This page is part of the FHIR Specification (v4.3.0: R4B - STU). 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: R4B R4 R3
Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative |
Raw XML (canonical form + also see XML Format Specification)
Definition for Code SystemClaimTypeCodes
<?xml version="1.0" encoding="UTF-8"?> <CodeSystem xmlns="http://hl7.org/fhir"> <id value="claim-type"/> <meta> <lastUpdated value="2022-05-28T12:47:40.239+10:00"/> <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p> This code system http://terminology.hl7.org/CodeSystem/claim-type 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">institutional <a name="claim-type-institutional"> </a> </td> <td> Institutional</td> <td> Hospital, clinic and typically inpatient claims.</td> </tr> <tr> <td style="white-space:nowrap">oral <a name="claim-type-oral"> </a> </td> <td> Oral</td> <td> Dental, Denture and Hygiene claims.</td> </tr> <tr> <td style="white-space:nowrap">pharmacy <a name="claim-type-pharmacy"> </a> </td> <td> Pharmacy</td> <td> Pharmacy claims for goods and services.</td> </tr> <tr> <td style="white-space:nowrap">professional <a name="claim-type-professional"> </a> </td> <td> Professional</td> <td> Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.</td> </tr> <tr> <td style="white-space:nowrap">vision <a name="claim-type-vision"> </a> </td> <td> Vision</td> <td> Vision claims for professional services and products such as glasses and contact lenses.</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="fm"/> </extension> <url value="http://terminology.hl7.org/CodeSystem/claim-type"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.1.1156"/> </identifier> <version value="4.3.0"/> <name value="ClaimTypeCodes"/> <title value="Claim Type Codes"/> <status value="draft"/> <experimental value="false"/> <description value="This value set includes Claim Type codes."/> <copyright value="HL7 Inc."/> <caseSensitive value="true"/> <content value="complete"/> <concept> <code value="institutional"/> <display value="Institutional"/> <definition value="Hospital, clinic and typically inpatient claims."/> </concept> <concept> <code value="oral"/> <display value="Oral"/> <definition value="Dental, Denture and Hygiene claims."/> </concept> <concept> <code value="pharmacy"/> <display value="Pharmacy"/> <definition value="Pharmacy claims for goods and services."/> </concept> <concept> <code value="professional"/> <display value="Professional"/> <definition value="Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting."/> </concept> <concept> <code value="vision"/> <display value="Vision"/> <definition value="Vision claims for professional services and products such as glasses and contact lenses."/> </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.