R6 Ballot (1st Draft)

This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions

4.4.1.101 ValueSet http://hl7.org/fhir/ValueSet/claim-type

Financial Management icon

Work Group

Maturity Level: 2

Trial Use

Use Context: Country: World

Official URL: `http://hl7.org/fhir/ValueSet/claim-type`				Version: 6.0.0-ballot1
draft as of 2023-12-18				Computable Name: ClaimTypeCodes
Flags:				OID: 2.16.840.1.113883.4.642.3.558

This value set is used in the following places:

Resource: ExplanationOfBenefit.type (CodeableConcept / Extensible)
Resource: ClaimResponse.type (CodeableConcept / Extensible)
Resource: Claim.type (CodeableConcept / Extensible)

4.4.1.101.1 Definition

This value set includes Claim Type codes.

4.4.1.101.2 Content Logical Definition

Include all codes defined in http://terminology.hl7.org/CodeSystem/claim-type

4.4.1.101.3 Expansion

This expansion generated 18 Dec 2023

Expansion based on codesystem Claim Type Codes v1.0.0 (CodeSystem) icon

This value set contains 5 concepts

Code	System	Display	Definition
institutional	http://terminology.hl7.org/CodeSystem/claim-type	Institutional	Hospital, clinic and typically inpatient claims.
oral	http://terminology.hl7.org/CodeSystem/claim-type	Oral	Dental, Denture and Hygiene claims.
pharmacy	http://terminology.hl7.org/CodeSystem/claim-type	Pharmacy	Pharmacy claims for goods and services.
professional	http://terminology.hl7.org/CodeSystem/claim-type	Professional	Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
vision	http://terminology.hl7.org/CodeSystem/claim-type	Vision	Vision claims for professional services and products such as glasses and contact lenses.

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