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) - JSON Representation

Active as of 2026-01-27

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