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
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@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:ValueSet ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "R2-v2-0153-for-R5"] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir:div [ fhir:v "<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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <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\"> <a href=\"CodeSystem-v2-0153.html#v2-0153-.8230\">…</a></td><td>See NUBC codes</td></tr></table></div>"^^rdf:XMLLiteral ] ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg> ] ; fhir:value [ a fhir:Code ; fhir:v "fhir" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "packageId"^^xsd:anyURI ; fhir:l fhir:packageId ] ; fhir:value [ a fhir:Id ; fhir:v "hl7.fhir.uv.xver-r2.r5" ] ] [ fhir:url [ fhir:v "version"^^xsd:anyURI ; fhir:l fhir:version ] ; fhir:value [ a fhir:String ; fhir:v "0.1.0" ] ] [ fhir:url [ fhir:v "uri"^^xsd:anyURI ; fhir:l fhir:uri ] ; fhir:value [ a fhir:Uri ; fhir:v "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5> ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/package-source"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/package-source> ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm> ] ; fhir:value [ a fhir:Integer ; fhir:v 0 ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom> ] ; fhir:value [ a fhir:Canonical ; fhir:v "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5> ] ] ) ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ; fhir:value [ a fhir:Code ; fhir:v "trial-use" ; ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom> ] ; fhir:value [ a fhir:Canonical ; fhir:v "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r5> ] ] ) ] ] ) ; # fhir:url [ fhir:v "http://hl7.org/fhir/uv/xver/ValueSet/R2-v2-0153-for-R5"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/uv/xver/ValueSet/R2-v2-0153-for-R5> ] ; # fhir:version [ fhir:v "0.1.0"] ; # fhir:name [ fhir:v "R2V20153ForR5"] ; # fhir:title [ fhir:v "Cross-version ValueSet DSTU2.v2 Value Code for use in FHIR R5"] ; # fhir:status [ fhir:v "active"] ; # fhir:experimental [ fhir:v false] ; # fhir:date [ fhir:v "2026-03-17T21:02:03.8104715+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "FHIR Infrastructure"] ; # fhir:contact ( [ fhir:name [ fhir:v "FHIR Infrastructure" ] ; ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg" ] ] ) ] ) ; # fhir:description [ fhir:v "This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2` for use in FHIR R5."] ; # fhir:jurisdiction ( [ ( fhir:coding [ fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ; fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm> ] ; fhir:code [ fhir:v "001" ] ; fhir:display [ fhir:v "World" ] ] ) ] ) ; # fhir:purpose [ fhir:v "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"] ; # fhir:compose [ ( fhir:include [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; ( fhir:concept [ fhir:code [ fhir:v "..." ] ; fhir:display [ fhir:v "See NUBC codes" ] ] [ fhir:code [ fhir:v "01" ] ; fhir:display [ fhir:v "Most common semi-private rate" ] ] [ fhir:code [ fhir:v "02" ] ; fhir:display [ fhir:v "Hospital has no semi-private rooms" ] ] [ fhir:code [ fhir:v "04" ] ; fhir:display [ fhir:v "Inpatient professional component charges which are combined billed" ] ] [ fhir:code [ fhir:v "05" ] ; fhir:display [ fhir:v "Professional component included in charges and also billed separate to carrier" ] ] [ fhir:code [ fhir:v "06" ] ; fhir:display [ fhir:v "Medicare blood deductible" ] ] [ fhir:code [ fhir:v "08" ] ; fhir:display [ fhir:v "Medicare life time reserve amount in the first calendar year" ] ] [ fhir:code [ fhir:v "09" ] ; fhir:display [ fhir:v "Medicare co-insurance amount in the first calendar year" ] ] [ fhir:code [ fhir:v "10" ] ; fhir:display [ fhir:v "Lifetime reserve amount in the second calendar year" ] ] [ fhir:code [ fhir:v "11" ] ; fhir:display [ fhir:v "Co-insurance amount in the second calendar year" ] ] [ fhir:code [ fhir:v "12" ] ; fhir:display [ fhir:v "Working aged beneficiary/spouse with employer group health plan" ] ] [ fhir:code [ fhir:v "13" ] ; fhir:display [ fhir:v "ESRD beneficiary in a Medicare coordination period with an employer group health plan" ] ] [ fhir:code [ fhir:v "14" ] ; fhir:display [ fhir:v "No Fault including auto/other" ] ] [ fhir:code [ fhir:v "15" ] ; fhir:display [ fhir:v "Worker's Compensation" ] ] [ fhir:code [ fhir:v "16" ] ; fhir:display [ fhir:v "PHS, or other federal agency" ] ] [ fhir:code [ fhir:v "17" ] ; fhir:display [ fhir:v "Payer code" ] ] [ fhir:code [ fhir:v "21" ] ; fhir:display [ fhir:v "Catastrophic" ] ] [ fhir:code [ fhir:v "22" ] ; fhir:display [ fhir:v "Surplus" ] ] [ fhir:code [ fhir:v "23" ] ; fhir:display [ fhir:v "Recurring monthly incode" ] ] [ fhir:code [ fhir:v "24" ] ; fhir:display [ fhir:v "Medicaid rate code" ] ] [ fhir:code [ fhir:v "30" ] ; fhir:display [ fhir:v "Pre-admission testing" ] ] [ fhir:code [ fhir:v "31" ] ; fhir:display [ fhir:v "Patient liability amount" ] ] [ fhir:code [ fhir:v "37" ] ; fhir:display [ fhir:v "Pints of blood furnished" ] ] [ fhir:code [ fhir:v "38" ] ; fhir:display [ fhir:v "Blood deductible pints" ] ] [ fhir:code [ fhir:v "39" ] ; fhir:display [ fhir:v "Pints of blood replaced" ] ] [ fhir:code [ fhir:v "40" ] ; fhir:display [ fhir:v "New coverage not implemented by HMO (for inpatient service only)" ] ] [ fhir:code [ fhir:v "41" ] ; fhir:display [ fhir:v "Black lung" ] ] [ fhir:code [ fhir:v "42" ] ; fhir:display [ fhir:v "VA" ] ] [ fhir:code [ fhir:v "43" ] ; fhir:display [ fhir:v "Disabled beneficiary under age 64 with LGHP" ] ] [ fhir:code [ fhir:v "44" ] ; fhir:display [ fhir:v "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" ] ] [ fhir:code [ fhir:v "45" ] ; fhir:display [ fhir:v "Accident hour" ] ] [ fhir:code [ fhir:v "46" ] ; fhir:display [ fhir:v "Number of grace days" ] ] [ fhir:code [ fhir:v "47" ] ; fhir:display [ fhir:v "Any liability insurance" ] ] [ fhir:code [ fhir:v "48" ] ; fhir:display [ fhir:v "Hemoglobin reading" ] ] [ fhir:code [ fhir:v "49" ] ; fhir:display [ fhir:v "Hematocrit reading" ] ] [ fhir:code [ fhir:v "50" ] ; fhir:display [ fhir:v "Physical therapy visits" ] ] [ fhir:code [ fhir:v "51" ] ; fhir:display [ fhir:v "Occupational therapy visits" ] ] [ fhir:code [ fhir:v "52" ] ; fhir:display [ fhir:v "Speech therapy visits" ] ] [ fhir:code [ fhir:v "53" ] ; fhir:display [ fhir:v "Cardiac rehab visits" ] ] [ fhir:code [ fhir:v "56" ] ; fhir:display [ fhir:v "Skilled nurse - home visit hours" ] ] [ fhir:code [ fhir:v "57" ] ; fhir:display [ fhir:v "Home health aide - home visit hours" ] ] [ fhir:code [ fhir:v "58" ] ; fhir:display [ fhir:v "Arterial blood gas" ] ] [ fhir:code [ fhir:v "59" ] ; fhir:display [ fhir:v "Oxygen saturation" ] ] [ fhir:code [ fhir:v "60" ] ; fhir:display [ fhir:v "HHA branch MSA" ] ] [ fhir:code [ fhir:v "67" ] ; fhir:display [ fhir:v "Peritoneal dialysis" ] ] [ fhir:code [ fhir:v "68" ] ; fhir:display [ fhir:v "EPO-drug" ] ] [ fhir:code [ fhir:v "70" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "70 ... 72" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "71" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "72" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "75" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "75 ... 79" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "76" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "77" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "78" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "79" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:code [ fhir:v "80" ] ; fhir:display [ fhir:v "Psychiatric visits" ] ] [ fhir:code [ fhir:v "81" ] ; fhir:display [ fhir:v "Visits subject to co-payment" ] ] [ fhir:code [ fhir:v "A1" ] ; fhir:display [ fhir:v "Deductible payer A" ] ] [ fhir:code [ fhir:v "A2" ] ; fhir:display [ fhir:v "Coinsurance payer A" ] ] [ fhir:code [ fhir:v "A3" ] ; fhir:display [ fhir:v "Estimated responsibility payer A" ] ] [ fhir:code [ fhir:v "X0" ] ; fhir:display [ fhir:v "Service excluded on primary policy" ] ] [ fhir:code [ fhir:v "X4" ] ; fhir:display [ fhir:v "Supplemental coverage" ] ] [ fhir:code [ fhir:v "…" ] ; fhir:display [ fhir:v "See NUBC codes" ] ] ) ] ) ] ; # fhir:expansion [ fhir:timestamp [ fhir:v "2026-03-17T21:02:03.8104715+00:00"^^xsd:dateTime ] ; ( fhir:contains [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "..." ] ; fhir:display [ fhir:v "See NUBC codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "01" ] ; fhir:display [ fhir:v "Most common semi-private rate" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "02" ] ; fhir:display [ fhir:v "Hospital has no semi-private rooms" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "04" ] ; fhir:display [ fhir:v "Inpatient professional component charges which are combined billed" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "05" ] ; fhir:display [ fhir:v "Professional component included in charges and also billed separate to carrier" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "06" ] ; fhir:display [ fhir:v "Medicare blood deductible" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "08" ] ; fhir:display [ fhir:v "Medicare life time reserve amount in the first calendar year" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "09" ] ; fhir:display [ fhir:v "Medicare co-insurance amount in the first calendar year" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "10" ] ; fhir:display [ fhir:v "Lifetime reserve amount in the second calendar year" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "11" ] ; fhir:display [ fhir:v "Co-insurance amount in the second calendar year" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "12" ] ; fhir:display [ fhir:v "Working aged beneficiary/spouse with employer group health plan" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "13" ] ; fhir:display [ fhir:v "ESRD beneficiary in a Medicare coordination period with an employer group health plan" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "14" ] ; fhir:display [ fhir:v "No Fault including auto/other" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "15" ] ; fhir:display [ fhir:v "Worker's Compensation" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "16" ] ; fhir:display [ fhir:v "PHS, or other federal agency" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "17" ] ; fhir:display [ fhir:v "Payer code" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "21" ] ; fhir:display [ fhir:v "Catastrophic" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "22" ] ; fhir:display [ fhir:v "Surplus" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "23" ] ; fhir:display [ fhir:v "Recurring monthly incode" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "24" ] ; fhir:display [ fhir:v "Medicaid rate code" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "30" ] ; fhir:display [ fhir:v "Pre-admission testing" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "31" ] ; fhir:display [ fhir:v "Patient liability amount" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "37" ] ; fhir:display [ fhir:v "Pints of blood furnished" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "38" ] ; fhir:display [ fhir:v "Blood deductible pints" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "39" ] ; fhir:display [ fhir:v "Pints of blood replaced" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "40" ] ; fhir:display [ fhir:v "New coverage not implemented by HMO (for inpatient service only)" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "41" ] ; fhir:display [ fhir:v "Black lung" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "42" ] ; fhir:display [ fhir:v "VA" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "43" ] ; fhir:display [ fhir:v "Disabled beneficiary under age 64 with LGHP" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "44" ] ; fhir:display [ fhir:v "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" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "45" ] ; fhir:display [ fhir:v "Accident hour" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "46" ] ; fhir:display [ fhir:v "Number of grace days" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "47" ] ; fhir:display [ fhir:v "Any liability insurance" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "48" ] ; fhir:display [ fhir:v "Hemoglobin reading" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "49" ] ; fhir:display [ fhir:v "Hematocrit reading" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "50" ] ; fhir:display [ fhir:v "Physical therapy visits" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "51" ] ; fhir:display [ fhir:v "Occupational therapy visits" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "52" ] ; fhir:display [ fhir:v "Speech therapy visits" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "53" ] ; fhir:display [ fhir:v "Cardiac rehab visits" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "56" ] ; fhir:display [ fhir:v "Skilled nurse - home visit hours" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "57" ] ; fhir:display [ fhir:v "Home health aide - home visit hours" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "58" ] ; fhir:display [ fhir:v "Arterial blood gas" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "59" ] ; fhir:display [ fhir:v "Oxygen saturation" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "60" ] ; fhir:display [ fhir:v "HHA branch MSA" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "67" ] ; fhir:display [ fhir:v "Peritoneal dialysis" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "68" ] ; fhir:display [ fhir:v "EPO-drug" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "70" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "70 ... 72" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "71" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "72" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "75" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "75 ... 79" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "76" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "77" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "78" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "79" ] ; fhir:display [ fhir:v "Payer codes" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "80" ] ; fhir:display [ fhir:v "Psychiatric visits" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "81" ] ; fhir:display [ fhir:v "Visits subject to co-payment" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "A1" ] ; fhir:display [ fhir:v "Deductible payer A" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "A2" ] ; fhir:display [ fhir:v "Coinsurance payer A" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "A3" ] ; fhir:display [ fhir:v "Estimated responsibility payer A" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "X0" ] ; fhir:display [ fhir:v "Service excluded on primary policy" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "X4" ] ; fhir:display [ fhir:v "Supplemental coverage" ] ] [ fhir:system [ fhir:v "http://hl7.org/fhir/v2/0153"^^xsd:anyURI ; fhir:l <http://hl7.org/fhir/v2/0153> ] ; fhir:version [ fhir:v "1.0.2" ] ; fhir:code [ fhir:v "…" ] ; fhir:display [ fhir:v "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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