R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3

V2-0459.cs.xml

Vocabulary Work GroupMaturity Level: N/ABallot Status: Informative

Raw XML (canonical form)

FHIR Value set/code system definition for HL7 v2 table 0459 ( Reimbursement Action Code)

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="v2-0459"/> 
  <meta> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> 
  </meta> 
  <language value="en"/> 
  <text> 
    <status value="additional"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> Reimbursement Action Code</p> 

      <table class="grid">
        <tr> 
          <td> 
            <b> Code</b> 
          </td> 
          <td> 
            <b> Description</b> 
          </td> 
          <td> 
            <b> Comment</b> 
          </td> 
          <td> 
            <b> Version</b> 
          </td> 
        </tr> 
        <tr> 
          <td> 0
            <a name="0"> </a> 
          </td> 
          <td> OCE line item denial or rejection is not ignored</td> 
          <td/>  
          <td> added v2.4</td> 
        </tr> 
        <tr> 
          <td> 1
            <a name="1"> </a> 
          </td> 
          <td> OCE line item denial or rejection is ignored</td> 
          <td/>  
          <td> added v2.4</td> 
        </tr> 
        <tr> 
          <td> 2
            <a name="2"> </a> 
          </td> 
          <td> External line item denial. Line item is denied even if no OCE edits</td> 
          <td/>  
          <td> added v2.4</td> 
        </tr> 
        <tr> 
          <td> 3
            <a name="3"> </a> 
          </td> 
          <td> External line item rejection. Line item is rejected even if no OCE edits</td> 
          <td/>  
          <td> added v2.4</td> 
        </tr> 
      </table> 

    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status">
    <valueString value="External"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/> 
  </extension> 
  <url value="http://hl7.org/fhir/v2/0459"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.18.293"/> 
  </identifier> 
  <version value="2.9"/> 
  <name value="v2 Reimbursement Action Code"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <publisher value="HL7, Inc"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="FHIR Value set/code system definition for HL7 v2 table 0459 ( Reimbursement Action Code)"/> 
  <caseSensitive value="false"/> 
  <valueSet value="http://hl7.org/fhir/ValueSet/v2-0459"/> 
  <content value="complete"/> 
  <concept> 
    <code value="0"/> 
    <display value="OCE line item denial or rejection is not ignored"/> 
  </concept> 
  <concept> 
    <code value="1"/> 
    <display value="OCE line item denial or rejection is ignored"/> 
  </concept> 
  <concept> 
    <code value="2"/> 
    <display value="External line item denial. Line item is denied even if no OCE edits"/> 
  </concept> 
  <concept> 
    <code value="3"/> 
    <display value="External line item rejection. Line item is rejected even if no OCE edits"/> 
  </concept> 
</CodeSystem> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.