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

ValueSet: Claim Information Category Codes

Official URL: http://terminology.hl7.org/ValueSet/claim-informationcategory Version: 1.0.1
Active as of 2024-04-24 Maturity Level: 1 Responsible: Health Level Seven International Computable Name: ClaimInformationCategoryCodes
Other Identifiers: OID:2.16.840.1.113883.4.642.3.582

Copyright/Legal: 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.html

This value set includes sample Information Category codes.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

Last updated: 2024-04-24 00:00:00+0000

Profile: Shareable ValueSet

 

Expansion

Expansion performed internally based on codesystem Claim Information Category Codes v2.0.0 (CodeSystem)

This value set contains 33 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://terminology.hl7.org/CodeSystem/claiminformationcategory  infoInformationCodes conveying additional situation and condition information.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  dischargeDischargeDischarge status and discharge to locations.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  onsetOnsetPeriod, start or end dates of aspects of the Condition.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  relatedRelated ServicesNature and date of the related event e.g. Last exam, service, X-ray etc.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  exceptionExceptionInsurance policy exceptions.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  materialMaterials ForwardedMaterials being forwarded, e.g. Models, molds, images, documents.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  attachmentAttachmentMaterials attached such as images, documents and resources.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  missingtoothMissing ToothTeeth which are missing for any reason, for example: prior extraction, never developed.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  prosthesisProsthesisThe type of prosthesis and date of supply if a previously supplied prosthesis.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  otherOtherOther information identified by the type.system.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  hospitalizedHospitalizedAn indication that the patient was hospitalized, the period if known otherwise a Yes/No (boolean).
http://terminology.hl7.org/CodeSystem/claiminformationcategory  employmentimpactedEmploymentImpactedAn indication that the patient was unable to work, the period if known otherwise a Yes/No (boolean).
http://terminology.hl7.org/CodeSystem/claiminformationcategory  externalcauseExternal CaauseThe external cause of an illness or injury.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  patientreasonforvisitPatient Reason for VisitThe reason for the patient visit.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  medicalrecordnumberMedical Record NumberPatient Medical Record Number associated with the specific claim.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  patientaccountnumberPatient Account NumberPatient Account Number associated with the specific claim.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  admissionperiodAdmission PeriodDates corresponding with the admission and discharge of the beneficiary to a facility.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  clmrecvddateClaim Received DateDate the claim was received by the payer.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  compounddrugcodeCompound CodeCode indicating whether or not the prescription is a compound.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  dawcodeDAW (Dispense As Written) CodeCode indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  dayssupplyDays SupplyValue indicating the Number of days supply of medication dispensed by the pharmacy.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  refillnumRefill NumberValue indicating the number fill of the current dispensed supply (0, 1, 2, etc.)
http://terminology.hl7.org/CodeSystem/claiminformationcategory  refillsauthorizedRefills AuthorizedValue indicating the number of refills authorized by the subscriber (0, 1, 2, etc.)
http://terminology.hl7.org/CodeSystem/claiminformationcategory  rxorigincodeRx Origin CodeCode indicating how the prescription was communicated (e.g. transmitted as an electronic prescription, by phone, by fax, or as a written paper copy).
http://terminology.hl7.org/CodeSystem/claiminformationcategory  orthodonticsOrthodonticsOrthodontics treatment indicator.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  additionalbodysiteAdditional Body SiteAdditional physical service site on the patient (limb, tooth, etc.).
http://terminology.hl7.org/CodeSystem/claiminformationcategory  patientweightPatient WeightPatient weight at time of service.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  ambulancetransportreasonAmbulance Transport ReasonReason ambulance transport was needed.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  transportationdistanceTransportation DistanceTransportation service distance traveled.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  roundtrippurposeRound Trip PurposeTransportation service reason for round trip.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  stretcherpurposeStretcher PurposePurpose of stretcher use.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  pickuplocationPick-up LocationTransportation service patient pick-up Location.
http://terminology.hl7.org/CodeSystem/claiminformationcategory  dropofflocationDrop-off LocationTransportation service patient drop-off location.

Description of the above table(s).


History

DateActionAuthorCustodianComment
2023-11-14reviseMarc DuteauTSMGAdd standard copyright and contact to internal content; up-476
2020-10-14reviseGrahame GrieveVocabulary WGReset Version after migration to UTG
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.