Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: Claim Type Codes - JSON Representation

Active as of 2024-09-01

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{
  "resourceType" : "ValueSet",
  "id" : "claim-type",
  "meta" : {
    "versionId" : "8",
    "lastUpdated" : "2024-09-01T14:17:21.551+03:00"
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet claim-type</b></p><a name=\"claim-type\"> </a><a name=\"hcclaim-type\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 8; Last updated: 2024-09-01 14:17:21+0300</p></div><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-claim-type.html\"><code>http://terminology.hl7.org/CodeSystem/claim-type</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-claim-type.html#claim-type-institutional\">institutional</a></td><td>Institutional</td><td>Hospital, clinic and typically inpatient claims.</td></tr><tr><td><a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-claim-type.html#claim-type-oral\">oral</a></td><td>Dental</td><td>Dental, Denture and Hygiene claims.</td></tr><tr><td><a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-claim-type.html#claim-type-pharmacy\">pharmacy</a></td><td>Pharmacy</td><td>Pharmacy claims for goods and services.</td></tr><tr><td><a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-claim-type.html#claim-type-professional\">professional</a></td><td>Professional</td><td>Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting.</td></tr><tr><td><a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-claim-type.html#claim-type-vision\">vision</a></td><td>Optical</td><td>Vision claims for professional services and products such as glasses and contact lenses.</td></tr></table></li></ul></div>"
  },
  "url" : "http://nphies.sa/terminology/ValueSet/claim-type",
  "version" : "0.3.0",
  "name" : "ClaimTypeCodes",
  "title" : "Claim Type Codes",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-09-01T11:17:21.987Z",
  "publisher" : "HL7 Saudi Arabia",
  "contact" : [
    {
      "name" : "HL7 Saudi Arabia",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://test-project.org/test-publisher"
        }
      ]
    }
  ],
  "description" : "Claim Type codes used to indicate the style of claim to support the requirements of different discipline such as: 'institutional', 'pharmacy', 'oral'.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "SA",
          "display" : "Saudi Arabia"
        }
      ]
    }
  ],
  "immutable" : false,
  "copyright" : "nphies 2020+ (https://nphies.sa)",
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
        "concept" : [
          {
            "code" : "institutional",
            "display" : "Institutional"
          },
          {
            "code" : "oral",
            "display" : "Dental"
          },
          {
            "code" : "pharmacy",
            "display" : "Pharmacy"
          },
          {
            "code" : "professional",
            "display" : "Professional"
          },
          {
            "code" : "vision",
            "display" : "Optical"
          }
        ]
      }
    ]
  }
}