole#attending * C4BBClaimCareTeamRole#referring * C4BBClaimCareTeamRole#operating * C4BBClaimCareTeamRole#otheroperating * C4BBClaimCareTeamRole#rendering // * C4BBClaimCareTeamRoleCS#site // * C4BBClaimCareTeamRoleCS#prescribing * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBClaimProfessionalAndNonClinicianCareTeamRole Title: "C4BB Claim Professional And Non Clinician Care Team Role Value Set" Description: "Describes functional roles of the care team members" * $CareTeamRoleCodeCS#primary * $CareTeamRoleCodeCS#supervisor * C4BBClaimCareTeamRole#rendering * C4BBClaimCareTeamRole#purchasedservice * C4BBClaimCareTeamRole#referring * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBClaimPharmacyTeamRole Title: "C4BB Claim Pharmacy CareTeam Role Value Set" Description: "Describes functional roles of the care team members" * $CareTeamRoleCodeCS#primary * C4BBClaimCareTeamRole#prescribing * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBAdjudication Title: "C4BB Adjudication Value Set" Description: "Describes the various amount fields used when payers receive and adjudicate a claim. It includes the values defined in http://terminology.hl7.org/CodeSystem/adjudication, as well as those defined in the C4BB Adjudication CodeSystem." * $HL7AdjudicationCS#submitted * $HL7AdjudicationCS#copay * $HL7AdjudicationCS#eligible * $HL7AdjudicationCS#deductible * $HL7AdjudicationCS#benefit * C4BBAdjudication#coinsurance "Coinsurance" * C4BBAdjudication#noncovered "Noncovered" * C4BBAdjudication#priorpayerpaid "Prior payer paid" * C4BBAdjudication#paidbypatient "Paid by patient" * C4BBAdjudication#paidbypatientcash "Paid by patient - cash" * C4BBAdjudication#paidbypatientother "Paid by patient - other" * C4BBAdjudication#paidtopatient "Paid to patient" * C4BBAdjudication#paidtoprovider "Paid to provider" * C4BBAdjudication#memberliability "Member liability" * C4BBAdjudication#discount "Discount" * C4BBAdjudication#drugcost "Drug cost" * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBPayerProviderNetworkStatus Title: "C4BB Payer Provider Network Status Value Set" Description: "Indicates the provider network status in relation to a patient's coverage as of the effective date of service or admission." * C4BBPayerAdjudicationStatus#innetwork "In Network" * C4BBPayerAdjudicationStatus#outofnetwork "Out Of Network" * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBPayerBenefitPaymentStatus Title: "C4BB Payer Benefit Payment Status Value Set" Description: "Indicates the in network or out of network payment status of the claim." * C4BBPayerAdjudicationStatus#innetwork "In Network" * C4BBPayerAdjudicationStatus#outofnetwork "Out Of Network" * C4BBPayerAdjudicationStatus#other "Other" * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBPayerClaimPaymentStatusCode Title: "C4BB Payer Claim Payment Status Code Value Set" Description: "Indicates whether the claim / item was paid or denied." * C4BBPayerAdjudicationStatus#paid * C4BBPayerAdjudicationStatus#denied * C4BBPayerAdjudicationStatus#partiallypaid * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBPayeeType Title: "C4BB Payee Type Value Set" Description: "Identifies the type of recipient of the adjudication amount; i.e., provider, subscriber, beneficiary or another recipient." * C4BBPayeeType#beneficiary * $HL7PayeeType#subscriber * $HL7PayeeType#provider * $HL7PayeeType#other * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBClaimProfessionalAndNonClinicianDiagnosisType Title: "C4BB Claim Professional And Non Clinician Diagnosis Type Value Set" Description: "Indicates if the professional and non-clinician diagnosis is principal or secondary" * $HL7DiagnosisType#principal "principal" * C4BBClaimDiagnosisType#secondary "secondary" * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBClaimInpatientInstitutionalDiagnosisType Title: "C4BB Claim Inpatient Institutional Diagnosis Type Value Set" Description: "Indicates if the inpatient institutional diagnosis is admitting, principal, other or an external cause of injury." * $HL7DiagnosisType#principal * C4BBClaimDiagnosisType#other * C4BBClaimDiagnosisType#externalcauseofinjury * $HL7DiagnosisType#admitting // http://terminology.hl7.org/CodeSystem/ex-diagnosistype#admitting * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBClaimOutpatientInstitutionalDiagnosisType Title: "C4BB Claim Outpatient Institutional Diagnosis Type Value Set" Description: "Indicates if the outpatient institutional diagnosis is principal, other, an external cause of injury or a patient reason for visit." * $HL7DiagnosisType#principal * C4BBClaimDiagnosisType#other * C4BBClaimDiagnosisType#externalcauseofinjury * C4BBClaimDiagnosisType#patientreasonforvisit * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBRelatedClaimRelationshipCodes Title: "C4BB Related Claim Relationship Codes Value Set" Description: "Identifies if the current claim represents a claim that has been adjusted and was given a prior claim number or if the current claim has been adjusted; i.e., replaced by or merged to another claim number." * $HL7RelatedClaimRelationshipCS|1.0.0#prior * C4BBRelatedClaimRelationshipCodes#replacedby * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBSupportingInfoType Title: "C4BB SupportingInfo Type Value Set" Description: "Used as the discriminator for the types of supporting information for the CARIN IG for Blue Button� Implementation Guide." * codes from system C4BBSupportingInfoType * ^copyright = "This Valueset is not copyrighted." * ^experimental = false ValueSet: C4BBTransportationServiceCategories Title: "C4BB Transportation Services Categories Value Set" Description: "Transportation Services Supporting Info Category Codes" * C4BBSupportingInfoType#patientweight * C4BBSupportingInfoType#ambulancetransportreason * C4BBSupportingInfoType#transportationdistance * C4BBSupportingInfoType#roudtrippurpose * C4BBSupportingInfoType#stretcherpurpose * C4BBSupportingInfoType#pickuplocation * C4BBSupportingInfoType#dropofflocation * ^copyright = "This Valueset is not copyrighted." * ^experimental = false // ************* @Saul - replaced with C4BB ************** //ValueSet: PatientIdentifierType //Title: "Patient Identifier Type" //Description: "Patient Identifier Type" //* C4BBIdentifierType#um //* C4BBIdentifierType#mb //* $IdentifierType#MR //* C4BBIdentifierType#pt //* ^copyright = "This Valueset is not copyrighted." ValueSet: C4BBClaimIdentifierType Title: "C4BB Claim Identifier Type Value Set" Description: "Indicates that the claim identifier is that assigned by a payer for a claim received from a provider or subscriber" * C4BBIdentifierType#uc * ^experimental = false * ^copyright = "This Valueset is not copyrighted." ValueSet: C4BBPatientIdentifierType Title: "C4BB Patient Identifier Type Value Set" Description: "Identifies the type of identifier payers and providers assign to patients" * C4BBIdentifierType#um * C4BBIdentifierType#pat * $IdentifierType#MB * $IdentifierType#MR * ^experimental = false * ^copyright = "This Valueset is not copyrighted." ValueSet: C4BBOrganizationIdentifierType Title: "C4BB Organization Identifier Type Value Set" Description: "Identifies the type of identifiers for organizations" * $HL7IdentifierType#NPI * C4BBIdentifierType#payerid * C4BBIdentifierType#naiccode * codes from system $IdentifierType * ^experimental = false * ^copyright = "This Valueset is not copyrighted." ValueSet: C4BBPractitionerIdentifierType Title: "C4BB Practitioner Identifier Type Value Set" Description: "Identifies the type of identifiers for practitioners" * $HL7IdentifierType#NPI * codes from system $IdentifierType * ^experimental = false * ^copyright = "This Valueset is not copyrighted." /* CodeSystem: C4BBClaimProcedureType Title: "C4BB Claim Procedure Type" Description: "Indicates if the inpatient institutional procedure (ICD-PCS) is the principal procedure or another procedure" * #principal "Principal" "The Principal Procedure is based on the relation of the procedure to the Principal Diagnosis" * #other "Other" "Other procedures performed during the inpatient institutional admission" * ^copyright = "This Code System is not copyrighted." */ ValueSet: C4BBClaimProcedureType Title: "C4BB Claim Procedure Type Value Set" Description: "Indicates if the inpatient institutional procedure (ICD-PCS) is the principal procedure or another procedure" * codes from system C4BBClaimProcedureType * ^experimental = false * ^copyright = "This Value Set is not copyrighted." ValueSet: C4BBInstitutionalClaimSubType Title: "C4BB Institutional Claim SubType Value Set" Description: "Indicates if institutional ExplanationOfBenefit is inpatient or outpatient." * codes from system C4BBInstitutionalClaimSubType * ^experimental = false * ^copyright = "This ValueSet is not copyrighted." ValueSet: C4BBProfessionalAndNonClinicianClaimType Title: "C4BB Professional And Non Clinician Claim Type Value Set" Description: "This value set includes Professional and Non Clinician Claim Type codes." * $HL7ClaimTypeCS#professional * $HL7ClaimTypeCS#vision * ^experimental = false * ^copyright = "This Valueset is not copyrighted." ValueSet: C4BBProfessionalAndNonClinicianClaimSubType Title: "C4BB Professional And Non Clinician Claim SubType Value Set" Description: "This value set includes Professional and Non Clinician Claim SubType codes." * $HL7ClaimTypeCS#vision * ^experimental = false * ^copyright = "This Valueset is not copyrighted." ValueSet: C4BBSurfaceCodes Title: "US Surface Codes Set Value Set" Description: "This value set includes FDI tooth surface codes localized for the US Realm." * codes from system ADAToothSurfaceCodes * ^experimental = false * ^copyright = "This ValueSet is not copyrighted."