Order Catalog Implementation Guide
1.0.0 - STU 1

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

## ValueSet: Laboratory service reimbursability categories ValueSet

Official URL: http://hl7.org/fhir/uv/order-catalog/ValueSet/laboratory-service-reimbursability-vs | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 2 | Computable Name: LaboratoryServiceReimbursabilityVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.55.48.6

This value set provides codes summarizing the reimbursement dispositions that can affect a laboratory service

References

- Billing summary for the plan definition

### Logical Definition (CLD)

Last updated: 2020-03-20 09:55:00+0000

Profile: Shareable ValueSet

- Include these codes as defined in `http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability` version 📦1.0.0

  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

### Expansion

Expansion performed internally based on codesystem Kinds of reibursability coarse categories for a laboratory service v1.0.0 (CodeSystem)

This value set contains 5 concepts

System | Code | Display (en) | Definition | JSON | XML
`http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability` | none | no reimbursement provided for the service in general | The service is usually not covered by insurance plans, and charged to the paying party |  |
`http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability` | 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 |  |
`http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability` | conditional | reimbursement of service subject to conditions | The service reimbursement is conditioned by the clinical context of the order |  |
`http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability` | 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 |  |
`http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability` | 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 |  |

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code