Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5
0.1.0 - STU
Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5
0.1.0 - STU
Extensions for Using Data Elements from FHIR DSTU2 in FHIR R5 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
{
"resourceType" : "ValueSet",
"id" : "R2-v2-0153-for-R5",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R2-v2-0153-for-R5</b></p><a name=\"R2-v2-0153-for-R5\"> </a><a name=\"hcR2-v2-0153-for-R5\"> </a><p>This value set expansion contains 64 concepts.</p><table class=\"codes\"><tr><td><b>System</b></td><td><b>Version</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-...\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-.46.46.46\">...</a></td><td>See NUBC codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-01\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-01\">01</a></td><td>Most common semi-private rate</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-02\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-02\">02</a></td><td>Hospital has no semi-private rooms</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-04\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-04\">04</a></td><td>Inpatient professional component charges which are combined billed</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-05\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-05\">05</a></td><td>Professional component included in charges and also billed separate to carrier</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-06\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-06\">06</a></td><td>Medicare blood deductible</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-08\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-08\">08</a></td><td>Medicare life time reserve amount in the first calendar year</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-09\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-09\">09</a></td><td>Medicare co-insurance amount in the first calendar year</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-10\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-10\">10</a></td><td>Lifetime reserve amount in the second calendar year</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-11\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-11\">11</a></td><td>Co-insurance amount in the second calendar year</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-12\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-12\">12</a></td><td>Working aged beneficiary/spouse with employer group health plan</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-13\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-13\">13</a></td><td>ESRD beneficiary in a Medicare coordination period with an employer group health plan</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-14\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-14\">14</a></td><td>No Fault including auto/other</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-15\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-15\">15</a></td><td>Worker's Compensation</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-16\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-16\">16</a></td><td>PHS, or other federal agency</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-17\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-17\">17</a></td><td>Payer code</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-21\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-21\">21</a></td><td>Catastrophic</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-22\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-22\">22</a></td><td>Surplus</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-23\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-23\">23</a></td><td>Recurring monthly incode</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-24\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-24\">24</a></td><td>Medicaid rate code</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-30\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-30\">30</a></td><td>Pre-admission testing</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-31\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-31\">31</a></td><td>Patient liability amount</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-37\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-37\">37</a></td><td>Pints of blood furnished</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-38\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-38\">38</a></td><td>Blood deductible pints</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-39\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-39\">39</a></td><td>Pints of blood replaced</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-40\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-40\">40</a></td><td>New coverage not implemented by HMO (for inpatient service only)</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-41\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-41\">41</a></td><td>Black lung</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-42\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-42\">42</a></td><td>VA</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-43\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-43\">43</a></td><td>Disabled beneficiary under age 64 with LGHP</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-44\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-44\">44</a></td><td>Amount provider agreed to accept from primary payer when this amount is less than charges but higher than payment received,, then a Medicare secondary payment is due</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-45\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-45\">45</a></td><td>Accident hour</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-46\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-46\">46</a></td><td>Number of grace days</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-47\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-47\">47</a></td><td>Any liability insurance</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-48\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-48\">48</a></td><td>Hemoglobin reading</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-49\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-49\">49</a></td><td>Hematocrit reading</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-50\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-50\">50</a></td><td>Physical therapy visits</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-51\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-51\">51</a></td><td>Occupational therapy visits</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-52\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-52\">52</a></td><td>Speech therapy visits</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-53\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-53\">53</a></td><td>Cardiac rehab visits</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-56\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-56\">56</a></td><td>Skilled nurse - home visit hours</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-57\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-57\">57</a></td><td>Home health aide - home visit hours</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-58\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-58\">58</a></td><td>Arterial blood gas</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-59\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-59\">59</a></td><td>Oxygen saturation</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-60\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-60\">60</a></td><td>HHA branch MSA</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-67\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-67\">67</a></td><td>Peritoneal dialysis</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-68\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-68\">68</a></td><td>EPO-drug</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-70\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-70\">70</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-70|20...|2072\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-70.46.46.4672\">70 ... 72</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-71\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-71\">71</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-72\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-72\">72</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-75\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-75\">75</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-75|20...|2079\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-75.46.46.4679\">75 ... 79</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-76\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-76\">76</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-77\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-77\">77</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-78\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-78\">78</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-79\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-79\">79</a></td><td>Payer codes</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-80\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-80\">80</a></td><td>Psychiatric visits</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-81\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-81\">81</a></td><td>Visits subject to co-payment</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-A1\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-A1\">A1</a></td><td>Deductible payer A</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-A2\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-A2\">A2</a></td><td>Coinsurance payer A</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-A3\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-A3\">A3</a></td><td>Estimated responsibility payer A</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-X0\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-X0\">X0</a></td><td>Service excluded on primary policy</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-X4\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-X4\">X4</a></td><td>Supplemental coverage</td></tr><tr><td><a name=\"R2-v2-0153-for-R5-http://hl7.org/fhir/v2/0153-|2026\"> </a><code>http://hl7.org/fhir/v2/0153</code></td><td>1.0.2</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v2-0153.html#v2-0153-.8230\">…</a></td><td>See NUBC codes</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fhir"
},
{
"extension" : [
{
"url" : "packageId",
"valueId" : "hl7.fhir.uv.xver-r2.r5"
},
{
"url" : "version",
"valueString" : "0.1.0"
},
{
"url" : "uri",
"valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 0,
"_valueInteger" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use",
"_valueCode" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"
}
]
}
}
],
"url" : "http://hl7.org/fhir/uv/xver/ValueSet/R2-v2-0153-for-R5",
"version" : "0.1.0",
"name" : "R2V20153ForR5",
"title" : "Cross-version ValueSet DSTU2.v2 Value Code for use in FHIR R5",
"status" : "active",
"experimental" : false,
"date" : "2026-03-17T21:02:03.8104715+00:00",
"publisher" : "FHIR Infrastructure",
"contact" : [
{
"name" : "FHIR Infrastructure",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description" : "This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2` for use in FHIR R5.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"purpose" : "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2` as defined in FHIR DSTU2\r\nin FHIR R5.\r\n\r\nThe source value set is bound to the following FHIR DSTU2 elements:\r\n* \r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2`, defined in FHIR DSTU2 does not have any mapping to FHIR R5",
"compose" : {
"include" : [
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"concept" : [
{
"code" : "...",
"display" : "See NUBC codes"
},
{
"code" : "01",
"display" : "Most common semi-private rate"
},
{
"code" : "02",
"display" : "Hospital has no semi-private rooms"
},
{
"code" : "04",
"display" : "Inpatient professional component charges which are combined billed"
},
{
"code" : "05",
"display" : "Professional component included in charges and also billed separate to carrier"
},
{
"code" : "06",
"display" : "Medicare blood deductible"
},
{
"code" : "08",
"display" : "Medicare life time reserve amount in the first calendar year"
},
{
"code" : "09",
"display" : "Medicare co-insurance amount in the first calendar year"
},
{
"code" : "10",
"display" : "Lifetime reserve amount in the second calendar year"
},
{
"code" : "11",
"display" : "Co-insurance amount in the second calendar year"
},
{
"code" : "12",
"display" : "Working aged beneficiary/spouse with employer group health plan"
},
{
"code" : "13",
"display" : "ESRD beneficiary in a Medicare coordination period with an employer group health plan"
},
{
"code" : "14",
"display" : "No Fault including auto/other"
},
{
"code" : "15",
"display" : "Worker's Compensation"
},
{
"code" : "16",
"display" : "PHS, or other federal agency"
},
{
"code" : "17",
"display" : "Payer code"
},
{
"code" : "21",
"display" : "Catastrophic"
},
{
"code" : "22",
"display" : "Surplus"
},
{
"code" : "23",
"display" : "Recurring monthly incode"
},
{
"code" : "24",
"display" : "Medicaid rate code"
},
{
"code" : "30",
"display" : "Pre-admission testing"
},
{
"code" : "31",
"display" : "Patient liability amount"
},
{
"code" : "37",
"display" : "Pints of blood furnished"
},
{
"code" : "38",
"display" : "Blood deductible pints"
},
{
"code" : "39",
"display" : "Pints of blood replaced"
},
{
"code" : "40",
"display" : "New coverage not implemented by HMO (for inpatient service only)"
},
{
"code" : "41",
"display" : "Black lung"
},
{
"code" : "42",
"display" : "VA"
},
{
"code" : "43",
"display" : "Disabled beneficiary under age 64 with LGHP"
},
{
"code" : "44",
"display" : "Amount provider agreed to accept from primary payer when this amount is less than charges but higher than payment received,, then a Medicare secondary payment is due"
},
{
"code" : "45",
"display" : "Accident hour"
},
{
"code" : "46",
"display" : "Number of grace days"
},
{
"code" : "47",
"display" : "Any liability insurance"
},
{
"code" : "48",
"display" : "Hemoglobin reading"
},
{
"code" : "49",
"display" : "Hematocrit reading"
},
{
"code" : "50",
"display" : "Physical therapy visits"
},
{
"code" : "51",
"display" : "Occupational therapy visits"
},
{
"code" : "52",
"display" : "Speech therapy visits"
},
{
"code" : "53",
"display" : "Cardiac rehab visits"
},
{
"code" : "56",
"display" : "Skilled nurse - home visit hours"
},
{
"code" : "57",
"display" : "Home health aide - home visit hours"
},
{
"code" : "58",
"display" : "Arterial blood gas"
},
{
"code" : "59",
"display" : "Oxygen saturation"
},
{
"code" : "60",
"display" : "HHA branch MSA"
},
{
"code" : "67",
"display" : "Peritoneal dialysis"
},
{
"code" : "68",
"display" : "EPO-drug"
},
{
"code" : "70",
"display" : "Payer codes"
},
{
"code" : "70 ... 72",
"display" : "Payer codes"
},
{
"code" : "71",
"display" : "Payer codes"
},
{
"code" : "72",
"display" : "Payer codes"
},
{
"code" : "75",
"display" : "Payer codes"
},
{
"code" : "75 ... 79",
"display" : "Payer codes"
},
{
"code" : "76",
"display" : "Payer codes"
},
{
"code" : "77",
"display" : "Payer codes"
},
{
"code" : "78",
"display" : "Payer codes"
},
{
"code" : "79",
"display" : "Payer codes"
},
{
"code" : "80",
"display" : "Psychiatric visits"
},
{
"code" : "81",
"display" : "Visits subject to co-payment"
},
{
"code" : "A1",
"display" : "Deductible payer A"
},
{
"code" : "A2",
"display" : "Coinsurance payer A"
},
{
"code" : "A3",
"display" : "Estimated responsibility payer A"
},
{
"code" : "X0",
"display" : "Service excluded on primary policy"
},
{
"code" : "X4",
"display" : "Supplemental coverage"
},
{
"code" : "…",
"display" : "See NUBC codes"
}
]
}
]
},
"expansion" : {
"timestamp" : "2026-03-17T21:02:03.8104715+00:00",
"contains" : [
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "...",
"display" : "See NUBC codes"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "01",
"display" : "Most common semi-private rate"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "02",
"display" : "Hospital has no semi-private rooms"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "04",
"display" : "Inpatient professional component charges which are combined billed"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "05",
"display" : "Professional component included in charges and also billed separate to carrier"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "06",
"display" : "Medicare blood deductible"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "08",
"display" : "Medicare life time reserve amount in the first calendar year"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "09",
"display" : "Medicare co-insurance amount in the first calendar year"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "10",
"display" : "Lifetime reserve amount in the second calendar year"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "11",
"display" : "Co-insurance amount in the second calendar year"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "12",
"display" : "Working aged beneficiary/spouse with employer group health plan"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "13",
"display" : "ESRD beneficiary in a Medicare coordination period with an employer group health plan"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "14",
"display" : "No Fault including auto/other"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "15",
"display" : "Worker's Compensation"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "16",
"display" : "PHS, or other federal agency"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "17",
"display" : "Payer code"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "21",
"display" : "Catastrophic"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "22",
"display" : "Surplus"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "23",
"display" : "Recurring monthly incode"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "24",
"display" : "Medicaid rate code"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "30",
"display" : "Pre-admission testing"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "31",
"display" : "Patient liability amount"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "37",
"display" : "Pints of blood furnished"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "38",
"display" : "Blood deductible pints"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "39",
"display" : "Pints of blood replaced"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "40",
"display" : "New coverage not implemented by HMO (for inpatient service only)"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "41",
"display" : "Black lung"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "42",
"display" : "VA"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "43",
"display" : "Disabled beneficiary under age 64 with LGHP"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "44",
"display" : "Amount provider agreed to accept from primary payer when this amount is less than charges but higher than payment received,, then a Medicare secondary payment is due"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "45",
"display" : "Accident hour"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "46",
"display" : "Number of grace days"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "47",
"display" : "Any liability insurance"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "48",
"display" : "Hemoglobin reading"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "49",
"display" : "Hematocrit reading"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "50",
"display" : "Physical therapy visits"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "51",
"display" : "Occupational therapy visits"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "52",
"display" : "Speech therapy visits"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "53",
"display" : "Cardiac rehab visits"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "56",
"display" : "Skilled nurse - home visit hours"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "57",
"display" : "Home health aide - home visit hours"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "58",
"display" : "Arterial blood gas"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "59",
"display" : "Oxygen saturation"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "60",
"display" : "HHA branch MSA"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "67",
"display" : "Peritoneal dialysis"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "68",
"display" : "EPO-drug"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "70",
"display" : "Payer codes"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "70 ... 72",
"display" : "Payer codes"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "71",
"display" : "Payer codes"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "72",
"display" : "Payer codes"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "75",
"display" : "Payer codes"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "75 ... 79",
"display" : "Payer codes"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "76",
"display" : "Payer codes"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "77",
"display" : "Payer codes"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "78",
"display" : "Payer codes"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "79",
"display" : "Payer codes"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "80",
"display" : "Psychiatric visits"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "81",
"display" : "Visits subject to co-payment"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "A1",
"display" : "Deductible payer A"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "A2",
"display" : "Coinsurance payer A"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "A3",
"display" : "Estimated responsibility payer A"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "X0",
"display" : "Service excluded on primary policy"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "X4",
"display" : "Supplemental coverage"
},
{
"system" : "http://hl7.org/fhir/v2/0153",
"version" : "1.0.2",
"code" : "…",
"display" : "See NUBC codes"
}
]
}
}
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r2.r5#0.1.0 based on FHIR 5.0.0. Generated 2026-03-20
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