Order Catalog Implementation Guide, published by HL7 International / Orders and Observations. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-order-catalog/ and changes regularly. See the Directory of published versions

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: Lab billing code and rule for vitamin D - XML Representation

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<ChargeItemDefinition xmlns="http://hl7.org/fhir">
  <id value="example-lab-billing-vitamind-focus"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/order-catalog/StructureDefinition/LabChargeItemDefinition"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="additional"/>
    <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en">
            <p><b>Billing details for Vitamin D testing:</b></p>
            <p>Billing code and conditions for Vitamin D testing</p>
            <p>Coverage for this test is limited to the following situations:</p>
            <ul>
                <li>Suspicion of rickets</li>
                <li>Suspicion of osteomalacia</li>
                <li>Outpatient follow-up of adult kidney transplant recipients beyond three months after transplantation</li>
                <li>Before and after bariatric surgery</li>
                <li>Assessment and management of elderly patients prone to repeated falls</li>
                <li>Compliance with Summary of Product Characteristics (SPC) of medications requiring test 1139</li>
            </ul>
        </div>
  </text>
  <url
       value="http://hl7.org/fhir/uv/order-catalog/ChargeItemDefinition/example-lab-billing-vitamind-focus"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.55.14.1"/>
  </identifier>
  <version value="1.0.0"/>
  <title value="Vitamin D Testing"/>
  <status value="active"/>
  <date value="2019-10-18"/>
  <publisher value="HL7 International / Orders and Observations"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/orders"/>
    </telecom>
  </contact>
  <description
               value="Detailed billing properties for a 25-(OH)-Vitamin D (D2 + D3) assay.\nThis test is billable if at least one of the targeted clinical contexts is declared by the prescriber in the test request as the value of the relevant clinical element &quot;reason for the test&quot;."/>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="41345002"/>
        <display value="Rickets"/>
      </coding>
      <text value="Suspicion of rickets"/>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="4598005"/>
        <display value="Osteomalacia"/>
      </coding>
      <text value="Suspicion of osteomalacia"/>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="737295003"/>
        <display value="Transplanted kidney present"/>
      </coding>
      <text
            value="Outpatient follow-up of adult kidney transplant recipients beyond three months after transplantation"/>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="707206008"/>
        <display value="Assessment for bariatric surgery"/>
      </coding>
      <text value="Before and after bariatric surgery"/>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="443731004"/>
        <display
                 value="Assessment using Falls Risk Assessment Scale for the Elderly"/>
      </coding>
      <text
            value="Assessment and management of elderly patients prone to repeated falls"/>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="focus"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="33633005"/>
        <display value="Prescription of drug"/>
      </coding>
      <text
            value="Compliance with Summary of Product Characteristics (SPC) of medications requiring test 1139"/>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <code>
    <coding>
      <system
              value="http://hl7.org/fhir/uv/order-catalog/CodeSystem/example-cpt"/>
      <code value="CPTvitd"/>
      <display value="25-(OH)-Vitamin D (D2 + D3) assay"/>
    </coding>
  </code>
  <propertyGroup>
    <priceComponent>
      <type value="base"/>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/order-catalog/CodeSystem/example-cpt"/>
          <code value="B"/>
        </coding>
      </code>
      <factor value="35"/>
    </priceComponent>
  </propertyGroup>
</ChargeItemDefinition>