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 ValueSet - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "laboratory-service-reimbursability-vs",
  "meta" : {
    "lastUpdated" : "2020-03-20T09:55:00.000+00:00",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"CodeSystem-laboratory-service-reimbursability.html\"><code>http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-laboratory-service-reimbursability.html#laboratory-service-reimbursability-none\">none</a></td><td>no reimbursement provided for the service in general</td><td>The service is usually not covered by insurance plans, and charged to the paying party</td></tr><tr><td><a href=\"CodeSystem-laboratory-service-reimbursability.html#laboratory-service-reimbursability-normal\">normal</a></td><td>normal reimbursement dispositions applicable to the service</td><td>The service is usually  reimbursed (partially or totally) under general dispositions defined in insurance plans, independently of the service</td></tr><tr><td><a href=\"CodeSystem-laboratory-service-reimbursability.html#laboratory-service-reimbursability-conditional\">conditional</a></td><td>reimbursement of service subject to conditions</td><td>The service reimbursement is conditioned by the clinical context of the order</td></tr><tr><td><a href=\"CodeSystem-laboratory-service-reimbursability.html#laboratory-service-reimbursability-partial\">partial</a></td><td>normal reimbursement limited to a part of the service</td><td>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</td></tr><tr><td><a href=\"CodeSystem-laboratory-service-reimbursability.html#laboratory-service-reimbursability-conditional-partial\">conditional-partial</a></td><td>reimbursement limited to a part of the service and subject to conditions</td><td>The service is composed of a part that is  reimbursable depending on the clinical context, and of a part that is non-reimbursable</td></tr></table></li></ul></div>"
  },
  "url" : "http://hl7.org/fhir/uv/order-catalog/ValueSet/laboratory-service-reimbursability-vs",
  "version" : "0.1.0",
  "name" : "LaboratoryServiceReimbursabilityVS",
  "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 value set provides codes summarizing the reimbursement dispositions that can affect a laboratory service",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "immutable" : false,
  "compose" : {
    "include" : [
      {
        "system" : "http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability",
        "concept" : [
          {
            "code" : "none",
            "display" : "no reimbursement provided for the service in general"
          },
          {
            "code" : "normal",
            "display" : "normal reimbursement dispositions applicable to the service"
          },
          {
            "code" : "conditional",
            "display" : "reimbursement of service subject to conditions"
          },
          {
            "code" : "partial",
            "display" : "normal reimbursement limited to a part of the service"
          },
          {
            "code" : "conditional-partial",
            "display" : "reimbursement limited to a part of the service and subject to conditions"
          }
        ]
      }
    ]
  }
}