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Packagehl7.fhir.uv.xver-r2.r4b
Resource TypeValueSet
IdValueSet-R2-v2-0153-for-R4B.json
FHIR VersionR4B
Sourcehttp://hl7.org/fhir/uv/xver-r2.r4b/0.1.0/ValueSet-R2-v2-0153-for-R4B.html
URLhttp://hl7.org/fhir/uv/xver/ValueSet/R2-v2-0153-for-R4B
Version0.1.0
Statusactive
Date2026-03-17T21:02:03.8104715+00:00
NameR2V20153ForR4B
TitleCross-version ValueSet DSTU2.v2 Value Code for use in FHIR R4B
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2` for use in FHIR R4B.
PurposeThis value set is part of the cross-version definitions generated to enable use of the value set `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2` as defined in FHIR DSTU2 in FHIR R4B. The source value set is bound to the following FHIR DSTU2 elements: * Across FHIR versions, the value set has been mapped as: * `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2` * `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2` * `http://terminology.hl7.org/ValueSet/v2-0153|2.9` Note that all concepts are included in this cross-version definition because no concepts have compatible representations Following are the generation technical comments: All concepts in the comparison are listed as identical. The source and target value sets have the same number of active concepts (64). All concepts in the comparison are listed as identical. The source and target value sets have the same number of active concepts (64). FHIR ValueSet `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2`, defined in FHIR DSTU2 does not have any mapping to FHIR R4B

Resources that use this resource

No resources found

Resources that this resource uses

CodeSystem
hl7.fhir.uv.xver-r2.r4b#0.1.00153v2-0153

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet R2-v2-0153-for-R4B

This value set expansion contains 64 concepts.

SystemVersionCodeDisplay
http://hl7.org/fhir/v2/01531.0.2  ...See NUBC codes
http://hl7.org/fhir/v2/01531.0.2  01Most common semi-private rate
http://hl7.org/fhir/v2/01531.0.2  02Hospital has no semi-private rooms
http://hl7.org/fhir/v2/01531.0.2  04Inpatient professional component charges which are combined billed
http://hl7.org/fhir/v2/01531.0.2  05Professional component included in charges and also billed separate to carrier
http://hl7.org/fhir/v2/01531.0.2  06Medicare blood deductible
http://hl7.org/fhir/v2/01531.0.2  08Medicare life time reserve amount in the first calendar year
http://hl7.org/fhir/v2/01531.0.2  09Medicare co-insurance amount in the first calendar year
http://hl7.org/fhir/v2/01531.0.2  10Lifetime reserve amount in the second calendar year
http://hl7.org/fhir/v2/01531.0.2  11Co-insurance amount in the second calendar year
http://hl7.org/fhir/v2/01531.0.2  12Working aged beneficiary/spouse with employer group health plan
http://hl7.org/fhir/v2/01531.0.2  13ESRD beneficiary in a Medicare coordination period with an employer group health plan
http://hl7.org/fhir/v2/01531.0.2  14No Fault including auto/other
http://hl7.org/fhir/v2/01531.0.2  15Worker's Compensation
http://hl7.org/fhir/v2/01531.0.2  16PHS, or other federal agency
http://hl7.org/fhir/v2/01531.0.2  17Payer code
http://hl7.org/fhir/v2/01531.0.2  21Catastrophic
http://hl7.org/fhir/v2/01531.0.2  22Surplus
http://hl7.org/fhir/v2/01531.0.2  23Recurring monthly incode
http://hl7.org/fhir/v2/01531.0.2  24Medicaid rate code
http://hl7.org/fhir/v2/01531.0.2  30Pre-admission testing
http://hl7.org/fhir/v2/01531.0.2  31Patient liability amount
http://hl7.org/fhir/v2/01531.0.2  37Pints of blood furnished
http://hl7.org/fhir/v2/01531.0.2  38Blood deductible pints
http://hl7.org/fhir/v2/01531.0.2  39Pints of blood replaced
http://hl7.org/fhir/v2/01531.0.2  40New coverage not implemented by HMO (for inpatient service only)
http://hl7.org/fhir/v2/01531.0.2  41Black lung
http://hl7.org/fhir/v2/01531.0.2  42VA
http://hl7.org/fhir/v2/01531.0.2  43Disabled beneficiary under age 64 with LGHP
http://hl7.org/fhir/v2/01531.0.2  44Amount 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
http://hl7.org/fhir/v2/01531.0.2  45Accident hour
http://hl7.org/fhir/v2/01531.0.2  46Number of grace days
http://hl7.org/fhir/v2/01531.0.2  47Any liability insurance
http://hl7.org/fhir/v2/01531.0.2  48Hemoglobin reading
http://hl7.org/fhir/v2/01531.0.2  49Hematocrit reading
http://hl7.org/fhir/v2/01531.0.2  50Physical therapy visits
http://hl7.org/fhir/v2/01531.0.2  51Occupational therapy visits
http://hl7.org/fhir/v2/01531.0.2  52Speech therapy visits
http://hl7.org/fhir/v2/01531.0.2  53Cardiac rehab visits
http://hl7.org/fhir/v2/01531.0.2  56Skilled nurse - home visit hours
http://hl7.org/fhir/v2/01531.0.2  57Home health aide - home visit hours
http://hl7.org/fhir/v2/01531.0.2  58Arterial blood gas
http://hl7.org/fhir/v2/01531.0.2  59Oxygen saturation
http://hl7.org/fhir/v2/01531.0.2  60HHA branch MSA
http://hl7.org/fhir/v2/01531.0.2  67Peritoneal dialysis
http://hl7.org/fhir/v2/01531.0.2  68EPO-drug
http://hl7.org/fhir/v2/01531.0.2  70Payer codes
http://hl7.org/fhir/v2/01531.0.2  70 ... 72Payer codes
http://hl7.org/fhir/v2/01531.0.2  71Payer codes
http://hl7.org/fhir/v2/01531.0.2  72Payer codes
http://hl7.org/fhir/v2/01531.0.2  75Payer codes
http://hl7.org/fhir/v2/01531.0.2  75 ... 79Payer codes
http://hl7.org/fhir/v2/01531.0.2  76Payer codes
http://hl7.org/fhir/v2/01531.0.2  77Payer codes
http://hl7.org/fhir/v2/01531.0.2  78Payer codes
http://hl7.org/fhir/v2/01531.0.2  79Payer codes
http://hl7.org/fhir/v2/01531.0.2  80Psychiatric visits
http://hl7.org/fhir/v2/01531.0.2  81Visits subject to co-payment
http://hl7.org/fhir/v2/01531.0.2  A1Deductible payer A
http://hl7.org/fhir/v2/01531.0.2  A2Coinsurance payer A
http://hl7.org/fhir/v2/01531.0.2  A3Estimated responsibility payer A
http://hl7.org/fhir/v2/01531.0.2  X0Service excluded on primary policy
http://hl7.org/fhir/v2/01531.0.2  X4Supplemental coverage
http://hl7.org/fhir/v2/01531.0.2  …See NUBC codes

Source1

{
  "resourceType": "ValueSet",
  "id": "R2-v2-0153-for-R4B",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r2.r4b"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ValueSet/R2-v2-0153-for-R4B",
  "version": "0.1.0",
  "name": "R2V20153ForR4B",
  "title": "Cross-version ValueSet DSTU2.v2 Value Code for use in FHIR R4B",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2` for use in FHIR R4B.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "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 R4B.\r\n\r\nThe source value set is bound to the following FHIR DSTU2 elements:\r\n* \r\n\r\nAcross FHIR versions, the value set has been mapped as:\r\n* `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2`\n* `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2`\n* `http://terminology.hl7.org/ValueSet/v2-0153|2.9`\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\nAll concepts in the comparison are listed as identical.\nThe source and target value sets have the same number of active concepts (64).\nAll concepts in the comparison are listed as identical.\nThe source and target value sets have the same number of active concepts (64).\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/v2-0153|2.8.2`, defined in FHIR DSTU2 does not have any mapping to FHIR R4B",
  "compose": {
    "include": [
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "concept": [
          {
            "code": "...",
            "display": "See NUBC codes"
          },
          {
            "code": "01",
            "display": "Most common semi-private rate"
          },
          {
            "code": "02",
            "display": "Hospital has no semi-private rooms"
          },
          {
            "code": "04",
            "display": "Inpatient professional component charges which are combined billed"
          },
          {
            "code": "05",
            "display": "Professional component included in charges and also billed separate to carrier"
          },
          {
            "code": "06",
            "display": "Medicare blood deductible"
          },
          {
            "code": "08",
            "display": "Medicare life time reserve amount in the first calendar year"
          },
          {
            "code": "09",
            "display": "Medicare co-insurance amount in the first calendar year"
          },
          {
            "code": "10",
            "display": "Lifetime reserve amount in the second calendar year"
          },
          {
            "code": "11",
            "display": "Co-insurance amount in the second calendar year"
          },
          {
            "code": "12",
            "display": "Working aged beneficiary/spouse with employer group health plan"
          },
          {
            "code": "13",
            "display": "ESRD beneficiary in a Medicare coordination period with an employer group health plan"
          },
          {
            "code": "14",
            "display": "No Fault including auto/other"
          },
          {
            "code": "15",
            "display": "Worker's Compensation"
          },
          {
            "code": "16",
            "display": "PHS, or other federal agency"
          },
          {
            "code": "17",
            "display": "Payer code"
          },
          {
            "code": "21",
            "display": "Catastrophic"
          },
          {
            "code": "22",
            "display": "Surplus"
          },
          {
            "code": "23",
            "display": "Recurring monthly incode"
          },
          {
            "code": "24",
            "display": "Medicaid rate code"
          },
          {
            "code": "30",
            "display": "Pre-admission testing"
          },
          {
            "code": "31",
            "display": "Patient liability amount"
          },
          {
            "code": "37",
            "display": "Pints of blood furnished"
          },
          {
            "code": "38",
            "display": "Blood deductible pints"
          },
          {
            "code": "39",
            "display": "Pints of blood replaced"
          },
          {
            "code": "40",
            "display": "New coverage not implemented by HMO (for inpatient service only)"
          },
          {
            "code": "41",
            "display": "Black lung"
          },
          {
            "code": "42",
            "display": "VA"
          },
          {
            "code": "43",
            "display": "Disabled beneficiary under age 64 with LGHP"
          },
          {
            "code": "44",
            "display": "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"
          },
          {
            "code": "45",
            "display": "Accident hour"
          },
          {
            "code": "46",
            "display": "Number of grace days"
          },
          {
            "code": "47",
            "display": "Any liability insurance"
          },
          {
            "code": "48",
            "display": "Hemoglobin reading"
          },
          {
            "code": "49",
            "display": "Hematocrit reading"
          },
          {
            "code": "50",
            "display": "Physical therapy visits"
          },
          {
            "code": "51",
            "display": "Occupational therapy visits"
          },
          {
            "code": "52",
            "display": "Speech therapy visits"
          },
          {
            "code": "53",
            "display": "Cardiac rehab visits"
          },
          {
            "code": "56",
            "display": "Skilled nurse - home visit hours"
          },
          {
            "code": "57",
            "display": "Home health aide - home visit hours"
          },
          {
            "code": "58",
            "display": "Arterial blood gas"
          },
          {
            "code": "59",
            "display": "Oxygen saturation"
          },
          {
            "code": "60",
            "display": "HHA branch MSA"
          },
          {
            "code": "67",
            "display": "Peritoneal dialysis"
          },
          {
            "code": "68",
            "display": "EPO-drug"
          },
          {
            "code": "70",
            "display": "Payer codes"
          },
          {
            "code": "70 ... 72",
            "display": "Payer codes"
          },
          {
            "code": "71",
            "display": "Payer codes"
          },
          {
            "code": "72",
            "display": "Payer codes"
          },
          {
            "code": "75",
            "display": "Payer codes"
          },
          {
            "code": "75 ... 79",
            "display": "Payer codes"
          },
          {
            "code": "76",
            "display": "Payer codes"
          },
          {
            "code": "77",
            "display": "Payer codes"
          },
          {
            "code": "78",
            "display": "Payer codes"
          },
          {
            "code": "79",
            "display": "Payer codes"
          },
          {
            "code": "80",
            "display": "Psychiatric visits"
          },
          {
            "code": "81",
            "display": "Visits subject to co-payment"
          },
          {
            "code": "A1",
            "display": "Deductible payer A"
          },
          {
            "code": "A2",
            "display": "Coinsurance payer A"
          },
          {
            "code": "A3",
            "display": "Estimated responsibility payer A"
          },
          {
            "code": "X0",
            "display": "Service excluded on primary policy"
          },
          {
            "code": "X4",
            "display": "Supplemental coverage"
          },
          {
            "code": "…",
            "display": "See NUBC codes"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2026-03-17T21:02:03.8104715+00:00",
    "contains": [
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "...",
        "display": "See NUBC codes"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "01",
        "display": "Most common semi-private rate"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "02",
        "display": "Hospital has no semi-private rooms"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "04",
        "display": "Inpatient professional component charges which are combined billed"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "05",
        "display": "Professional component included in charges and also billed separate to carrier"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "06",
        "display": "Medicare blood deductible"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "08",
        "display": "Medicare life time reserve amount in the first calendar year"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "09",
        "display": "Medicare co-insurance amount in the first calendar year"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "10",
        "display": "Lifetime reserve amount in the second calendar year"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "11",
        "display": "Co-insurance amount in the second calendar year"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "12",
        "display": "Working aged beneficiary/spouse with employer group health plan"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "13",
        "display": "ESRD beneficiary in a Medicare coordination period with an employer group health plan"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "14",
        "display": "No Fault including auto/other"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "15",
        "display": "Worker's Compensation"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "16",
        "display": "PHS, or other federal agency"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "17",
        "display": "Payer code"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "21",
        "display": "Catastrophic"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "22",
        "display": "Surplus"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "23",
        "display": "Recurring monthly incode"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "24",
        "display": "Medicaid rate code"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "30",
        "display": "Pre-admission testing"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "31",
        "display": "Patient liability amount"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "37",
        "display": "Pints of blood furnished"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "38",
        "display": "Blood deductible pints"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "39",
        "display": "Pints of blood replaced"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "40",
        "display": "New coverage not implemented by HMO (for inpatient service only)"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "41",
        "display": "Black lung"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "42",
        "display": "VA"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "43",
        "display": "Disabled beneficiary under age 64 with LGHP"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "44",
        "display": "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"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "45",
        "display": "Accident hour"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "46",
        "display": "Number of grace days"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "47",
        "display": "Any liability insurance"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "48",
        "display": "Hemoglobin reading"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "49",
        "display": "Hematocrit reading"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "50",
        "display": "Physical therapy visits"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "51",
        "display": "Occupational therapy visits"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "52",
        "display": "Speech therapy visits"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "53",
        "display": "Cardiac rehab visits"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "56",
        "display": "Skilled nurse - home visit hours"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "57",
        "display": "Home health aide - home visit hours"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "58",
        "display": "Arterial blood gas"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "59",
        "display": "Oxygen saturation"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "60",
        "display": "HHA branch MSA"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "67",
        "display": "Peritoneal dialysis"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "68",
        "display": "EPO-drug"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "70",
        "display": "Payer codes"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "70 ... 72",
        "display": "Payer codes"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "71",
        "display": "Payer codes"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "72",
        "display": "Payer codes"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "75",
        "display": "Payer codes"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "75 ... 79",
        "display": "Payer codes"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "76",
        "display": "Payer codes"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "77",
        "display": "Payer codes"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "78",
        "display": "Payer codes"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "79",
        "display": "Payer codes"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "80",
        "display": "Psychiatric visits"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "81",
        "display": "Visits subject to co-payment"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "A1",
        "display": "Deductible payer A"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "A2",
        "display": "Coinsurance payer A"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "A3",
        "display": "Estimated responsibility payer A"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "X0",
        "display": "Service excluded on primary policy"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "X4",
        "display": "Supplemental coverage"
      },
      {
        "system": "http://hl7.org/fhir/v2/0153",
        "version": "1.0.2",
        "code": "…",
        "display": "See NUBC codes"
      }
    ]
  }
}