HL7 Terminology (THO)
5.2.0 - Publication International flag

This page is part of the HL7 Terminology (v5.2.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Claim Information Category Codes - XML Representation

Draft as of 2023-07-17 Maturity Level: 1

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="claiminformationcategory"/>
  <meta>
    <lastUpdated value="2020-04-09T21:10:28.568+00:00"/>
    <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 <code>http://terminology.hl7.org/CodeSystem/claiminformationcategory</code> 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="claiminformationcategory-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="claiminformationcategory-discharge"> </a></td><td>Discharge</td><td>Discharge status and discharge to locations.</td></tr><tr><td style="white-space:nowrap">onset<a name="claiminformationcategory-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="claiminformationcategory-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="claiminformationcategory-exception"> </a></td><td>Exception</td><td>Insurance policy exceptions.</td></tr><tr><td style="white-space:nowrap">material<a name="claiminformationcategory-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="claiminformationcategory-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="claiminformationcategory-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="claiminformationcategory-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="claiminformationcategory-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="claiminformationcategory-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="claiminformationcategory-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="claiminformationcategory-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="claiminformationcategory-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>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </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="0.1.0"/>
  <name value="ClaimInformationCategoryCodes"/>
  <title value="Claim Information Category Codes"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2023-07-17T22:16:15-06:00"/>
  <publisher value="Financial Management"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <description
               value="This value set includes sample Information Category codes."/>
  <copyright value="This is an example set."/>
  <caseSensitive value="true"/>
  <valueSet
            value="http://terminology.hl7.org/ValueSet/claim-informationcategory"/>
  <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>