HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v6.1.0: Release) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

: advancedBeneficiaryNotice - JSON Representation

Active as of 2019-12-01

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{
  "resourceType" : "CodeSystem",
  "id" : "v2-0339",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem v2-0339</b></p><a name=\"v2-0339\"> </a><a name=\"hcv2-0339\"> </a><a name=\"v2-0339-en-US\"> </a><p><b>Properties</b></p><p><b>This code system defines the following properties for its concepts</b></p><table class=\"grid\"><tr><td><b>Name</b></td><td><b>Code</b></td><td><b>URI</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>status</td><td>status</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#status</td><td>code</td><td>Status of the concept</td></tr><tr><td>deprecated</td><td>deprecated</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated</td><td>code</td><td>Version of HL7 in which the code was deprecated</td></tr></table><p><b>Concepts</b></p><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/v2-0339</code> defines the following codes in a Is-A hierarchy:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>Deutsch (German, de)</b></td></tr><tr><td style=\"white-space:nowrap\">1<a name=\"v2-0339-1\"> </a></td><td>Service is subject to medical necessity procedures</td><td>Service is subject to medical necessity procedures</td><td>Zuzahlung muss abgeklärt werden</td></tr><tr><td style=\"white-space:nowrap\">2<a name=\"v2-0339-2\"> </a></td><td>Patient has been informed of responsibility, and agrees to pay for service</td><td>Patient has been informed of responsibility, and agrees to pay for service</td><td/></tr><tr><td style=\"white-space:nowrap\">3<a name=\"v2-0339-3\"> </a></td><td>Patient has been informed of responsibility, and asks that the payer be billed</td><td>Patient has been informed of responsibility, and asks that the payer be billed</td><td>Patient fragt nach Rechnung</td></tr><tr><td style=\"white-space:nowrap\">4<a name=\"v2-0339-4\"> </a></td><td>Advanced Beneficiary Notice has not been signed</td><td>Advanced Beneficiary Notice has not been signed</td><td>Zustimmung zur Zuzahlung liegt nicht vor</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "oo"
    }
  ],
  "url" : "http://terminology.hl7.org/CodeSystem/v2-0339",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.18.209"
    }
  ],
  "version" : "2.0.0",
  "name" : "AdvancedBeneficiaryNotice",
  "title" : "advancedBeneficiaryNotice",
  "status" : "active",
  "experimental" : false,
  "date" : "2019-12-01",
  "publisher" : "Health Level Seven International",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org"
        },
        {
          "system" : "email",
          "value" : "hq@HL7.org"
        }
      ]
    }
  ],
  "description" : "Code system of concepts specifying the status of the patient's or the patient's representative's consent for responsibility to pay for potentially uninsured services. This element was introduced to satisfy CMS Medical Necessity requirements for outpatient services in the United States. Includes concepts such as (a) whether the associated diagnosis codes for the service are subject to medical necessity procedures, (b) whether, for this type of service, the patient has been informed that they may be responsible for payment for the service, and (c) whether the patient agrees to be billed for this service.  Used in HL7 Version 2.x messaging in the ORC and FT1 segments.",
  "purpose" : "Underlying Master Code System for V2 table 0339 (Advanced Beneficiary Notice Code)",
  "copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html",
  "caseSensitive" : true,
  "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0339",
  "hierarchyMeaning" : "is-a",
  "compositional" : false,
  "versionNeeded" : false,
  "content" : "complete",
  "property" : [
    {
      "code" : "status",
      "uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#status",
      "description" : "Status of the concept",
      "type" : "code"
    },
    {
      "code" : "deprecated",
      "uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v2-table-deprecated",
      "description" : "Version of HL7 in which the code was deprecated",
      "type" : "code"
    }
  ],
  "concept" : [
    {
      "id" : "3125",
      "code" : "1",
      "display" : "Service is subject to medical necessity procedures",
      "definition" : "Service is subject to medical necessity procedures",
      "designation" : [
        {
          "language" : "de",
          "use" : {
            "system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra",
            "code" : "preferredForLanguage"
          },
          "value" : "Zuzahlung muss abgeklärt werden"
        }
      ],
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    },
    {
      "id" : "3126",
      "code" : "2",
      "display" : "Patient has been informed of responsibility, and agrees to pay for service",
      "definition" : "Patient has been informed of responsibility, and agrees to pay for service",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    },
    {
      "id" : "3127",
      "code" : "3",
      "display" : "Patient has been informed of responsibility, and asks that the payer be billed",
      "definition" : "Patient has been informed of responsibility, and asks that the payer be billed",
      "designation" : [
        {
          "language" : "de",
          "use" : {
            "system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra",
            "code" : "preferredForLanguage"
          },
          "value" : "Patient fragt nach Rechnung"
        }
      ],
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    },
    {
      "id" : "3128",
      "code" : "4",
      "display" : "Advanced Beneficiary Notice has not been signed",
      "definition" : "Advanced Beneficiary Notice has not been signed",
      "designation" : [
        {
          "language" : "de",
          "use" : {
            "system" : "http://terminology.hl7.org/CodeSystem/hl7TermMaintInfra",
            "code" : "preferredForLanguage"
          },
          "value" : "Zustimmung zur Zuzahlung liegt nicht vor"
        }
      ],
      "property" : [
        {
          "code" : "status",
          "valueCode" : "A"
        }
      ]
    }
  ]
}