HL7 v2.5.1 Vocabulary
0.1.0 - ci-build

HL7 v2.5.1 Vocabulary, published by HL7/FO. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/frankoemig/hl7.v2.terminology.v251/ and changes regularly. See the Directory of published versions

## : Reimbursement Action Code (2.5.1 - 1.0.0) - XML Representation

Active as of 2026-01-27

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    <CodeSystem xmlns="http://hl7.org/fhir">
      <id value="reimbursementAction"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Include all codes defined in <a href="CodeSystem-reimbursementAction.html"><code>http://terminology.hl7.org/v2plusvocab/CodeSystem/reimbursementAction</code></a></li></ul></div>
      </text>
      <extension
                 url="http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-v2versionCreated">
        <valueString value="2.5.1"/>
      </extension>
      <extension
                 url="http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-versionHistory">
        <valueString value="generate correct history somehow"/>
      </extension>
      <extension
                 url="http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-tableNo">
        <valueString value="0459"/>
      </extension>
      <url
           value="http://terminology.hl7.org/v2plusvocab/CodeSystem/reimbursementAction"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.16.840.1.113883.18.293"/>
      </identifier>
      <version value="1.0.0"/>
      <name value="ReimbursementAction"/>
      <title value="Reimbursement Action Code (2.5.1 - 1.0.0)"/>
      <status value="active"/>
      <experimental value="true"/>
      <date value="2026-01-27T19:29:18+00:00"/>
      <publisher value="HL7/FO"/>
      <contact>
        <name value="HL7/FO"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org"/>
        </telecom>
      </contact>
      <description
                   value="Code specifying the action to be taken during reimbursement calculations.  In the US, this field is defined by CMS or other regulatory agencies.   Used in HL7 Version 2.x messaging in the GP2 segment."/>
      <copyright value="HL7 Inc., 2026"/>
      <caseSensitive value="true"/>
      <compositional value="false"/>
      <content value="complete"/>
      <property>
        <code value="versionIntroduced"/>
        <uri
             value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionIntroduced"/>
        <description value="version when was this code introduced"/>
        <type value="string"/>
      </property>
      <property>
        <code value="versionDeprecated"/>
        <uri
             value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionDeprecated"/>
        <description value="version when was this code deprecated"/>
        <type value="string"/>
      </property>
      <property>
        <code value="status"/>
        <uri value="http://hl7.org/fhir/concept-properties#status"/>
        <description
                     value="A code that indicates the status of the concept. Typical values are active, experimental, deprecated, and retired"/>
        <type value="code"/>
      </property>
      <property>
        <code value="comment"/>
        <uri
             value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#comment"/>
        <description
                     value="A string that provides additional detail pertinent to the use or understanding of the concept"/>
        <type value="string"/>
      </property>
      <property>
        <code value="usage"/>
        <uri
             value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#usage"/>
        <description value="usage notes for this code"/>
        <type value="string"/>
      </property>
      <property>
        <code value="modified"/>
        <uri
             value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#modified"/>
        <description value="date of last modification"/>
        <type value="dateTime"/>
      </property>
      <concept>
        <code value="0"/>
        <display value="OCE line item denial or rejection is not ignored"/>
        <definition value="OCE line item denial or rejection is not ignored"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.4"/>
        </property>
      </concept>
      <concept>
        <code value="1"/>
        <display value="OCE line item denial or rejection is ignored"/>
        <definition value="OCE line item denial or rejection is ignored"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.4"/>
        </property>
      </concept>
      <concept>
        <code value="2"/>
        <display
                 value="External line item denial. Line item is denied even if no OCE edits"/>
        <definition
                    value="External line item denial. Line item is denied even if no OCE edits"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.4"/>
        </property>
      </concept>
      <concept>
        <code value="3"/>
        <display
                 value="External line item rejection. Line item is rejected even if no OCE edits"/>
        <definition
                    value="External line item rejection. Line item is rejected even if no OCE edits"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.4"/>
        </property>
      </concept>
    </CodeSystem>