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Packagehl7.terminology.r3
Resource TypeCodeSystem
IdCodeSystem-claim-type.json
FHIR VersionR3

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Narrative

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Generated Narrative: CodeSystem claim-type

Last updated: 2024-04-24 00:00:00+0000; Language: en

Profile: Shareable CodeSystem

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",
  "meta": {
    "lastUpdated": "2024-04-24T00:00:00+00:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "language": "en",
  "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": 2
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/claim-type",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.4.642.1.1156"
  },
  "version": "1.0.1",
  "name": "ClaimTypeCodes",
  "title": "Claim Type Codes",
  "status": "active",
  "experimental": false,
  "date": "2026-03-08T18:17:17-06:00",
  "publisher": "Health Level Seven International",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        },
        {
          "system": "email",
          "value": "hq@HL7.org"
        }
      ]
    }
  ],
  "description": "This value set includes Claim Type codes.",
  "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/claim-type",
  "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."
    }
  ]
}