Release 4B 5

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0: R5 - STU ). The This is the current published version which supercedes in it's permanent home (it will always be available at this version is 5.0.0 . URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R5 R4B R4 R3

Using Codes Code Systems Value Sets Concept Maps Identifier Systems

4.3.14.260 4.3.2.206 Code System CodeSystem http://hl7.org/fhir/claim-use

Financial Management icon Work Group   Maturity Level : 2 Trial Use Use Context : Any Country: World
This is a code system defined by the FHIR project. Committee:
Official URL : Title: http://hl7.org/fhir/claim-use Use Definition: The purpose of the Claim: predetermination, preauthorization, claim. Version : 5.0.0
active as of 2021-01-05 Financial Management Computable Name : Use Work Group
OID: 2.16.840.1.113883.4.642.4.545 (for OID based terminology systems) Flags : CaseSensitive, Complete. All codes ValueSet: Use Source Resource XML / JSON OID : 2.16.840.1.113883.4.642.4.545

This Code system is used in the following value sets:

  • ValueSet: Use (The purpose of the Claim: predetermination, preauthorization, claim.)

4.3.14.260.1 4.3.2.206.1 Content Definition

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

4.3.14.260.2

4.3.2.206.2 Use Content

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

This code system http://hl7.org/fhir/claim-use defines the following codes:

Code Display Definition Copy
claim Claim The treatment is complete and this represents a Claim for the services. btn   btn
preauthorization Preauthorization The treatment is proposed and this represents a Pre-authorization for the services. btn   btn
predetermination Predetermination The treatment is proposed and this represents a Pre-determination for the services. btn   btn

 

See the full registry of code systems defined as part of FHIR.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. 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