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Packagehl7.fhir.us.davinci-pas
Resource TypeValueSet
IdValueSet-ClaimTypes.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/HL7/davinci-pas/ValueSet-ClaimTypes.html
URLhttp://hl7.org/fhir/us/davinci-pas/ValueSet/ClaimTypes
Version2.2.0-snapshot
Statusactive
Date2026-01-30T23:58:09+00:00
NameClaimTypes
TitleClaim Types
Realmus
Authorityhl7
DescriptionThis set of codes restricts the claim type.

Resources that use this resource

StructureDefinition
profile-claim-basePAS Claim Base

Resources that this resource uses

CodeSystem
claim-typeClaim Type Codes

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet ClaimTypes

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/claim-type version 📦1.0.1
    CodeDisplayDefinition
    institutionalInstitutionalHospital, clinic and typically inpatient claims.
    professionalProfessionalTypically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
    oralOralDental, Denture and Hygiene claims.

Source1

{
  "resourceType": "ValueSet",
  "id": "ClaimTypes",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 4,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/us/davinci-pas/ValueSet/ClaimTypes",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.40.24.48.21"
    }
  ],
  "version": "2.2.0-snapshot",
  "name": "ClaimTypes",
  "title": "Claim Types",
  "status": "active",
  "experimental": false,
  "date": "2026-01-30T23:58:09+00:00",
  "publisher": "HL7 International / Financial Management",
  "contact": [
    {
      "name": "HL7 International / Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/Special/committees/fm"
        },
        {
          "system": "email",
          "value": "fmlists@lists.hl7.org"
        }
      ]
    },
    {
      "name": "Jean Duteau",
      "telecom": [
        {
          "system": "email",
          "value": "mailto:jean@duteaudesign.com"
        }
      ]
    },
    {
      "name": "HL7 International / Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description": "This set of codes restricts the claim type.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "concept": [
          {
            "code": "institutional"
          },
          {
            "code": "professional"
          },
          {
            "code": "oral"
          }
        ]
      }
    ]
  }
}