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HL7 - Version 2.4

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  2.4 2.4 DE 2.4 UK 2.4 CH  

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Table 0043: Condition code

Interpretation: nicht verwendet
OID Table: 2.16.840.1.113883.12.43
Codesystem OID: 2.16.840.1.113883.18.19 Version 1
Value Set OID: 2.16.840.1.113883.21.22
Binding:
Expansion: all codes from codesystem
Vocabulary Domain: tbd
Table Type: User
Case insensitive: Falsch
Section 6

Value Description German Interpretation Comment Chapter
01 Military service related

6
02 Condition is employment related

6
03 Patient covered by insurance not reflected here

6
04 HMO enrollee

6
05 Lien has been filed

6
06 ESRD patient in first 18 months of entitlement covered by employer group health insurance

6
07 Treatment of non-terminal condition for hospice patient

6
08 Beneficiary would not provide information concerning other insurance coverage

6
09 Neither patient nor spouse is employed

6
10 Patient and/or spouse is employed but no EGHP exists

6
11 Disabled beneficiary but no LGHP

6
13 Payer codes.

6
16 Payer codes.

6
14 Payer codes.

6
12 ... 16 Payer codes.

6
12 Payer codes.

6
15 Payer codes.

6
18 Maiden name retained

6
19 Child retains mother's name

6
20 Beneficiary requested billing

6
21 Billing for Denial Notice

6
26 VA eligible patient chooses to receive services in a Medicare certified facility

6
27 Patient referred to a sole community hospital for a diagnostic laboratory test

6
28 Patient and/or spouse's EGHP is secondary to Medicare

6
29 Disabled beneficiary and/or family member's LGHP is secondary to Medicare

6
31 Patient is student (full time-day)

6
32 Patient is student (cooperative/work study program)

6
33 Patient is student (full time-night)

6
34 Patient is student (Part time)

6
36 General care patient in a special unit

6
37 Ward accommodation as patient request

6
38 Semi-private room not available

6
39 Private room medically necessary

6
40 Same day transfer

6
41 Partial hospitalization

6
46 Non-availability statement on file

6
48 Psychiatric residential treatment centers for children and adolescents

6
55 SNF bed not available

6
56 Medical appropriateness

6
57 SNF readmission

6
60 Day outlier

6
61 Cost outlier

6
62 Payer code

6
66 Provider does not wish cost outlier payment

6
67 Beneficiary elects not to use life time reserve (LTR) days

6
68 Beneficiary elects to use life time reserve (LTR) days

6
70 Self-administered EPO

6
71 Full care in unit

6
72 Self-care in unit

6
73 Self-care training

6
74 Home

6
75 Home - 100% reimbursement

6
76 Back-up in facility dialysis

6
77 Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full

6
78 New coverage not implemented by HMO

6
79 Corf services provided off-site

6
80 Pregnant schwanger
6

Comments made by the German HL7 User Group:

nicht verwendet

Used Within the following Data Elements

00536 Condition Code (35-39) / nicht verwendet (6.5.10.7)
00555 Condition Code (24-30) / nicht verwendet (6.5.11.3)

Links to Other/Further HL7 Information   generated: Aug 07, 2023 (FO)
Health Level Seven, Int. (HQ) HL7 Germany
HL7 Europe 		Frank Oemig's HL7 Site
(Infos about the database)
 HL7-Experts Network