Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Example CodeSystem/claim-use (XML)

Financial Management Work GroupMaturity Level: N/AStandards Status: Informative

Raw XML (canonical form + also see XML Format Specification)

Definition for Code SystemUse

<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="claim-use"/> 
  <meta> 
    <lastUpdated value="2023-03-26T15:21:02.749+11:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> This code system 
        <code> http://hl7.org/fhir/claim-use</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">claim
            <a name="claim-use-claim"> </a> 
          </td> 
          <td> Claim</td> 
          <td> The treatment is complete and this represents a Claim for the services.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">preauthorization
            <a name="claim-use-preauthorization"> </a> 
          </td> 
          <td> Preauthorization</td> 
          <td> The treatment is proposed and this represents a Pre-authorization for the services.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">predetermination
            <a name="claim-use-predetermination"> </a> 
          </td> 
          <td> Predetermination</td> 
          <td> The treatment is proposed and this represents a Pre-determination for the services.</td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/> 
  </extension> 
  <url value="http://hl7.org/fhir/claim-use"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.4.545"/> 
  </identifier> 
  <identifier> 
    <use value="old"/> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.1.537"/> 
  </identifier> 
  <version value="5.0.0"/> 
  <name value="Use"/> 
  <title value="Use"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <date value="2021-01-05T10:01:24+11:00"/> 
  <publisher value="HL7 (FHIR Project)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
    <telecom> 
      <system value="email"/> 
      <value value="fhir@lists.hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="The purpose of the Claim: predetermination, preauthorization, claim."/> 
  <jurisdiction> 
    <coding> 
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> 
      <code value="001"/> 
      <display value="World"/> 
    </coding> 
  </jurisdiction> 
  <caseSensitive value="true"/> 
  <valueSet value="http://hl7.org/fhir/ValueSet/claim-use"/> 
  <content value="complete"/> 
  <concept> 
    <code value="claim"/> 
    <display value="Claim"/> 
    <definition value="The treatment is complete and this represents a Claim for the services."/> 
  </concept> 
  <concept> 
    <code value="preauthorization"/> 
    <display value="Preauthorization"/> 
    <definition value="The treatment is proposed and this represents a Pre-authorization for the services."/> 
  </concept> 
  <concept> 
    <code value="predetermination"/> 
    <display value="Predetermination"/> 
    <definition value="The treatment is proposed and this represents a Pre-determination for the services."/> 
  </concept> 
</CodeSystem> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.