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

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: Laboratory service reimbursability categories CodeSystem - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "laboratory-service-reimbursability",
  "meta" : {
    "lastUpdated" : "2020-03-18T09:55:00.000+00:00",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <h2>Laboratory services compendium</h2>\n      <div>\n        <p>This CodeSystem provides  coded concepts to represent the coarse categories of reimbursement that may affect a laboratory service</p>\n      </div>\n      <ul>\n        <li>\n          <p>Contains:</p>\n          <table class=\"none\">\n            <tr>\n              <td>\n                <b> Code</b>\n              </td>\n              <td>\n                <b> Display</b>\n              </td>\n             </tr>\n            <tr>\n              <td>none</td>\n              <td>no reimbursement provided for the service in general</td>\n            </tr>\n            <tr>\n              <td>normal</td>\n              <td>normal reimbursement dispositions applicable to the service</td>\n            </tr>\n            <tr>\n              <td>conditional</td>\n              <td>reimbursement of service subject to conditions</td>\n            </tr>\n            <tr>\n              <td>partial</td>\n              <td>normal reimbursement limited to a part of the service</td>\n            </tr>\n            <tr>\n              <td>partial-conditional</td>\n              <td>reimbursement limited to a part of the service and subject to conditions</td>\n            </tr>\n           </table>\n        </li>\n      </ul>\n    </div>"
  },
  "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",
  "experimental" : false,
  "date" : "2020-03-20",
  "publisher" : "HL7 International - Orders and Observations Work Group",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/Special/committees/orders"
        }
      ]
    }
  ],
  "description" : "This CodeSystem resource provides the concepts representing coarse categories of reimbursement dispositions for laboratory services",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "content" : "complete",
  "count" : 5,
  "concept" : [
    {
      "code" : "none",
      "display" : "no reimbursement provided for the service in general",
      "definition" : "The service is usually not covered by insurance plans, and charged to the paying party"
    },
    {
      "code" : "normal",
      "display" : "normal reimbursement dispositions applicable to the service",
      "definition" : "The service is usually  reimbursed (partially or totally) under general dispositions defined in insurance plans, independently of the service"
    },
    {
      "code" : "conditional",
      "display" : "reimbursement of service subject to conditions",
      "definition" : "The service reimbursement is conditioned by the clinical context of the order"
    },
    {
      "code" : "partial",
      "display" : "normal reimbursement limited to a part of the service",
      "definition" : "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"
    },
    {
      "code" : "conditional-partial",
      "display" : "reimbursement limited to a part of the service and subject to conditions",
      "definition" : "The service is composed of a part that is  reimbursable depending on the clinical context, and of a part that is non-reimbursable"
    }
  ]
}