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
Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative |
Raw XML (canonical form + also see XML Format Specification)
Definition for Code System Use
<?xml version="1.0" encoding="UTF-8"?> <CodeSystem xmlns="http://hl7.org/fhir"> <id value="claim-use"/> <meta> <lastUpdated value="2019-12-31T21:03:40.621+11:00"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <h2> Use</h2> <div> <p> The purpose of the Claim: predetermination, preauthorization, claim.</p> </div> <p> This code system http://hl7.org/fhir/claim-use 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:2.16.840.1.113883.4.642.1.545"/> </identifier> <version value="4.2.0"/> <name value="Use"/> <title value="Use"/> <status value="draft"/> <experimental value="false"/> <date value="2019-12-31T21:03:40+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."/> <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.