This case-sensitive code system https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-claim-exclusion
defines the following codes:
Code | Display |
Excl01 | Pre-Existing Diseases |
Excl02 | Specified disease/procedure waiting period |
Excl03 | 30-day waiting period |
Excl04 | Investigation Evaluation |
Excl05 | Rest Cure,Rehabilitation and Respite Care |
Excl06 | Obesity/Weight Control |
Excl07 | Change-of-Gender treatments |
Excl08 | Cosmetic or plastic Surgery |
Excl09 | Hazardous or Adventure sports |
Excl10 | Breach of law |
Excl11 | Excluded Providers |
Excl12 | Rehabilitation |
Excl13 | Hydrotherapy |
Excl14 | Non-prescription |
Excl15 | Refractive Error |
Excl16 | Unproven Treatments |
Excl17 | Sterility and Infertility |
Excl18 | Maternity Expenses |
"
] ; #
fhir:url [ fhir:v "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-claim-exclusion"^^xsd:anyURI] ; #
fhir:version [ fhir:v "6.0.0"] ; #
fhir:name [ fhir:v "ClaimExclusion"] ; #
fhir:title [ fhir:v "Claim Exclusion"] ; #
fhir:status [ fhir:v "draft"] ; #
fhir:experimental [ fhir:v "false"^^xsd:boolean] ; #
fhir:date [ fhir:v "2023-07-05"^^xsd:date] ; #
fhir:publisher [ fhir:v "National Resource Center for EHR Standards"] ; #
fhir:contact ( [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://nrces.in/" ]
] )
] ) ; #
fhir:description [ fhir:v "This CodeSystem comprises codes that describes excluded coverage within a health insurance product."] ; #
fhir:jurisdiction ( [
fhir:coding ( [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "IN" ]
] )
] ) ; #
fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; #
fhir:content [ fhir:v "complete"] ; #
fhir:concept ( [
fhir:code [ fhir:v "Excl01" ] ;
fhir:display [ fhir:v "Pre-Existing Diseases" ]
] [
fhir:code [ fhir:v "Excl02" ] ;
fhir:display [ fhir:v "Specified disease/procedure waiting period" ]
] [
fhir:code [ fhir:v "Excl03" ] ;
fhir:display [ fhir:v "30-day waiting period" ]
] [
fhir:code [ fhir:v "Excl04" ] ;
fhir:display [ fhir:v "Investigation Evaluation" ]
] [
fhir:code [ fhir:v "Excl05" ] ;
fhir:display [ fhir:v "Rest Cure,Rehabilitation and Respite Care" ]
] [
fhir:code [ fhir:v "Excl06" ] ;
fhir:display [ fhir:v "Obesity/Weight Control" ]
] [
fhir:code [ fhir:v "Excl07" ] ;
fhir:display [ fhir:v "Change-of-Gender treatments" ]
] [
fhir:code [ fhir:v "Excl08" ] ;
fhir:display [ fhir:v "Cosmetic or plastic Surgery" ]
] [
fhir:code [ fhir:v "Excl09" ] ;
fhir:display [ fhir:v "Hazardous or Adventure sports" ]
] [
fhir:code [ fhir:v "Excl10" ] ;
fhir:display [ fhir:v "Breach of law" ]
] [
fhir:code [ fhir:v "Excl11" ] ;
fhir:display [ fhir:v "Excluded Providers" ]
] [
fhir:code [ fhir:v "Excl12" ] ;
fhir:display [ fhir:v "Rehabilitation" ]
] [
fhir:code [ fhir:v "Excl13" ] ;
fhir:display [ fhir:v "Hydrotherapy" ]
] [
fhir:code [ fhir:v "Excl14" ] ;
fhir:display [ fhir:v "Non-prescription" ]
] [
fhir:code [ fhir:v "Excl15" ] ;
fhir:display [ fhir:v "Refractive Error" ]
] [
fhir:code [ fhir:v "Excl16" ] ;
fhir:display [ fhir:v "Unproven Treatments" ]
] [
fhir:code [ fhir:v "Excl17" ] ;
fhir:display [ fhir:v "Sterility and Infertility" ]
] [
fhir:code [ fhir:v "Excl18" ] ;
fhir:display [ fhir:v "Maternity Expenses" ]
] ) . #
# -------------------------------------------------------------------------------------