HL7 v2.3.1 Vocabulary
0.1.0 - 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 0.1.0 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

## : Condition Code (2.3.1 - 1.0.0) - XML Representation

Active as of 2026-01-27

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    <CodeSystem xmlns="http://hl7.org/fhir">
      <id value="conditionCodes"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Include all codes defined in <a href="CodeSystem-conditionCodes.html"><code>http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes</code></a></li></ul></div>
      </text>
      <extension
                 url="http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-v2versionCreated">
        <valueString value="2.3.1"/>
      </extension>
      <extension
                 url="http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-versionHistory">
        <valueString value="generate correct history somehow"/>
      </extension>
      <extension
                 url="http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-tableNo">
        <valueString value="0043"/>
      </extension>
      <url
           value="http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodes"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.16.840.1.113883.18.19"/>
      </identifier>
      <version value="1.0.0"/>
      <name value="ConditionCodes"/>
      <title value="Condition Code (2.3.1 - 1.0.0)"/>
      <status value="active"/>
      <experimental value="true"/>
      <date value="2026-01-27T19:22:40+00:00"/>
      <publisher value="HL7/FO"/>
      <contact>
        <name value="HL7/FO"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org"/>
        </telecom>
      </contact>
      <description
                   value="HL7-defined code system of concepts specifying the condition code.  This field is defined by CMS or other regulartory agencies.  Used in HL7 Version 2.x messaging in the UB2 segment."/>
      <copyright value="HL7 Inc., 2026"/>
      <caseSensitive value="true"/>
      <compositional value="false"/>
      <content value="complete"/>
      <property>
        <code value="versionIntroduced"/>
        <uri
             value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionIntroduced"/>
        <description value="version when was this code introduced"/>
        <type value="string"/>
      </property>
      <property>
        <code value="versionDeprecated"/>
        <uri
             value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionDeprecated"/>
        <description value="version when was this code deprecated"/>
        <type value="string"/>
      </property>
      <property>
        <code value="status"/>
        <uri value="http://hl7.org/fhir/concept-properties#status"/>
        <description
                     value="A code that indicates the status of the concept. Typical values are active, experimental, deprecated, and retired"/>
        <type value="code"/>
      </property>
      <property>
        <code value="comment"/>
        <uri
             value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#comment"/>
        <description
                     value="A string that provides additional detail pertinent to the use or understanding of the concept"/>
        <type value="string"/>
      </property>
      <property>
        <code value="usage"/>
        <uri
             value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#usage"/>
        <description value="usage notes for this code"/>
        <type value="string"/>
      </property>
      <property>
        <code value="modified"/>
        <uri
             value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#modified"/>
        <description value="date of last modification"/>
        <type value="dateTime"/>
      </property>
      <concept>
        <code value="01"/>
        <display value="Military service related"/>
        <definition value="Military service related"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="02"/>
        <display value="Condition is employment related"/>
        <definition value="Condition is employment related"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="03"/>
        <display value="Patient covered by insurance not reflected here"/>
        <definition value="Patient covered by insurance not reflected here"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="04"/>
        <display value="HMO enrollee"/>
        <definition value="HMO enrollee"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="05"/>
        <display value="Lien has been filed"/>
        <definition value="Lien has been filed"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="06"/>
        <display
                 value="ESRD patient in first 18 months of entitlement covered by employer group health insurance"/>
        <definition
                    value="ESRD patient in first 18 months of entitlement covered by employer group health insurance"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="07"/>
        <display value="Treatment of non-terminal condition for hospice patient"/>
        <definition
                    value="Treatment of non-terminal condition for hospice patient"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="08"/>
        <display
                 value="Beneficiary would not provide information concerning other insurance coverage"/>
        <definition
                    value="Beneficiary would not provide information concerning other insurance coverage"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="09"/>
        <display value="Neither patient nor spouse is employed"/>
        <definition value="Neither patient nor spouse is employed"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="10"/>
        <display value="Patient and/or spouse is employed but no EGHP exists"/>
        <definition value="Patient and/or spouse is employed but no EGHP exists"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="11"/>
        <display value="Disabled beneficiary but no LGHP"/>
        <definition value="Disabled beneficiary but no LGHP"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="12"/>
        <display value="Payer codes."/>
        <definition value="Payer codes."/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="13"/>
        <display value="Payer codes."/>
        <definition value="Payer codes."/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="14"/>
        <display value="Payer codes."/>
        <definition value="Payer codes."/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="15"/>
        <display value="Payer codes."/>
        <definition value="Payer codes."/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="16"/>
        <display value="Payer codes."/>
        <definition value="Payer codes."/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="18"/>
        <display value="Maiden name retained"/>
        <definition value="Maiden name retained"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="19"/>
        <display value="Child retains mother's name"/>
        <definition value="Child retains mother's name"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="20"/>
        <display value="Beneficiary requested billing"/>
        <definition value="Beneficiary requested billing"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="21"/>
        <display value="Billing for Denial Notice"/>
        <definition value="Billing for Denial Notice"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="26"/>
        <display
                 value="VA eligible patient chooses to receive services in a Medicare certified facility"/>
        <definition
                    value="VA eligible patient chooses to receive services in a Medicare certified facility"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="27"/>
        <display
                 value="Patient referred to a sole community hospital for a diagnostic laboratory test"/>
        <definition
                    value="Patient referred to a sole community hospital for a diagnostic laboratory test"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="28"/>
        <display value="Patient and/or spouse’s EGHP is secondary to Medicare"/>
        <definition
                    value="Patient and/or spouse’s EGHP is secondary to Medicare"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="29"/>
        <display
                 value="Disabled beneficiary and/or family member’s LGHP is secondary to Medicare"/>
        <definition
                    value="Disabled beneficiary and/or family member’s LGHP is secondary to Medicare"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="31"/>
        <display value="Patient is student (full time-day)"/>
        <definition value="Patient is student (full time-day)"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="32"/>
        <display value="Patient is student (cooperative/work study program)"/>
        <definition value="Patient is student (cooperative/work study program)"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="33"/>
        <display value="Patient is student (full time-night)"/>
        <definition value="Patient is student (full time-night)"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="34"/>
        <display value="Patient is student (Part time)"/>
        <definition value="Patient is student (Part time)"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="36"/>
        <display value="General care patient in a special unit"/>
        <definition value="General care patient in a special unit"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="37"/>
        <display value="Ward accommodation as patient request"/>
        <definition value="Ward accommodation as patient request"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="38"/>
        <display value="Semi-private room not available"/>
        <definition value="Semi-private room not available"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="39"/>
        <display value="Private room medically necessary"/>
        <definition value="Private room medically necessary"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="40"/>
        <display value="Same day transfer"/>
        <definition value="Same day transfer"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="41"/>
        <display value="Partial hospitalization"/>
        <definition value="Partial hospitalization"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="46"/>
        <display value="Non-availability statement on file"/>
        <definition value="Non-availability statement on file"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="48"/>
        <display
                 value="Psychiatric residential treatment centers for children and adolescents"/>
        <definition
                    value="Psychiatric residential treatment centers for children and adolescents"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="55"/>
        <display value="SNF bed not available"/>
        <definition value="SNF bed not available"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="56"/>
        <display value="Medical appropriateness"/>
        <definition value="Medical appropriateness"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="57"/>
        <display value="SNF readmission"/>
        <definition value="SNF readmission"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="60"/>
        <display value="Day outlier"/>
        <definition value="Day outlier"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="61"/>
        <display value="Cost outlier"/>
        <definition value="Cost outlier"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="62"/>
        <display value="Payer code"/>
        <definition value="Payer code"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="66"/>
        <display value="Provider does not wish cost outlier payment"/>
        <definition value="Provider does not wish cost outlier payment"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="67"/>
        <display
                 value="Beneficiary elects not to use life time reserve (LTR) days"/>
        <definition
                    value="Beneficiary elects not to use life time reserve (LTR) days"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="68"/>
        <display value="Beneficiary elects to use life time reserve (LTR) days"/>
        <definition
                    value="Beneficiary elects to use life time reserve (LTR) days"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="70"/>
        <display value="Self-administered EPO"/>
        <definition value="Self-administered EPO"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="71"/>
        <display value="Full care in unit"/>
        <definition value="Full care in unit"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="72"/>
        <display value="Self-care in unit"/>
        <definition value="Self-care in unit"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="73"/>
        <display value="Self-care training"/>
        <definition value="Self-care training"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="74"/>
        <display value="Home"/>
        <definition value="Home"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="75"/>
        <display value="Home - 100% reimbursement"/>
        <definition value="Home - 100% reimbursement"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="76"/>
        <display value="Back-up in facility dialysis"/>
        <definition value="Back-up in facility dialysis"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="77"/>
        <display
                 value="Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full"/>
        <definition
                    value="Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="78"/>
        <display value="New coverage not implemented by HMO"/>
        <definition value="New coverage not implemented by HMO"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="79"/>
        <display value="Corf services provided off-site"/>
        <definition value="Corf services provided off-site"/>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
      <concept>
        <code value="80"/>
        <display value="Pregnant"/>
        <definition value="Pregnant"/>
        <designation>
          <language value="de"/>
          <value value="schwanger"/>
        </designation>
        <property>
          <code value="versionIntroduced"/>
          <valueString value="2.3.1"/>
        </property>
      </concept>
    </CodeSystem>