Extensions for Using Data Elements from FHIR DSTU2 in FHIR R4B
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Extensions for Using Data Elements from FHIR DSTU2 in FHIR R4B - Downloaded Version null See the Directory of published versions

: v2-0350 - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "v2-0350",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem v2-0350</b></p><a name=\"v2-0350\"> </a><a name=\"hcv2-0350\"> </a><p><b>Properties</b></p><p><b>This code system defines the following properties for its concepts</b></p><table class=\"grid\"><tr><td><b>Name</b></td><td><b>Code</b></td><td><b>URI</b></td><td><b>Type</b></td></tr><tr><td>status</td><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>code</td></tr><tr><td>Inactive</td><td>inactive</td><td>http://hl7.org/fhir/concept-properties#inactive</td><td>boolean</td></tr><tr><td>effectiveDate</td><td>effectiveDate</td><td>http://hl7.org/fhir/concept-properties#effectiveDate</td><td>dateTime</td></tr><tr><td>deprecationDate</td><td>deprecationDate</td><td>http://hl7.org/fhir/concept-properties#deprecationDate</td><td>dateTime</td></tr><tr><td>retirementDate</td><td>retirementDate</td><td>http://hl7.org/fhir/concept-properties#retirementDate</td><td>dateTime</td></tr><tr><td>Not Selectable</td><td>notSelectable</td><td>http://hl7.org/fhir/concept-properties#notSelectable</td><td>boolean</td></tr><tr><td>Parent</td><td>parent</td><td>http://hl7.org/fhir/concept-properties#parent</td><td>code</td></tr><tr><td>Child</td><td>child</td><td>http://hl7.org/fhir/concept-properties#child</td><td>code</td></tr><tr><td>partOf</td><td>partOf</td><td>http://hl7.org/fhir/concept-properties#partOf</td><td>code</td></tr><tr><td>synonym</td><td>synonym</td><td>http://hl7.org/fhir/concept-properties#synonym</td><td>code</td></tr><tr><td>comment</td><td>comment</td><td>http://hl7.org/fhir/concept-properties#comment</td><td>string</td></tr><tr><td>itemWeight</td><td>itemWeight</td><td>http://hl7.org/fhir/concept-properties#itemWeight</td><td>decimal</td></tr></table><p><b>Concepts</b></p><p>This case-insensitive code system <code>http://hl7.org/fhir/v2/0350</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">...<a name=\"v2-0350-.46.46.46\"> </a></td><td>Use NUBC codes</td></tr><tr><td style=\"white-space:nowrap\">01<a name=\"v2-0350-01\"> </a></td><td>Auto accident</td></tr><tr><td style=\"white-space:nowrap\">02<a name=\"v2-0350-02\"> </a></td><td>No fault insurance involved-including auto accident/other</td></tr><tr><td style=\"white-space:nowrap\">03<a name=\"v2-0350-03\"> </a></td><td>Accident/tort liability</td></tr><tr><td style=\"white-space:nowrap\">04<a name=\"v2-0350-04\"> </a></td><td>Accident/employment related</td></tr><tr><td style=\"white-space:nowrap\">05<a name=\"v2-0350-05\"> </a></td><td>Other accident</td></tr><tr><td style=\"white-space:nowrap\">06<a name=\"v2-0350-06\"> </a></td><td>Crime victim</td></tr><tr><td style=\"white-space:nowrap\">09<a name=\"v2-0350-09\"> </a></td><td>Start of infertility treatment cycle</td></tr><tr><td style=\"white-space:nowrap\">10<a name=\"v2-0350-10\"> </a></td><td>Last menstrual period</td></tr><tr><td style=\"white-space:nowrap\">11<a name=\"v2-0350-11\"> </a></td><td>Onset of symptoms/illness</td></tr><tr><td style=\"white-space:nowrap\">12<a name=\"v2-0350-12\"> </a></td><td>Date of onset for a chronically dependent individual</td></tr><tr><td style=\"white-space:nowrap\">17<a name=\"v2-0350-17\"> </a></td><td>Date outpatient occupational therapy plan established or last reviewed</td></tr><tr><td style=\"white-space:nowrap\">18<a name=\"v2-0350-18\"> </a></td><td>Date of retirement patient/beneficiary</td></tr><tr><td style=\"white-space:nowrap\">19<a name=\"v2-0350-19\"> </a></td><td>Date of retirement spouse</td></tr><tr><td style=\"white-space:nowrap\">20<a name=\"v2-0350-20\"> </a></td><td>Guarantee of payment began</td></tr><tr><td style=\"white-space:nowrap\">21<a name=\"v2-0350-21\"> </a></td><td>UR notice received</td></tr><tr><td style=\"white-space:nowrap\">22<a name=\"v2-0350-22\"> </a></td><td>Date active care ended</td></tr><tr><td style=\"white-space:nowrap\">24<a name=\"v2-0350-24\"> </a></td><td>Date insurance denied</td></tr><tr><td style=\"white-space:nowrap\">25<a name=\"v2-0350-25\"> </a></td><td>Date benefits terminated by primary payor</td></tr><tr><td style=\"white-space:nowrap\">26<a name=\"v2-0350-26\"> </a></td><td>Date SNF bed available</td></tr><tr><td style=\"white-space:nowrap\">27<a name=\"v2-0350-27\"> </a></td><td>Date home health plan established</td></tr><tr><td style=\"white-space:nowrap\">28<a name=\"v2-0350-28\"> </a></td><td>Spouse's date of birth</td></tr><tr><td style=\"white-space:nowrap\">29<a name=\"v2-0350-29\"> </a></td><td>Date outpatient physical therapy plan established or last reviewed</td></tr><tr><td style=\"white-space:nowrap\">30<a name=\"v2-0350-30\"> </a></td><td>Date outpatient speech pathology plan established or last reviewed</td></tr><tr><td style=\"white-space:nowrap\">31<a name=\"v2-0350-31\"> </a></td><td>Date beneficiary notified of intent to bill (accommodations)</td></tr><tr><td style=\"white-space:nowrap\">32<a name=\"v2-0350-32\"> </a></td><td>Date beneficiary notified of intent to bill (procedures or treatments)</td></tr><tr><td style=\"white-space:nowrap\">33<a name=\"v2-0350-33\"> </a></td><td>First day of the Medicare coordination period for ESRD beneficiaries covered by EGHP</td></tr><tr><td style=\"white-space:nowrap\">34<a name=\"v2-0350-34\"> </a></td><td>Date of election of extended care facilities</td></tr><tr><td style=\"white-space:nowrap\">35<a name=\"v2-0350-35\"> </a></td><td>Date treatment started for P.T.</td></tr><tr><td style=\"white-space:nowrap\">36<a name=\"v2-0350-36\"> </a></td><td>Date of inpatient hospital discharge for covered transplant patients</td></tr><tr><td style=\"white-space:nowrap\">37<a name=\"v2-0350-37\"> </a></td><td>Date of inpatient hospital discharge for non-covered transplant patient</td></tr><tr><td style=\"white-space:nowrap\">40<a name=\"v2-0350-40\"> </a></td><td>Scheduled date of admission</td></tr><tr><td style=\"white-space:nowrap\">41<a name=\"v2-0350-41\"> </a></td><td>Date of first test for pre-admission testing</td></tr><tr><td style=\"white-space:nowrap\">42<a name=\"v2-0350-42\"> </a></td><td>Date of discharge</td></tr><tr><td style=\"white-space:nowrap\">43<a name=\"v2-0350-43\"> </a></td><td>Scheduled date of canceled surgery</td></tr><tr><td style=\"white-space:nowrap\">44<a name=\"v2-0350-44\"> </a></td><td>Date treatment started for O.T.</td></tr><tr><td style=\"white-space:nowrap\">45<a name=\"v2-0350-45\"> </a></td><td>Date treatment started for S.T.</td></tr><tr><td style=\"white-space:nowrap\">46<a name=\"v2-0350-46\"> </a></td><td>Date treatment started for cardiac rehab.</td></tr><tr><td style=\"white-space:nowrap\">47<a name=\"v2-0350-47\"> </a></td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\">47 ... 49<a name=\"v2-0350-47.46.46.4649\"> </a></td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\">48<a name=\"v2-0350-48\"> </a></td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\">49<a name=\"v2-0350-49\"> </a></td><td>Payer codes</td></tr><tr><td style=\"white-space:nowrap\">50<a name=\"v2-0350-50\"> </a></td><td>Date lien released</td></tr><tr><td style=\"white-space:nowrap\">51<a name=\"v2-0350-51\"> </a></td><td>Date treatment started for psychiatric care</td></tr><tr><td style=\"white-space:nowrap\">70<a name=\"v2-0350-70\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">70 ... 99<a name=\"v2-0350-70.46.46.4699\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">71<a name=\"v2-0350-71\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">72<a name=\"v2-0350-72\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">73<a name=\"v2-0350-73\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">74<a name=\"v2-0350-74\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">75<a name=\"v2-0350-75\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">76<a name=\"v2-0350-76\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">77<a name=\"v2-0350-77\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">78<a name=\"v2-0350-78\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">79<a name=\"v2-0350-79\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">80<a name=\"v2-0350-80\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">81<a name=\"v2-0350-81\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">82<a name=\"v2-0350-82\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">83<a name=\"v2-0350-83\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">84<a name=\"v2-0350-84\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">85<a name=\"v2-0350-85\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">86<a name=\"v2-0350-86\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">87<a name=\"v2-0350-87\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">88<a name=\"v2-0350-88\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">89<a name=\"v2-0350-89\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">90<a name=\"v2-0350-90\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">91<a name=\"v2-0350-91\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">92<a name=\"v2-0350-92\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">93<a name=\"v2-0350-93\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">94<a name=\"v2-0350-94\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">95<a name=\"v2-0350-95\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">96<a name=\"v2-0350-96\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">97<a name=\"v2-0350-97\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">98<a name=\"v2-0350-98\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">99<a name=\"v2-0350-99\"> </a></td><td>Occurrence span codes and dates</td></tr><tr><td style=\"white-space:nowrap\">A1<a name=\"v2-0350-A1\"> </a></td><td>Birthdate - insured A</td></tr><tr><td style=\"white-space:nowrap\">A2<a name=\"v2-0350-A2\"> </a></td><td>Effective date - insured A policy</td></tr><tr><td style=\"white-space:nowrap\">A3<a name=\"v2-0350-A3\"> </a></td><td>Benefits exhausted payer A</td></tr><tr><td style=\"white-space:nowrap\">…<a name=\"v2-0350-.8230\"> </a></td><td>Use NUBC codes</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/valueset-oid",
      "valueUri" : "urn:oid:2.16.840.1.133883.18.211"
    },
    {
      "extension" : [
        {
          "url" : "packageId",
          "valueId" : "hl7.fhir.uv.xver-r2.r4b"
        },
        {
          "url" : "version",
          "valueString" : "0.1.0"
        },
        {
          "url" : "uri",
          "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fhir"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 0,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/v2/0350",
  "version" : "1.0.2",
  "name" : "v2-0350",
  "status" : "draft",
  "date" : "2026-03-20T11:13:27+11:00",
  "publisher" : "FHIR Infrastructure",
  "contact" : [
    {
      "name" : "FHIR Infrastructure",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "caseSensitive" : false,
  "content" : "complete",
  "property" : [
    {
      "code" : "status",
      "uri" : "http://hl7.org/fhir/concept-properties#status",
      "type" : "code"
    },
    {
      "code" : "inactive",
      "uri" : "http://hl7.org/fhir/concept-properties#inactive",
      "type" : "boolean"
    },
    {
      "code" : "effectiveDate",
      "uri" : "http://hl7.org/fhir/concept-properties#effectiveDate",
      "type" : "dateTime"
    },
    {
      "code" : "deprecationDate",
      "uri" : "http://hl7.org/fhir/concept-properties#deprecationDate",
      "type" : "dateTime"
    },
    {
      "code" : "retirementDate",
      "uri" : "http://hl7.org/fhir/concept-properties#retirementDate",
      "type" : "dateTime"
    },
    {
      "code" : "notSelectable",
      "uri" : "http://hl7.org/fhir/concept-properties#notSelectable",
      "type" : "boolean"
    },
    {
      "code" : "parent",
      "uri" : "http://hl7.org/fhir/concept-properties#parent",
      "type" : "code"
    },
    {
      "code" : "child",
      "uri" : "http://hl7.org/fhir/concept-properties#child",
      "type" : "code"
    },
    {
      "code" : "partOf",
      "uri" : "http://hl7.org/fhir/concept-properties#partOf",
      "type" : "code"
    },
    {
      "code" : "synonym",
      "uri" : "http://hl7.org/fhir/concept-properties#synonym",
      "type" : "code"
    },
    {
      "code" : "comment",
      "uri" : "http://hl7.org/fhir/concept-properties#comment",
      "type" : "string"
    },
    {
      "code" : "itemWeight",
      "uri" : "http://hl7.org/fhir/concept-properties#itemWeight",
      "type" : "decimal"
    }
  ],
  "concept" : [
    {
      "code" : "...",
      "display" : "Use NUBC codes"
    },
    {
      "code" : "01",
      "display" : "Auto accident"
    },
    {
      "code" : "02",
      "display" : "No fault insurance involved-including auto accident/other"
    },
    {
      "code" : "03",
      "display" : "Accident/tort liability"
    },
    {
      "code" : "04",
      "display" : "Accident/employment related"
    },
    {
      "code" : "05",
      "display" : "Other accident"
    },
    {
      "code" : "06",
      "display" : "Crime victim"
    },
    {
      "code" : "09",
      "display" : "Start of infertility treatment cycle"
    },
    {
      "code" : "10",
      "display" : "Last menstrual period"
    },
    {
      "code" : "11",
      "display" : "Onset of symptoms/illness"
    },
    {
      "code" : "12",
      "display" : "Date of onset for a chronically dependent individual"
    },
    {
      "code" : "17",
      "display" : "Date outpatient occupational therapy plan established or last reviewed"
    },
    {
      "code" : "18",
      "display" : "Date of retirement patient/beneficiary"
    },
    {
      "code" : "19",
      "display" : "Date of retirement spouse"
    },
    {
      "code" : "20",
      "display" : "Guarantee of payment began"
    },
    {
      "code" : "21",
      "display" : "UR notice received"
    },
    {
      "code" : "22",
      "display" : "Date active care ended"
    },
    {
      "code" : "24",
      "display" : "Date insurance denied"
    },
    {
      "code" : "25",
      "display" : "Date benefits terminated by primary payor"
    },
    {
      "code" : "26",
      "display" : "Date SNF bed available"
    },
    {
      "code" : "27",
      "display" : "Date home health plan established"
    },
    {
      "code" : "28",
      "display" : "Spouse's date of birth"
    },
    {
      "code" : "29",
      "display" : "Date outpatient physical therapy plan established or last reviewed"
    },
    {
      "code" : "30",
      "display" : "Date outpatient speech pathology plan established or last reviewed"
    },
    {
      "code" : "31",
      "display" : "Date beneficiary notified of intent to bill (accommodations)"
    },
    {
      "code" : "32",
      "display" : "Date beneficiary notified of intent to bill (procedures or treatments)"
    },
    {
      "code" : "33",
      "display" : "First day of the Medicare coordination period for ESRD beneficiaries covered by EGHP"
    },
    {
      "code" : "34",
      "display" : "Date of election of extended care facilities"
    },
    {
      "code" : "35",
      "display" : "Date treatment started for P.T."
    },
    {
      "code" : "36",
      "display" : "Date of inpatient hospital discharge for covered transplant patients"
    },
    {
      "code" : "37",
      "display" : "Date of inpatient hospital discharge for non-covered transplant patient"
    },
    {
      "code" : "40",
      "display" : "Scheduled date of admission"
    },
    {
      "code" : "41",
      "display" : "Date of first test for pre-admission testing"
    },
    {
      "code" : "42",
      "display" : "Date of discharge"
    },
    {
      "code" : "43",
      "display" : "Scheduled date of canceled surgery"
    },
    {
      "code" : "44",
      "display" : "Date treatment started for O.T."
    },
    {
      "code" : "45",
      "display" : "Date treatment started for S.T."
    },
    {
      "code" : "46",
      "display" : "Date treatment started for cardiac rehab."
    },
    {
      "code" : "47",
      "display" : "Payer codes"
    },
    {
      "code" : "47 ... 49",
      "display" : "Payer codes"
    },
    {
      "code" : "48",
      "display" : "Payer codes"
    },
    {
      "code" : "49",
      "display" : "Payer codes"
    },
    {
      "code" : "50",
      "display" : "Date lien released"
    },
    {
      "code" : "51",
      "display" : "Date treatment started for psychiatric care"
    },
    {
      "code" : "70",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "70 ... 99",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "71",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "72",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "73",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "74",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "75",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "76",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "77",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "78",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "79",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "80",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "81",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "82",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "83",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "84",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "85",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "86",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "87",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "88",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "89",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "90",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "91",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "92",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "93",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "94",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "95",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "96",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "97",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "98",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "99",
      "display" : "Occurrence span codes and dates"
    },
    {
      "code" : "A1",
      "display" : "Birthdate - insured A"
    },
    {
      "code" : "A2",
      "display" : "Effective date - insured A policy"
    },
    {
      "code" : "A3",
      "display" : "Benefits exhausted payer A"
    },
    {
      "code" : "…",
      "display" : "Use NUBC codes"
    }
  ]
}