Order Catalog Implementation Guide
0.1.0 - STU Ballot 1

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

: Laboratory service reimbursability categories CodeSystem - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="laboratory-service-reimbursability"/>
  <meta>
    <lastUpdated value="2020-03-18T09:55:00.000+00:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>Laboratory services compendium</h2>
      <div>
        <p>This CodeSystem provides  coded concepts to represent the coarse categories of reimbursement that may affect a laboratory service</p>
      </div>
      <ul>
        <li>
          <p>Contains:</p>
          <table class="none">
            <tr>
              <td>
                <b> Code</b>
              </td>
              <td>
                <b> Display</b>
              </td>
             </tr>
            <tr>
              <td>none</td>
              <td>no reimbursement provided for the service in general</td>
            </tr>
            <tr>
              <td>normal</td>
              <td>normal reimbursement dispositions applicable to the service</td>
            </tr>
            <tr>
              <td>conditional</td>
              <td>reimbursement of service subject to conditions</td>
            </tr>
            <tr>
              <td>partial</td>
              <td>normal reimbursement limited to a part of the service</td>
            </tr>
            <tr>
              <td>partial-conditional</td>
              <td>reimbursement limited to a part of the service and subject to conditions</td>
            </tr>
           </table>
        </li>
      </ul>
    </div>
  </text>
  <url
       value="http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability"/>
  <version value="0.1.0"/>
  <name value="LaboratoryServiceReimbursability"/>
  <title
         value="Kinds of reibursability coarse categories for a laboratory service"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2020-03-20"/>
  <publisher value="HL7 International - Orders and Observations Work Group"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/Special/committees/orders"/>
    </telecom>
  </contact>
  <description
               value="This CodeSystem resource provides the concepts representing coarse categories of reimbursement dispositions for laboratory services"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <content value="complete"/>
  <count value="5"/>
  <concept>
    <code value="none"/>
    <display value="no reimbursement provided for the service in general"/>
    <definition
                value="The service is usually not covered by insurance plans, and charged to the paying party"/>
  </concept>
  <concept>
    <code value="normal"/>
    <display value="normal reimbursement dispositions applicable to the service"/>
    <definition
                value="The service is usually  reimbursed (partially or totally) under general dispositions defined in insurance plans, independently of the service"/>
  </concept>
  <concept>
    <code value="conditional"/>
    <display value="reimbursement of service subject to conditions"/>
    <definition
                value="The service reimbursement is conditioned by the clinical context of the order"/>
  </concept>
  <concept>
    <code value="partial"/>
    <display value="normal reimbursement limited to a part of the service"/>
    <definition
                value="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"/>
  </concept>
  <concept>
    <code value="conditional-partial"/>
    <display
             value="reimbursement limited to a part of the service and subject to conditions"/>
    <definition
                value="The service is composed of a part that is  reimbursable depending on the clinical context, and of a part that is non-reimbursable"/>
  </concept>
</CodeSystem>