HL7 Terminology (THO)
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HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 7.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

: Claim Information Category Codes

Active as of 2026-06-25 Maturity Level: 1

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{
  "resourceType" : "CodeSystem",
  "id" : "claiminformationcategory",
  "meta" : {
    "lastUpdated" : "2026-06-12T00:00:00+00:00",
    "profile" : [
      🔗 "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem claiminformationcategory</b></p><a name=\"claiminformationcategory\"> </a><a name=\"hcclaiminformationcategory\"> </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\">Last updated: 2026-06-12 00:00:00+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R5/shareablecodesystem.html\">Shareable CodeSystem</a></p></div><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/claiminformationcategory</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">info<a name=\"claiminformationcategory-info\"> </a></td><td>Information</td><td>Codes conveying additional situation and condition information.</td></tr><tr><td style=\"white-space:nowrap\">discharge<a name=\"claiminformationcategory-discharge\"> </a></td><td>Discharge</td><td>Discharge status and discharge to locations.</td></tr><tr><td style=\"white-space:nowrap\">onset<a name=\"claiminformationcategory-onset\"> </a></td><td>Onset</td><td>Period, start or end dates of aspects of the Condition.</td></tr><tr><td style=\"white-space:nowrap\">related<a name=\"claiminformationcategory-related\"> </a></td><td>Related Services</td><td>Nature and date of the related event e.g. Last exam, service, X-ray etc.</td></tr><tr><td style=\"white-space:nowrap\">exception<a name=\"claiminformationcategory-exception\"> </a></td><td>Exception</td><td>Insurance policy exceptions.</td></tr><tr><td style=\"white-space:nowrap\">material<a name=\"claiminformationcategory-material\"> </a></td><td>Materials Forwarded</td><td>Materials being forwarded, e.g. Models, molds, images, documents.</td></tr><tr><td style=\"white-space:nowrap\">attachment<a name=\"claiminformationcategory-attachment\"> </a></td><td>Attachment</td><td>Materials attached such as images, documents and resources.</td></tr><tr><td style=\"white-space:nowrap\">missingtooth<a name=\"claiminformationcategory-missingtooth\"> </a></td><td>Missing Tooth</td><td>Teeth which are missing for any reason, for example: prior extraction, never developed.</td></tr><tr><td style=\"white-space:nowrap\">prosthesis<a name=\"claiminformationcategory-prosthesis\"> </a></td><td>Prosthesis</td><td>The type of prosthesis and date of supply if a previously supplied prosthesis.</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"claiminformationcategory-other\"> </a></td><td>Other</td><td>Other information identified by the type.system.</td></tr><tr><td style=\"white-space:nowrap\">hospitalized<a name=\"claiminformationcategory-hospitalized\"> </a></td><td>Hospitalized</td><td>An indication that the patient was hospitalized, the period if known otherwise a Yes/No (boolean).</td></tr><tr><td style=\"white-space:nowrap\">employmentimpacted<a name=\"claiminformationcategory-employmentimpacted\"> </a></td><td>EmploymentImpacted</td><td>An indication that the patient was unable to work, the period if known otherwise a Yes/No (boolean).</td></tr><tr><td style=\"white-space:nowrap\">externalcause<a name=\"claiminformationcategory-externalcause\"> </a></td><td>External Caause</td><td>The external cause of an illness or injury.</td></tr><tr><td style=\"white-space:nowrap\">patientreasonforvisit<a name=\"claiminformationcategory-patientreasonforvisit\"> </a></td><td>Patient Reason for Visit</td><td>The reason for the patient visit.</td></tr><tr><td style=\"white-space:nowrap\">medicalrecordnumber<a name=\"claiminformationcategory-medicalrecordnumber\"> </a></td><td>Medical Record Number</td><td>Patient Medical Record Number associated with the specific claim.</td></tr><tr><td style=\"white-space:nowrap\">patientaccountnumber<a name=\"claiminformationcategory-patientaccountnumber\"> </a></td><td>Patient Account Number</td><td>Patient Account Number associated with the specific claim.</td></tr><tr><td style=\"white-space:nowrap\">admissionperiod<a name=\"claiminformationcategory-admissionperiod\"> </a></td><td>Admission Period</td><td>Dates corresponding with the admission and discharge of the beneficiary to a facility.</td></tr><tr><td style=\"white-space:nowrap\">clmrecvddate<a name=\"claiminformationcategory-clmrecvddate\"> </a></td><td>Claim Received Date</td><td>Date the claim was received by the payer.</td></tr><tr><td style=\"white-space:nowrap\">compounddrugcode<a name=\"claiminformationcategory-compounddrugcode\"> </a></td><td>Compound Code</td><td>Code indicating whether or not the prescription is a compound.</td></tr><tr><td style=\"white-space:nowrap\">dawcode<a name=\"claiminformationcategory-dawcode\"> </a></td><td>DAW (Dispense As Written) Code</td><td>Code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.</td></tr><tr><td style=\"white-space:nowrap\">dayssupply<a name=\"claiminformationcategory-dayssupply\"> </a></td><td>Days Supply</td><td>Value indicating the Number of days supply of medication dispensed by the pharmacy.</td></tr><tr><td style=\"white-space:nowrap\">refillnum<a name=\"claiminformationcategory-refillnum\"> </a></td><td>Refill Number</td><td>Value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)</td></tr><tr><td style=\"white-space:nowrap\">refillsauthorized<a name=\"claiminformationcategory-refillsauthorized\"> </a></td><td>Refills Authorized</td><td>Value indicating the number of refills authorized by the subscriber (0, 1, 2, etc.)</td></tr><tr><td style=\"white-space:nowrap\">rxorigincode<a name=\"claiminformationcategory-rxorigincode\"> </a></td><td>Rx Origin Code</td><td>Code indicating how the prescription was communicated (e.g. transmitted as an electronic prescription, by phone, by fax, or as a written paper copy).</td></tr><tr><td style=\"white-space:nowrap\">orthodontics<a name=\"claiminformationcategory-orthodontics\"> </a></td><td>Orthodontics</td><td>Orthodontics treatment indicator.</td></tr><tr><td style=\"white-space:nowrap\">additionalbodysite<a name=\"claiminformationcategory-additionalbodysite\"> </a></td><td>Additional Body Site</td><td>Additional physical service site on the patient (limb, tooth, etc.).</td></tr><tr><td style=\"white-space:nowrap\">patientweight<a name=\"claiminformationcategory-patientweight\"> </a></td><td>Patient Weight</td><td>Patient weight at time of service.</td></tr><tr><td style=\"white-space:nowrap\">ambulancetransportreason<a name=\"claiminformationcategory-ambulancetransportreason\"> </a></td><td>Ambulance Transport Reason</td><td>Reason ambulance transport was needed.</td></tr><tr><td style=\"white-space:nowrap\">transportationdistance<a name=\"claiminformationcategory-transportationdistance\"> </a></td><td>Transportation Distance</td><td>Transportation service distance traveled.</td></tr><tr><td style=\"white-space:nowrap\">roundtrippurpose<a name=\"claiminformationcategory-roundtrippurpose\"> </a></td><td>Round Trip Purpose</td><td>Transportation service reason for round trip.</td></tr><tr><td style=\"white-space:nowrap\">stretcherpurpose<a name=\"claiminformationcategory-stretcherpurpose\"> </a></td><td>Stretcher Purpose</td><td>Purpose of stretcher use.</td></tr><tr><td style=\"white-space:nowrap\">pickuplocation<a name=\"claiminformationcategory-pickuplocation\"> </a></td><td>Pick-up Location</td><td>Transportation service patient pick-up Location.</td></tr><tr><td style=\"white-space:nowrap\">dropofflocation<a name=\"claiminformationcategory-dropofflocation\"> </a></td><td>Drop-off Location</td><td>Transportation service patient drop-off location.</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    }
  ],
  "url" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.1.1163"
    }
  ],
  "version" : "2.0.0",
  "name" : "ClaimInformationCategoryCodes",
  "title" : "Claim Information Category Codes",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-06-25T03:17:49+00:00",
  "publisher" : "Health Level Seven International",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org"
        },
        {
          "system" : "email",
          "value" : "hq@HL7.org"
        }
      ]
    }
  ],
  "description" : "This value set includes sample Information Category codes.",
  "copyright" : "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license",
  "caseSensitive" : true,
  "valueSet" : "http://terminology.hl7.org/ValueSet/claim-informationcategory",
  "content" : "complete",
  "concept" : [
    {
      "code" : "info",
      "display" : "Information",
      "definition" : "Codes conveying additional situation and condition information."
    },
    {
      "code" : "discharge",
      "display" : "Discharge",
      "definition" : "Discharge status and discharge to locations."
    },
    {
      "code" : "onset",
      "display" : "Onset",
      "definition" : "Period, start or end dates of aspects of the Condition."
    },
    {
      "code" : "related",
      "display" : "Related Services",
      "definition" : "Nature and date of the related event e.g. Last exam, service, X-ray etc."
    },
    {
      "code" : "exception",
      "display" : "Exception",
      "definition" : "Insurance policy exceptions."
    },
    {
      "code" : "material",
      "display" : "Materials Forwarded",
      "definition" : "Materials being forwarded, e.g. Models, molds, images, documents."
    },
    {
      "code" : "attachment",
      "display" : "Attachment",
      "definition" : "Materials attached such as images, documents and resources."
    },
    {
      "code" : "missingtooth",
      "display" : "Missing Tooth",
      "definition" : "Teeth which are missing for any reason, for example: prior extraction, never developed."
    },
    {
      "code" : "prosthesis",
      "display" : "Prosthesis",
      "definition" : "The type of prosthesis and date of supply if a previously supplied prosthesis."
    },
    {
      "code" : "other",
      "display" : "Other",
      "definition" : "Other information identified by the type.system."
    },
    {
      "code" : "hospitalized",
      "display" : "Hospitalized",
      "definition" : "An indication that the patient was hospitalized, the period if known otherwise a Yes/No (boolean)."
    },
    {
      "code" : "employmentimpacted",
      "display" : "EmploymentImpacted",
      "definition" : "An indication that the patient was unable to work, the period if known otherwise a Yes/No (boolean)."
    },
    {
      "code" : "externalcause",
      "display" : "External Caause",
      "definition" : "The external cause of an illness or injury."
    },
    {
      "code" : "patientreasonforvisit",
      "display" : "Patient Reason for Visit",
      "definition" : "The reason for the patient visit."
    },
    {
      "code" : "medicalrecordnumber",
      "display" : "Medical Record Number",
      "definition" : "Patient Medical Record Number associated with the specific claim."
    },
    {
      "code" : "patientaccountnumber",
      "display" : "Patient Account Number",
      "definition" : "Patient Account Number associated with the specific claim."
    },
    {
      "code" : "admissionperiod",
      "display" : "Admission Period",
      "definition" : "Dates corresponding with the admission and discharge of the beneficiary to a facility."
    },
    {
      "code" : "clmrecvddate",
      "display" : "Claim Received Date",
      "definition" : "Date the claim was received by the payer."
    },
    {
      "code" : "compounddrugcode",
      "display" : "Compound Code",
      "definition" : "Code indicating whether or not the prescription is a compound."
    },
    {
      "code" : "dawcode",
      "display" : "DAW (Dispense As Written) Code",
      "definition" : "Code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication."
    },
    {
      "code" : "dayssupply",
      "display" : "Days Supply",
      "definition" : "Value indicating the Number of days supply of medication dispensed by the pharmacy."
    },
    {
      "code" : "refillnum",
      "display" : "Refill Number",
      "definition" : "Value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)"
    },
    {
      "code" : "refillsauthorized",
      "display" : "Refills Authorized",
      "definition" : "Value indicating the number of refills authorized by the subscriber (0, 1, 2, etc.)"
    },
    {
      "code" : "rxorigincode",
      "display" : "Rx Origin Code",
      "definition" : "Code indicating how the prescription was communicated (e.g. transmitted as an electronic prescription, by phone, by fax, or as a written paper copy)."
    },
    {
      "code" : "orthodontics",
      "display" : "Orthodontics",
      "definition" : "Orthodontics treatment indicator."
    },
    {
      "code" : "additionalbodysite",
      "display" : "Additional Body Site",
      "definition" : "Additional physical service site on the patient (limb, tooth, etc.)."
    },
    {
      "code" : "patientweight",
      "display" : "Patient Weight",
      "definition" : "Patient weight at time of service."
    },
    {
      "code" : "ambulancetransportreason",
      "display" : "Ambulance Transport Reason",
      "definition" : "Reason ambulance transport was needed."
    },
    {
      "code" : "transportationdistance",
      "display" : "Transportation Distance",
      "definition" : "Transportation service distance traveled."
    },
    {
      "code" : "roundtrippurpose",
      "display" : "Round Trip Purpose",
      "definition" : "Transportation service reason for round trip."
    },
    {
      "code" : "stretcherpurpose",
      "display" : "Stretcher Purpose",
      "definition" : "Purpose of stretcher use."
    },
    {
      "code" : "pickuplocation",
      "display" : "Pick-up Location",
      "definition" : "Transportation service patient pick-up Location."
    },
    {
      "code" : "dropofflocation",
      "display" : "Drop-off Location",
      "definition" : "Transportation service patient drop-off location."
    }
  ]
}