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Source1

{
  "resourceType": "ValueSet",
  "id": "R3-benefit-subcategory-for-R4B",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r3.r4b"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "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/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ValueSet/R3-benefit-subcategory-for-R4B",
  "version": "0.1.0",
  "name": "R3BenefitSubcategoryForR4B",
  "title": "Cross-version ValueSet STU3.Benefit SubCategory Codes for use in FHIR R4B",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "Financial Management",
  "contact": [
    {
      "name": "Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description": "This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/benefit-subcategory|3.0.2` for use in FHIR R4B.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://hl7.org/fhir/ValueSet/benefit-subcategory|3.0.2` as defined in FHIR STU3\r\nin FHIR R4B.\r\n\r\nThe source value set is bound to the following FHIR STU3 elements:\r\n* `Claim.item.category`\n* `Claim.item.detail.category`\n* `Claim.item.detail.subDetail.category`\n* `ClaimResponse.addItem.category`\n* `ClaimResponse.addItem.detail.category`\n* `EligibilityRequest.benefitSubCategory`\n* `EligibilityResponse.insurance.benefitBalance.subCategory`\n* `ExplanationOfBenefit.addItem.category`\n* `ExplanationOfBenefit.addItem.detail.category`\n* `ExplanationOfBenefit.benefitBalance.subCategory`\n* `ExplanationOfBenefit.item.category`\n* `ExplanationOfBenefit.item.detail.category`\n* `ExplanationOfBenefit.item.detail.subDetail.category`\r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/benefit-subcategory|3.0.2`, defined in FHIR STU3 does not have any mapping to FHIR R4B",
  "compose": {
    "include": [
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "concept": [
          {
            "code": "1",
            "display": "Medical Care"
          },
          {
            "code": "14",
            "display": "Renal Supplies"
          },
          {
            "code": "2",
            "display": "Surgical"
          },
          {
            "code": "23",
            "display": "Diagnostic Dental"
          },
          {
            "code": "24",
            "display": "Periodontics"
          },
          {
            "code": "25",
            "display": "Restorative"
          },
          {
            "code": "26",
            "display": "Endodontics"
          },
          {
            "code": "27",
            "display": "Maxillofacilial Prosthetics"
          },
          {
            "code": "28",
            "display": "Adjunctive Dental Services"
          },
          {
            "code": "3",
            "display": "Consultation"
          },
          {
            "code": "30",
            "display": "Health Benefit Plan Coverage"
          },
          {
            "code": "35",
            "display": "Dental Care"
          },
          {
            "code": "36",
            "display": "Dental Crowns"
          },
          {
            "code": "37",
            "display": "Dental Accident"
          },
          {
            "code": "4",
            "display": "Diagnostic XRay"
          },
          {
            "code": "49",
            "display": "Hospital Room and Board"
          },
          {
            "code": "5",
            "display": "Diagnostic Lab"
          },
          {
            "code": "55",
            "display": "Major Medical"
          },
          {
            "code": "56",
            "display": "Medically Related Transportation"
          },
          {
            "code": "61",
            "display": "In-vitro Fertilization"
          },
          {
            "code": "62",
            "display": "MRI Scan"
          },
          {
            "code": "63",
            "display": "Donor Procedures"
          },
          {
            "code": "69",
            "display": "Maternity"
          },
          {
            "code": "76",
            "display": "Renal Dialysis"
          },
          {
            "code": "F1",
            "display": "Medical Coverage"
          },
          {
            "code": "F3",
            "display": "Dental Coverage"
          },
          {
            "code": "F4",
            "display": "Hearing Coverage"
          },
          {
            "code": "F6",
            "display": "Vision Coverage"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2026-03-17T21:02:03.8104715+00:00",
    "contains": [
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "1",
        "display": "Medical Care"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "14",
        "display": "Renal Supplies"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "2",
        "display": "Surgical"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "23",
        "display": "Diagnostic Dental"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "24",
        "display": "Periodontics"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "25",
        "display": "Restorative"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "26",
        "display": "Endodontics"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "27",
        "display": "Maxillofacilial Prosthetics"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "28",
        "display": "Adjunctive Dental Services"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "3",
        "display": "Consultation"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "30",
        "display": "Health Benefit Plan Coverage"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "35",
        "display": "Dental Care"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "36",
        "display": "Dental Crowns"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "37",
        "display": "Dental Accident"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "4",
        "display": "Diagnostic XRay"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "49",
        "display": "Hospital Room and Board"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "5",
        "display": "Diagnostic Lab"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "55",
        "display": "Major Medical"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "56",
        "display": "Medically Related Transportation"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "61",
        "display": "In-vitro Fertilization"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "62",
        "display": "MRI Scan"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "63",
        "display": "Donor Procedures"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "69",
        "display": "Maternity"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "76",
        "display": "Renal Dialysis"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "F1",
        "display": "Medical Coverage"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "F3",
        "display": "Dental Coverage"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "F4",
        "display": "Hearing Coverage"
      },
      {
        "system": "http://hl7.org/fhir/benefit-subcategory",
        "version": "3.0.2",
        "code": "F6",
        "display": "Vision Coverage"
      }
    ]
  }
}