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 - XML Representation

Active as of 2024-09-01

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="claim-type"/>
  <meta>
    <versionId value="8"/>
    <lastUpdated value="2024-09-01T14:17:21.551+03:00"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <url value="http://nphies.sa/terminology/ValueSet/claim-type"/>
  <version value="0.3.0"/>
  <name value="ClaimTypeCodes"/>
  <title value="Claim Type Codes"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-09-01T11:17:21.987Z"/>
  <publisher value="HL7 Saudi Arabia"/>
  <contact>
    <name value="HL7 Saudi Arabia"/>
    <telecom>
      <system value="url"/>
      <value value="http://test-project.org/test-publisher"/>
    </telecom>
  </contact>
  <description
               value="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 value="urn:iso:std:iso:3166"/>
      <code value="SA"/>
      <display value="Saudi Arabia"/>
    </coding>
  </jurisdiction>
  <immutable value="false"/>
  <copyright value="nphies 2020+ (https://nphies.sa)"/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
      <concept>
        <code value="institutional"/>
        <display value="Institutional"/>
      </concept>
      <concept>
        <code value="oral"/>
        <display value="Dental"/>
      </concept>
      <concept>
        <code value="pharmacy"/>
        <display value="Pharmacy"/>
      </concept>
      <concept>
        <code value="professional"/>
        <display value="Professional"/>
      </concept>
      <concept>
        <code value="vision"/>
        <display value="Optical"/>
      </concept>
    </include>
  </compose>
</ValueSet>