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