FHIR Implementation Guide for ABDM
6.5.0 - active
FHIR Implementation Guide for ABDM
6.5.0 - active
This page is part of the FHIR Implementation Guide for ABDM (v6.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-related-claim-relationship-code | Version: 6.5.0 | |||
| Draft as of 2023-07-05 | Computable Name: RelatedClaimRelationship | |||
This ValueSet contains a set of codes that can be use to show the relationship between claims.
References
Generated Narrative: ValueSet ndhm-related-claim-relationship-code
This value set includes codes based on the following rules:
https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-related-claim-relationship-codehttp://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
Generated Narrative: ValueSet
Expansion done internally based on:
This value set contains 4 concepts
| Code | System | Display | Definition |
| enhancement | https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-related-claim-relationship-code | Enhancement | Enhancement in a claim process means asking for more money after realizing the initial estimate wasn't enough to cover the actual costs. |
| settlement | https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-related-claim-relationship-code | Settlement | Settlement in a claim is when the insurance pays the final agreed-upon amount to cover all the costs, marking the end of the reimbursement process. |
| prior | http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship | Prior Claim | A prior claim instance for the same intended suite of services. |
| associated | http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship | Associated Claim | A claim for a different suite of services which is related the suite claimed here. |
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 |