FHIR Cross-Version Extensions package for FHIR R4 from FHIR R4B - Version 0.0.1-snapshot-2. See the Directory of published versions

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• XML
• JSON
• TTL

: Claim Type Codes - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "claim-type",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <p>This code system http://terminology.hl7.org/CodeSystem/claim-type defines the following codes:</p>\n            <table class=\"codes\">\n              <tr>\n                <td style=\"white-space:nowrap\">\n                  <b>Code</b>\n                </td>\n                <td>\n                  <b>Display</b>\n                </td>\n                <td>\n                  <b>Definition</b>\n                </td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">institutional\n                  <a name=\"claim-type-institutional\"> </a>\n                </td>\n                <td>Institutional</td>\n                <td>Hospital, clinic and typically inpatient claims.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">oral\n                  <a name=\"claim-type-oral\"> </a>\n                </td>\n                <td>Oral</td>\n                <td>Dental, Denture and Hygiene claims.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">pharmacy\n                  <a name=\"claim-type-pharmacy\"> </a>\n                </td>\n                <td>Pharmacy</td>\n                <td>Pharmacy claims for goods and services.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">professional\n                  <a name=\"claim-type-professional\"> </a>\n                </td>\n                <td>Professional</td>\n                <td>Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">vision\n                  <a name=\"claim-type-vision\"> </a>\n                </td>\n                <td>Vision</td>\n                <td>Vision claims for professional services and products such as glasses and contact lenses.</td>\n              </tr>\n            </table>\n          </div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "packageId",
          "valueId" : "hl7.fhir.uv.xver-r4b.r4"
        },
        {
          "url" : "version",
          "valueString" : "0.0.1-snapshot-2"
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    }
  ],
  "url" : "http://terminology.hl7.org/CodeSystem/claim-type",
  "version" : "4.3.0",
  "name" : "ClaimTypeCodes",
  "title" : "Claim Type Codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2025-09-13T16:38:45-04:00",
  "publisher" : "Financial Management",
  "contact" : [
    {
      "name" : "Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "This value set includes Claim Type codes.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "copyright" : "HL7 Inc.",
  "caseSensitive" : true,
  "content" : "complete",
  "concept" : [
    {
      "code" : "institutional",
      "display" : "Institutional",
      "definition" : "Hospital, clinic and typically inpatient claims."
    },
    {
      "code" : "oral",
      "display" : "Oral",
      "definition" : "Dental, Denture and Hygiene claims."
    },
    {
      "code" : "pharmacy",
      "display" : "Pharmacy",
      "definition" : "Pharmacy claims for goods and services."
    },
    {
      "code" : "professional",
      "display" : "Professional",
      "definition" : "Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting."
    },
    {
      "code" : "vision",
      "display" : "Vision",
      "definition" : "Vision claims for professional services and products such as glasses and contact lenses."
    }
  ]
}