This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.
FHIR Value set/code system definition for HL7 v2 table 0459 ( Reimbursement Action Code)
<ValueSet xmlns="http://hl7.org/fhir"> <id value="v2-0459"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"/> </meta> <text> <status value="additional"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Reimbursement Action Code</p> <table class="grid"> <tr> <td> <b>Code</b> </td> <td> <b>Description</b> </td> <td> <b>Comment</b> </td> <td> <b>Version</b> </td> </tr> <tr> <td>0 <a name="0"> </a> </td> <td>OCE line item denial or rejection is not ignored</td> <td/> <td>added v2.4</td> </tr> <tr> <td>1 <a name="1"> </a> </td> <td>OCE line item denial or rejection is ignored</td> <td/> <td>added v2.4</td> </tr> <tr> <td>2 <a name="2"> </a> </td> <td>External line item denial. Line item is denied even if no OCE edits</td> <td/> <td>added v2.4</td> </tr> <tr> <td>3 <a name="3"> </a> </td> <td>External line item rejection. Line item is rejected even if no OCE edits</td> <td/> <td>added v2.4</td> </tr> </table> </div> </text> <url value="http://hl7.org/fhir/ValueSet/v2-0459"/> <version value="2.8.2"/> <name value="v2 Reimbursement Action Code"/> <status value="active"/> <experimental value="true"/> <publisher value="HL7, Inc"/> <contact> <telecom> <system value="other"/> <value value="http://hl7.org"/> </telecom> </contact> <description value="FHIR Value set/code system definition for HL7 v2 table 0459 ( Reimbursement Action Code)"/> <codeSystem> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-oid"> <valueUri value="urn:oid:2.16.840.1.133883.18.293"/> </extension> <system value="http://hl7.org/fhir/v2/0459"/> <caseSensitive value="false"/> <concept> <code value="0"/> <display value="OCE line item denial or rejection is not ignored"/> </concept> <concept> <code value="1"/> <display value="OCE line item denial or rejection is ignored"/> </concept> <concept> <code value="2"/> <display value="External line item denial. Line item is denied even if no OCE edits"/> </concept> <concept> <code value="3"/> <display value="External line item rejection. Line item is rejected even if no OCE edits"/> </concept> </codeSystem> </ValueSet>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.