This page is part of the FHIR Specification (v1.0.0: DSTU 2 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
FHIR Value set/code system definition for HL7 v2 table 0043 ( Condition Code)
<ValueSet xmlns="http://hl7.org/fhir"> <id value="v2-0043"/> <meta> <profile value="http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"/> </meta> <text> <status value="additional"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p>Condition Code</p> <table class="grid"> <tr> <td> <b>Code</b> </td> <td> <b>Description</b> </td> <td> <b>Deutsch (German)</b> </td> <td> <b>Version</b> </td> </tr> <tr> <td>... <a name=".46.46.46"> </a> </td> <td>No suggested values defined</td> <td>keine Werte vorgeschlagen</td> <td>added v2.5.1</td> </tr> <tr> <td>01 <a name="01"> </a> </td> <td>Military service related</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>02 <a name="02"> </a> </td> <td>Condition is employment related</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>03 <a name="03"> </a> </td> <td>Patient covered by insurance not reflected here</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>04 <a name="04"> </a> </td> <td>HMO enrollee</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>05 <a name="05"> </a> </td> <td>Lien has been filed</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>06 <a name="06"> </a> </td> <td>ESRD patient in first 18 months of entitlement covered by employer group health insurance</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>07 <a name="07"> </a> </td> <td>Treatment of non-terminal condition for hospice patient</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>08 <a name="08"> </a> </td> <td>Beneficiary would not provide information concerning other insurance coverage</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>09 <a name="09"> </a> </td> <td>Neither patient nor spouse is employed</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>10 <a name="10"> </a> </td> <td>Patient and/or spouse is employed but no EGHP exists</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>11 <a name="11"> </a> </td> <td>Disabled beneficiary but no LGHP</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>12 <a name="12"> </a> </td> <td>Payer codes.</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>12 ... 16 <a name="12.46.46.4616"> </a> </td> <td>Payer codes.</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>13 <a name="13"> </a> </td> <td>Payer codes.</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>14 <a name="14"> </a> </td> <td>Payer codes.</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>15 <a name="15"> </a> </td> <td>Payer codes.</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>16 <a name="16"> </a> </td> <td>Payer codes.</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>18 <a name="18"> </a> </td> <td>Maiden name retained</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>19 <a name="19"> </a> </td> <td>Child retains mother's name</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>20 <a name="20"> </a> </td> <td>Beneficiary requested billing</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>21 <a name="21"> </a> </td> <td>Billing for Denial Notice</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>26 <a name="26"> </a> </td> <td>VA eligible patient chooses to receive services in a Medicare certified facility</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>27 <a name="27"> </a> </td> <td>Patient referred to a sole community hospital for a diagnostic laboratory test</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>28 <a name="28"> </a> </td> <td>Patient and/or spouse's EGHP is secondary to Medicare</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>29 <a name="29"> </a> </td> <td>Disabled beneficiary and/or family member's LGHP is secondary to Medicare</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>31 <a name="31"> </a> </td> <td>Patient is student (full time-day)</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>32 <a name="32"> </a> </td> <td>Patient is student (cooperative/work study program)</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>33 <a name="33"> </a> </td> <td>Patient is student (full time-night)</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>34 <a name="34"> </a> </td> <td>Patient is student (Part time)</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>36 <a name="36"> </a> </td> <td>General care patient in a special unit</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>37 <a name="37"> </a> </td> <td>Ward accommodation as patient request</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>38 <a name="38"> </a> </td> <td>Semi-private room not available</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>39 <a name="39"> </a> </td> <td>Private room medically necessary</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>40 <a name="40"> </a> </td> <td>Same day transfer</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>41 <a name="41"> </a> </td> <td>Partial hospitalization</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>46 <a name="46"> </a> </td> <td>Non-availability statement on file</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>48 <a name="48"> </a> </td> <td>Psychiatric residential treatment centers for children and adolescents</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>55 <a name="55"> </a> </td> <td>SNF bed not available</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>56 <a name="56"> </a> </td> <td>Medical appropriateness</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>57 <a name="57"> </a> </td> <td>SNF readmission</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>60 <a name="60"> </a> </td> <td>Day outlier</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>61 <a name="61"> </a> </td> <td>Cost outlier</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>62 <a name="62"> </a> </td> <td>Payer code</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>66 <a name="66"> </a> </td> <td>Provider does not wish cost outlier payment</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>67 <a name="67"> </a> </td> <td>Beneficiary elects not to use life time reserve (LTR) days</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>68 <a name="68"> </a> </td> <td>Beneficiary elects to use life time reserve (LTR) days</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>70 <a name="70"> </a> </td> <td>Self-administered EPO</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>71 <a name="71"> </a> </td> <td>Full care in unit</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>72 <a name="72"> </a> </td> <td>Self-care in unit</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>73 <a name="73"> </a> </td> <td>Self-care training</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>74 <a name="74"> </a> </td> <td>Home</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>75 <a name="75"> </a> </td> <td>Home - 100% reimbursement</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>76 <a name="76"> </a> </td> <td>Back-up in facility dialysis</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>77 <a name="77"> </a> </td> <td>Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>78 <a name="78"> </a> </td> <td>New coverage not implemented by HMO</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>79 <a name="79"> </a> </td> <td>Corf services provided off-site</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> <tr> <td>80 <a name="80"> </a> </td> <td>Pregnant</td> <td/> <td>added v2.3.1, removed after v2.4</td> </tr> </table> </div> </text> <url value="http://hl7.org/fhir/ValueSet/v2-0043"/> <version value="2.7"/> <name value="v2 Condition Code"/> <status value="active"/> <experimental value="true"/> <publisher value="HL7, Inc"/> <contact> <telecom> <system value="other"/> <value value="http://hl7.org"/> </telecom> </contact> <date value="2011-01-28"/> <description value="FHIR Value set/code system definition for HL7 v2 table 0043 ( Condition Code)"/> <codeSystem> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-oid"> <valueUri value="urn:oid:2.16.840.1.133883.18.19"/> </extension> <system value="http://hl7.org/fhir/v2/0043"/> <caseSensitive value="false"/> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="..."/> <display value="No suggested values defined"/> <designation> <language value="de"/> <value value="keine Werte vorgeschlagen"/> </designation> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="01"/> <display value="Military service related"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="02"/> <display value="Condition is employment related"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="03"/> <display value="Patient covered by insurance not reflected here"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="04"/> <display value="HMO enrollee"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="05"/> <display value="Lien has been filed"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="06"/> <display value="ESRD patient in first 18 months of entitlement covered by employer group health insurance"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="07"/> <display value="Treatment of non-terminal condition for hospice patient"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="08"/> <display value="Beneficiary would not provide information concerning other insurance coverage"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="09"/> <display value="Neither patient nor spouse is employed"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="10"/> <display value="Patient and/or spouse is employed but no EGHP exists"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="11"/> <display value="Disabled beneficiary but no LGHP"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="12"/> <display value="Payer codes."/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="12 ... 16"/> <display value="Payer codes."/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="13"/> <display value="Payer codes."/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="14"/> <display value="Payer codes."/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="15"/> <display value="Payer codes."/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="16"/> <display value="Payer codes."/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="18"/> <display value="Maiden name retained"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="19"/> <display value="Child retains mother's name"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="20"/> <display value="Beneficiary requested billing"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="21"/> <display value="Billing for Denial Notice"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="26"/> <display value="VA eligible patient chooses to receive services in a Medicare certified facility"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="27"/> <display value="Patient referred to a sole community hospital for a diagnostic laboratory test"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="28"/> <display value="Patient and/or spouse's EGHP is secondary to Medicare"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="29"/> <display value="Disabled beneficiary and/or family member's LGHP is secondary to Medicare"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="31"/> <display value="Patient is student (full time-day)"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="32"/> <display value="Patient is student (cooperative/work study program)"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="33"/> <display value="Patient is student (full time-night)"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="34"/> <display value="Patient is student (Part time)"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="36"/> <display value="General care patient in a special unit"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="37"/> <display value="Ward accommodation as patient request"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="38"/> <display value="Semi-private room not available"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="39"/> <display value="Private room medically necessary"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="40"/> <display value="Same day transfer"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="41"/> <display value="Partial hospitalization"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="46"/> <display value="Non-availability statement on file"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="48"/> <display value="Psychiatric residential treatment centers for children and adolescents"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="55"/> <display value="SNF bed not available"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="56"/> <display value="Medical appropriateness"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="57"/> <display value="SNF readmission"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="60"/> <display value="Day outlier"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="61"/> <display value="Cost outlier"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="62"/> <display value="Payer code"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="66"/> <display value="Provider does not wish cost outlier payment"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="67"/> <display value="Beneficiary elects not to use life time reserve (LTR) days"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="68"/> <display value="Beneficiary elects to use life time reserve (LTR) days"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="70"/> <display value="Self-administered EPO"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="71"/> <display value="Full care in unit"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="72"/> <display value="Self-care in unit"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="73"/> <display value="Self-care training"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="74"/> <display value="Home"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="75"/> <display value="Home - 100% reimbursement"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="76"/> <display value="Back-up in facility dialysis"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="77"/> <display value="Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="78"/> <display value="New coverage not implemented by HMO"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="79"/> <display value="Corf services provided off-site"/> </concept> <concept> <extension url="http://hl7.org/fhir/StructureDefinition/valueset-deprecated"> <valueBoolean value="true"/> </extension> <code value="80"/> <display value="Pregnant"/> </concept> </codeSystem> </ValueSet>
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.