Extensions for Using Data Elements from FHIR STU3 in FHIR R5
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Extensions for Using Data Elements from FHIR STU3 in FHIR R5 - Downloaded Version null See the Directory of published versions

: Example Claim Type Codes - TTL Representation

Page standards status: Informative Maturity Level: 2

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "claim-type"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem claim-type</b></p><a name=\"claim-type\"> </a><a name=\"hcclaim-type\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/ex-claimtype</code> 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, Speach 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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status>     ] ;
fhir:value [
a fhir:String ;
fhir:v "Informative"     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm>     ] ;
fhir:value [
a fhir:Integer ;
fhir:v 2     ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "packageId"^^xsd:anyURI ;
fhir:l fhir:packageId       ] ;
fhir:value [
a fhir:Id ;
fhir:v "hl7.fhir.uv.xver-r3.r5"       ]     ] [
fhir:url [
fhir:v "version"^^xsd:anyURI ;
fhir:l fhir:version       ] ;
fhir:value [
a fhir:String ;
fhir:v "0.1.0"       ]     ] [
fhir:url [
fhir:v "uri"^^xsd:anyURI ;
fhir:l fhir:uri       ] ;
fhir:value [
a fhir:Uri ;
fhir:v "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r5"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r5>       ]     ] ) ;
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/package-source"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/package-source>     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "fm"     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "informative" ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>         ] ;
fhir:value [
a fhir:Canonical ;
fhir:v "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r5"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r5>         ]       ] )     ]
  ] ) ; # 
  fhir:url [
fhir:v "http://hl7.org/fhir/ex-claimtype"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ex-claimtype>
  ] ; # 
  fhir:version [ fhir:v "3.0.2"] ; # 
  fhir:name [ fhir:v "Example Claim Type Codes"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v true] ; # 
  fhir:date [ fhir:v "2026-03-20T12:39:37+11:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Financial Management"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "Financial Management" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fm" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This value set includes sample Claim Type codes."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>       ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "This is an example set."] ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:valueSet [
fhir:v "http://hl7.org/fhir/ValueSet/claim-type|5.0.0"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/ValueSet/claim-type?version=5.0.0>
  ] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "institutional" ] ;
fhir:display [ fhir:v "Institutional" ] ;
fhir:definition [ fhir:v "Hospital, clinic and typically inpatient claims." ]
  ] [
fhir:code [ fhir:v "oral" ] ;
fhir:display [ fhir:v "Oral" ] ;
fhir:definition [ fhir:v "Dental, Denture and Hygiene claims." ]
  ] [
fhir:code [ fhir:v "pharmacy" ] ;
fhir:display [ fhir:v "Pharmacy" ] ;
fhir:definition [ fhir:v "Pharmacy claims for goods and services." ]
  ] [
fhir:code [ fhir:v "professional" ] ;
fhir:display [ fhir:v "Professional" ] ;
fhir:definition [ fhir:v "Typically outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speach Pathology, rehabilitative, consulting." ]
  ] [
fhir:code [ fhir:v "vision" ] ;
fhir:display [ fhir:v "Vision" ] ;
fhir:definition [ fhir:v "Vision claims for professional services and products such as glasses and contact lenses." ]
  ] ) . #