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

ValueSet: Condition Code (2.3.1 - 1.0.0) (Experimental)

Official URL: http://terminology.hl7.org/v2plusvocab/ValueSet/hl7VSconditionCodeV100 Version: 1.0.0
Active as of 2025-08-05 Computable Name: Hl7VSconditionCodeV100
Other Identifiers: OID:2.16.840.1.113883.21.22

Copyright/Legal: HL7 Inc., 2024

Value Set of codes that specify the condition code.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem Condition Code (2.3.1 - 1.0.0) v1.0.0 (CodeSystem)

This value set contains 56 concepts

CodeSystemDisplay (en-US)Definition
  01http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Military service relatedMilitary service related
  02http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Condition is employment relatedCondition is employment related
  03http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Patient covered by insurance not reflected herePatient covered by insurance not reflected here
  04http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100HMO enrolleeHMO enrollee
  05http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Lien has been filedLien has been filed
  06http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100ESRD patient in first 18 months of entitlement covered by employer group health insuranceESRD patient in first 18 months of entitlement covered by employer group health insurance
  07http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Treatment of non-terminal condition for hospice patientTreatment of non-terminal condition for hospice patient
  08http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Beneficiary would not provide information concerning other insurance coverageBeneficiary would not provide information concerning other insurance coverage
  09http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Neither patient nor spouse is employedNeither patient nor spouse is employed
  10http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Patient and/or spouse is employed but no EGHP existsPatient and/or spouse is employed but no EGHP exists
  11http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Disabled beneficiary but no LGHPDisabled beneficiary but no LGHP
  12http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Payer codes.Payer codes.
  13http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Payer codes.Payer codes.
  14http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Payer codes.Payer codes.
  15http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Payer codes.Payer codes.
  16http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Payer codes.Payer codes.
  18http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Maiden name retainedMaiden name retained
  19http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Child retains mother's nameChild retains mother's name
  20http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Beneficiary requested billingBeneficiary requested billing
  21http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Billing for Denial NoticeBilling for Denial Notice
  26http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100VA eligible patient chooses to receive services in a Medicare certified facilityVA eligible patient chooses to receive services in a Medicare certified facility
  27http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Patient referred to a sole community hospital for a diagnostic laboratory testPatient referred to a sole community hospital for a diagnostic laboratory test
  28http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Patient and/or spouse’s EGHP is secondary to MedicarePatient and/or spouse’s EGHP is secondary to Medicare
  29http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Disabled beneficiary and/or family member’s LGHP is secondary to MedicareDisabled beneficiary and/or family member’s LGHP is secondary to Medicare
  31http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Patient is student (full time-day)Patient is student (full time-day)
  32http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Patient is student (cooperative/work study program)Patient is student (cooperative/work study program)
  33http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Patient is student (full time-night)Patient is student (full time-night)
  34http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Patient is student (Part time)Patient is student (Part time)
  36http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100General care patient in a special unitGeneral care patient in a special unit
  37http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Ward accommodation as patient requestWard accommodation as patient request
  38http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Semi-private room not availableSemi-private room not available
  39http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Private room medically necessaryPrivate room medically necessary
  40http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Same day transferSame day transfer
  41http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Partial hospitalizationPartial hospitalization
  46http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Non-availability statement on fileNon-availability statement on file
  48http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Psychiatric residential treatment centers for children and adolescentsPsychiatric residential treatment centers for children and adolescents
  55http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100SNF bed not availableSNF bed not available
  56http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Medical appropriatenessMedical appropriateness
  57http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100SNF readmissionSNF readmission
  60http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Day outlierDay outlier
  61http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Cost outlierCost outlier
  62http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Payer codePayer code
  66http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Provider does not wish cost outlier paymentProvider does not wish cost outlier payment
  67http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Beneficiary elects not to use life time reserve (LTR) daysBeneficiary elects not to use life time reserve (LTR) days
  68http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Beneficiary elects to use life time reserve (LTR) daysBeneficiary elects to use life time reserve (LTR) days
  70http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Self-administered EPOSelf-administered EPO
  71http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Full care in unitFull care in unit
  72http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Self-care in unitSelf-care in unit
  73http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Self-care trainingSelf-care training
  74http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100HomeHome
  75http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Home - 100% reimbursementHome - 100% reimbursement
  76http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Back-up in facility dialysisBack-up in facility dialysis
  77http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Provider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in fullProvider accepts or is obligated/required due to a contractual arrangement or law to accept payment by a primary payer as payment in full
  78http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100New coverage not implemented by HMONew coverage not implemented by HMO
  79http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100Corf services provided off-siteCorf services provided off-site
  80http://terminology.hl7.org/v2plusvocab/CodeSystem/conditionCodesV100PregnantPregnant

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System 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)
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