This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3
Vocabulary Work Group | Maturity Level: N/A | Standards Status: Informative |
Raw XML (canonical form + also see XML Format Specification)
FHIR Value set/code system definition for HL7 v2 table 0459 ( Reimbursement Action Code)
<?xml version="1.0" encoding="UTF-8"?> <CodeSystem xmlns="http://hl7.org/fhir"> <id value="v2-0459"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> </meta> <language value="en"/> <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> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="external"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"> <valueInteger value="0"/> </extension> <url value="http://terminology.hl7.org/CodeSystem/v2-0459"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.18.293"/> </identifier> <version value="2.9"/> <name value="v2.0459"/> <title value="v2 Reimbursement Action Code"/> <status value="active"/> <experimental value="false"/> <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 0459 ( Reimbursement Action Code)"/> <content value="complete"/> <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>
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.