Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: R5 Ballot - see ballot notes). 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: R5 R4B R4 R3

4.4.1.14 ValueSet http://hl7.org/fhir/ValueSet/claim-use

Financial Management icon

Work Group

Maturity Level: 2

Trial Use

Use Context: Any

This is a value set defined by the FHIR project.

Summary

Defining URL: http://hl7.org/fhir/ValueSet/claim-use

Version: 5.0.0-ballot

Name: Use

Title: Use

Status: draft

Definition:

The purpose of the Claim: predetermination, preauthorization, claim.

Committee: Financial Management Work Group

OID: 2.16.840.1.113883.4.642.3.544 (for OID based terminology systems)

Flags: Immutable

This value set is used in the following places:

CodeSystem: This value set is the designated 'entire code system' value set for Use
Resource: ExplanationOfBenefit.use (code / Required)
Resource: ClaimResponse.use (code / Required)
Resource: Claim.use (code / Required)

4.4.1.14.1 Content Logical Definition

Include all codes defined in http://hl7.org/fhir/claim-use

4.4.1.14.2 Expansion

This expansion generated 10 Sep 2022

This value set contains 3 concepts

Expansion based on Use v5.0.0-ballot (CodeSystem)

Code	System	Display	Definition
claim	http://hl7.org/fhir/claim-use	Claim	The treatment is complete and this represents a Claim for the services.
preauthorization	http://hl7.org/fhir/claim-use	Preauthorization	The treatment is proposed and this represents a Pre-authorization for the services.
predetermination	http://hl7.org/fhir/claim-use	Predetermination	The treatment is proposed and this represents a Pre-determination for the services.

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

Lvl

A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information

Source

The source of the definition of the code (when the value set draws in codes defined elsewhere)

Code

The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')

Display

The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application

Definition

An explanation of the meaning of the concept

Comments

Additional notes about how to use the code