Extensions for Using Data Elements from FHIR DSTU2 in FHIR R4B - Downloaded Version null See the Directory of published versions
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<ValueSet xmlns="http://hl7.org/fhir">
<id value="R2-v2-0043-for-R4B"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R2-v2-0043-for-R4B</b></p><a name="R2-v2-0043-for-R4B"> </a><a name="hcR2-v2-0043-for-R4B"> </a><p>This value set expansion contains 58 concepts.</p><table class="codes"><tr><td><b>System</b></td><td><b>Version</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-..."> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-.46.46.46">...</a></td><td>No suggested values defined</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-01"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-01">01</a></td><td>Military service related</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-02"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-02">02</a></td><td>Condition is employment related</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-03"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-03">03</a></td><td>Patient covered by insurance not reflected here</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-04"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-04">04</a></td><td>HMO enrollee</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-05"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-05">05</a></td><td>Lien has been filed</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-06"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-06">06</a></td><td>ESRD patient in first 18 months of entitlement covered by employer group health insurance</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-07"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-07">07</a></td><td>Treatment of non-terminal condition for hospice patient</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-08"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-08">08</a></td><td>Beneficiary would not provide information concerning other insurance coverage</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-09"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-09">09</a></td><td>Neither patient nor spouse is employed</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-10"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-10">10</a></td><td>Patient and/or spouse is employed but no EGHP exists</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-11"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-11">11</a></td><td>Disabled beneficiary but no LGHP</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-12"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-12">12</a></td><td>Payer codes.</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-12|20...|2016"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-12.46.46.4616">12 ... 16</a></td><td>Payer codes.</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-13"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-13">13</a></td><td>Payer codes.</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-14"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-14">14</a></td><td>Payer codes.</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-15"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-15">15</a></td><td>Payer codes.</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-16"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-16">16</a></td><td>Payer codes.</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-18"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-18">18</a></td><td>Maiden name retained</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-19"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-19">19</a></td><td>Child retains mother's name</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-20"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-20">20</a></td><td>Beneficiary requested billing</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-21"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-21">21</a></td><td>Billing for Denial Notice</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-26"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-26">26</a></td><td>VA eligible patient chooses to receive services in a Medicare certified facility</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-27"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-27">27</a></td><td>Patient referred to a sole community hospital for a diagnostic laboratory test</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-28"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-28">28</a></td><td>Patient and/or spouse's EGHP is secondary to Medicare</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-29"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-29">29</a></td><td>Disabled beneficiary and/or family member's LGHP is secondary to Medicare</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-31"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-31">31</a></td><td>Patient is student (full time-day)</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-32"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-32">32</a></td><td>Patient is student (cooperative/work study program)</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-33"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-33">33</a></td><td>Patient is student (full time-night)</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-34"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-34">34</a></td><td>Patient is student (Part time)</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-36"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-36">36</a></td><td>General care patient in a special unit</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-37"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-37">37</a></td><td>Ward accommodation as patient request</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-38"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-38">38</a></td><td>Semi-private room not available</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-39"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-39">39</a></td><td>Private room medically necessary</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-40"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-40">40</a></td><td>Same day transfer</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-41"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-41">41</a></td><td>Partial hospitalization</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-46"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-46">46</a></td><td>Non-availability statement on file</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-48"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-48">48</a></td><td>Psychiatric residential treatment centers for children and adolescents</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-55"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-55">55</a></td><td>SNF bed not available</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-56"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-56">56</a></td><td>Medical appropriateness</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-57"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-57">57</a></td><td>SNF readmission</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-60"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-60">60</a></td><td>Day outlier</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-61"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-61">61</a></td><td>Cost outlier</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-62"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-62">62</a></td><td>Payer code</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-66"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-66">66</a></td><td>Provider does not wish cost outlier payment</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-67"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-67">67</a></td><td>Beneficiary elects not to use life time reserve (LTR) days</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-68"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-68">68</a></td><td>Beneficiary elects to use life time reserve (LTR) days</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-70"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-70">70</a></td><td>Self-administered EPO</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-71"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-71">71</a></td><td>Full care in unit</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-72"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-72">72</a></td><td>Self-care in unit</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-73"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-73">73</a></td><td>Self-care training</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-74"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-74">74</a></td><td>Home</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-75"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-75">75</a></td><td>Home - 100% reimbursement</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-76"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-76">76</a></td><td>Back-up in facility dialysis</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-77"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-77">77</a></td><td>Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-78"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-78">78</a></td><td>New coverage not implemented by HMO</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-79"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-79">79</a></td><td>Corf services provided off-site</td></tr><tr><td><a name="R2-v2-0043-for-R4B-http://hl7.org/fhir/v2/0043-80"> </a><code>http://hl7.org/fhir/v2/0043</code></td><td>1.0.2</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-80">80</a></td><td>Pregnant</td></tr></table></div>
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<extension url="uri">
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</extension>
</valueCode>
</extension>
<url value="http://hl7.org/fhir/uv/xver/ValueSet/R2-v2-0043-for-R4B"/>
<version value="0.1.0"/>
<name value="R2V20043ForR4B"/>
<title
value="Cross-version ValueSet DSTU2.v2 Condition Code for use in FHIR R4B"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T21:02:03.8104715+00:00"/>
<publisher value="FHIR Infrastructure"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/v2-0043|2.8.2` for use in FHIR R4B."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<purpose
value="This value set is part of the cross-version definitions generated to enable use of the
value set `http://hl7.org/fhir/ValueSet/v2-0043|2.8.2` as defined in FHIR DSTU2
in FHIR R4B.
The source value set is bound to the following FHIR DSTU2 elements:
*
Across FHIR versions, the value set has been mapped as:
* `http://hl7.org/fhir/ValueSet/v2-0043|2.8.2`
* `http://hl7.org/fhir/ValueSet/v2-0043|2.8.2`
* `http://terminology.hl7.org/ValueSet/v2-0043|2.9`
Note that all concepts are included in this cross-version definition because no concepts have compatible representations
Following are the generation technical comments:
All concepts in the comparison are listed as identical.
The source and target value sets have the same number of active concepts (58).
All concepts in the comparison are listed as identical.
The source and target value sets have the same number of active concepts (58).
FHIR ValueSet `http://hl7.org/fhir/ValueSet/v2-0043|2.8.2`, defined in FHIR DSTU2 does not have any mapping to FHIR R4B"/>
<compose>
<include>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<concept>
<code value="..."/>
<display value="No suggested values defined"/>
</concept>
<concept>
<code value="01"/>
<display value="Military service related"/>
</concept>
<concept>
<code value="02"/>
<display value="Condition is employment related"/>
</concept>
<concept>
<code value="03"/>
<display value="Patient covered by insurance not reflected here"/>
</concept>
<concept>
<code value="04"/>
<display value="HMO enrollee"/>
</concept>
<concept>
<code value="05"/>
<display value="Lien has been filed"/>
</concept>
<concept>
<code value="06"/>
<display
value="ESRD patient in first 18 months of entitlement covered by employer group health insurance"/>
</concept>
<concept>
<code value="07"/>
<display
value="Treatment of non-terminal condition for hospice patient"/>
</concept>
<concept>
<code value="08"/>
<display
value="Beneficiary would not provide information concerning other insurance coverage"/>
</concept>
<concept>
<code value="09"/>
<display value="Neither patient nor spouse is employed"/>
</concept>
<concept>
<code value="10"/>
<display
value="Patient and/or spouse is employed but no EGHP exists"/>
</concept>
<concept>
<code value="11"/>
<display value="Disabled beneficiary but no LGHP"/>
</concept>
<concept>
<code value="12"/>
<display value="Payer codes."/>
</concept>
<concept>
<code value="12 ... 16"/>
<display value="Payer codes."/>
</concept>
<concept>
<code value="13"/>
<display value="Payer codes."/>
</concept>
<concept>
<code value="14"/>
<display value="Payer codes."/>
</concept>
<concept>
<code value="15"/>
<display value="Payer codes."/>
</concept>
<concept>
<code value="16"/>
<display value="Payer codes."/>
</concept>
<concept>
<code value="18"/>
<display value="Maiden name retained"/>
</concept>
<concept>
<code value="19"/>
<display value="Child retains mother's name"/>
</concept>
<concept>
<code value="20"/>
<display value="Beneficiary requested billing"/>
</concept>
<concept>
<code value="21"/>
<display value="Billing for Denial Notice"/>
</concept>
<concept>
<code value="26"/>
<display
value="VA eligible patient chooses to receive services in a Medicare certified facility"/>
</concept>
<concept>
<code value="27"/>
<display
value="Patient referred to a sole community hospital for a diagnostic laboratory test"/>
</concept>
<concept>
<code value="28"/>
<display
value="Patient and/or spouse's EGHP is secondary to Medicare"/>
</concept>
<concept>
<code value="29"/>
<display
value="Disabled beneficiary and/or family member's LGHP is secondary to Medicare"/>
</concept>
<concept>
<code value="31"/>
<display value="Patient is student (full time-day)"/>
</concept>
<concept>
<code value="32"/>
<display value="Patient is student (cooperative/work study program)"/>
</concept>
<concept>
<code value="33"/>
<display value="Patient is student (full time-night)"/>
</concept>
<concept>
<code value="34"/>
<display value="Patient is student (Part time)"/>
</concept>
<concept>
<code value="36"/>
<display value="General care patient in a special unit"/>
</concept>
<concept>
<code value="37"/>
<display value="Ward accommodation as patient request"/>
</concept>
<concept>
<code value="38"/>
<display value="Semi-private room not available"/>
</concept>
<concept>
<code value="39"/>
<display value="Private room medically necessary"/>
</concept>
<concept>
<code value="40"/>
<display value="Same day transfer"/>
</concept>
<concept>
<code value="41"/>
<display value="Partial hospitalization"/>
</concept>
<concept>
<code value="46"/>
<display value="Non-availability statement on file"/>
</concept>
<concept>
<code value="48"/>
<display
value="Psychiatric residential treatment centers for children and adolescents"/>
</concept>
<concept>
<code value="55"/>
<display value="SNF bed not available"/>
</concept>
<concept>
<code value="56"/>
<display value="Medical appropriateness"/>
</concept>
<concept>
<code value="57"/>
<display value="SNF readmission"/>
</concept>
<concept>
<code value="60"/>
<display value="Day outlier"/>
</concept>
<concept>
<code value="61"/>
<display value="Cost outlier"/>
</concept>
<concept>
<code value="62"/>
<display value="Payer code"/>
</concept>
<concept>
<code value="66"/>
<display value="Provider does not wish cost outlier payment"/>
</concept>
<concept>
<code value="67"/>
<display
value="Beneficiary elects not to use life time reserve (LTR) days"/>
</concept>
<concept>
<code value="68"/>
<display
value="Beneficiary elects to use life time reserve (LTR) days"/>
</concept>
<concept>
<code value="70"/>
<display value="Self-administered EPO"/>
</concept>
<concept>
<code value="71"/>
<display value="Full care in unit"/>
</concept>
<concept>
<code value="72"/>
<display value="Self-care in unit"/>
</concept>
<concept>
<code value="73"/>
<display value="Self-care training"/>
</concept>
<concept>
<code value="74"/>
<display value="Home"/>
</concept>
<concept>
<code value="75"/>
<display value="Home - 100% reimbursement"/>
</concept>
<concept>
<code value="76"/>
<display value="Back-up in facility dialysis"/>
</concept>
<concept>
<code value="77"/>
<display
value="Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full"/>
</concept>
<concept>
<code value="78"/>
<display value="New coverage not implemented by HMO"/>
</concept>
<concept>
<code value="79"/>
<display value="Corf services provided off-site"/>
</concept>
<concept>
<code value="80"/>
<display value="Pregnant"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="..."/>
<display value="No suggested values defined"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="01"/>
<display value="Military service related"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="02"/>
<display value="Condition is employment related"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="03"/>
<display value="Patient covered by insurance not reflected here"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="04"/>
<display value="HMO enrollee"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="05"/>
<display value="Lien has been filed"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="06"/>
<display
value="ESRD patient in first 18 months of entitlement covered by employer group health insurance"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="07"/>
<display
value="Treatment of non-terminal condition for hospice patient"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="08"/>
<display
value="Beneficiary would not provide information concerning other insurance coverage"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="09"/>
<display value="Neither patient nor spouse is employed"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="10"/>
<display value="Patient and/or spouse is employed but no EGHP exists"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="11"/>
<display value="Disabled beneficiary but no LGHP"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="12"/>
<display value="Payer codes."/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="12 ... 16"/>
<display value="Payer codes."/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="13"/>
<display value="Payer codes."/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="14"/>
<display value="Payer codes."/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="15"/>
<display value="Payer codes."/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="16"/>
<display value="Payer codes."/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="18"/>
<display value="Maiden name retained"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="19"/>
<display value="Child retains mother's name"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="20"/>
<display value="Beneficiary requested billing"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="21"/>
<display value="Billing for Denial Notice"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="26"/>
<display
value="VA eligible patient chooses to receive services in a Medicare certified facility"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="27"/>
<display
value="Patient referred to a sole community hospital for a diagnostic laboratory test"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="28"/>
<display value="Patient and/or spouse's EGHP is secondary to Medicare"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="29"/>
<display
value="Disabled beneficiary and/or family member's LGHP is secondary to Medicare"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="31"/>
<display value="Patient is student (full time-day)"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="32"/>
<display value="Patient is student (cooperative/work study program)"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="33"/>
<display value="Patient is student (full time-night)"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="34"/>
<display value="Patient is student (Part time)"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="36"/>
<display value="General care patient in a special unit"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="37"/>
<display value="Ward accommodation as patient request"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="38"/>
<display value="Semi-private room not available"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="39"/>
<display value="Private room medically necessary"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="40"/>
<display value="Same day transfer"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="41"/>
<display value="Partial hospitalization"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="46"/>
<display value="Non-availability statement on file"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="48"/>
<display
value="Psychiatric residential treatment centers for children and adolescents"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="55"/>
<display value="SNF bed not available"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="56"/>
<display value="Medical appropriateness"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="57"/>
<display value="SNF readmission"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="60"/>
<display value="Day outlier"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="61"/>
<display value="Cost outlier"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="62"/>
<display value="Payer code"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="66"/>
<display value="Provider does not wish cost outlier payment"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="67"/>
<display
value="Beneficiary elects not to use life time reserve (LTR) days"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="68"/>
<display
value="Beneficiary elects to use life time reserve (LTR) days"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="70"/>
<display value="Self-administered EPO"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="71"/>
<display value="Full care in unit"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="72"/>
<display value="Self-care in unit"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="73"/>
<display value="Self-care training"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="74"/>
<display value="Home"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="75"/>
<display value="Home - 100% reimbursement"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="76"/>
<display value="Back-up in facility dialysis"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="77"/>
<display
value="Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="78"/>
<display value="New coverage not implemented by HMO"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="79"/>
<display value="Corf services provided off-site"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v2/0043"/>
<version value="1.0.2"/>
<code value="80"/>
<display value="Pregnant"/>
</contains>
</expansion>
</ValueSet>