DSTU2 Ballot Source
This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
FHIR Value set/code system definition for HL7 v2 table 0153 ( Value Code)
{
"resourceType": "ValueSet",
"id": "v2-0153",
"meta": {
"profile": [
"http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"
]
},
"text": {
"status": "additional",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"url": "http://hl7.org/fhir/v2/vs/0153",
"version": "2.7",
"name": "v2 Value Code",
"publisher": "HL7, Inc",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://hl7.org"
}
]
}
],
"description": "FHIR Value set/code system definition for HL7 v2 table 0153 ( Value Code)",
"status": "active",
"experimental": true,
"date": "2011-01-28",
"define": {
"system": "http://hl7.org/fhir/v2/0153",
"caseSensitive": true,
"concept": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "...",
"display": "See NUBC codes"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "01",
"display": "Most common semi-private rate"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "02",
"display": "Hospital has no semi-private rooms"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "04",
"display": "Inpatient professional component charges which are combined billed"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "05",
"display": "Professional component included in charges and also billed separate to carrier"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "06",
"display": "Medicare blood deductible"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "08",
"display": "Medicare life time reserve amount in the first calendar year"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "09",
"display": "Medicare co-insurance amount in the first calendar year"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "10",
"display": "Lifetime reserve amount in the second calendar year"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "11",
"display": "Co-insurance amount in the second calendar year"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "12",
"display": "Working aged beneficiary/spouse with employer group health plan"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "13",
"display": "ESRD beneficiary in a Medicare coordination period with an employer group health plan"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "14",
"display": "No Fault including auto/other"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "15",
"display": "Worker's Compensation"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "16",
"display": "PHS, or other federal agency"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "17",
"display": "Payer code"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "21",
"display": "Catastrophic"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "22",
"display": "Surplus"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "23",
"display": "Recurring monthly incode"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "24",
"display": "Medicaid rate code"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "30",
"display": "Pre-admission testing"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "31",
"display": "Patient liability amount"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "37",
"display": "Pints of blood furnished"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "38",
"display": "Blood deductible pints"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "39",
"display": "Pints of blood replaced"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "40",
"display": "New coverage not implemented by HMO (for inpatient service only)"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "41",
"display": "Black lung"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "42",
"display": "VA"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "43",
"display": "Disabled beneficiary under age 64 with LGHP"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "44",
"display": "Amount provider agreed to accept from primary payer when this amount is less than charges but higher than payment received,, then a Medicare secondary payment is due"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "45",
"display": "Accident hour"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "46",
"display": "Number of grace days"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "47",
"display": "Any liability insurance"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "48",
"display": "Hemoglobin reading"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "49",
"display": "Hematocrit reading"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "50",
"display": "Physical therapy visits"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "51",
"display": "Occupational therapy visits"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "52",
"display": "Speech therapy visits"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "53",
"display": "Cardiac rehab visits"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "56",
"display": "Skilled nurse - home visit hours"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "57",
"display": "Home health aide - home visit hours"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "58",
"display": "Arterial blood gas"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "59",
"display": "Oxygen saturation"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "60",
"display": "HHA branch MSA"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "67",
"display": "Peritoneal dialysis"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "68",
"display": "EPO-drug"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "70 ... 72",
"display": "Payer codes"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "75 ... 79",
"display": "Payer codes"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "80",
"display": "Psychiatric visits"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "81",
"display": "Visits subject to co-payment"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "A1",
"display": "Deductible payer A"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "A2",
"display": "Coinsurance payer A"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "A3",
"display": "Estimated responsibility payer A"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "X0",
"display": "Service excluded on primary policy"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-deprecated",
"valueBoolean": true
}
],
"code": "X4",
"display": "Supplemental coverage"
},
{
"code": "…",
"display": "See NUBC codes"
}
]
}
}
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.
© HL7.org 2011+. FHIR DSTU (v0.5.0-5149) generated on Fri, Apr 3, 2015 14:36+1100.
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