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V2-0153.cs.json

Vocabulary Work GroupMaturity Level: N/AStandards Status: Informative

Raw JSON (canonical form + also see JSON Format Specification)

FHIR Value set/code system definition for HL7 v2 table 0153 ( Value code)

{
  "resourceType" : "CodeSystem",
  "id" : "v2-0153",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
  },
  "language" : "en",
  "text" : {
    "status" : "additional",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "external"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0
  }],
  "url" : "http://terminology.hl7.org/CodeSystem/v2-0153",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.18.72"
  }],
  "version" : "2.9",
  "name" : "v2.0153",
  "title" : "v2 Value code",
  "status" : "active",
  "experimental" : false,
  "publisher" : "HL7, Inc",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org"
    }]
  }],
  "description" : "FHIR Value set/code system definition for HL7 v2 table 0153 ( Value code)",
  "content" : "complete",
  "property" : [{
    "code" : "status",
    "uri" : "http://hl7.org/fhir/concept-properties#status",
    "description" : "A property that indicates the status of the concept. One of active, experimental, deprecated, retired",
    "type" : "code"
  },
  {
    "code" : "deprecationDate",
    "uri" : "http://hl7.org/fhir/concept-properties#deprecationDate",
    "description" : "The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged",
    "type" : "dateTime"
  }],
  "concept" : [{
    "code" : "...",
    "display" : "See NUBC codes",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Zie (Amerikaanse) NUBC codes"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2015-09"
    }]
  },
  {
    "code" : "01",
    "display" : "Most common semi-private rate",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Meest algemeen semi-privé"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "02",
    "display" : "Hospital has no semi-private rooms",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Ziekenhuis heeft geen semi-eigen kamers"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "04",
    "display" : "Inpatient professional component charges which are combined billed",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "05",
    "display" : "Professional component included in charges and also billed separate to carrier",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "06",
    "display" : "Medicare blood deductible",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "08",
    "display" : "Medicare life time reserve amount in the first calendar year",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "09",
    "display" : "Medicare co-insurance amount in the first calendar year",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "10",
    "display" : "Lifetime reserve amount in the second calendar year",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "11",
    "display" : "Co-insurance amount in the second calendar year",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "12",
    "display" : "Working aged beneficiary/spouse with employer group health plan",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "13",
    "display" : "ESRD beneficiary in a Medicare coordination period with an employer group health plan",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "14",
    "display" : "No Fault including auto/other",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "15",
    "display" : "Worker's Compensation",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Werknemer compensatie"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "16",
    "display" : "PHS, or other federal agency",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "17",
    "display" : "Payer code",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Betalercode"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "21",
    "display" : "Catastrophic",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Catastrofaal"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "22",
    "display" : "Surplus",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Surplus"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "23",
    "display" : "Recurring monthly incode",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Regelmatig maandelijks inkomen"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "24",
    "display" : "Medicaid rate code",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Medicaid tariefcode"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "30",
    "display" : "Pre-admission testing",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Vooropname testen"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "31",
    "display" : "Patient liability amount",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Patiënt aansprakelijkheid bedrag"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "37",
    "display" : "Pints of blood furnished",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "38",
    "display" : "Blood deductible pints",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "39",
    "display" : "Pints of blood replaced",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "40",
    "display" : "New coverage not implemented by HMO (for inpatient service only)",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "41",
    "display" : "Black lung",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Stoflong"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "42",
    "display" : "VA",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Amerikaanse Veterans Affairs"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "43",
    "display" : "Disabled beneficiary under age 64 with LGHP",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "44",
    "display" : "Amount provider agreed to accept from primary payer when this amount is less than charges but higher than payment received,, then a Medicare secondary payment is due",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "45",
    "display" : "Accident hour",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "46",
    "display" : "Number of grace days",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "47",
    "display" : "Any liability insurance",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Een of andere aansprakelijkheidsverzekering"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "48",
    "display" : "Hemoglobin reading",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Hemoglobinewaarde"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "49",
    "display" : "Hematocrit reading",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Hematocrietwaarde"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "50",
    "display" : "Physical therapy visits",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Lichamelijke oefening bezoeken"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "51",
    "display" : "Occupational therapy visits",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Ergotherapie bezoeken"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "52",
    "display" : "Speech therapy visits",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Stemoefening bezoeken"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "53",
    "display" : "Cardiac rehab visits",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Hartrevalidatie bezoeken"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "56",
    "display" : "Skilled nurse - home visit hours",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "57",
    "display" : "Home health aide - home visit hours",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Thuiszorg hulp - thuisbezoekuren"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "58",
    "display" : "Arterial blood gas",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Arterieel bloedgas"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "59",
    "display" : "Oxygen saturation",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Zuurstofsaturatie"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "60",
    "display" : "HHA branch MSA",
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "67",
    "display" : "Peritoneal dialysis",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Peritoneale dialyse"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "68",
    "display" : "EPO-drug",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "EPO-medicatie"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "70",
    "display" : "Payer codes",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Betalercodes"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "70 ... 72",
    "display" : "Payer codes",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Betalercodes"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "71",
    "display" : "Payer codes",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Betalercodes"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "72",
    "display" : "Payer codes",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Betalercodes"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "75",
    "display" : "Payer codes",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Betalercodes"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "75 ... 79",
    "display" : "Payer codes",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Betalercodes"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "76",
    "display" : "Payer codes",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Betalercodes"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "77",
    "display" : "Payer codes",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Betalercodes"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "78",
    "display" : "Payer codes",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Betalercodes"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "79",
    "display" : "Payer codes",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Betalercodes"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "80",
    "display" : "Psychiatric visits",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Psychiatrische bezoeken"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "81",
    "display" : "Visits subject to co-payment",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Bezoeken vallen onder co-betaling"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "A1",
    "display" : "Deductible payer A",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Eigen risico betaler A"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "A2",
    "display" : "Coinsurance payer A",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Medeverzekerd betaler A"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "A3",
    "display" : "Estimated responsibility payer A",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Geschatte verantwoordelijkheid betaler A"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "X0",
    "display" : "Service excluded on primary policy",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Service uitgesloten van primaire polis"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "X4",
    "display" : "Supplemental coverage",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Aanvullende dekking"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2000-11"
    }]
  },
  {
    "code" : "…",
    "display" : "See NUBC codes",
    "designation" : [{
      "language" : "nl",
      "use" : {
        "system" : "http://terminology.hl7.org/CodeSystem/designation-usage",
        "code" : "display"
      },
      "value" : "Zie (Amerikaanse) NUBC codes"
    }],
    "property" : [{
      "code" : "status",
      "valueCode" : "deprecated"
    },
    {
      "code" : "deprecationDate",
      "valueDateTime" : "2011-01"
    }]
  }]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.