Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Using Codes Code Systems Value Sets Concept Maps Identifier Systems

4.3.14.297 4.3.2.220 Code System CodeSystem http://hl7.org/fhir/eligibilityresponse-purpose

Financial Management icon Work Group   Maturity Level : 2 Trial Use Use Context : Any Country: World
This is a code system defined by the FHIR project.
    Summary
  • Narrative Defining URL:
    • http://hl7.org/fhir/eligibilityresponse-purpose
  • XML Version:
    • 4.3.0
  • JSON Name:
    • EligibilityResponsePurpose
  • TTL
Committee:
Official URL : Title: http://hl7.org/fhir/eligibilityresponse-purpose EligibilityResponsePurpose Definition: A code specifying the types of information being requested. Version : 5.0.0-draft-final
active as of 2021-01-05 Financial Management Computable Name : EligibilityResponsePurpose Work Group
OID: 2.16.840.1.113883.4.642.4.1185 (for OID based terminology systems) Flags : CaseSensitive, Complete. All codes ValueSet: Eligibility Response Purpose Source Resource XML / JSON OID : 2.16.840.1.113883.4.642.4.1185

This Code system is used in the following value sets:

4.3.14.297.1 4.3.2.220.1 Content Definition

A code specifying the types of information being requested.

4.3.14.297.2

4.3.2.220.2 EligibilityResponsePurpose Content

A code specifying the types of information being requested.

This code system http://hl7.org/fhir/eligibilityresponse-purpose defines the following codes:

Code Display Definition Copy
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. btn   btn
benefits Coverage benefits The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested. btn   btn
discovery Coverage Discovery The insurer is requested to report on any coverages which they are aware of in addition to any specifed. btn   btn
validation Coverage Validation A check that the specified coverages are in-force is requested. btn   btn

 

See the full registry of code systems defined as part of FHIR.

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. 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