{ "resourceType" : "ValueSet", "id" : "R4-v2-0043-for-R4B", "text" : { "status" : "generated", "div" : "

Generated Narrative: ValueSet R4-v2-0043-for-R4B

This value set expansion contains 58 concepts.

CodeSystemDisplay
\u00a0\u00a0...http://terminology.hl7.org/CodeSystem/v2-0043No suggested values defined
\u00a0\u00a001http://terminology.hl7.org/CodeSystem/v2-0043Military service related
\u00a0\u00a002http://terminology.hl7.org/CodeSystem/v2-0043Condition is employment related
\u00a0\u00a003http://terminology.hl7.org/CodeSystem/v2-0043Patient covered by insurance not reflected here
\u00a0\u00a004http://terminology.hl7.org/CodeSystem/v2-0043HMO enrollee
\u00a0\u00a005http://terminology.hl7.org/CodeSystem/v2-0043Lien has been filed
\u00a0\u00a006http://terminology.hl7.org/CodeSystem/v2-0043ESRD patient in first 18 months of entitlement covered by employer group health insurance
\u00a0\u00a007http://terminology.hl7.org/CodeSystem/v2-0043Treatment of non-terminal condition for hospice patient
\u00a0\u00a008http://terminology.hl7.org/CodeSystem/v2-0043Beneficiary would not provide information concerning other insurance coverage
\u00a0\u00a009http://terminology.hl7.org/CodeSystem/v2-0043Neither patient nor spouse is employed
\u00a0\u00a010http://terminology.hl7.org/CodeSystem/v2-0043Patient and/or spouse is employed but no EGHP exists
\u00a0\u00a011http://terminology.hl7.org/CodeSystem/v2-0043Disabled beneficiary but no LGHP
\u00a0\u00a012http://terminology.hl7.org/CodeSystem/v2-0043Payer codes.
\u00a0\u00a012 ... 16http://terminology.hl7.org/CodeSystem/v2-0043Payer codes.
\u00a0\u00a013http://terminology.hl7.org/CodeSystem/v2-0043Payer codes.
\u00a0\u00a014http://terminology.hl7.org/CodeSystem/v2-0043Payer codes.
\u00a0\u00a015http://terminology.hl7.org/CodeSystem/v2-0043Payer codes.
\u00a0\u00a016http://terminology.hl7.org/CodeSystem/v2-0043Payer codes.
\u00a0\u00a018http://terminology.hl7.org/CodeSystem/v2-0043Maiden name retained
\u00a0\u00a019http://terminology.hl7.org/CodeSystem/v2-0043Child retains mother's name
\u00a0\u00a020http://terminology.hl7.org/CodeSystem/v2-0043Beneficiary requested billing
\u00a0\u00a021http://terminology.hl7.org/CodeSystem/v2-0043Billing for Denial Notice
\u00a0\u00a026http://terminology.hl7.org/CodeSystem/v2-0043VA eligible patient chooses to receive services in a Medicare certified facility
\u00a0\u00a027http://terminology.hl7.org/CodeSystem/v2-0043Patient referred to a sole community hospital for a diagnostic laboratory test
\u00a0\u00a028http://terminology.hl7.org/CodeSystem/v2-0043Patient and/or spouse's EGHP is secondary to Medicare
\u00a0\u00a029http://terminology.hl7.org/CodeSystem/v2-0043Disabled beneficiary and/or family member's LGHP is secondary to Medicare
\u00a0\u00a031http://terminology.hl7.org/CodeSystem/v2-0043Patient is student (full time-day)
\u00a0\u00a032http://terminology.hl7.org/CodeSystem/v2-0043Patient is student (cooperative/work study program)
\u00a0\u00a033http://terminology.hl7.org/CodeSystem/v2-0043Patient is student (full time-night)
\u00a0\u00a034http://terminology.hl7.org/CodeSystem/v2-0043Patient is student (Part time)
\u00a0\u00a036http://terminology.hl7.org/CodeSystem/v2-0043General care patient in a special unit
\u00a0\u00a037http://terminology.hl7.org/CodeSystem/v2-0043Ward accommodation as patient request
\u00a0\u00a038http://terminology.hl7.org/CodeSystem/v2-0043Semi-private room not available
\u00a0\u00a039http://terminology.hl7.org/CodeSystem/v2-0043Private room medically necessary
\u00a0\u00a040http://terminology.hl7.org/CodeSystem/v2-0043Same day transfer
\u00a0\u00a041http://terminology.hl7.org/CodeSystem/v2-0043Partial hospitalization
\u00a0\u00a046http://terminology.hl7.org/CodeSystem/v2-0043Non-availability statement on file
\u00a0\u00a048http://terminology.hl7.org/CodeSystem/v2-0043Psychiatric residential treatment centers for children and adolescents
\u00a0\u00a055http://terminology.hl7.org/CodeSystem/v2-0043SNF bed not available
\u00a0\u00a056http://terminology.hl7.org/CodeSystem/v2-0043Medical appropriateness
\u00a0\u00a057http://terminology.hl7.org/CodeSystem/v2-0043SNF readmission
\u00a0\u00a060http://terminology.hl7.org/CodeSystem/v2-0043Day outlier
\u00a0\u00a061http://terminology.hl7.org/CodeSystem/v2-0043Cost outlier
\u00a0\u00a062http://terminology.hl7.org/CodeSystem/v2-0043Payer code
\u00a0\u00a066http://terminology.hl7.org/CodeSystem/v2-0043Provider does not wish cost outlier payment
\u00a0\u00a067http://terminology.hl7.org/CodeSystem/v2-0043Beneficiary elects not to use life time reserve (LTR) days
\u00a0\u00a068http://terminology.hl7.org/CodeSystem/v2-0043Beneficiary elects to use life time reserve (LTR) days
\u00a0\u00a070http://terminology.hl7.org/CodeSystem/v2-0043Self-administered EPO
\u00a0\u00a071http://terminology.hl7.org/CodeSystem/v2-0043Full care in unit
\u00a0\u00a072http://terminology.hl7.org/CodeSystem/v2-0043Self-care in unit
\u00a0\u00a073http://terminology.hl7.org/CodeSystem/v2-0043Self-care training
\u00a0\u00a074http://terminology.hl7.org/CodeSystem/v2-0043Home
\u00a0\u00a075http://terminology.hl7.org/CodeSystem/v2-0043Home - 100% reimbursement
\u00a0\u00a076http://terminology.hl7.org/CodeSystem/v2-0043Back-up in facility dialysis
\u00a0\u00a077http://terminology.hl7.org/CodeSystem/v2-0043Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full
\u00a0\u00a078http://terminology.hl7.org/CodeSystem/v2-0043New coverage not implemented by HMO
\u00a0\u00a079http://terminology.hl7.org/CodeSystem/v2-0043Corf services provided off-site
\u00a0\u00a080http://terminology.hl7.org/CodeSystem/v2-0043Pregnant
" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger" : 0 }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "fhir" }, { "extension" : [{ "url" : "packageId", "valueId" : "hl7.fhir.uv.xver-r4.r4b" }, { "url" : "version", "valueString" : "0.0.1-snapshot-2" }], "url" : "http://hl7.org/fhir/StructureDefinition/package-source" }, { "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/4.0/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b" }] } }], "url" : "http://hl7.org/fhir/4.0/ValueSet/R4-v2-0043-for-R4B", "version" : "0.0.1-snapshot-2", "name" : "R4_v2_0043_for_R4B", "title" : "Cross-version VS for R4.v2.0043 for use in FHIR R4B", "status" : "active", "experimental" : false, "date" : "2025-09-01T22:36:18.120931+10:00", "publisher" : "FHIR Infrastructure", "contact" : [{ "name" : "FHIR Infrastructure", "telecom" : [{ "system" : "url", "value" : "http://www.hl7.org/Special/committees/fiwg" }] }], "description" : "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v2-0043|2.9 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R4 to R4B.", "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001", "display" : "World" }] }], "compose" : { "include" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "concept" : [{ "code" : "...", "display" : "No suggested values defined" }, { "code" : "01", "display" : "Military service related" }, { "code" : "02", "display" : "Condition is employment related" }, { "code" : "03", "display" : "Patient covered by insurance not reflected here" }, { "code" : "04", "display" : "HMO enrollee" }, { "code" : "05", "display" : "Lien has been filed" }, { "code" : "06", "display" : "ESRD patient in first 18 months of entitlement covered by employer group health insurance" }, { "code" : "07", "display" : "Treatment of non-terminal condition for hospice patient" }, { "code" : "08", "display" : "Beneficiary would not provide information concerning other insurance coverage" }, { "code" : "09", "display" : "Neither patient nor spouse is employed" }, { "code" : "10", "display" : "Patient and/or spouse is employed but no EGHP exists" }, { "code" : "11", "display" : "Disabled beneficiary but no LGHP" }, { "code" : "12", "display" : "Payer codes." }, { "code" : "12 ... 16", "display" : "Payer codes." }, { "code" : "13", "display" : "Payer codes." }, { "code" : "14", "display" : "Payer codes." }, { "code" : "15", "display" : "Payer codes." }, { "code" : "16", "display" : "Payer codes." }, { "code" : "18", "display" : "Maiden name retained" }, { "code" : "19", "display" : "Child retains mother's name" }, { "code" : "20", "display" : "Beneficiary requested billing" }, { "code" : "21", "display" : "Billing for Denial Notice" }, { "code" : "26", "display" : "VA eligible patient chooses to receive services in a Medicare certified facility" }, { "code" : "27", "display" : "Patient referred to a sole community hospital for a diagnostic laboratory test" }, { "code" : "28", "display" : "Patient and/or spouse's EGHP is secondary to Medicare" }, { "code" : "29", "display" : "Disabled beneficiary and/or family member's LGHP is secondary to Medicare" }, { "code" : "31", "display" : "Patient is student (full time-day)" }, { "code" : "32", "display" : "Patient is student (cooperative/work study program)" }, { "code" : "33", "display" : "Patient is student (full time-night)" }, { "code" : "34", "display" : "Patient is student (Part time)" }, { "code" : "36", "display" : "General care patient in a special unit" }, { "code" : "37", "display" : "Ward accommodation as patient request" }, { "code" : "38", "display" : "Semi-private room not available" }, { "code" : "39", "display" : "Private room medically necessary" }, { "code" : "40", "display" : "Same day transfer" }, { "code" : "41", "display" : "Partial hospitalization" }, { "code" : "46", "display" : "Non-availability statement on file" }, { "code" : "48", "display" : "Psychiatric residential treatment centers for children and adolescents" }, { "code" : "55", "display" : "SNF bed not available" }, { "code" : "56", "display" : "Medical appropriateness" }, { "code" : "57", "display" : "SNF readmission" }, { "code" : "60", "display" : "Day outlier" }, { "code" : "61", "display" : "Cost outlier" }, { "code" : "62", "display" : "Payer code" }, { "code" : "66", "display" : "Provider does not wish cost outlier payment" }, { "code" : "67", "display" : "Beneficiary elects not to use life time reserve (LTR) days" }, { "code" : "68", "display" : "Beneficiary elects to use life time reserve (LTR) days" }, { "code" : "70", "display" : "Self-administered EPO" }, { "code" : "71", "display" : "Full care in unit" }, { "code" : "72", "display" : "Self-care in unit" }, { "code" : "73", "display" : "Self-care training" }, { "code" : "74", "display" : "Home" }, { "code" : "75", "display" : "Home - 100% reimbursement" }, { "code" : "76", "display" : "Back-up in facility dialysis" }, { "code" : "77", "display" : "Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full" }, { "code" : "78", "display" : "New coverage not implemented by HMO" }, { "code" : "79", "display" : "Corf services provided off-site" }, { "code" : "80", "display" : "Pregnant" }] }] }, "expansion" : { "timestamp" : "2025-09-01T22:36:18.120934+10:00", "contains" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "...", "display" : "No suggested values defined" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "01", "display" : "Military service related" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "02", "display" : "Condition is employment related" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "03", "display" : "Patient covered by insurance not reflected here" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "04", "display" : "HMO enrollee" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "05", "display" : "Lien has been filed" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "06", "display" : "ESRD patient in first 18 months of entitlement covered by employer group health insurance" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "07", "display" : "Treatment of non-terminal condition for hospice patient" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "08", "display" : "Beneficiary would not provide information concerning other insurance coverage" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "09", "display" : 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"system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "16", "display" : "Payer codes." }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "18", "display" : "Maiden name retained" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "19", "display" : "Child retains mother's name" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "20", "display" : "Beneficiary requested billing" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "21", "display" : "Billing for Denial Notice" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "26", "display" : "VA eligible patient chooses to receive services in a Medicare certified facility" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "27", "display" : "Patient referred to a sole community hospital for a diagnostic laboratory test" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "28", "display" : "Patient and/or spouse's EGHP is secondary to Medicare" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "29", "display" : "Disabled beneficiary and/or family member's LGHP is secondary to Medicare" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "31", "display" : "Patient is student (full time-day)" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "32", "display" : "Patient is student (cooperative/work study program)" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "33", "display" : "Patient is student (full time-night)" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "34", "display" : "Patient is student (Part time)" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "36", "display" : "General care patient in a special unit" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "37", "display" : "Ward accommodation as patient request" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "38", "display" : "Semi-private room not available" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "39", "display" : "Private room medically necessary" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "40", "display" : "Same day transfer" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "41", "display" : "Partial hospitalization" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "46", "display" : "Non-availability statement on file" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "48", "display" : "Psychiatric residential treatment centers for children and adolescents" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "55", "display" : "SNF bed not available" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "56", "display" : "Medical appropriateness" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "57", "display" : "SNF readmission" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "60", "display" : "Day outlier" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "61", "display" : "Cost outlier" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "62", "display" : "Payer code" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "66", "display" : "Provider does not wish cost outlier payment" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "67", "display" : "Beneficiary elects not to use life time reserve (LTR) days" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "68", "display" : "Beneficiary elects to use life time reserve (LTR) days" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "70", "display" : "Self-administered EPO" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "71", "display" : "Full care in unit" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "72", "display" : "Self-care in unit" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "73", "display" : "Self-care training" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "74", "display" : "Home" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "75", "display" : "Home - 100% reimbursement" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "76", "display" : "Back-up in facility dialysis" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "77", "display" : "Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "78", "display" : "New coverage not implemented by HMO" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "79", "display" : "Corf services provided off-site" }, { "system" : "http://terminology.hl7.org/CodeSystem/v2-0043", "version" : "2.9", "code" : "80", "display" : "Pregnant" }] } }