Order Catalog Implementation Guide
1.0.0-ballot - CI Build International flag

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-ballot 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

: Laboratory service reimbursability categories ValueSet - JSON Representation

Page standards status: Trial-use Maturity Level: 2

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{
  "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet laboratory-service-reimbursability-vs</b></p><a name=\"laboratory-service-reimbursability-vs\"> </a><a name=\"hclaboratory-service-reimbursability-vs\"> </a><a name=\"laboratory-service-reimbursability-vs-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2020-03-20 09:55:00+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R5/shareablevalueset.html\">Shareable ValueSet</a></p></div><ul><li>Include these codes as defined in <a href=\"CodeSystem-laboratory-service-reimbursability.html\"><code>http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-laboratory-service-reimbursability.html#laboratory-service-reimbursability-none\">none</a></td><td>no reimbursement provided for the service in general</td><td>The service is usually not covered by insurance plans, and charged to the paying party</td></tr><tr><td><a href=\"CodeSystem-laboratory-service-reimbursability.html#laboratory-service-reimbursability-normal\">normal</a></td><td>normal reimbursement dispositions applicable to the service</td><td>The service is usually  reimbursed (partially or totally) under general dispositions defined in insurance plans, independently of the service</td></tr><tr><td><a href=\"CodeSystem-laboratory-service-reimbursability.html#laboratory-service-reimbursability-conditional\">conditional</a></td><td>reimbursement of service subject to conditions</td><td>The service reimbursement is conditioned by the clinical context of the order</td></tr><tr><td><a href=\"CodeSystem-laboratory-service-reimbursability.html#laboratory-service-reimbursability-partial\">partial</a></td><td>normal reimbursement limited to a part of the service</td><td>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</td></tr><tr><td><a href=\"CodeSystem-laboratory-service-reimbursability.html#laboratory-service-reimbursability-conditional-partial\">conditional-partial</a></td><td>reimbursement limited to a part of the service and subject to conditions</td><td>The service is composed of a part that is  reimbursable depending on the clinical context, and of a part that is non-reimbursable</td></tr></table></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "oo"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/uv/order-catalog/ImplementationGuide/ig-uv-order-catalog"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/uv/order-catalog/ImplementationGuide/ig-uv-order-catalog"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/uv/order-catalog/ValueSet/laboratory-service-reimbursability-vs",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.999.48.6"
    }
  ],
  "version" : "1.0.0-ballot",
  "name" : "LaboratoryServiceReimbursabilityVS",
  "title" : "Kinds of reibursability coarse categories for a laboratory service",
  "status" : "active",
  "experimental" : false,
  "date" : "2020-03-20",
  "publisher" : "HL7 International / Orders and Observations",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders"
        }
      ]
    }
  ],
  "description" : "This value set provides codes summarizing the reimbursement dispositions that can affect a laboratory service",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "immutable" : false,
  "compose" : {
    "include" : [
      {
        "system" : "http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability",
        "concept" : [
          {
            "code" : "none",
            "display" : "no reimbursement provided for the service in general"
          },
          {
            "code" : "normal",
            "display" : "normal reimbursement dispositions applicable to the service"
          },
          {
            "code" : "conditional",
            "display" : "reimbursement of service subject to conditions"
          },
          {
            "code" : "partial",
            "display" : "normal reimbursement limited to a part of the service"
          },
          {
            "code" : "conditional-partial",
            "display" : "reimbursement limited to a part of the service and subject to conditions"
          }
        ]
      }
    ]
  }
}