Release 5 Preview #1

This page is part of the FHIR Specification (v4.2.0: R5 Preview #1). 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: R5 R4B R4 R3

4.3.14.242 Code System http://hl7.org/fhir/claim-use

Financial Management Work Group Maturity Level: 2Trial Use Use Context: Any

This is a code system defined by the FHIR project.

Summary

Defining URL:http://hl7.org/fhir/claim-use
Version:4.2.0
Name:Use
Title:Use
Definition:

The purpose of the Claim: predetermination, preauthorization, claim.

Committee:Financial Management Work Group
OID:2.16.840.1.113883.4.642.1.545 (for OID based terminology systems)
Source ResourceXML / JSON

This Code system is used in the following value sets:

  • ValueSet: Use (The purpose of the Claim: predetermination, preauthorization, claim.)

4.3.14.242.1 Content

4.3.14.242.2 Use

The purpose of the Claim: predetermination, preauthorization, claim.

This code system http://hl7.org/fhir/claim-use defines the following codes:

CodeDisplayDefinition
claim ClaimThe treatment is complete and this represents a Claim for the services.
preauthorization PreauthorizationThe treatment is proposed and this represents a Pre-authorization for the services.
predetermination PredeterminationThe treatment is proposed and this represents a Pre-determination for the services.

 

See the full registry of code systems defined as part of FHIR.

Explanation of the columns that may appear on this page:

LevelA few code lists that FHIR defines are hierarchical - each code is assigned a level. See Code System for further information.
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code