FHIR Release 3 (STU) CI-Build

This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0 . For a full list Continuous Integration Build of available versions, see FHIR (will be incorrect/inconsistent at times).
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Using Codes Code Systems Value Sets Concept Maps Identifier Systems

4.3.1.536 4.4.1.30 Value Set ValueSet http://hl7.org/fhir/ValueSet/claim-use

  Maturity Level : 2
Responsible Owner: Financial Management icon Work Group Informative Normative Use Context : Any Country: World
This is a value set defined by the FHIR project. Summary
  • Defining URL: Narrative http://hl7.org/fhir/ValueSet/claim-use
  • XML Name:
  • Use JSON
  • Definition: TTL Complete, proposed, exploratory, other
OID:
Official URL : Committee: http://hl7.org/fhir/ValueSet/claim-use Work Group Version : 6.0.0-ballot3
active as of 2020-12-28 2.16.840.1.113883.4.642.3.536 (for OID based terminology systems) Computable Name : Use
Source Resource Flags : Immutable XML / JSON OID : 2.16.840.1.113883.4.642.3.544

This value set is used in the following places:

4.3.1.536.1 4.4.1.30.1 Definition

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

4.4.1.30.2 Content Logical Definition

This value set includes codes from the following code systems:

Generated Narrative: ValueSet claim-use

Last updated: 2025-12-17T09:50:17.012Z

 

4.3.1.536.2 4.4.1.30.3 Expansion

This expansion generated 19 Apr 2017 17 Dec 2025

ValueSet This value set contains 4 concepts

Expansion performed internally based on http://hl7.org/fhir/claim-use version 3.0.2 All codes from system http://hl7.org/fhir/claim-use codesystem Use v6.0.0-ballot3 (CodeSystem)

This value set contains 3 concepts

other Other A locally defined or otherwise resolved status.
System Code Display Definition
complete http://hl7.org/fhir/claim-use    claim Complete Claim The treatment is complete and this represents a Claim for the services.
proposed http://hl7.org/fhir/claim-use    preauthorization Proposed Preauthorization The treatment is proposed and this represents a Pre-authorization for the services.
exploratory http://hl7.org/fhir/claim-use    predetermination Exploratory 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:

Level Lvl A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes For value sets, levels are under other codes, and imply that the mostly used to organize codes for user convenience, but may follow code they are under also applies 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