Release 4B Ballot #1

This page is part of the FHIR Specification v4.1.0: R4B Ballot. About the R4B version of FHIR. 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

4.4.1.357 Value Set http://hl7.org/fhir/ValueSet/claim-subtype

Financial Management

Work Group

Maturity Level: 1

Draft

Use Context: Any

This is a value set defined by the FHIR project.

Summary

Defining URL:

http://hl7.org/fhir/ValueSet/claim-subtype

Version:

4.1.0

Name:

ExampleClaimSubTypeCodes

Title:

Example Claim SubType Codes

Definition:

This value set includes sample Claim SubType codes which are used to distinguish the claim types for example within type institutional there may be subtypes for emergency services, bed stay and transportation.

Committee:

Financial Management

Work Group

OID:

2.16.840.1.113883.4.642.3.566 (for OID based terminology systems)

Copyright:

This is an example set.

Source Resource

XML / JSON

This value set is used in the following places:

Resource: ExplanationOfBenefit.subType (CodeableConcept / Example)
Resource: ClaimResponse.subType (CodeableConcept / Example)
Resource: Claim.subType (CodeableConcept / Example)

4.4.1.357.1 Content Logical Definition

Include all codes defined in http://terminology.hl7.org/CodeSystem/ex-claimsubtype

4.4.1.357.2 Expansion

This expansion generated 11 Mar 2021

This value set contains 2 concepts

Expansion based on Example Claim SubType Codes v4.1.0 (CodeSystem)

All codes from system http://terminology.hl7.org/CodeSystem/ex-claimsubtype

Code	Display	Definition
ortho	Orthodontic Claim	A claim for Orthodontic Services.
emergency	Emergency Claim	A claim for emergency services.

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

Lvl

A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information

Source

The source of the definition of the code (when the value set draws in codes defined elsewhere)

Code

The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')

Display

The 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

Definition

An explanation of the meaning of the concept

Comments

Additional notes about how to use the code