{ "resourceType" : "ValueSet", "id" : "laboratory-service-reimbursability-vs", "meta" : { "lastUpdated" : "2020-03-20T09:55:00Z", "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablevalueset"] }, "text" : { "status" : "extensions", "div" : "
http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability
Code | Display | Definition |
none | no reimbursement provided for the service in general | The service is usually not covered by insurance plans, and charged to the paying party |
normal | normal reimbursement dispositions applicable to the service | The service is usually reimbursed (partially or totally) under general dispositions defined in insurance plans, independently of the service |
conditional | reimbursement of service subject to conditions | The service reimbursement is conditioned by the clinical context of the order |
partial | normal reimbursement limited to a part of the service | The service is composed of a part that is usually reimbursed under general dispositions defined in insurance plans, and of a part that is non-reimbursable |
conditional-partial | reimbursement limited to a part of the service and subject to conditions | The service is composed of a part that is reimbursable depending on the clinical context, and of a part that is non-reimbursable |