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Packagehl7.fhir.uv.xver-r4.r5
Resource TypeValueSet
IdValueSet-R4-v2-0043-for-R5.json
FHIR VersionR5
Sourcehttp://hl7.org/fhir/uv/xver-r4.r5/0.0.1-snapshot-2/ValueSet-R4-v2-0043-for-R5.html
URLhttp://hl7.org/fhir/4.0/ValueSet/R4-v2-0043-for-R5
Version0.0.1-snapshot-2
Statusactive
Date2025-09-01T22:36:18.12095+10:00
NameR4_v2_0043_for_R5
TitleCross-version VS for R4.v2.0043 for use in FHIR R5
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v2-0043|2.9 for use in FHIR R5. Concepts not present here have direct `equivalent` mappings crossing all versions from R4 to R5.

Resources that use this resource

No resources found

Resources that this resource uses

CodeSystem
v2-0043v2 Condition code

Narrative

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

Generated Narrative: ValueSet R4-v2-0043-for-R5

This value set expansion contains 58 concepts.

CodeSystemDisplay
  ...http://terminology.hl7.org/CodeSystem/v2-0043No suggested values defined
  01http://terminology.hl7.org/CodeSystem/v2-0043Military service related
  02http://terminology.hl7.org/CodeSystem/v2-0043Condition is employment related
  03http://terminology.hl7.org/CodeSystem/v2-0043Patient covered by insurance not reflected here
  04http://terminology.hl7.org/CodeSystem/v2-0043HMO enrollee
  05http://terminology.hl7.org/CodeSystem/v2-0043Lien has been filed
  06http://terminology.hl7.org/CodeSystem/v2-0043ESRD patient in first 18 months of entitlement covered by employer group health insurance
  07http://terminology.hl7.org/CodeSystem/v2-0043Treatment of non-terminal condition for hospice patient
  08http://terminology.hl7.org/CodeSystem/v2-0043Beneficiary would not provide information concerning other insurance coverage
  09http://terminology.hl7.org/CodeSystem/v2-0043Neither patient nor spouse is employed
  10http://terminology.hl7.org/CodeSystem/v2-0043Patient and/or spouse is employed but no EGHP exists
  11http://terminology.hl7.org/CodeSystem/v2-0043Disabled beneficiary but no LGHP
  12http://terminology.hl7.org/CodeSystem/v2-0043Payer codes.
  12 ... 16http://terminology.hl7.org/CodeSystem/v2-0043Payer codes.
  13http://terminology.hl7.org/CodeSystem/v2-0043Payer codes.
  14http://terminology.hl7.org/CodeSystem/v2-0043Payer codes.
  15http://terminology.hl7.org/CodeSystem/v2-0043Payer codes.
  16http://terminology.hl7.org/CodeSystem/v2-0043Payer codes.
  18http://terminology.hl7.org/CodeSystem/v2-0043Maiden name retained
  19http://terminology.hl7.org/CodeSystem/v2-0043Child retains mother's name
  20http://terminology.hl7.org/CodeSystem/v2-0043Beneficiary requested billing
  21http://terminology.hl7.org/CodeSystem/v2-0043Billing for Denial Notice
  26http://terminology.hl7.org/CodeSystem/v2-0043VA eligible patient chooses to receive services in a Medicare certified facility
  27http://terminology.hl7.org/CodeSystem/v2-0043Patient referred to a sole community hospital for a diagnostic laboratory test
  28http://terminology.hl7.org/CodeSystem/v2-0043Patient and/or spouse's EGHP is secondary to Medicare
  29http://terminology.hl7.org/CodeSystem/v2-0043Disabled beneficiary and/or family member's LGHP is secondary to Medicare
  31http://terminology.hl7.org/CodeSystem/v2-0043Patient is student (full time-day)
  32http://terminology.hl7.org/CodeSystem/v2-0043Patient is student (cooperative/work study program)
  33http://terminology.hl7.org/CodeSystem/v2-0043Patient is student (full time-night)
  34http://terminology.hl7.org/CodeSystem/v2-0043Patient is student (Part time)
  36http://terminology.hl7.org/CodeSystem/v2-0043General care patient in a special unit
  37http://terminology.hl7.org/CodeSystem/v2-0043Ward accommodation as patient request
  38http://terminology.hl7.org/CodeSystem/v2-0043Semi-private room not available
  39http://terminology.hl7.org/CodeSystem/v2-0043Private room medically necessary
  40http://terminology.hl7.org/CodeSystem/v2-0043Same day transfer
  41http://terminology.hl7.org/CodeSystem/v2-0043Partial hospitalization
  46http://terminology.hl7.org/CodeSystem/v2-0043Non-availability statement on file
  48http://terminology.hl7.org/CodeSystem/v2-0043Psychiatric residential treatment centers for children and adolescents
  55http://terminology.hl7.org/CodeSystem/v2-0043SNF bed not available
  56http://terminology.hl7.org/CodeSystem/v2-0043Medical appropriateness
  57http://terminology.hl7.org/CodeSystem/v2-0043SNF readmission
  60http://terminology.hl7.org/CodeSystem/v2-0043Day outlier
  61http://terminology.hl7.org/CodeSystem/v2-0043Cost outlier
  62http://terminology.hl7.org/CodeSystem/v2-0043Payer code
  66http://terminology.hl7.org/CodeSystem/v2-0043Provider does not wish cost outlier payment
  67http://terminology.hl7.org/CodeSystem/v2-0043Beneficiary elects not to use life time reserve (LTR) days
  68http://terminology.hl7.org/CodeSystem/v2-0043Beneficiary elects to use life time reserve (LTR) days
  70http://terminology.hl7.org/CodeSystem/v2-0043Self-administered EPO
  71http://terminology.hl7.org/CodeSystem/v2-0043Full care in unit
  72http://terminology.hl7.org/CodeSystem/v2-0043Self-care in unit
  73http://terminology.hl7.org/CodeSystem/v2-0043Self-care training
  74http://terminology.hl7.org/CodeSystem/v2-0043Home
  75http://terminology.hl7.org/CodeSystem/v2-0043Home - 100% reimbursement
  76http://terminology.hl7.org/CodeSystem/v2-0043Back-up in facility dialysis
  77http://terminology.hl7.org/CodeSystem/v2-0043Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full
  78http://terminology.hl7.org/CodeSystem/v2-0043New coverage not implemented by HMO
  79http://terminology.hl7.org/CodeSystem/v2-0043Corf services provided off-site
  80http://terminology.hl7.org/CodeSystem/v2-0043Pregnant

Source1

{
  "resourceType": "ValueSet",
  "id": "R4-v2-0043-for-R5",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r4.r5"
        },
        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "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/4.0/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/4.0/ValueSet/R4-v2-0043-for-R5",
  "version": "0.0.1-snapshot-2",
  "name": "R4_v2_0043_for_R5",
  "title": "Cross-version VS for R4.v2.0043 for use in FHIR R5",
  "status": "active",
  "experimental": false,
  "date": "2025-09-01T22:36:18.12095+10:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v2-0043|2.9 for use in FHIR R5. Concepts not present here have direct `equivalent` mappings crossing all versions from R4 to R5.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "concept": [
          {
            "code": "...",
            "display": "No suggested values defined"
          },
          {
            "code": "01",
            "display": "Military service related"
          },
          {
            "code": "02",
            "display": "Condition is employment related"
          },
          {
            "code": "03",
            "display": "Patient covered by insurance not reflected here"
          },
          {
            "code": "04",
            "display": "HMO enrollee"
          },
          {
            "code": "05",
            "display": "Lien has been filed"
          },
          {
            "code": "06",
            "display": "ESRD patient in first 18 months of entitlement covered by employer group health insurance"
          },
          {
            "code": "07",
            "display": "Treatment of non-terminal condition for hospice patient"
          },
          {
            "code": "08",
            "display": "Beneficiary would not provide information concerning other insurance coverage"
          },
          {
            "code": "09",
            "display": "Neither patient nor spouse is employed"
          },
          {
            "code": "10",
            "display": "Patient and/or spouse is employed but no EGHP exists"
          },
          {
            "code": "11",
            "display": "Disabled beneficiary but no LGHP"
          },
          {
            "code": "12",
            "display": "Payer codes."
          },
          {
            "code": "12 ... 16",
            "display": "Payer codes."
          },
          {
            "code": "13",
            "display": "Payer codes."
          },
          {
            "code": "14",
            "display": "Payer codes."
          },
          {
            "code": "15",
            "display": "Payer codes."
          },
          {
            "code": "16",
            "display": "Payer codes."
          },
          {
            "code": "18",
            "display": "Maiden name retained"
          },
          {
            "code": "19",
            "display": "Child retains mother's name"
          },
          {
            "code": "20",
            "display": "Beneficiary requested billing"
          },
          {
            "code": "21",
            "display": "Billing for Denial Notice"
          },
          {
            "code": "26",
            "display": "VA eligible patient chooses to receive services in a Medicare certified facility"
          },
          {
            "code": "27",
            "display": "Patient referred to a sole community hospital for a diagnostic laboratory test"
          },
          {
            "code": "28",
            "display": "Patient and/or spouse's EGHP is secondary to Medicare"
          },
          {
            "code": "29",
            "display": "Disabled beneficiary and/or family member's LGHP is secondary to Medicare"
          },
          {
            "code": "31",
            "display": "Patient is student (full time-day)"
          },
          {
            "code": "32",
            "display": "Patient is student (cooperative/work study program)"
          },
          {
            "code": "33",
            "display": "Patient is student (full time-night)"
          },
          {
            "code": "34",
            "display": "Patient is student (Part time)"
          },
          {
            "code": "36",
            "display": "General care patient in a special unit"
          },
          {
            "code": "37",
            "display": "Ward accommodation as patient request"
          },
          {
            "code": "38",
            "display": "Semi-private room not available"
          },
          {
            "code": "39",
            "display": "Private room medically necessary"
          },
          {
            "code": "40",
            "display": "Same day transfer"
          },
          {
            "code": "41",
            "display": "Partial hospitalization"
          },
          {
            "code": "46",
            "display": "Non-availability statement on file"
          },
          {
            "code": "48",
            "display": "Psychiatric residential treatment centers for children and adolescents"
          },
          {
            "code": "55",
            "display": "SNF bed not available"
          },
          {
            "code": "56",
            "display": "Medical appropriateness"
          },
          {
            "code": "57",
            "display": "SNF readmission"
          },
          {
            "code": "60",
            "display": "Day outlier"
          },
          {
            "code": "61",
            "display": "Cost outlier"
          },
          {
            "code": "62",
            "display": "Payer code"
          },
          {
            "code": "66",
            "display": "Provider does not wish cost outlier payment"
          },
          {
            "code": "67",
            "display": "Beneficiary elects not to use life time reserve (LTR) days"
          },
          {
            "code": "68",
            "display": "Beneficiary elects to use life time reserve (LTR) days"
          },
          {
            "code": "70",
            "display": "Self-administered EPO"
          },
          {
            "code": "71",
            "display": "Full care in unit"
          },
          {
            "code": "72",
            "display": "Self-care in unit"
          },
          {
            "code": "73",
            "display": "Self-care training"
          },
          {
            "code": "74",
            "display": "Home"
          },
          {
            "code": "75",
            "display": "Home - 100% reimbursement"
          },
          {
            "code": "76",
            "display": "Back-up in facility dialysis"
          },
          {
            "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"
          },
          {
            "code": "78",
            "display": "New coverage not implemented by HMO"
          },
          {
            "code": "79",
            "display": "Corf services provided off-site"
          },
          {
            "code": "80",
            "display": "Pregnant"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2025-09-01T22:36:18.120934+10:00",
    "contains": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "...",
        "display": "No suggested values defined"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "01",
        "display": "Military service related"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "02",
        "display": "Condition is employment related"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "03",
        "display": "Patient covered by insurance not reflected here"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "04",
        "display": "HMO enrollee"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "05",
        "display": "Lien has been filed"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "06",
        "display": "ESRD patient in first 18 months of entitlement covered by employer group health insurance"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "07",
        "display": "Treatment of non-terminal condition for hospice patient"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "08",
        "display": "Beneficiary would not provide information concerning other insurance coverage"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "09",
        "display": "Neither patient nor spouse is employed"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "10",
        "display": "Patient and/or spouse is employed but no EGHP exists"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "11",
        "display": "Disabled beneficiary but no LGHP"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "12",
        "display": "Payer codes."
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "12 ... 16",
        "display": "Payer codes."
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "13",
        "display": "Payer codes."
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "14",
        "display": "Payer codes."
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "15",
        "display": "Payer codes."
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "16",
        "display": "Payer codes."
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "18",
        "display": "Maiden name retained"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "19",
        "display": "Child retains mother's name"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "20",
        "display": "Beneficiary requested billing"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "21",
        "display": "Billing for Denial Notice"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "26",
        "display": "VA eligible patient chooses to receive services in a Medicare certified facility"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "27",
        "display": "Patient referred to a sole community hospital for a diagnostic laboratory test"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "28",
        "display": "Patient and/or spouse's EGHP is secondary to Medicare"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "29",
        "display": "Disabled beneficiary and/or family member's LGHP is secondary to Medicare"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "31",
        "display": "Patient is student (full time-day)"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "32",
        "display": "Patient is student (cooperative/work study program)"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "33",
        "display": "Patient is student (full time-night)"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "34",
        "display": "Patient is student (Part time)"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "36",
        "display": "General care patient in a special unit"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "37",
        "display": "Ward accommodation as patient request"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "38",
        "display": "Semi-private room not available"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "39",
        "display": "Private room medically necessary"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "40",
        "display": "Same day transfer"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "41",
        "display": "Partial hospitalization"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "46",
        "display": "Non-availability statement on file"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "48",
        "display": "Psychiatric residential treatment centers for children and adolescents"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "55",
        "display": "SNF bed not available"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "56",
        "display": "Medical appropriateness"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "57",
        "display": "SNF readmission"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "60",
        "display": "Day outlier"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "61",
        "display": "Cost outlier"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "62",
        "display": "Payer code"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "66",
        "display": "Provider does not wish cost outlier payment"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "67",
        "display": "Beneficiary elects not to use life time reserve (LTR) days"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "68",
        "display": "Beneficiary elects to use life time reserve (LTR) days"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
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        "code": "70",
        "display": "Self-administered EPO"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
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        "code": "71",
        "display": "Full care in unit"
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      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
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        "code": "72",
        "display": "Self-care in unit"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "73",
        "display": "Self-care training"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "74",
        "display": "Home"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "75",
        "display": "Home - 100% reimbursement"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "76",
        "display": "Back-up in facility dialysis"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "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"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "78",
        "display": "New coverage not implemented by HMO"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "79",
        "display": "Corf services provided off-site"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0043",
        "version": "2.9",
        "code": "80",
        "display": "Pregnant"
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    ]
  }
}