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

## : Lab billing code and rule for vitamin D - XML Representation

Page standards status: Informative

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    <ChargeItemDefinition xmlns="http://hl7.org/fhir">
      <id value="example-lab-billing-vitamind-focus"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/order-catalog/StructureDefinition/LabChargeItemDefinition"/>
      </meta>
      <language value="en"/>
      <text>
        <status value="additional"/>
        <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en">
                <p><b>Billing details for Vitamin D testing:</b></p>
                <p>Billing code and conditions for Vitamin D testing</p>
                <p>Coverage for this test is limited to the following situations:</p>
                <ul>
                    <li>Suspicion of rickets</li>
                    <li>Suspicion of osteomalacia</li>
                    <li>Outpatient follow-up of adult kidney transplant recipients beyond three months after transplantation</li>
                    <li>Before and after bariatric surgery</li>
                    <li>Assessment and management of elderly patients prone to repeated falls</li>
                    <li>Compliance with Summary of Product Characteristics (SPC) of medications requiring test 1139</li>
                </ul>
            </div>
      </text>
      <url
           value="http://hl7.org/fhir/uv/order-catalog/ChargeItemDefinition/example-lab-billing-vitamind-focus"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.16.840.1.113883.4.642.40.55.14.1"/>
      </identifier>
      <version value="1.0.0"/>
      <title value="Vitamin D Testing"/>
      <status value="active"/>
      <date value="2019-10-18"/>
      <publisher value="HL7 International / Orders and Observations"/>
      <contact>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/orders"/>
        </telecom>
      </contact>
      <description
                   value="Detailed billing properties for a 25-(OH)-Vitamin D (D2 + D3) assay.\nThis test is billable if at least one of the targeted clinical contexts is declared by the prescriber in the test request as the value of the relevant clinical element &quot;reason for the test&quot;."/>
      <useContext>
        <code>
          <system
                  value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
          <code value="focus"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="41345002"/>
            <display value="Rickets"/>
          </coding>
          <text value="Suspicion of rickets"/>
        </valueCodeableConcept>
      </useContext>
      <useContext>
        <code>
          <system
                  value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
          <code value="focus"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="4598005"/>
            <display value="Osteomalacia"/>
          </coding>
          <text value="Suspicion of osteomalacia"/>
        </valueCodeableConcept>
      </useContext>
      <useContext>
        <code>
          <system
                  value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
          <code value="focus"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="737295003"/>
            <display value="Transplanted kidney present"/>
          </coding>
          <text
                value="Outpatient follow-up of adult kidney transplant recipients beyond three months after transplantation"/>
        </valueCodeableConcept>
      </useContext>
      <useContext>
        <code>
          <system
                  value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
          <code value="focus"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="707206008"/>
            <display value="Assessment for bariatric surgery"/>
          </coding>
          <text value="Before and after bariatric surgery"/>
        </valueCodeableConcept>
      </useContext>
      <useContext>
        <code>
          <system
                  value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
          <code value="focus"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="443731004"/>
            <display
                     value="Assessment using Falls Risk Assessment Scale for the Elderly"/>
          </coding>
          <text
                value="Assessment and management of elderly patients prone to repeated falls"/>
        </valueCodeableConcept>
      </useContext>
      <useContext>
        <code>
          <system
                  value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
          <code value="focus"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="33633005"/>
            <display value="Prescription of drug"/>
          </coding>
          <text
                value="Compliance with Summary of Product Characteristics (SPC) of medications requiring test 1139"/>
        </valueCodeableConcept>
      </useContext>
      <jurisdiction>
        <coding>
          <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
          <code value="001"/>
        </coding>
      </jurisdiction>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/uv/order-catalog/CodeSystem/example-cpt"/>
          <code value="CPTvitd"/>
          <display value="25-(OH)-Vitamin D (D2 + D3) assay"/>
        </coding>
      </code>
      <propertyGroup>
        <priceComponent>
          <type value="base"/>
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/order-catalog/CodeSystem/example-cpt"/>
              <code value="B"/>
            </coding>
          </code>
          <factor value="35"/>
        </priceComponent>
      </propertyGroup>
    </ChargeItemDefinition>