FHIR Release 3 (STU) 5 Preview #3
This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 4.0.1 . For a full list of available versions, see the Directory of published versions Value Set http://hl7.org/fhir/ValueSet/claim-type

Financial Management Work Group   Maturity Level : 2 Informative Trial Use Use Context : Not Intended for Production use Any

This is a value set defined by the FHIR project.


Defining URL: http://hl7.org/fhir/ValueSet/claim-type
Version: 4.5.0
Name: Example ClaimTypeCodes
Title: Claim Type Codes

This value set includes sample Claim Type codes.

Committee: Financial Management Work Group
OID: 2.16.840.1.113883.4.642.3.550 2.16.840.1.113883.4.642.3.558 (for OID based terminology systems)
Copyright: This is an example set.

HL7 Inc.

Source Resource XML / JSON

This value set is used in the following places:

This value set includes codes from the following code systems:


This expansion generated 19 Apr 2017 15 Jan 2021

This value set contains 5 concepts

Expansion based on http://hl7.org/fhir/ex-claimtype version 3.0.2 Claim Type Codes v4.2.0 (CodeSystem)

All codes from system http://hl7.org/fhir/ex-claimtype http://terminology.hl7.org/CodeSystem/claim-type

Code Display Definition
institutional Institutional Hospital, clinic and typically inpatient claims.
oral Oral Dental, Denture and Hygiene claims.
pharmacy Pharmacy Pharmacy claims for goods and services.
professional Professional Typically Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speach Speech Pathology, rehabilitative, consulting.
vision Vision Vision claims for professional services and products such as glasses and contact lenses.


See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

Level Lvl A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes For value sets, levels are under other codes, and imply that the mostly used to organize codes for user convenience, but may follow code they are under also applies system hierarchy - see Code System for further information
Source 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). If the code is in italics, this indicates that the code is not selectable ('Abstract')
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