v2+ Vocabulary
0.3.0 - Working Draft to present the concept ideas (FO)

v2+ Vocabulary - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Condition Code (2.3.1 - 1.0.0) - JSON Representation

Active as of 2025-08-05

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{
  "resourceType" : "CodeSystem",
  "id" : "conditionCodesV100",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include all codes defined in <a href=\"CodeSystem-conditionCodesV100.html\"><code>http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100</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/conditionCodesV100",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.18.19"
    }
  ],
  "version" : "1.0.0",
  "name" : "ConditionCodesV100",
  "title" : "Condition Code (2.3.1 - 1.0.0)",
  "status" : "active",
  "experimental" : true,
  "date" : "2025-08-05T15:14:51+02:00",
  "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., 2024",
  "caseSensitive" : true,
  "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"
        }
      ]
    }
  ]
}