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

ValueSet: Claim Information Category Codes

Official URL: http://terminology.hl7.org/ValueSet/claim-informationcategory Version: 0.2.0
Draft as of 2020-02-24 Maturity Level: 1 Responsible: Financial Management Computable Name: ClaimInformationCategoryCodes
Other Identifiers: id: urn:oid:2.16.840.1.113883.4.642.3.582

Copyright/Legal: This is an example set.

This value set includes sample Information Category codes.


This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)



This value set contains 14 concepts

Expansion based on Claim Information Category Codes v0.1.0 (CodeSystem)


Codes conveying additional situation and condition information.


Discharge status and discharge to locations.


Period, start or end dates of aspects of the Condition.

  relatedhttp://terminology.hl7.org/CodeSystem/claiminformationcategoryRelated Services

Nature and date of the related event e.g. Last exam, service, X-ray etc.


Insurance policy exceptions.

  materialhttp://terminology.hl7.org/CodeSystem/claiminformationcategoryMaterials Forwarded

Materials being forwarded, e.g. Models, molds, images, documents.


Materials attached such as images, documents and resources.

  missingtoothhttp://terminology.hl7.org/CodeSystem/claiminformationcategoryMissing Tooth

Teeth which are missing for any reason, for example: prior extraction, never developed.


The type of prosthesis and date of supply if a previously supplied prosthesis.


Other information identified by the type.system.


An indication that the patient was hospitalized, the period if known otherwise a Yes/No (boolean).


An indication that the patient was unable to work, the period if known otherwise a Yes/No (boolean).

  externalcausehttp://terminology.hl7.org/CodeSystem/claiminformationcategoryExternal Caause

The external cause of an illness or injury.

  patientreasonforvisithttp://terminology.hl7.org/CodeSystem/claiminformationcategoryPatient Reason for Visit

The reason for the patient visit.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System 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)
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


2020-10-14reviseVocabulary WGGrahame GrieveReset Version after migration to UTG
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.