This page is part of the FHIR Specification (v4.1.0: Release 4B Ballot #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: 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 ClaimInformationCategoryCodes
<?xml version="1.0" encoding="UTF-8"?> <CodeSystem xmlns="http://hl7.org/fhir"> <id value="claim-informationcategory"/> <meta> <lastUpdated value="2021-03-11T17:06:20.662+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 http://terminology.hl7.org/CodeSystem/claiminformationcategory 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">info <a name="claim-informationcategory-info"> </a> </td> <td> Information</td> <td> Codes conveying additional situation and condition information.</td> </tr> <tr> <td style="white-space:nowrap">discharge <a name="claim-informationcategory-discharge"> </a> </td> <td> Discharge</td> <td> Discharge status and discharge to locations.</td> </tr> <tr> <td style="white-space:nowrap">onset <a name="claim-informationcategory-onset"> </a> </td> <td> Onset</td> <td> Period, start or end dates of aspects of the Condition.</td> </tr> <tr> <td style="white-space:nowrap">related <a name="claim-informationcategory-related"> </a> </td> <td> Related Services</td> <td> Nature and date of the related event e.g. Last exam, service, X-ray etc.</td> </tr> <tr> <td style="white-space:nowrap">exception <a name="claim-informationcategory-exception"> </a> </td> <td> Exception</td> <td> Insurance policy exceptions.</td> </tr> <tr> <td style="white-space:nowrap">material <a name="claim-informationcategory-material"> </a> </td> <td> Materials Forwarded</td> <td> Materials being forwarded, e.g. Models, molds, images, documents.</td> </tr> <tr> <td style="white-space:nowrap">attachment <a name="claim-informationcategory-attachment"> </a> </td> <td> Attachment</td> <td> Materials attached such as images, documents and resources.</td> </tr> <tr> <td style="white-space:nowrap">missingtooth <a name="claim-informationcategory-missingtooth"> </a> </td> <td> Missing Tooth</td> <td> Teeth which are missing for any reason, for example: prior extraction, never developed.</td> </tr> <tr> <td style="white-space:nowrap">prosthesis <a name="claim-informationcategory-prosthesis"> </a> </td> <td> Prosthesis</td> <td> The type of prosthesis and date of supply if a previously supplied prosthesis.</td> </tr> <tr> <td style="white-space:nowrap">other <a name="claim-informationcategory-other"> </a> </td> <td> Other</td> <td> Other information identified by the type.system.</td> </tr> <tr> <td style="white-space:nowrap">hospitalized <a name="claim-informationcategory-hospitalized"> </a> </td> <td> Hospitalized</td> <td> An indication that the patient was hospitalized, the period if known otherwise a Yes/No (boolean).</td> </tr> <tr> <td style="white-space:nowrap">employmentimpacted <a name="claim-informationcategory-employmentimpacted"> </a> </td> <td> EmploymentImpacted</td> <td> An indication that the patient was unable to work, the period if known otherwise a Yes/No (boolean).</td> </tr> <tr> <td style="white-space:nowrap">externalcause <a name="claim-informationcategory-externalcause"> </a> </td> <td> External Caause</td> <td> The external cause of an illness or injury.</td> </tr> <tr> <td style="white-space:nowrap">patientreasonforvisit <a name="claim-informationcategory-patientreasonforvisit"> </a> </td> <td> Patient Reason for Visit</td> <td> The reason for the patient visit.</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="fm"/> </extension> <url value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.1.1163"/> </identifier> <version value="4.1.0"/> <name value="ClaimInformationCategoryCodes"/> <title value="Claim Information Category Codes"/> <status value="draft"/> <experimental value="false"/> <description value="This value set includes sample Information Category codes."/> <copyright value="This is an example set."/> <caseSensitive value="true"/> <content value="complete"/> <concept> <code value="info"/> <display value="Information"/> <definition value="Codes conveying additional situation and condition information."/> </concept> <concept> <code value="discharge"/> <display value="Discharge"/> <definition value="Discharge status and discharge to locations."/> </concept> <concept> <code value="onset"/> <display value="Onset"/> <definition value="Period, start or end dates of aspects of the Condition."/> </concept> <concept> <code value="related"/> <display value="Related Services"/> <definition value="Nature and date of the related event e.g. Last exam, service, X-ray etc."/> </concept> <concept> <code value="exception"/> <display value="Exception"/> <definition value="Insurance policy exceptions."/> </concept> <concept> <code value="material"/> <display value="Materials Forwarded"/> <definition value="Materials being forwarded, e.g. Models, molds, images, documents."/> </concept> <concept> <code value="attachment"/> <display value="Attachment"/> <definition value="Materials attached such as images, documents and resources."/> </concept> <concept> <code value="missingtooth"/> <display value="Missing Tooth"/> <definition value="Teeth which are missing for any reason, for example: prior extraction, never developed."/> </concept> <concept> <code value="prosthesis"/> <display value="Prosthesis"/> <definition value="The type of prosthesis and date of supply if a previously supplied prosthesis."/> </concept> <concept> <code value="other"/> <display value="Other"/> <definition value="Other information identified by the type.system."/> </concept> <concept> <code value="hospitalized"/> <display value="Hospitalized"/> <definition value="An indication that the patient was hospitalized, the period if known otherwise a Yes/No (boolean)."/> </concept> <concept> <code value="employmentimpacted"/> <display value="EmploymentImpacted"/> <definition value="An indication that the patient was unable to work, the period if known otherwise a Yes/No (boolean)."/> </concept> <concept> <code value="externalcause"/> <display value="External Caause"/> <definition value="The external cause of an illness or injury."/> </concept> <concept> <code value="patientreasonforvisit"/> <display value="Patient Reason for Visit"/> <definition value="The reason for the patient visit."/> </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.