HL7 v2.3.1 Vocabulary
0.2.0 - ci-build
HL7 v2.3.1 Vocabulary, published by HL7/FO. This guide is not an authorized publication; it is the continuous build for version 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/frankoemig/hl7.v2.terminology.v231/ and changes regularly. See the Directory of published versions
| Official URL: http://terminology.hl7.org/v2plusvocab/ValueSet/hl7VSconditionCode | Version: 1.0.0 | |||
| Active as of 2026-03-13 | Computable Name: Hl7VSconditionCode | |||
| Other Identifiers: OID:2.16.840.1.113883.21.22, urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#http://terminology.hl7.org/v2plusvocab/ValueSet/v2-0043 | ||||
Copyright/Legal: HL7 Inc., 2026 |
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Value Set of codes that specify the condition code.
References
This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes version 📍1.0.0
Expansion performed internally based on codesystem Condition Code (2.3.1 - 1.0.0) v1.0.0 (CodeSystem)
This value set contains 56 concepts
| System | Code | Display (en) | Definition | JSON | XML |
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 01 | Military service related | Military service related | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 02 | Condition is employment related | Condition is employment related | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 03 | Patient covered by insurance not reflected here | Patient covered by insurance not reflected here | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 04 | HMO enrollee | HMO enrollee | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 05 | Lien has been filed | Lien has been filed | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 06 | ESRD patient in first 18 months of entitlement covered by employer group health insurance | ESRD patient in first 18 months of entitlement covered by employer group health insurance | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 07 | Treatment of non-terminal condition for hospice patient | Treatment of non-terminal condition for hospice patient | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 08 | Beneficiary would not provide information concerning other insurance coverage | Beneficiary would not provide information concerning other insurance coverage | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 09 | Neither patient nor spouse is employed | Neither patient nor spouse is employed | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 10 | Patient and/or spouse is employed but no EGHP exists | Patient and/or spouse is employed but no EGHP exists | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 11 | Disabled beneficiary but no LGHP | Disabled beneficiary but no LGHP | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 12 | Payer codes. | Payer codes. | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 13 | Payer codes. | Payer codes. | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 14 | Payer codes. | Payer codes. | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 15 | Payer codes. | Payer codes. | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 16 | Payer codes. | Payer codes. | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 18 | Maiden name retained | Maiden name retained | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 19 | Child retains mother's name | Child retains mother's name | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 20 | Beneficiary requested billing | Beneficiary requested billing | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 21 | Billing for Denial Notice | Billing for Denial Notice | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 26 | VA eligible patient chooses to receive services in a Medicare certified facility | VA eligible patient chooses to receive services in a Medicare certified facility | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 27 | Patient referred to a sole community hospital for a diagnostic laboratory test | Patient referred to a sole community hospital for a diagnostic laboratory test | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 28 | Patient and/or spouse’s EGHP is secondary to Medicare | Patient and/or spouse’s EGHP is secondary to Medicare | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 29 | Disabled beneficiary and/or family member’s LGHP is secondary to Medicare | Disabled beneficiary and/or family member’s LGHP is secondary to Medicare | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 31 | Patient is student (full time-day) | Patient is student (full time-day) | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 32 | Patient is student (cooperative/work study program) | Patient is student (cooperative/work study program) | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 33 | Patient is student (full time-night) | Patient is student (full time-night) | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 34 | Patient is student (Part time) | Patient is student (Part time) | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 36 | General care patient in a special unit | General care patient in a special unit | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 37 | Ward accommodation as patient request | Ward accommodation as patient request | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 38 | Semi-private room not available | Semi-private room not available | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 39 | Private room medically necessary | Private room medically necessary | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 40 | Same day transfer | Same day transfer | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 41 | Partial hospitalization | Partial hospitalization | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 46 | Non-availability statement on file | Non-availability statement on file | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 48 | Psychiatric residential treatment centers for children and adolescents | Psychiatric residential treatment centers for children and adolescents | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 55 | SNF bed not available | SNF bed not available | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 56 | Medical appropriateness | Medical appropriateness | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 57 | SNF readmission | SNF readmission | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 60 | Day outlier | Day outlier | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 61 | Cost outlier | Cost outlier | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 62 | Payer code | Payer code | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 66 | Provider does not wish cost outlier payment | Provider does not wish cost outlier payment | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 67 | Beneficiary elects not to use life time reserve (LTR) days | Beneficiary elects not to use life time reserve (LTR) days | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 68 | Beneficiary elects to use life time reserve (LTR) days | Beneficiary elects to use life time reserve (LTR) days | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 70 | Self-administered EPO | Self-administered EPO | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 71 | Full care in unit | Full care in unit | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 72 | Self-care in unit | Self-care in unit | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 73 | Self-care training | Self-care training | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 74 | Home | Home | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 75 | Home - 100% reimbursement | Home - 100% reimbursement | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 76 | Back-up in facility dialysis | Back-up in facility dialysis | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 77 | Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full | Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 78 | New coverage not implemented by HMO | New coverage not implemented by HMO | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 79 | Corf services provided off-site | Corf services provided off-site | ||
http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes | 80 | Pregnant | Pregnant |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |