Release 4

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). 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

4.4.1.24 Value Set http://hl7.org/fhir/ValueSet/claim-use

Financial Management Work Group Maturity Level: 2Trial 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:4.0.1
Name:Use
Title:Use
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)
Source ResourceXML / JSON

This value set is used in the following places:

4.4.1.24.1 Content Logical Definition

This value set includes codes from the following code systems:

 

4.4.1.24.2 Expansion

This expansion generated 01 Nov 2019

This value set contains 3 concepts

Expansion based on http://hl7.org/fhir/claim-use version 4.0.1

All codes from system http://hl7.org/fhir/claim-use

CodeDisplayDefinition
claimClaimThe treatment is complete and this represents a Claim for the services.
preauthorizationPreauthorizationThe treatment is proposed and this represents a Pre-authorization for the services.
predeterminationPredeterminationThe 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:

LvlA 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
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe 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
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code