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Packagehl7.fhir.uv.xver-r4.r4b
Resource TypeCodeSystem
IdCodeSystem-claim-type.json
FHIR VersionR4B

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Narrative

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

Generated Narrative: CodeSystem claim-type

This case-sensitive code system http://terminology.hl7.org/CodeSystem/claim-type defines the following codes:

CodeDisplayDefinition
institutional InstitutionalHospital, clinic and typically inpatient claims.
oral OralDental, Denture and Hygiene claims.
pharmacy PharmacyPharmacy claims for goods and services.
professional ProfessionalTypically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.
vision VisionVision claims for professional services and products such as glasses and contact lenses.

Source1

{
  "resourceType": "CodeSystem",
  "id": "claim-type",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r4.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": "fm"
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/claim-type",
  "version": "4.0.1",
  "name": "ClaimTypeCodes",
  "title": "Claim Type Codes",
  "status": "draft",
  "experimental": false,
  "date": "2025-09-13T16:11:23-04:00",
  "publisher": "Financial Management",
  "contact": [
    {
      "name": "Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description": "This value set includes Claim Type codes.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "copyright": "HL7 Inc.",
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/claim-type|4.3.0",
  "content": "complete",
  "concept": [
    {
      "code": "institutional",
      "display": "Institutional",
      "definition": "Hospital, clinic and typically inpatient claims."
    },
    {
      "code": "oral",
      "display": "Oral",
      "definition": "Dental, Denture and Hygiene claims."
    },
    {
      "code": "pharmacy",
      "display": "Pharmacy",
      "definition": "Pharmacy claims for goods and services."
    },
    {
      "code": "professional",
      "display": "Professional",
      "definition": "Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting."
    },
    {
      "code": "vision",
      "display": "Vision",
      "definition": "Vision claims for professional services and products such as glasses and contact lenses."
    }
  ]
}