HL7 Terminology (THO)
5.4.0 - Publication International flag

This page is part of the HL7 Terminology (v5.4.0: 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 Type Codes

Official URL: http://terminology.hl7.org/ValueSet/claim-type Version: 1.0.0
Draft as of 2020-02-24 Maturity Level: 2 Responsible: Health Level Seven International Computable Name: ClaimTypeCodes
Other Identifiers: id: Uniform Resource Identifier (URI)#urn:oid:2.16.840.1.113883.4.642.3.558

Copyright/Legal: This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license

This value set includes Claim Type codes.

References

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)

 

Expansion

This value set contains 5 concepts

Expansion based on codesystem Claim Type Codes v1.0.0 (CodeSystem)

CodeSystemDisplayDefinition
  institutionalhttp://terminology.hl7.org/CodeSystem/claim-typeInstitutional

Hospital, clinic and typically inpatient claims.

  oralhttp://terminology.hl7.org/CodeSystem/claim-typeOral

Dental, Denture and Hygiene claims.

  pharmacyhttp://terminology.hl7.org/CodeSystem/claim-typePharmacy

Pharmacy claims for goods and services.

  professionalhttp://terminology.hl7.org/CodeSystem/claim-typeProfessional

Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.

  visionhttp://terminology.hl7.org/CodeSystem/claim-typeVision

Vision claims for professional services and products such as glasses and contact lenses.

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

History

DateActionAuthorCustodianComment
2023-11-14reviseMarc DuteauTSMGAdd standard copyright and contact to internal content; up-476
2020-10-14reviseGrahame GrieveVocabulary WGReset Version after migration to UTG
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.