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 ValueSet - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="laboratory-service-reimbursability-vs"/>
  <meta>
    <lastUpdated value="2020-03-20T09:55:00.000+00:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="http://hl7.org/fhir/uv/order-catalog/ValueSet/laboratory-service-reimbursability-vs"/>
  <version value="0.1.0"/>
  <name value="LaboratoryServiceReimbursabilityVS"/>
  <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 value set provides codes summarizing the reimbursement dispositions that can affect a laboratory service"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <immutable value="false"/>
  <compose>
    <include>
      <system
              value="http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-reimbursability"/>
      <concept>
        <code value="none"/>
        <display value="no reimbursement provided for the service in general"/>
      </concept>
      <concept>
        <code value="normal"/>
        <display
                 value="normal reimbursement dispositions applicable to the service"/>
      </concept>
      <concept>
        <code value="conditional"/>
        <display value="reimbursement of service subject to conditions"/>
      </concept>
      <concept>
        <code value="partial"/>
        <display value="normal reimbursement limited to a part of the service"/>
      </concept>
      <concept>
        <code value="conditional-partial"/>
        <display
                 value="reimbursement limited to a part of the service and subject to conditions"/>
      </concept>
    </include>
  </compose>
</ValueSet>