Release 4 FHIR CI-Build

This page is part of the Continuous Integration Build of FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see times).
See the Directory of published versions icon . Page versions: R5 R4B R4

Using Codes Code Systems Value Sets Concept Maps Identifier Systems

4.4.1.579 4.4.1.627 Value Set ValueSet http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose

  Maturity Level : 2
Responsible Owner: Financial Management icon Work Group Trial Use Normative Use Context : Any Country: World
This is a value set defined by the FHIR project. Summary
  • Defining URL: Narrative http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose
  • XML Version:
  • 4.0.1 JSON
  • Name: TTL EligibilityResponsePurpose
Committee:
Official URL : Title: http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose EligibilityResponsePurpose Definition: A code specifying the types of information being requested. Version : 6.0.0-ballot3
active as of 2020-12-28 Financial Management Computable Name : EligibilityResponsePurpose Work Group
OID: Flags : Immutable 2.16.840.1.113883.4.642.3.1184 (for OID based terminology systems) Source Resource XML / JSON : 2.16.840.1.113883.4.642.3.1184

This value set is used in the following places:

4.4.1.579.1 4.4.1.627.1 Definition

A code specifying the types of information being requested.

4.4.1.627.2 Content Logical Definition

Generated Narrative: ValueSet eligibilityresponse-purpose This value set includes codes from the following code systems:

Last updated: 2025-11-14T05:50:06.469Z

 

4.4.1.579.2 4.4.1.627.3 Expansion

This expansion generated 01 14 Nov 2019 2025

ValueSet This value set contains 4 concepts

Expansion performed internally based on http://hl7.org/fhir/eligibilityresponse-purpose version 4.0.1 All codes from system http://hl7.org/fhir/eligibilityresponse-purpose codesystem Eligibility Response Purpose v6.0.0-ballot3 (CodeSystem)

This value set contains 4 concepts

System Code Display Definition
http://hl7.org/fhir/eligibilityresponse-purpose    auth-requirements Coverage auth-requirements The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested.
http://hl7.org/fhir/eligibilityresponse-purpose    benefits Coverage benefits The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested.
http://hl7.org/fhir/eligibilityresponse-purpose    discovery Coverage Discovery The insurer is requested to report on any coverages which they are aware of in addition to any specifed.
http://hl7.org/fhir/eligibilityresponse-purpose    validation Coverage Validation A check that the specified coverages are in-force is requested.

 

See the full registry of value sets defined as part of FHIR.

Explanation of the columns that may appear on this page:

Lvl A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information
Source 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). If the code is in italics, this indicates that the code is not selectable ('Abstract')
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