FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packagehl7.fhir.uv.xver-r2.r4b
Resource TypeCodeSystem
IdCodeSystem-v2-0043.json
FHIR VersionR4B
Sourcehttp://hl7.org/fhir/xver-r2.r4b/0.0.1-snapshot-2/CodeSystem-v2-0043.html
URLhttp://hl7.org/fhir/v2/0043
Version1.0.2
Statusdraft
Date2025-09-13T15:10:02-04:00
Namev2-0043
Realmuv
Authorityhl7
Contentcomplete

Resources that use this resource

ValueSet
R2-v2-0043-for-R4BCross-version VS for R2.v2 Condition Code for use in FHIR R4B
R3-v2-0043-for-R4BCross-version VS for R3.v2 Condition Code for use in FHIR R4B
R2-v2-0043-for-R5Cross-version VS for R2.v2 Condition Code for use in FHIR R5
R3-v2-0043-for-R5Cross-version VS for R3.v2 Condition Code for use in FHIR R5

Resources that this resource uses

No resources found


Narrative

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

Generated Narrative: CodeSystem v2-0043

Properties

This code system defines the following properties for its concepts

NameCodeURIType
statusstatushttp://hl7.org/fhir/concept-properties#statuscode
Inactiveinactivehttp://hl7.org/fhir/concept-properties#inactiveboolean
effectiveDateeffectiveDatehttp://hl7.org/fhir/concept-properties#effectiveDatedateTime
deprecationDatedeprecationDatehttp://hl7.org/fhir/concept-properties#deprecationDatedateTime
retirementDateretirementDatehttp://hl7.org/fhir/concept-properties#retirementDatedateTime
Not SelectablenotSelectablehttp://hl7.org/fhir/concept-properties#notSelectableboolean
Parentparenthttp://hl7.org/fhir/concept-properties#parentcode
Childchildhttp://hl7.org/fhir/concept-properties#childcode
partOfpartOfhttp://hl7.org/fhir/concept-properties#partOfcode
synonymsynonymhttp://hl7.org/fhir/concept-properties#synonymcode
commentcommenthttp://hl7.org/fhir/concept-properties#commentstring
itemWeightitemWeighthttp://hl7.org/fhir/concept-properties#itemWeightdecimal

Concepts

This case-insensitive code system http://hl7.org/fhir/v2/0043 defines the following codes:

CodeDisplay
... No suggested values defined
01 Military service related
02 Condition is employment related
03 Patient covered by insurance not reflected here
04 HMO enrollee
05 Lien has been filed
06 ESRD patient in first 18 months of entitlement covered by employer group health insurance
07 Treatment of non-terminal condition for hospice patient
08 Beneficiary would not provide information concerning other insurance coverage
09 Neither patient nor spouse is employed
10 Patient and/or spouse is employed but no EGHP exists
11 Disabled beneficiary but no LGHP
12 Payer codes.
12 ... 16 Payer codes.
13 Payer codes.
14 Payer codes.
15 Payer codes.
16 Payer codes.
18 Maiden name retained
19 Child retains mother's name
20 Beneficiary requested billing
21 Billing for Denial Notice
26 VA eligible patient chooses to receive services in a Medicare certified facility
27 Patient referred to a sole community hospital for a diagnostic laboratory test
28 Patient and/or spouse's EGHP is secondary to Medicare
29 Disabled beneficiary and/or family member's LGHP is secondary to Medicare
31 Patient is student (full time-day)
32 Patient is student (cooperative/work study program)
33 Patient is student (full time-night)
34 Patient is student (Part time)
36 General care patient in a special unit
37 Ward accommodation as patient request
38 Semi-private room not available
39 Private room medically necessary
40 Same day transfer
41 Partial hospitalization
46 Non-availability statement on file
48 Psychiatric residential treatment centers for children and adolescents
55 SNF bed not available
56 Medical appropriateness
57 SNF readmission
60 Day outlier
61 Cost outlier
62 Payer code
66 Provider does not wish cost outlier payment
67 Beneficiary elects not to use life time reserve (LTR) days
68 Beneficiary elects to use life time reserve (LTR) days
70 Self-administered EPO
71 Full care in unit
72 Self-care in unit
73 Self-care training
74 Home
75 Home - 100% reimbursement
76 Back-up in facility dialysis
77 Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full
78 New coverage not implemented by HMO
79 Corf services provided off-site
80 Pregnant

Additional Language Displays

CodeDeutsch (German, de)Nederlands (Dutch, nl)
...keine Werte vorgeschlagengeen voorgestelde waarden
01Militaire dienst gerelateerd
02Conditie is werkgerelateerd
03Patiënt verzekerd door verzekering niet zichtbaar hier
04HMO gerechtigde
05Retentierecht is geregistreerd
06ESRD patiënt in eerste 18 maanden van toekenning gedekt door werkgever groepszorgpolis
07Behandeling van niet-terminale aandoening voor hospice patiënt
08Begunstigde wilde geen informatie over andere verzekeringsdekking geven
09Zowel patiënt als echtgenoot heeft werk
10Patiënt en/of echtgenoot heeft werk maar er is geen EGHP
11Gehandicapte begunstigde maar geen LGHP
12Betaler codes.
12 ... 16Betaler codes.
13Betaler codes.
14Betaler codes.
15Betaler codes.
16Betaler codes.
18Meisjesnaam behouden
19Kind behoudt moeders' naam
20Begunstige heeft facturatie gevraagd
21Facturatie voor afgewezen melding
26VA-gerechtigde patiënt wil services in een Medicare gecertificeerde instelling
27Patiënt verwezen naar één algemeen ziekenhuis voor diagnostische laboratoriumtest
28Patiënt en/of echtgenoot EGHP is aanvullend op Medicare
29Gehandicapte begunstigde en/or familielid LGHP is aanvullend op Medicare
31Patiënt is student (voltijds dag)
32Patiënt is student (samenwerkend/werk studie programma)
33Patiënt is student (voltijds nacht)
34Patiënt is student (parttime)
36Algemene zorg patiënt in speciale afdeling
37Afdelingsaccomodatie op patiëntverzoek
38Semi-eigen kamer niet beschikbaar
39Eigen kamer medisch noodzakelijk
40Overplaatsing op zelfde dag
41Gedeeltelijke opname
46Niet-beschikbaarheid uitspraak opgeslagen
48Psychiatrisch behandelcentra voor kinderen en adolescents
55SNF bed niet beschikbaar
56Medische relevantie
57SNF heropname
60Dag afwijking
61Kosten afwijking
62Betaler code
66Zorgaanbieder wil geen betaling van afwijkende kosten
67Begunstigde kiest ervoor niet de levenslange reserve dagen (LTR) te gebruiken
68Begunstigde kiest ervoor de levenslange reserve dagen (LTR) te gebruiken
70Zelf-toegediende EPO
71Volledige zorg in eenheid
72Zelfzorg in eenheid
73Zelfzorg in training
74Thuis
75Thuis - 100% vergoed
76Back-up in instelling dialyse
77Zorgaanbieder accepteert of is contractueel of juridisch verplicht om betaling te accepteren van een primaire betaler als volledige vertaling
78Nieuwe dekking niet geïmplementeerd door HMO
79Corf services worden off-site gegeven
80Zwanger

Source1

{
  "resourceType": "CodeSystem",
  "id": "v2-0043",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-oid",
      "valueUri": "urn:oid:2.16.840.1.133883.18.19"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r2.r4b"
        },
        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/1.0/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"
          }
        ]
      }
    },
    {
      "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/1.0/ImplementationGuide/hl7.fhir.uv.xver-r2.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/v2/0043",
  "version": "1.0.2",
  "name": "v2-0043",
  "status": "draft",
  "date": "2025-09-13T15:10:02-04:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "caseSensitive": false,
  "content": "complete",
  "property": [
    {
      "code": "status",
      "uri": "http://hl7.org/fhir/concept-properties#status",
      "type": "code"
    },
    {
      "code": "inactive",
      "uri": "http://hl7.org/fhir/concept-properties#inactive",
      "type": "boolean"
    },
    {
      "code": "effectiveDate",
      "uri": "http://hl7.org/fhir/concept-properties#effectiveDate",
      "type": "dateTime"
    },
    {
      "code": "deprecationDate",
      "uri": "http://hl7.org/fhir/concept-properties#deprecationDate",
      "type": "dateTime"
    },
    {
      "code": "retirementDate",
      "uri": "http://hl7.org/fhir/concept-properties#retirementDate",
      "type": "dateTime"
    },
    {
      "code": "notSelectable",
      "uri": "http://hl7.org/fhir/concept-properties#notSelectable",
      "type": "boolean"
    },
    {
      "code": "parent",
      "uri": "http://hl7.org/fhir/concept-properties#parent",
      "type": "code"
    },
    {
      "code": "child",
      "uri": "http://hl7.org/fhir/concept-properties#child",
      "type": "code"
    },
    {
      "code": "partOf",
      "uri": "http://hl7.org/fhir/concept-properties#partOf",
      "type": "code"
    },
    {
      "code": "synonym",
      "uri": "http://hl7.org/fhir/concept-properties#synonym",
      "type": "code"
    },
    {
      "code": "comment",
      "uri": "http://hl7.org/fhir/concept-properties#comment",
      "type": "string"
    },
    {
      "code": "itemWeight",
      "uri": "http://hl7.org/fhir/concept-properties#itemWeight",
      "type": "decimal"
    }
  ],
  "concept": [
    {
      "code": "...",
      "display": "No suggested values defined",
      "designation": [
        {
          "language": "de",
          "value": "keine Werte vorgeschlagen"
        },
        {
          "language": "nl",
          "value": "geen voorgestelde waarden"
        }
      ]
    },
    {
      "code": "01",
      "display": "Military service related",
      "designation": [
        {
          "language": "nl",
          "value": "Militaire dienst gerelateerd"
        }
      ]
    },
    {
      "code": "02",
      "display": "Condition is employment related",
      "designation": [
        {
          "language": "nl",
          "value": "Conditie is werkgerelateerd"
        }
      ]
    },
    {
      "code": "03",
      "display": "Patient covered by insurance not reflected here",
      "designation": [
        {
          "language": "nl",
          "value": "Patiënt verzekerd door verzekering niet zichtbaar hier"
        }
      ]
    },
    {
      "code": "04",
      "display": "HMO enrollee",
      "designation": [
        {
          "language": "nl",
          "value": "HMO gerechtigde"
        }
      ]
    },
    {
      "code": "05",
      "display": "Lien has been filed",
      "designation": [
        {
          "language": "nl",
          "value": "Retentierecht is geregistreerd"
        }
      ]
    },
    {
      "code": "06",
      "display": "ESRD patient in first 18 months of entitlement covered by employer group health insurance",
      "designation": [
        {
          "language": "nl",
          "value": "ESRD patiënt in eerste 18 maanden van toekenning gedekt door werkgever groepszorgpolis"
        }
      ]
    },
    {
      "code": "07",
      "display": "Treatment of non-terminal condition for hospice patient",
      "designation": [
        {
          "language": "nl",
          "value": "Behandeling van niet-terminale aandoening voor hospice patiënt"
        }
      ]
    },
    {
      "code": "08",
      "display": "Beneficiary would not provide information concerning other insurance coverage",
      "designation": [
        {
          "language": "nl",
          "value": "Begunstigde wilde geen informatie over andere verzekeringsdekking geven"
        }
      ]
    },
    {
      "code": "09",
      "display": "Neither patient nor spouse is employed",
      "designation": [
        {
          "language": "nl",
          "value": "Zowel patiënt als echtgenoot heeft werk"
        }
      ]
    },
    {
      "code": "10",
      "display": "Patient and/or spouse is employed but no EGHP exists",
      "designation": [
        {
          "language": "nl",
          "value": "Patiënt en/of echtgenoot heeft werk maar er is geen EGHP"
        }
      ]
    },
    {
      "code": "11",
      "display": "Disabled beneficiary but no LGHP",
      "designation": [
        {
          "language": "nl",
          "value": "Gehandicapte begunstigde maar geen LGHP"
        }
      ]
    },
    {
      "code": "12",
      "display": "Payer codes.",
      "designation": [
        {
          "language": "nl",
          "value": "Betaler codes."
        }
      ]
    },
    {
      "code": "12 ... 16",
      "display": "Payer codes.",
      "designation": [
        {
          "language": "nl",
          "value": "Betaler codes."
        }
      ]
    },
    {
      "code": "13",
      "display": "Payer codes.",
      "designation": [
        {
          "language": "nl",
          "value": "Betaler codes."
        }
      ]
    },
    {
      "code": "14",
      "display": "Payer codes.",
      "designation": [
        {
          "language": "nl",
          "value": "Betaler codes."
        }
      ]
    },
    {
      "code": "15",
      "display": "Payer codes.",
      "designation": [
        {
          "language": "nl",
          "value": "Betaler codes."
        }
      ]
    },
    {
      "code": "16",
      "display": "Payer codes.",
      "designation": [
        {
          "language": "nl",
          "value": "Betaler codes."
        }
      ]
    },
    {
      "code": "18",
      "display": "Maiden name retained",
      "designation": [
        {
          "language": "nl",
          "value": "Meisjesnaam behouden"
        }
      ]
    },
    {
      "code": "19",
      "display": "Child retains mother's name",
      "designation": [
        {
          "language": "nl",
          "value": "Kind behoudt moeders' naam"
        }
      ]
    },
    {
      "code": "20",
      "display": "Beneficiary requested billing",
      "designation": [
        {
          "language": "nl",
          "value": "Begunstige heeft facturatie gevraagd"
        }
      ]
    },
    {
      "code": "21",
      "display": "Billing for Denial Notice",
      "designation": [
        {
          "language": "nl",
          "value": "Facturatie voor afgewezen melding"
        }
      ]
    },
    {
      "code": "26",
      "display": "VA eligible patient chooses to receive services in a Medicare certified facility",
      "designation": [
        {
          "language": "nl",
          "value": "VA-gerechtigde patiënt wil services in een Medicare gecertificeerde instelling"
        }
      ]
    },
    {
      "code": "27",
      "display": "Patient referred to a sole community hospital for a diagnostic laboratory test",
      "designation": [
        {
          "language": "nl",
          "value": "Patiënt verwezen naar één algemeen ziekenhuis voor diagnostische laboratoriumtest"
        }
      ]
    },
    {
      "code": "28",
      "display": "Patient and/or spouse's EGHP is secondary to Medicare",
      "designation": [
        {
          "language": "nl",
          "value": "Patiënt en/of echtgenoot EGHP is aanvullend op Medicare"
        }
      ]
    },
    {
      "code": "29",
      "display": "Disabled beneficiary and/or family member's LGHP is secondary to Medicare",
      "designation": [
        {
          "language": "nl",
          "value": "Gehandicapte begunstigde en/or familielid LGHP is aanvullend op Medicare"
        }
      ]
    },
    {
      "code": "31",
      "display": "Patient is student (full time-day)",
      "designation": [
        {
          "language": "nl",
          "value": "Patiënt is student (voltijds dag)"
        }
      ]
    },
    {
      "code": "32",
      "display": "Patient is student (cooperative/work study program)",
      "designation": [
        {
          "language": "nl",
          "value": "Patiënt is student (samenwerkend/werk studie programma)"
        }
      ]
    },
    {
      "code": "33",
      "display": "Patient is student (full time-night)",
      "designation": [
        {
          "language": "nl",
          "value": "Patiënt is student (voltijds nacht)"
        }
      ]
    },
    {
      "code": "34",
      "display": "Patient is student (Part time)",
      "designation": [
        {
          "language": "nl",
          "value": "Patiënt is student (parttime)"
        }
      ]
    },
    {
      "code": "36",
      "display": "General care patient in a special unit",
      "designation": [
        {
          "language": "nl",
          "value": "Algemene zorg patiënt in speciale afdeling"
        }
      ]
    },
    {
      "code": "37",
      "display": "Ward accommodation as patient request",
      "designation": [
        {
          "language": "nl",
          "value": "Afdelingsaccomodatie op patiëntverzoek"
        }
      ]
    },
    {
      "code": "38",
      "display": "Semi-private room not available",
      "designation": [
        {
          "language": "nl",
          "value": "Semi-eigen kamer niet beschikbaar"
        }
      ]
    },
    {
      "code": "39",
      "display": "Private room medically necessary",
      "designation": [
        {
          "language": "nl",
          "value": "Eigen kamer medisch noodzakelijk"
        }
      ]
    },
    {
      "code": "40",
      "display": "Same day transfer",
      "designation": [
        {
          "language": "nl",
          "value": "Overplaatsing op zelfde dag"
        }
      ]
    },
    {
      "code": "41",
      "display": "Partial hospitalization",
      "designation": [
        {
          "language": "nl",
          "value": "Gedeeltelijke opname"
        }
      ]
    },
    {
      "code": "46",
      "display": "Non-availability statement on file",
      "designation": [
        {
          "language": "nl",
          "value": "Niet-beschikbaarheid uitspraak opgeslagen"
        }
      ]
    },
    {
      "code": "48",
      "display": "Psychiatric residential treatment centers for children and adolescents",
      "designation": [
        {
          "language": "nl",
          "value": "Psychiatrisch behandelcentra voor kinderen en adolescents"
        }
      ]
    },
    {
      "code": "55",
      "display": "SNF bed not available",
      "designation": [
        {
          "language": "nl",
          "value": "SNF bed niet beschikbaar"
        }
      ]
    },
    {
      "code": "56",
      "display": "Medical appropriateness",
      "designation": [
        {
          "language": "nl",
          "value": "Medische relevantie"
        }
      ]
    },
    {
      "code": "57",
      "display": "SNF readmission",
      "designation": [
        {
          "language": "nl",
          "value": "SNF heropname"
        }
      ]
    },
    {
      "code": "60",
      "display": "Day outlier",
      "designation": [
        {
          "language": "nl",
          "value": "Dag afwijking"
        }
      ]
    },
    {
      "code": "61",
      "display": "Cost outlier",
      "designation": [
        {
          "language": "nl",
          "value": "Kosten afwijking"
        }
      ]
    },
    {
      "code": "62",
      "display": "Payer code",
      "designation": [
        {
          "language": "nl",
          "value": "Betaler code"
        }
      ]
    },
    {
      "code": "66",
      "display": "Provider does not wish cost outlier payment",
      "designation": [
        {
          "language": "nl",
          "value": "Zorgaanbieder wil geen betaling van afwijkende kosten"
        }
      ]
    },
    {
      "code": "67",
      "display": "Beneficiary elects not to use life time reserve (LTR) days",
      "designation": [
        {
          "language": "nl",
          "value": "Begunstigde kiest ervoor niet de levenslange reserve dagen (LTR) te gebruiken"
        }
      ]
    },
    {
      "code": "68",
      "display": "Beneficiary elects to use life time reserve (LTR) days",
      "designation": [
        {
          "language": "nl",
          "value": "Begunstigde kiest ervoor  de levenslange reserve dagen (LTR) te gebruiken"
        }
      ]
    },
    {
      "code": "70",
      "display": "Self-administered EPO",
      "designation": [
        {
          "language": "nl",
          "value": "Zelf-toegediende EPO"
        }
      ]
    },
    {
      "code": "71",
      "display": "Full care in unit",
      "designation": [
        {
          "language": "nl",
          "value": "Volledige zorg in eenheid"
        }
      ]
    },
    {
      "code": "72",
      "display": "Self-care in unit",
      "designation": [
        {
          "language": "nl",
          "value": "Zelfzorg in eenheid"
        }
      ]
    },
    {
      "code": "73",
      "display": "Self-care training",
      "designation": [
        {
          "language": "nl",
          "value": "Zelfzorg in training"
        }
      ]
    },
    {
      "code": "74",
      "display": "Home",
      "designation": [
        {
          "language": "nl",
          "value": "Thuis"
        }
      ]
    },
    {
      "code": "75",
      "display": "Home - 100% reimbursement",
      "designation": [
        {
          "language": "nl",
          "value": "Thuis - 100% vergoed"
        }
      ]
    },
    {
      "code": "76",
      "display": "Back-up in facility dialysis",
      "designation": [
        {
          "language": "nl",
          "value": "Back-up in instelling dialyse"
        }
      ]
    },
    {
      "code": "77",
      "display": "Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full",
      "designation": [
        {
          "language": "nl",
          "value": "Zorgaanbieder accepteert of is contractueel of juridisch verplicht om betaling te accepteren van een primaire betaler als volledige vertaling"
        }
      ]
    },
    {
      "code": "78",
      "display": "New coverage not implemented by HMO",
      "designation": [
        {
          "language": "nl",
          "value": "Nieuwe dekking niet geïmplementeerd door HMO"
        }
      ]
    },
    {
      "code": "79",
      "display": "Corf services provided off-site",
      "designation": [
        {
          "language": "nl",
          "value": "Corf services worden off-site gegeven"
        }
      ]
    },
    {
      "code": "80",
      "display": "Pregnant",
      "designation": [
        {
          "language": "nl",
          "value": "Zwanger"
        }
      ]
    }
  ]
}