R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3

V2-0043.vs.xml

Vocabulary Work GroupMaturity Level: N/ABallot Status: Informative

Raw XML (canonical form)

FHIR Value set/code system definition for HL7 v2 table 0043 ( Condition Code)

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v2-0043"/> 
  <meta> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/> 
  </meta> 
  <language value="en"/> 
  <text> 
    <status value="additional"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> Condition Code</p> 

      <table class="grid">
        <tr> 
          <td> 
            <b> Code</b> 
          </td> 
          <td> 
            <b> Description</b> 
          </td> 
          <td> 
            <b> Comment</b> 
          </td> 
          <td> 
            <b> Version</b> 
          </td> 
        </tr> 
        <tr> 
          <td> ...
            <a name=".46.46.46"> </a> 
          </td> 
          <td> No suggested values defined</td> 
          <td/>  
          <td> added v2.5.1</td> 
        </tr> 
        <tr> 
          <td> 01
            <a name="01"> </a> 
          </td> 
          <td> Military service related</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 02
            <a name="02"> </a> 
          </td> 
          <td> Condition is employment related</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 03
            <a name="03"> </a> 
          </td> 
          <td> Patient covered by insurance not reflected here</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 04
            <a name="04"> </a> 
          </td> 
          <td> HMO enrollee</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 05
            <a name="05"> </a> 
          </td> 
          <td> Lien has been filed</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 06
            <a name="06"> </a> 
          </td> 
          <td> ESRD patient in first 18 months of entitlement covered by employer group health insurance</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 07
            <a name="07"> </a> 
          </td> 
          <td> Treatment of non-terminal condition for hospice patient</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 08
            <a name="08"> </a> 
          </td> 
          <td> Beneficiary would not provide information concerning other insurance coverage</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 09
            <a name="09"> </a> 
          </td> 
          <td> Neither patient nor spouse is employed</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 10
            <a name="10"> </a> 
          </td> 
          <td> Patient and/or spouse is employed but no EGHP exists</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 11
            <a name="11"> </a> 
          </td> 
          <td> Disabled beneficiary but no LGHP</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 12
            <a name="12"> </a> 
          </td> 
          <td> Payer codes.</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 12 ... 16
            <a name="12.46.46.4616"> </a> 
          </td> 
          <td> Payer codes.</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 13
            <a name="13"> </a> 
          </td> 
          <td> Payer codes.</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 14
            <a name="14"> </a> 
          </td> 
          <td> Payer codes.</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 15
            <a name="15"> </a> 
          </td> 
          <td> Payer codes.</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 16
            <a name="16"> </a> 
          </td> 
          <td> Payer codes.</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 18
            <a name="18"> </a> 
          </td> 
          <td> Maiden name retained</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 19
            <a name="19"> </a> 
          </td> 
          <td> Child retains mother's name</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 20
            <a name="20"> </a> 
          </td> 
          <td> Beneficiary requested billing</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 21
            <a name="21"> </a> 
          </td> 
          <td> Billing for Denial Notice</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 26
            <a name="26"> </a> 
          </td> 
          <td> VA eligible patient chooses to receive services in a Medicare certified facility</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 27
            <a name="27"> </a> 
          </td> 
          <td> Patient referred to a sole community hospital for a diagnostic laboratory test</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 28
            <a name="28"> </a> 
          </td> 
          <td> Patient and/or spouse's EGHP is secondary to Medicare</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 29
            <a name="29"> </a> 
          </td> 
          <td> Disabled beneficiary and/or family member's LGHP is secondary to Medicare</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 31
            <a name="31"> </a> 
          </td> 
          <td> Patient is student (full time-day)</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 32
            <a name="32"> </a> 
          </td> 
          <td> Patient is student (cooperative/work study program)</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 33
            <a name="33"> </a> 
          </td> 
          <td> Patient is student (full time-night)</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 34
            <a name="34"> </a> 
          </td> 
          <td> Patient is student (Part time)</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 36
            <a name="36"> </a> 
          </td> 
          <td> General care patient in a special unit</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 37
            <a name="37"> </a> 
          </td> 
          <td> Ward accommodation as patient request</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 38
            <a name="38"> </a> 
          </td> 
          <td> Semi-private room not available</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 39
            <a name="39"> </a> 
          </td> 
          <td> Private room medically necessary</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 40
            <a name="40"> </a> 
          </td> 
          <td> Same day transfer</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 41
            <a name="41"> </a> 
          </td> 
          <td> Partial hospitalization</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 46
            <a name="46"> </a> 
          </td> 
          <td> Non-availability statement on file</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 48
            <a name="48"> </a> 
          </td> 
          <td> Psychiatric residential treatment centers for children and adolescents</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 55
            <a name="55"> </a> 
          </td> 
          <td> SNF bed not available</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 56
            <a name="56"> </a> 
          </td> 
          <td> Medical appropriateness</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 57
            <a name="57"> </a> 
          </td> 
          <td> SNF readmission</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 60
            <a name="60"> </a> 
          </td> 
          <td> Day outlier</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 61
            <a name="61"> </a> 
          </td> 
          <td> Cost outlier</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 62
            <a name="62"> </a> 
          </td> 
          <td> Payer code</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 66
            <a name="66"> </a> 
          </td> 
          <td> Provider does not wish cost outlier payment</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 67
            <a name="67"> </a> 
          </td> 
          <td> Beneficiary elects not to use life time reserve (LTR) days</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 68
            <a name="68"> </a> 
          </td> 
          <td> Beneficiary elects to use life time reserve (LTR) days</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 70
            <a name="70"> </a> 
          </td> 
          <td> Self-administered EPO</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 71
            <a name="71"> </a> 
          </td> 
          <td> Full care in unit</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 72
            <a name="72"> </a> 
          </td> 
          <td> Self-care in unit</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 73
            <a name="73"> </a> 
          </td> 
          <td> Self-care training</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 74
            <a name="74"> </a> 
          </td> 
          <td> Home</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 75
            <a name="75"> </a> 
          </td> 
          <td> Home - 100% reimbursement</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 76
            <a name="76"> </a> 
          </td> 
          <td> Back-up in facility dialysis</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 77
            <a name="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> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 78
            <a name="78"> </a> 
          </td> 
          <td> New coverage not implemented by HMO</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 79
            <a name="79"> </a> 
          </td> 
          <td> Corf services provided off-site</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
        <tr> 
          <td> 80
            <a name="80"> </a> 
          </td> 
          <td> Pregnant</td> 
          <td> deprecated</td> 
          <td> added v2.3.1, removed after v2.4</td> 
        </tr> 
      </table> 

    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status">
    <valueString value="External"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/> 
  </extension> 
  <url value="http://hl7.org/fhir/ValueSet/v2-0043"/> 
  <version value="2.9"/> 
  <name value="v2 Condition Code"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <publisher value="HL7, Inc"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="FHIR Value set/code system definition for HL7 v2 table 0043 ( Condition Code)"/> 
  <immutable value="true"/> 
  <compose> 
    <include> 
      <system value="http://hl7.org/fhir/v2/0043"/> 
    </include> 
  </compose> 
</ValueSet>

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.