Release 4B 5 Ballot

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-ballot: R5 Ballot - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Using Codes Code Systems Value Sets Concept Maps Identifier Systems

4.4.1.29 4.4.1.14 Value Set ValueSet http://hl7.org/fhir/ValueSet/claim-use

Financial Management icon Work Group   Maturity Level : 2 Trial Use Use Context : Any

This is a value set defined by the FHIR project.

Summary

Defining URL: http://hl7.org/fhir/ValueSet/claim-use
Version: 4.3.0 5.0.0-ballot
Name: Use
Title: Use
Status: draft
Definition:

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

Committee: Financial Management icon Work Group
OID: 2.16.840.1.113883.4.642.3.544 (for OID based terminology systems)
Source Resource Flags: XML / JSON Immutable

This value set is used in the following places:

4.4.1.29.1 4.4.1.14.1 Content Logical Definition

 

4.4.1.29.2 4.4.1.14.2 Expansion

This expansion generated 28 May 10 Sep 2022

This value set contains 3 concepts

Expansion based on Use v4.3.0 v5.0.0-ballot (CodeSystem)

All codes in this table are from the system http://hl7.org/fhir/claim-use
Code System Display Definition
   claim http://hl7.org/fhir/claim-use Claim

The treatment is complete and this represents a Claim for the services.

   preauthorization http://hl7.org/fhir/claim-use Preauthorization

The treatment is proposed and this represents a Pre-authorization for the services.

   predetermination http://hl7.org/fhir/claim-use 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