FHIR Implementation Guide for HCX - Local Development build (v0.9.0). See the Directory of published versions

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: HCX Claim Supporting Info Categories - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "claim-supporting-info-categories",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set contains 34 concepts</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-POI\"> </a>\u00a0\u00a0POI</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>proof of identity</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-POA\"> </a>\u00a0\u00a0POA</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>proof of address</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-DOB\"> </a>\u00a0\u00a0DOB</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>proof of Date of Birth</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-POR\"> </a>\u00a0\u00a0POR</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>proof of relation</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-PHT\"> </a>\u00a0\u00a0PHT</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Photograph</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-BVC\"> </a>\u00a0\u00a0BVC</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>benefiaciary verification card</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-DEF\"> </a>\u00a0\u00a0DEF</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>declaration form</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-SIG\"> </a>\u00a0\u00a0SIG</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>signature</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-FCF\"> </a>\u00a0\u00a0FCF</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>filled claim form</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-CER\"> </a>\u00a0\u00a0CER</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Medical Certficate</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-MB\"> </a>\u00a0\u00a0MB</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>medical bill</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-DIA\"> </a>\u00a0\u00a0DIA</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>diagnostic reports</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-HDS\"> </a>\u00a0\u00a0HDS</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>hospital discharge summary</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-REF\"> </a>\u00a0\u00a0REF</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>referal latter</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-DEL\"> </a>\u00a0\u00a0DEL</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>doctor signed extention letter</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-CD\"> </a>\u00a0\u00a0CD</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>clinical documents</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-EID\"> </a>\u00a0\u00a0EID</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>employee id card</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-FIR\"> </a>\u00a0\u00a0FIR</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>FIR copy</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-CIL\"> </a>\u00a0\u00a0CIL</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>claim status intimation letter</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-INF\"> </a>\u00a0\u00a0INF</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>additional info related to claim ( conveying additional situation and condition information.)</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-DIS\"> </a>\u00a0\u00a0DIS</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>discharge status and discharge to location details</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-ONS\"> </a>\u00a0\u00a0ONS</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Period, start or end dates of aspects of the Condition. (e.g. admission, discharge etc)</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-REL\"> </a>\u00a0\u00a0REL</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Related services</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-EXC\"> </a>\u00a0\u00a0EXC</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Exception</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-MAT\"> </a>\u00a0\u00a0MAT</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Materials Forwarded</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-ATT\"> </a>\u00a0\u00a0ATT</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Attachment</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-OTH\"> </a>\u00a0\u00a0OTH</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Other</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-COI\"> </a>\u00a0\u00a0COI</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Injury or accident detail</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-VRE\"> </a>\u00a0\u00a0VRE</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Patient Reason for Visit</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-CRD\"> </a>\u00a0\u00a0CRD</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Claim received</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-NMI\"> </a>\u00a0\u00a0NMI</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Claim query detail</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-TRD\"> </a>\u00a0\u00a0TRD</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Treatment detail</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-IND\"> </a>\u00a0\u00a0IND</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Indicator flag</td></tr><tr><td style=\"white-space:nowrap\"><a name=\"http---hcxprotocol.io-codes-claim-supporting-info-categories-PoPr\"> </a>\u00a0\u00a0PoPr</td><td>http://hcxprotocol.io/codes/claim-supporting-info-categories</td><td>Proof of Presence</td></tr></table></div>"
  },
  "url" : "https://ig.hcxprotocol.io/v0.9/ValueSet-claim-supporting-info-categories.html",
  "version" : "0.9.0",
  "name" : "ClaimSupportingInfoCategories",
  "status" : "active",
  "date" : "2022-08-01",
  "publisher" : "HCX Open Community",
  "contact" : [
    {
      "name" : "HCX Open Community",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hcxprotocol.io/"
        }
      ]
    }
  ],
  "description" : "This is the value set for the different categories of supporting information that can be shared along with the submission of a claim",
  "expansion" : {
    "timestamp" : "2022-08-01T08:15:30+05:30",
    "contains" : [
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "POI",
        "display" : "proof of identity"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "POA",
        "display" : "proof of address"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "DOB",
        "display" : "proof of Date of Birth"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "POR",
        "display" : "proof of relation"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "PHT",
        "display" : "Photograph"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "BVC",
        "display" : "benefiaciary verification card"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "DEF",
        "display" : "declaration form"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "SIG",
        "display" : "signature"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "FCF",
        "display" : "filled claim form"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "CER",
        "display" : "Medical Certficate"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "MB",
        "display" : "medical bill"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "DIA",
        "display" : "diagnostic reports"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "HDS",
        "display" : "hospital discharge summary"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "REF",
        "display" : "referal latter"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "DEL",
        "display" : "doctor signed extention letter"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "CD",
        "display" : "clinical documents"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "EID",
        "display" : "employee id card"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "FIR",
        "display" : "FIR copy"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "CIL",
        "display" : "claim status intimation letter"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "INF",
        "display" : "additional info related to claim ( conveying additional situation and condition information.)"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "DIS",
        "display" : "discharge status and discharge to location details"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "ONS",
        "display" : "Period, start or end dates of aspects of the Condition. (e.g. admission, discharge etc)"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "REL",
        "display" : "Related services"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "EXC",
        "display" : "Exception"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "MAT",
        "display" : "Materials Forwarded"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "ATT",
        "display" : "Attachment"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "OTH",
        "display" : "Other"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "COI",
        "display" : "Injury or accident detail"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "VRE",
        "display" : "Patient Reason for Visit"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "CRD",
        "display" : "Claim received"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "NMI",
        "display" : "Claim query detail"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "TRD",
        "display" : "Treatment detail"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "IND",
        "display" : "Indicator flag"
      },
      {
        "system" : "http://hcxprotocol.io/codes/claim-supporting-info-categories",
        "code" : "PoPr",
        "display" : "Proof of Presence"
      }
    ]
  }
}