HL7 Terminology (THO)
3.1.0 - Publication International flag

This page is part of the HL7 Terminology (v3.1.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

: Claim Type Codes - TTL Representation

Page standards status: Trial-use Maturity Level: 2

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "claim-type"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2020-04-09T15:10:28.568-06:00"^^xsd:dateTime ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/StructureDefinition/shareablecodesystem";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/StructureDefinition/shareablecodesystem>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://terminology.hl7.org/CodeSystem/claim-type 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\">institutional<a name=\"claim-type-institutional\"> </a></td><td>Institutional</td><td>Hospital, clinic and typically inpatient claims.</td></tr><tr><td style=\"white-space:nowrap\">oral<a name=\"claim-type-oral\"> </a></td><td>Oral</td><td>Dental, Denture and Hygiene claims.</td></tr><tr><td style=\"white-space:nowrap\">pharmacy<a name=\"claim-type-pharmacy\"> </a></td><td>Pharmacy</td><td>Pharmacy claims for goods and services.</td></tr><tr><td style=\"white-space:nowrap\">professional<a name=\"claim-type-professional\"> </a></td><td>Professional</td><td>Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.</td></tr><tr><td style=\"white-space:nowrap\">vision<a name=\"claim-type-vision\"> </a></td><td>Vision</td><td>Vision claims for professional services and products such as glasses and contact lenses.</td></tr></table></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ];
     fhir:Extension.valueCode [ fhir:value "fm" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ];
     fhir:Extension.valueCode [ fhir:value "trial-use" ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ];
     fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ]
  ];
  fhir:CodeSystem.url [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type"];
  fhir:CodeSystem.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.1.1156" ]
  ];
  fhir:CodeSystem.version [ fhir:value "0.1.0"];
  fhir:CodeSystem.name [ fhir:value "ClaimTypeCodes"];
  fhir:CodeSystem.title [ fhir:value "Claim Type Codes"];
  fhir:CodeSystem.status [ fhir:value "draft"];
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean];
  fhir:CodeSystem.date [ fhir:value "2022-02-23T19:42:18-07:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "Financial Management"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]     ]
  ];
  fhir:CodeSystem.description [ fhir:value "This value set includes Claim Type codes."];
  fhir:CodeSystem.copyright [ fhir:value "HL7 Inc."];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
  fhir:CodeSystem.valueSet [
     fhir:value "http://terminology.hl7.org/ValueSet/claim-type";
     fhir:link <http://terminology.hl7.org/ValueSet/claim-type>
  ];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "institutional" ];
     fhir:CodeSystem.concept.display [ fhir:value "Institutional" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Hospital, clinic and typically inpatient claims." ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "oral" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oral" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Dental, Denture and Hygiene claims." ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "pharmacy" ];
     fhir:CodeSystem.concept.display [ fhir:value "Pharmacy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Pharmacy claims for goods and services." ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "professional" ];
     fhir:CodeSystem.concept.display [ fhir:value "Professional" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting." ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "vision" ];
     fhir:CodeSystem.concept.display [ fhir:value "Vision" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Vision claims for professional services and products such as glasses and contact lenses." ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.