Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="R4-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 R4-v2-0043-for-R4B</b></p><a name="R4-v2-0043-for-R4B"> </a><a name="hcR4-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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-..."> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-01"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-02"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-03"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-04"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-05"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-06"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-07"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-08"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-09"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-10"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-11"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-12"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-12|20...|2016"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-13"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-14"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-15"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-16"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-18"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-19"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-20"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-21"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-26"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-27"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-28"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-29"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-31"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-32"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-33"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-34"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-36"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-37"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-38"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-39"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-40"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-41"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-46"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-48"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-55"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-56"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-57"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-60"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-61"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-62"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-66"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-67"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-68"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-70"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-71"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-72"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-73"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-74"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-75"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-76"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-77"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-78"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-79"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</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="R4-v2-0043-for-R4B-http://terminology.hl7.org/CodeSystem/v2-0043-80"> </a><code>http://terminology.hl7.org/CodeSystem/v2-0043</code></td><td>2.9</td><td style="white-space:nowrap"> <a href="CodeSystem-v2-0043.html#v2-0043-80">80</a></td><td>Pregnant</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="0"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r4.r4b"/>
</extension>
<extension url="version">
<valueString value="0.1.0"/>
</extension>
<extension url="uri">
<valueUri
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"/>
</extension>
</valueCode>
</extension>
<url value="http://hl7.org/fhir/uv/xver/ValueSet/R4-v2-0043-for-R4B"/>
<version value="0.1.0"/>
<name value="R4V20043ForR4B"/>
<title value="Cross-version ValueSet R4.v2.0043 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://terminology.hl7.org/ValueSet/v2-0043|2.9` 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://terminology.hl7.org/ValueSet/v2-0043|2.9` as defined in FHIR R4
in FHIR R4B.
The source value set is bound to the following FHIR R4 elements:
*
Note that all concepts are included in this cross-version definition because no concepts have compatible representations
Following are the generation technical comments:
FHIR ValueSet `http://terminology.hl7.org/ValueSet/v2-0043|2.9`, defined in FHIR R4 does not have any mapping to FHIR R4B"/>
<compose>
<include>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<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://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="..."/>
<display value="No suggested values defined"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="01"/>
<display value="Military service related"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="02"/>
<display value="Condition is employment related"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="03"/>
<display value="Patient covered by insurance not reflected here"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="04"/>
<display value="HMO enrollee"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="05"/>
<display value="Lien has been filed"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="06"/>
<display
value="ESRD patient in first 18 months of entitlement covered by employer group health insurance"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="07"/>
<display
value="Treatment of non-terminal condition for hospice patient"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="08"/>
<display
value="Beneficiary would not provide information concerning other insurance coverage"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="09"/>
<display value="Neither patient nor spouse is employed"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="10"/>
<display value="Patient and/or spouse is employed but no EGHP exists"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="11"/>
<display value="Disabled beneficiary but no LGHP"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="12"/>
<display value="Payer codes."/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="12 ... 16"/>
<display value="Payer codes."/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="13"/>
<display value="Payer codes."/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="14"/>
<display value="Payer codes."/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="15"/>
<display value="Payer codes."/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="16"/>
<display value="Payer codes."/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="18"/>
<display value="Maiden name retained"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="19"/>
<display value="Child retains mother's name"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="20"/>
<display value="Beneficiary requested billing"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="21"/>
<display value="Billing for Denial Notice"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="26"/>
<display
value="VA eligible patient chooses to receive services in a Medicare certified facility"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="27"/>
<display
value="Patient referred to a sole community hospital for a diagnostic laboratory test"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="28"/>
<display value="Patient and/or spouse's EGHP is secondary to Medicare"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="29"/>
<display
value="Disabled beneficiary and/or family member's LGHP is secondary to Medicare"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="31"/>
<display value="Patient is student (full time-day)"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="32"/>
<display value="Patient is student (cooperative/work study program)"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="33"/>
<display value="Patient is student (full time-night)"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="34"/>
<display value="Patient is student (Part time)"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="36"/>
<display value="General care patient in a special unit"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="37"/>
<display value="Ward accommodation as patient request"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="38"/>
<display value="Semi-private room not available"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="39"/>
<display value="Private room medically necessary"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="40"/>
<display value="Same day transfer"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="41"/>
<display value="Partial hospitalization"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="46"/>
<display value="Non-availability statement on file"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="48"/>
<display
value="Psychiatric residential treatment centers for children and adolescents"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="55"/>
<display value="SNF bed not available"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="56"/>
<display value="Medical appropriateness"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="57"/>
<display value="SNF readmission"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="60"/>
<display value="Day outlier"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="61"/>
<display value="Cost outlier"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="62"/>
<display value="Payer code"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="66"/>
<display value="Provider does not wish cost outlier payment"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="67"/>
<display
value="Beneficiary elects not to use life time reserve (LTR) days"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="68"/>
<display
value="Beneficiary elects to use life time reserve (LTR) days"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="70"/>
<display value="Self-administered EPO"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="71"/>
<display value="Full care in unit"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="72"/>
<display value="Self-care in unit"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="73"/>
<display value="Self-care training"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="74"/>
<display value="Home"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="75"/>
<display value="Home - 100% reimbursement"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="76"/>
<display value="Back-up in facility dialysis"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<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://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="78"/>
<display value="New coverage not implemented by HMO"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="79"/>
<display value="Corf services provided off-site"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v2-0043"/>
<version value="2.9"/>
<code value="80"/>
<display value="Pregnant"/>
</contains>
</expansion>
</ValueSet>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r4.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change