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Packagehl7.fhir.uv.xver-r5.r3
Resource TypeValueSet
IdValueSet-R5-ex-benefitcategory-for-R3.json
FHIR VersionR3
Sourcehttp://hl7.org/fhir/uv/xver-r5.r3/0.1.0/ValueSet-R5-ex-benefitcategory-for-R3.html
URLhttp://hl7.org/fhir/uv/xver/ValueSet/R5-ex-benefitcategory-for-R3
Version0.1.0
Statusactive
Date2026-03-17T21:02:03.8104715+00:00
NameR5ExBenefitcategoryForR3
TitleCross-version ValueSet R5.BenefitCategoryCodes for use in FHIR STU3
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/ex-benefitcategory|5.0.0` for use in FHIR STU3.
PurposeThis value set is part of the cross-version definitions generated to enable use of the value set `http://hl7.org/fhir/ValueSet/ex-benefitcategory|5.0.0` as defined in FHIR R5 in FHIR STU3. The source value set is bound to the following FHIR R5 elements: * `Claim.item.category` as Example * `Claim.item.detail.category` as Example * `Claim.item.detail.subDetail.category` as Example * `Coverage.costToBeneficiary.category` as Example * `CoverageEligibilityRequest.item.category` as Example * `CoverageEligibilityResponse.insurance.item.category` as Example * `ExplanationOfBenefit.benefitBalance.category` as Example * `ExplanationOfBenefit.item.category` as Example * `ExplanationOfBenefit.item.detail.category` as Example * `ExplanationOfBenefit.item.detail.subDetail.category` as Example Across FHIR versions, the value set has been mapped as: * `http://hl7.org/fhir/ValueSet/ex-benefitcategory|5.0.0` * `http://hl7.org/fhir/ValueSet/ex-benefitcategory|4.3.0` * `http://hl7.org/fhir/ValueSet/ex-benefitcategory|4.0.1` Note that all concepts are included in this cross-version definition because no concepts have compatible representations Following are the generation technical comments: All concepts in the comparison are listed as identical. The source and target value sets have the same number of active concepts (28). All concepts in the comparison are listed as identical. The source and target value sets have the same number of active concepts (28). FHIR ValueSet `http://hl7.org/fhir/ValueSet/ex-benefitcategory|5.0.0`, defined in FHIR R5 does not have any mapping to FHIR STU3

Resources that use this resource

StructureDefinition
hl7.fhir.uv.xver-r5.r3#0.1.0extension-Coverage.costToBeneficiaryR5: Patient payments for services/products (new)
hl7.fhir.uv.xver-r5.r3#0.1.0extension-CoverageEligibilityRequest.itemR5: Item to be evaluated for eligibiity (new)

Resources that this resource uses

CodeSystem
hl7.terminology#currentex-benefitcategoryBenefit Category Codes

Narrative

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

Generated Narrative: ValueSet R5-ex-benefitcategory-for-R3

This value set expansion contains 28 concepts.

SystemVersionCodeDisplayDefinition
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  1Medical CareMedical Care.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  14Renal SuppliesRenal Supplies excluding Dialysis.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  2SurgicalSurgical.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  23Diagnostic DentalDiagnostic Dental.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  24PeriodonticsPeriodontics.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  25RestorativeRestorative.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  26EndodonticsEndodontics.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  27Maxillofacial ProstheticsMaxillofacial Prosthetics.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  28Adjunctive Dental ServicesAdjunctive Dental Services.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  3ConsultationConsultation.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  30Health Benefit Plan CoverageHealth Benefit Plan Coverage.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  35Dental CareDental Care.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  36Dental CrownsDental Crowns.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  37Dental AccidentDental Accident.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  4Diagnostic XRayDiagnostic XRay.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  49Hospital Room and BoardHospital Room and Board.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  5Diagnostic LabDiagnostic Lab.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  55Major MedicalMajor Medical.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  56Medically Related TransportationMedically Related Transportation.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  61In-vitro FertilizationIn-vitro Fertilization.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  62MRI ScanMRI Scan.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  63Donor ProceduresDonor Procedures such as organ harvest.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  69MaternityMaternity.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  76Renal DialysisRenal dialysis.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  F1Medical CoverageMedical Coverage.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  F3Dental CoverageDental Coverage.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  F4Hearing CoverageHearing Coverage.
http://terminology.hl7.org/CodeSystem/ex-benefitcategory0.1.0  F6Vision CoverageVision Coverage.

Source1

{
  "resourceType": "ValueSet",
  "id": "R5-ex-benefitcategory-for-R3",
  "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-r5.r3"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
        }
      ],
      "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",
            "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r3"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ValueSet/R5-ex-benefitcategory-for-R3",
  "version": "0.1.0",
  "name": "R5ExBenefitcategoryForR3",
  "title": "Cross-version ValueSet R5.BenefitCategoryCodes for use in FHIR STU3",
  "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/ex-benefitcategory|5.0.0` for use in FHIR STU3.",
  "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/ex-benefitcategory|5.0.0` as defined in FHIR R5\r\nin FHIR STU3.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* `Claim.item.category` as Example\n* `Claim.item.detail.category` as Example\n* `Claim.item.detail.subDetail.category` as Example\n* `Coverage.costToBeneficiary.category` as Example\n* `CoverageEligibilityRequest.item.category` as Example\n* `CoverageEligibilityResponse.insurance.item.category` as Example\n* `ExplanationOfBenefit.benefitBalance.category` as Example\n* `ExplanationOfBenefit.item.category` as Example\n* `ExplanationOfBenefit.item.detail.category` as Example\n* `ExplanationOfBenefit.item.detail.subDetail.category` as Example\r\n\r\nAcross FHIR versions, the value set has been mapped as:\r\n* `http://hl7.org/fhir/ValueSet/ex-benefitcategory|5.0.0`\n* `http://hl7.org/fhir/ValueSet/ex-benefitcategory|4.3.0`\n* `http://hl7.org/fhir/ValueSet/ex-benefitcategory|4.0.1`\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\nAll concepts in the comparison are listed as identical.\nThe source and target value sets have the same number of active concepts (28).\nAll concepts in the comparison are listed as identical.\nThe source and target value sets have the same number of active concepts (28).\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/ex-benefitcategory|5.0.0`, defined in FHIR R5 does not have any mapping to FHIR STU3",
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "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": "Maxillofacial 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://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "1",
        "display": "Medical Care"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "14",
        "display": "Renal Supplies"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "2",
        "display": "Surgical"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "23",
        "display": "Diagnostic Dental"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "24",
        "display": "Periodontics"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "25",
        "display": "Restorative"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "26",
        "display": "Endodontics"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "27",
        "display": "Maxillofacial Prosthetics"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "28",
        "display": "Adjunctive Dental Services"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "3",
        "display": "Consultation"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "30",
        "display": "Health Benefit Plan Coverage"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "35",
        "display": "Dental Care"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "36",
        "display": "Dental Crowns"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "37",
        "display": "Dental Accident"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "4",
        "display": "Diagnostic XRay"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "49",
        "display": "Hospital Room and Board"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "5",
        "display": "Diagnostic Lab"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "55",
        "display": "Major Medical"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "56",
        "display": "Medically Related Transportation"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "61",
        "display": "In-vitro Fertilization"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "62",
        "display": "MRI Scan"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "63",
        "display": "Donor Procedures"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "69",
        "display": "Maternity"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "76",
        "display": "Renal Dialysis"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "F1",
        "display": "Medical Coverage"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "F3",
        "display": "Dental Coverage"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "F4",
        "display": "Hearing Coverage"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/ex-benefitcategory",
        "version": "0.1.0",
        "code": "F6",
        "display": "Vision Coverage"
      }
    ]
  }
}