HL7.FHIR.UV.ORDER-CATALOG\Laboratory service reimbursability categories CodeSystem

This page is part of the Order Catalog Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

CodeSystem: Laboratory service reimbursability categories CodeSystem

Summary

Defining URL:

http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability

Version:

0.1.0

Name:

LaboratoryServiceReimbursability

Title:

Kinds of reibursability coarse categories for a laboratory service

Status:

Active

Content:

All the concepts defined by the code system are included in the code system resource

Definition:

This CodeSystem resource provides the concepts representing coarse categories of reimbursement dispositions for laboratory services

Publisher:

HL7 International - Orders and Observations Work Group

Content Mode:

Complete

Source Resource:

XML / JSON / Turtle

This Code system is referenced in the content logical definition of the following value sets:

LaboratoryServiceReimbursabilityVS

This code system http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability defines the following codes:

Code	Display	Definition
none	no reimbursement provided for the service in general	The service is usually not covered by insurance plans, and charged to the paying party
normal	normal reimbursement dispositions applicable to the service	The service is usually reimbursed (partially or totally) under general dispositions defined in insurance plans, independently of the service
conditional	reimbursement of service subject to conditions	The service reimbursement is conditioned by the clinical context of the order
partial	normal reimbursement limited to a part of the service	The service is composed of a part that is usually reimbursed under general dispositions defined in insurance plans, and of a part that is non-reimbursable
conditional-partial	reimbursement limited to a part of the service and subject to conditions	The service is composed of a part that is reimbursable depending on the clinical context, and of a part that is non-reimbursable