{
"resourceType": "CodeSystem",
"id": "claim-use",
"meta": {
"lastUpdated": "2023-03-26T15:21:02.749+11:00",
"profile": [
"http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>This code system \n <code>http://hl7.org/fhir/claim-use</code> defines the following codes:\n </p>\n <table class=\"codes\">\n <tr>\n <td style=\"white-space:nowrap\">\n <b>Code</b>\n </td>\n <td>\n <b>Display</b>\n </td>\n <td>\n <b>Definition</b>\n </td>\n </tr>\n <tr>\n <td style=\"white-space:nowrap\">claim\n <a name=\"claim-use-claim\"> </a>\n </td>\n <td>Claim</td>\n <td>The treatment is complete and this represents a Claim for the services.</td>\n </tr>\n <tr>\n <td style=\"white-space:nowrap\">preauthorization\n <a name=\"claim-use-preauthorization\"> </a>\n </td>\n <td>Preauthorization</td>\n <td>The treatment is proposed and this represents a Pre-authorization for the services.</td>\n </tr>\n <tr>\n <td style=\"white-space:nowrap\">predetermination\n <a name=\"claim-use-predetermination\"> </a>\n </td>\n <td>Predetermination</td>\n <td>The treatment is proposed and this represents a Pre-determination for the services.</td>\n </tr>\n </table>\n </div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2
}
],
"url": "http://hl7.org/fhir/claim-use",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.4.545"
},
{
"use": "old",
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.1.537"
}
],
"version": "5.0.0",
"name": "Use",
"title": "Use",
"status": "active",
"experimental": false,
"date": "2021-01-05T10:01:24+11:00",
"publisher": "HL7 (FHIR Project)",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://hl7.org/fhir"
},
{
"system": "email",
"value": "fhir@lists.hl7.org"
}
]
}
],
"description": "The purpose of the Claim: predetermination, preauthorization, claim.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"caseSensitive": true,
"valueSet": "http://hl7.org/fhir/ValueSet/claim-use",
"content": "complete",
"concept": [
{
"code": "claim",
"display": "Claim",
"definition": "The treatment is complete and this represents a Claim for the services."
},
{
"code": "preauthorization",
"display": "Preauthorization",
"definition": "The treatment is proposed and this represents a Pre-authorization for the services."
},
{
"code": "predetermination",
"display": "Predetermination",
"definition": "The treatment is proposed and this represents a Pre-determination for the services."
}
]
}