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Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative |
Raw XML (canonical form + also see XML Format Specification)
Definition for Code SystemUse
<?xml version="1.0" encoding="UTF-8"?> <CodeSystem xmlns="http://hl7.org/fhir"> <id value="claim-use"/> <meta> <lastUpdated value="2024-08-12T16:52:12.437+08:00"/> <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p class="res-header-id"> <b> Generated Narrative: CodeSystem claim-use</b> </p> <a name="claim-use"> </a> <a name="hcclaim-use"> </a> <a name="claim-use-en-AU"> </a> <p> This case-sensitive code system <code> http://hl7.org/fhir/claim-use</code> defines the following codes: </p> <table class="codes"> <tr> <td style="white-space:nowrap"> <b> Code</b> </td> <td> <b> Display</b> </td> <td> <b> Definition</b> </td> </tr> <tr> <td style="white-space:nowrap">claim <a name="claim-use-claim"> </a> </td> <td> Claim</td> <td> The treatment is complete and this represents a Claim for the services.</td> </tr> <tr> <td style="white-space:nowrap">preauthorization <a name="claim-use-preauthorization"> </a> </td> <td> Preauthorization</td> <td> The treatment is proposed and this represents a Pre-authorization for the services.</td> </tr> <tr> <td style="white-space:nowrap">predetermination <a name="claim-use-predetermination"> </a> </td> <td> Predetermination</td> <td> The treatment is proposed and this represents a Pre-determination for the services.</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="fm"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"> <valueInteger value="2"/> </extension> <url value="http://hl7.org/fhir/claim-use"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.4.545"/> </identifier> <identifier> <use value="old"/> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.1.537"/> </identifier> <version value="6.0.0-ballot2"/> <name value="Use"/> <title value="Use"/> <status value="active"/> <experimental value="false"/> <date value="2021-01-05T10:01:24+11:00"/> <publisher value="HL7 (FHIR Project)"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org/fhir"/> </telecom> <telecom> <system value="email"/> <value value="fhir@lists.hl7.org"/> </telecom> </contact> <description value="The purpose of the Claim: predetermination, preauthorization, claim."/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <caseSensitive value="true"/> <valueSet value="http://hl7.org/fhir/ValueSet/claim-use"/> <content value="complete"/> <concept> <code value="claim"/> <display value="Claim"/> <definition value="The treatment is complete and this represents a Claim for the services."/> </concept> <concept> <code value="preauthorization"/> <display value="Preauthorization"/> <definition value="The treatment is proposed and this represents a Pre-authorization for the services."/> </concept> <concept> <code value="predetermination"/> <display value="Predetermination"/> <definition value="The treatment is proposed and this represents a Pre-determination for the services."/> </concept> </CodeSystem>
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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Mon, Aug 12, 2024 16:56+0800.
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