Order Catalog Implementation Guide, published by HL7 International - Orders and Observations Work Group. This is not an authorized publication; it is the continuous build for version current). 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
: Laboratory service reimbursability categories CodeSystem - JSON Representation
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{
"resourceType" : "CodeSystem",
"id" : "laboratory-service-reimbursability",
"meta" : {
"lastUpdated" : "2020-03-18T09:55:00Z",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <h2>Laboratory services compendium</h2>\n <div>\n <p>This CodeSystem provides coded concepts to represent the coarse categories of reimbursement that may affect a laboratory service</p>\n </div>\n <ul>\n <li>\n <p>Contains:</p>\n <table class=\"none\">\n <tr>\n <td>\n <b> Code</b>\n </td>\n <td>\n <b> Display</b>\n </td>\n </tr>\n <tr>\n <td>none</td>\n <td>no reimbursement provided for the service in general</td>\n </tr>\n <tr>\n <td>normal</td>\n <td>normal reimbursement dispositions applicable to the service</td>\n </tr>\n <tr>\n <td>conditional</td>\n <td>reimbursement of service subject to conditions</td>\n </tr>\n <tr>\n <td>partial</td>\n <td>normal reimbursement limited to a part of the service</td>\n </tr>\n <tr>\n <td>partial-conditional</td>\n <td>reimbursement limited to a part of the service and subject to conditions</td>\n </tr>\n </table>\n </li>\n </ul>\n </div>"
},
"url" : "http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability",
"version" : "current",
"name" : "LaboratoryServiceReimbursability",
"title" : "Kinds of reibursability coarse categories for a laboratory service",
"status" : "active",
"experimental" : false,
"date" : "2020-03-20",
"publisher" : "HL7 International - Orders and Observations Work Group",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/Special/committees/orders"
}
]
}
],
"description" : "This CodeSystem resource provides the concepts representing coarse categories of reimbursement dispositions for laboratory services",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"caseSensitive" : true,
"content" : "complete",
"count" : 5,
"concept" : [
{
"code" : "none",
"display" : "no reimbursement provided for the service in general",
"definition" : "The service is usually not covered by insurance plans, and charged to the paying party"
},
{
"code" : "normal",
"display" : "normal reimbursement dispositions applicable to the service",
"definition" : "The service is usually reimbursed (partially or totally) under general dispositions defined in insurance plans, independently of the service"
},
{
"code" : "conditional",
"display" : "reimbursement of service subject to conditions",
"definition" : "The service reimbursement is conditioned by the clinical context of the order"
},
{
"code" : "partial",
"display" : "normal reimbursement limited to a part of the service",
"definition" : "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"
},
{
"code" : "conditional-partial",
"display" : "reimbursement limited to a part of the service and subject to conditions",
"definition" : "The service is composed of a part that is reimbursable depending on the clinical context, and of a part that is non-reimbursable"
}
]
}
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