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

V2-0153.xml

Raw XML (canonical form)

FHIR Value set/code system definition for HL7 v2 table 0153 ( Value Code)

Raw XML

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v2-0153"/>
  <meta>
    <profile value="http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"/>
  </meta>
  <text>
    <status value="additional"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <url value="http://hl7.org/fhir/v2/vs/0153"/>
  <version value="2.7"/>
  <name value="v2 Value Code"/>
  <publisher value="HL7, Inc"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org"/>
    </telecom>
  </contact>
  <description value="FHIR Value set/code system definition for HL7 v2 table 0153 ( Value Code)"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2011-01-28"/>
  <define>
    <system value="http://hl7.org/fhir/v2/0153"/>
    <caseSensitive value="true"/>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="..."/>
      <display value="See NUBC codes"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="01"/>
      <display value="Most common semi-private rate"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="02"/>
      <display value="Hospital has no semi-private rooms"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="04"/>
      <display value="Inpatient professional component charges which are combined billed"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="05"/>
      <display value="Professional component included in charges and also billed separate to carrier"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="06"/>
      <display value="Medicare blood deductible"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="08"/>
      <display value="Medicare life time reserve amount in the first calendar year"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="09"/>
      <display value="Medicare co-insurance amount in the first calendar year"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="10"/>
      <display value="Lifetime reserve amount in the second calendar year"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="11"/>
      <display value="Co-insurance amount in the second calendar year"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="12"/>
      <display value="Working aged beneficiary/spouse with employer group health plan"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="13"/>
      <display value="ESRD beneficiary in a Medicare coordination period with an employer group health plan"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="14"/>
      <display value="No Fault including auto/other"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="15"/>
      <display value="Worker's Compensation"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="16"/>
      <display value="PHS, or other federal agency"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="17"/>
      <display value="Payer code"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="21"/>
      <display value="Catastrophic"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="22"/>
      <display value="Surplus"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="23"/>
      <display value="Recurring monthly incode"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="24"/>
      <display value="Medicaid rate code"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="30"/>
      <display value="Pre-admission testing"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="31"/>
      <display value="Patient liability amount"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="37"/>
      <display value="Pints of blood furnished"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="38"/>
      <display value="Blood deductible pints"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="39"/>
      <display value="Pints of blood replaced"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="40"/>
      <display value="New coverage not implemented by HMO (for inpatient service only)"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="41"/>
      <display value="Black lung"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="42"/>
      <display value="VA"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="43"/>
      <display value="Disabled beneficiary under age 64 with LGHP"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="44"/>
      <display value="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"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="45"/>
      <display value="Accident hour"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="46"/>
      <display value="Number of grace days"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="47"/>
      <display value="Any liability insurance"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="48"/>
      <display value="Hemoglobin reading"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="49"/>
      <display value="Hematocrit reading"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="50"/>
      <display value="Physical therapy visits"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="51"/>
      <display value="Occupational therapy visits"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="52"/>
      <display value="Speech therapy visits"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="53"/>
      <display value="Cardiac rehab visits"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="56"/>
      <display value="Skilled nurse - home visit hours"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="57"/>
      <display value="Home health aide - home visit hours"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="58"/>
      <display value="Arterial blood gas"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="59"/>
      <display value="Oxygen saturation"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="60"/>
      <display value="HHA branch MSA"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="67"/>
      <display value="Peritoneal dialysis"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="68"/>
      <display value="EPO-drug"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="70 ... 72"/>
      <display value="Payer codes"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="75 ... 79"/>
      <display value="Payer codes"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="80"/>
      <display value="Psychiatric visits"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="81"/>
      <display value="Visits subject to co-payment"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="A1"/>
      <display value="Deductible payer A"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="A2"/>
      <display value="Coinsurance payer A"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="A3"/>
      <display value="Estimated responsibility payer A"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="X0"/>
      <display value="Service excluded on primary policy"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated">
        <valueBoolean value="true"/>
      </extension>
      <code value="X4"/>
      <display value="Supplemental coverage"/>
    </concept>
    <concept>
      <code value=""/>
      <display value="See NUBC codes"/>
    </concept>
  </define>
</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.