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) - XML Representation

Active as of 2025-08-05

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="conditionCodesV100"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-v2versionCreated">
    <valueString value="2.3.1"/>
  </extension>
  <extension
             url="http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-versionHistory">
    <valueString value="generate correct history somehow"/>
  </extension>
  <extension
             url="http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-tableNo">
    <valueString value="0043"/>
  </extension>
  <url
       value="http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.18.19"/>
  </identifier>
  <version value="1.0.0"/>
  <name value="ConditionCodesV100"/>
  <title value="Condition Code (2.3.1 - 1.0.0)"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2025-08-05T15:14:51+02:00"/>
  <description
               value="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 value="HL7 Inc., 2024"/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <property>
    <code value="versionIntroduced"/>
    <uri
         value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionIntroduced"/>
    <description value="version when was this code introduced"/>
    <type value="string"/>
  </property>
  <property>
    <code value="versionDeprecated"/>
    <uri
         value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionDeprecated"/>
    <description value="version when was this code deprecated"/>
    <type value="string"/>
  </property>
  <property>
    <code value="status"/>
    <uri value="http://hl7.org/fhir/concept-properties#status"/>
    <description
                 value="A code that indicates the status of the concept. Typical values are active, experimental, deprecated, and retired"/>
    <type value="code"/>
  </property>
  <property>
    <code value="comment"/>
    <uri
         value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#comment"/>
    <description
                 value="A string that provides additional detail pertinent to the use or understanding of the concept"/>
    <type value="string"/>
  </property>
  <property>
    <code value="usage"/>
    <uri
         value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#usage"/>
    <description value="usage notes for this code"/>
    <type value="string"/>
  </property>
  <property>
    <code value="modified"/>
    <uri
         value="http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#modified"/>
    <description value="date of last modification"/>
    <type value="dateTime"/>
  </property>
  <concept>
    <code value="01"/>
    <display value="Military service related"/>
    <definition value="Military service related"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="02"/>
    <display value="Condition is employment related"/>
    <definition value="Condition is employment related"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="03"/>
    <display value="Patient covered by insurance not reflected here"/>
    <definition value="Patient covered by insurance not reflected here"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="04"/>
    <display value="HMO enrollee"/>
    <definition value="HMO enrollee"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="05"/>
    <display value="Lien has been filed"/>
    <definition value="Lien has been filed"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="06"/>
    <display
             value="ESRD patient in first 18 months of entitlement covered by employer group health insurance"/>
    <definition
                value="ESRD patient in first 18 months of entitlement covered by employer group health insurance"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="07"/>
    <display value="Treatment of non-terminal condition for hospice patient"/>
    <definition
                value="Treatment of non-terminal condition for hospice patient"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="08"/>
    <display
             value="Beneficiary would not provide information concerning other insurance coverage"/>
    <definition
                value="Beneficiary would not provide information concerning other insurance coverage"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="09"/>
    <display value="Neither patient nor spouse is employed"/>
    <definition value="Neither patient nor spouse is employed"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="10"/>
    <display value="Patient and/or spouse is employed but no EGHP exists"/>
    <definition value="Patient and/or spouse is employed but no EGHP exists"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="11"/>
    <display value="Disabled beneficiary but no LGHP"/>
    <definition value="Disabled beneficiary but no LGHP"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="12"/>
    <display value="Payer codes."/>
    <definition value="Payer codes."/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="13"/>
    <display value="Payer codes."/>
    <definition value="Payer codes."/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="14"/>
    <display value="Payer codes."/>
    <definition value="Payer codes."/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="15"/>
    <display value="Payer codes."/>
    <definition value="Payer codes."/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="16"/>
    <display value="Payer codes."/>
    <definition value="Payer codes."/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="18"/>
    <display value="Maiden name retained"/>
    <definition value="Maiden name retained"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="19"/>
    <display value="Child retains mother's name"/>
    <definition value="Child retains mother's name"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="20"/>
    <display value="Beneficiary requested billing"/>
    <definition value="Beneficiary requested billing"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="21"/>
    <display value="Billing for Denial Notice"/>
    <definition value="Billing for Denial Notice"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="26"/>
    <display
             value="VA eligible patient chooses to receive services in a Medicare certified facility"/>
    <definition
                value="VA eligible patient chooses to receive services in a Medicare certified facility"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="27"/>
    <display
             value="Patient referred to a sole community hospital for a diagnostic laboratory test"/>
    <definition
                value="Patient referred to a sole community hospital for a diagnostic laboratory test"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="28"/>
    <display value="Patient and/or spouse’s EGHP is secondary to Medicare"/>
    <definition
                value="Patient and/or spouse’s EGHP is secondary to Medicare"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="29"/>
    <display
             value="Disabled beneficiary and/or family member’s LGHP is secondary to Medicare"/>
    <definition
                value="Disabled beneficiary and/or family member’s LGHP is secondary to Medicare"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="31"/>
    <display value="Patient is student (full time-day)"/>
    <definition value="Patient is student (full time-day)"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="32"/>
    <display value="Patient is student (cooperative/work study program)"/>
    <definition value="Patient is student (cooperative/work study program)"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="33"/>
    <display value="Patient is student (full time-night)"/>
    <definition value="Patient is student (full time-night)"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="34"/>
    <display value="Patient is student (Part time)"/>
    <definition value="Patient is student (Part time)"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="36"/>
    <display value="General care patient in a special unit"/>
    <definition value="General care patient in a special unit"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="37"/>
    <display value="Ward accommodation as patient request"/>
    <definition value="Ward accommodation as patient request"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="38"/>
    <display value="Semi-private room not available"/>
    <definition value="Semi-private room not available"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="39"/>
    <display value="Private room medically necessary"/>
    <definition value="Private room medically necessary"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="40"/>
    <display value="Same day transfer"/>
    <definition value="Same day transfer"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="41"/>
    <display value="Partial hospitalization"/>
    <definition value="Partial hospitalization"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="46"/>
    <display value="Non-availability statement on file"/>
    <definition value="Non-availability statement on file"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="48"/>
    <display
             value="Psychiatric residential treatment centers for children and adolescents"/>
    <definition
                value="Psychiatric residential treatment centers for children and adolescents"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="55"/>
    <display value="SNF bed not available"/>
    <definition value="SNF bed not available"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="56"/>
    <display value="Medical appropriateness"/>
    <definition value="Medical appropriateness"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="57"/>
    <display value="SNF readmission"/>
    <definition value="SNF readmission"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="60"/>
    <display value="Day outlier"/>
    <definition value="Day outlier"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="61"/>
    <display value="Cost outlier"/>
    <definition value="Cost outlier"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="62"/>
    <display value="Payer code"/>
    <definition value="Payer code"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="66"/>
    <display value="Provider does not wish cost outlier payment"/>
    <definition value="Provider does not wish cost outlier payment"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="67"/>
    <display
             value="Beneficiary elects not to use life time reserve (LTR) days"/>
    <definition
                value="Beneficiary elects not to use life time reserve (LTR) days"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="68"/>
    <display value="Beneficiary elects to use life time reserve (LTR) days"/>
    <definition
                value="Beneficiary elects to use life time reserve (LTR) days"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="70"/>
    <display value="Self-administered EPO"/>
    <definition value="Self-administered EPO"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="71"/>
    <display value="Full care in unit"/>
    <definition value="Full care in unit"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="72"/>
    <display value="Self-care in unit"/>
    <definition value="Self-care in unit"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="73"/>
    <display value="Self-care training"/>
    <definition value="Self-care training"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="74"/>
    <display value="Home"/>
    <definition value="Home"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="75"/>
    <display value="Home - 100% reimbursement"/>
    <definition value="Home - 100% reimbursement"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="76"/>
    <display value="Back-up in facility dialysis"/>
    <definition value="Back-up in facility dialysis"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="77"/>
    <display
             value="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
                value="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 value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="78"/>
    <display value="New coverage not implemented by HMO"/>
    <definition value="New coverage not implemented by HMO"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="79"/>
    <display value="Corf services provided off-site"/>
    <definition value="Corf services provided off-site"/>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
  <concept>
    <code value="80"/>
    <display value="Pregnant"/>
    <definition value="Pregnant"/>
    <designation>
      <language value="de"/>
      <value value="schwanger"/>
    </designation>
    <property>
      <code value="versionIntroduced"/>
      <valueString value="2.3.1"/>
    </property>
  </concept>
</CodeSystem>