R6 Ballot (3rd Draft)

This page is part of the FHIR Specification v6.0.0-ballot3: Release 6 Ballot (3rd Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions

4.4.1.111 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-ballot3
draft as of 2025-04-01 Computable Name: ClaimTypeCodes
Flags: OID: 2.16.840.1.113883.4.642.3.558

This value set is used in the following places:

4.4.1.111.1 Definition

This value set includes Claim Type codes.

4.4.1.111.2 Content Logical Definition

Generated Narrative: ValueSet claim-type

Last updated: 2025-04-01T12:16:37.966+11:00

Profile: Shareable ValueSet

 

4.4.1.111.3 Expansion

This expansion generated 01 Apr 2025

ValueSet

Expansion performed internally based on codesystem Claim Type Codes v1.0.1 (CodeSystem) icon

This value set contains 5 concepts

CodeSystemDisplayDefinition
  institutional icon http://terminology.hl7.org/CodeSystem/claim-type Institutional

Hospital, clinic and typically inpatient claims.

  oral icon http://terminology.hl7.org/CodeSystem/claim-type Oral

Dental, Denture and Hygiene claims.

  pharmacy icon http://terminology.hl7.org/CodeSystem/claim-type Pharmacy

Pharmacy claims for goods and services.

  professional icon http://terminology.hl7.org/CodeSystem/claim-type Professional

Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.

  vision icon 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