Release 4 FHIR CI-Build

This page is part of the Continuous Integration Build of FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see times).
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Using Codes Code Systems Value Sets Concept Maps Identifier Systems

4.4.1.24 4.4.1.30 Value Set ValueSet http://hl7.org/fhir/ValueSet/claim-use

  Maturity Level : 2
Responsible Owner: Financial Management icon Work Group Trial Use Normative Use Context : Any Country: World
This is a value set defined by the FHIR project. Summary Committee:
Official URL : Title: http://hl7.org/fhir/ValueSet/claim-use Use Definition: The purpose of the Claim: predetermination, preauthorization, claim. Version : 6.0.0-ballot3
active as of 2020-12-28 Financial Management Computable Name : Use Work Group
OID: Flags : Immutable 2.16.840.1.113883.4.642.3.544 (for OID based terminology systems) Source Resource XML / JSON : 2.16.840.1.113883.4.642.3.544

This value set is used in the following places:

4.4.1.24.1 4.4.1.30.1 Definition

The purpose of the Claim: predetermination, preauthorization, claim.

4.4.1.30.2 Content Logical Definition

Generated Narrative: ValueSet claim-use This value set includes codes from the following code systems:

Last updated: 2025-11-24T20:46:00.1Z

 

4.4.1.24.2 4.4.1.30.3 Expansion

This expansion generated 01 24 Nov 2019 2025

ValueSet This value set contains 3 concepts

Expansion performed internally based on http://hl7.org/fhir/claim-use version 4.0.1 All codes from system http://hl7.org/fhir/claim-use codesystem Use v6.0.0-ballot3 (CodeSystem)

This value set contains 3 concepts

System Code Display Definition
http://hl7.org/fhir/claim-use    claim Claim The treatment is complete and this represents a Claim for the services.
http://hl7.org/fhir/claim-use    preauthorization Preauthorization The treatment is proposed and this represents a Pre-authorization for the services.
http://hl7.org/fhir/claim-use    predetermination Predetermination The treatment is proposed and this represents a Pre-determination for the services.

 

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

Lvl A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
Display The display (used in the display element of a Coding ). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code