R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3

Codesystem-claim-type.json

Financial Management Work GroupMaturity Level: N/ABallot Status: Informative

Raw JSON (canonical form)

Definition for Code System Claim Type Codes

{
  "resourceType": "CodeSystem",
  "id": "claim-type",
  "meta": {
    "lastUpdated": "2018-04-03T12:05:46.262+10:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
      "valueString": "Trial Use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    }
  ],
  "url": "http://hl7.org/fhir/claim-type",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.4.642.1.1011"
  },
  "version": "3.3.0",
  "name": "Claim Type Codes",
  "status": "draft",
  "experimental": true,
  "publisher": "Financial Management",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "description": "This value set includes Claim Type codes.",
  "copyright": "HL7 Inc.",
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/claim-type",
  "content": "complete",
  "concept": [
    {
      "code": "institutional",
      "display": "Institutional",
      "definition": "Hospital, clinic and typically inpatient claims."
    },
    {
      "code": "oral",
      "display": "Oral",
      "definition": "Dental, Denture and Hygiene claims."
    },
    {
      "code": "pharmacy",
      "display": "Pharmacy",
      "definition": "Pharmacy claims for goods and services."
    },
    {
      "code": "professional",
      "display": "Professional",
      "definition": "Typically outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting."
    },
    {
      "code": "vision",
      "display": "Vision",
      "definition": "Vision claims for professional services and products such as glasses and contact lenses."
    }
  ]
}

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.