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Packagehl7.terminology
Resource TypeCodeSystem
IdCodeSystem-us-claim-information-category.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/HL7/UTG/CodeSystem-us-claim-information-category.html
URLhttp://terminology.hl7.org/CodeSystem/us-claim-information-category
Version1.0.0
Statusactive
Date2026-08-04T17:23:51+00:00
NameUSClaimInformationCategoryCodes
TitleUS Claim Information Category Codes
Realmuv
Authorityhl7
DescriptionCategories used in the United States to classify additional information supplied with a claim, representing exceptions, special circumstances, clinical conditions, events, or other contextual factors relevant to claim adjudication.
CopyrightThis material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license
Contentcomplete

Resources that use this resource

ValueSet
hl7.terminology#currentus-claim-information-categoryUS Claim Information Category Codes

Resources that this resource uses

No resources found


Narrative

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

Generated Narrative: CodeSystem us-claim-information-category

Last updated: 2026-06-12 00:00:00+0000

Profile: Shareable CodeSystem

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

CodeDisplayDefinition
place-of-service Place of ServicePlace of service codes placed on health care claims to indicate the setting in which a service was provided.
type-of-bill Type of BillCategorization of the type of bill.
service-facility Service FacilityThe facility where the service occurred.
drg DRGIdentifies the Diagnosis Related Group (DRG) assigned to an inpatient stay, representing the clinical classification used for reimbursement and resource grouping.
point-of-origin Point of OriginInstitutional claim Point of origin for the patient's admission or visit.
adm-type Admission TypeInstitutional Type of admission.
claim-frequency Claim FrequencyIndicates the billing frequency or submission type of the claim, such as original, replacement, or void.
discharge-status Discharge StatusIndicates the patient's status as of the discharge date for a facility stay.

Source1

{
  "resourceType": "CodeSystem",
  "id": "us-claim-information-category",
  "meta": {
    "lastUpdated": "2026-06-12T00:00:00+00:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/us-claim-information-category",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.5.182"
    }
  ],
  "version": "1.0.0",
  "name": "USClaimInformationCategoryCodes",
  "title": "US Claim Information Category Codes",
  "status": "active",
  "experimental": false,
  "date": "2026-08-04T17:23:51+00:00",
  "publisher": "Health Level Seven International",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        },
        {
          "system": "email",
          "value": "hq@HL7.org"
        }
      ]
    }
  ],
  "description": "Categories used in the United States to classify additional information supplied with a claim, representing exceptions, special circumstances, clinical conditions, events, or other contextual factors relevant to claim adjudication.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "copyright": "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license",
  "caseSensitive": true,
  "valueSet": "http://terminology.hl7.org/ValueSet/us-claim-information-category",
  "content": "complete",
  "concept": [
    {
      "code": "place-of-service",
      "display": "Place of Service",
      "definition": "Place of service codes placed on health care claims to indicate the setting in which a service was provided."
    },
    {
      "code": "type-of-bill",
      "display": "Type of Bill",
      "definition": "Categorization of the type of bill."
    },
    {
      "code": "service-facility",
      "display": "Service Facility",
      "definition": "The facility where the service occurred."
    },
    {
      "code": "drg",
      "display": "DRG",
      "definition": "Identifies the Diagnosis Related Group (DRG) assigned to an inpatient stay, representing the clinical classification used for reimbursement and resource grouping."
    },
    {
      "code": "point-of-origin",
      "display": "Point of Origin",
      "definition": "Institutional claim Point of origin for the patient's admission or visit."
    },
    {
      "code": "adm-type",
      "display": "Admission Type",
      "definition": "Institutional Type of admission."
    },
    {
      "code": "claim-frequency",
      "display": "Claim Frequency",
      "definition": "Indicates the billing frequency or submission type of the claim, such as original, replacement, or void."
    },
    {
      "code": "discharge-status",
      "display": "Discharge Status",
      "definition": "Indicates the patient's status as of the discharge date for a facility stay."
    }
  ]
}