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Raw
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XML
Turtle/RDF
Format
Specification
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Definition
for
Code
System
EligibilityRequestPurpose
SystemReferenceVersionRules
@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
# - resource -------------------------------------------------------------------
[] a fhir:CodeSystem ;
fhir:id [ fhir:v "reference-version-rules"] ;
fhir:meta [
fhir:lastUpdated [ fhir:v "2023-03-01T23:03:57.298+11:00" ]
] ;
fhir:text [
fhir:status [ fhir:v "generated" ]
] ;
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
fhir:value [ fhir:v "fhir" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
fhir:value [ fhir:v "normative" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version" ] ;
fhir:value [ fhir:v "4.0.0" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
fhir:value [ fhir:v "5" ]
] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/reference-version-rules"], [ fhir:v "http://hl7.org/fhir/reference-version-rules"] ;
fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986" ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.4.90" ]
] [
fhir:system [ fhir:v "urn:ietf:rfc:3986" ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.4.90" ]
] ) ;
fhir:version [ fhir:v "5.0.0-draft-final"], [ fhir:v "5.0.0-draft-final"] ;
fhir:name [ fhir:v "ReferenceVersionRules"], [ fhir:v "ReferenceVersionRules"] ;
fhir:title [ fhir:v "ReferenceVersionRules"], [ fhir:v "ReferenceVersionRules"] ;
fhir:status [ fhir:v "active"], [ fhir:v "active"] ;
fhir:experimental [ fhir:v "false"], [ fhir:v "false"] ;
fhir:date [ fhir:v "2023-03-01T23:03:57+11:00"], [ fhir:v "2023-03-01T23:03:57+11:00"] ;
fhir:publisher [ fhir:v "HL7 (FHIR Project)"], [ fhir:v "HL7 (FHIR Project)"] ;
fhir:contact ( [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fhir@lists.hl7.org" ]
] )
] [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fhir@lists.hl7.org" ]
] )
] ) ;
fhir:description [ fhir:v "Whether a reference needs to be version specific or version independent, or whether either can be used."], [ fhir:v "Whether a reference needs to be version specific or version independent, or whether either can be used."] ;
fhir:jurisdiction ( [
fhir:coding ( [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]
] )
] ) ;
fhir:caseSensitive [ fhir:v "true"] ;
fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/reference-version-rules"] ;
fhir:content [ fhir:v "complete"] ;
fhir:concept ( [
fhir:code [ fhir:v "either" ] ;
fhir:display [ fhir:v "Either Specific or independent" ] ;
fhir:definition [ fhir:v "The reference may be either version independent or version specific." ]
] [
fhir:code [ fhir:v "independent" ] ;
fhir:display [ fhir:v "Version independent" ] ;
fhir:definition [ fhir:v "The reference must be version independent." ]
] [
fhir:code [ fhir:v "specific" ] ;
fhir:display [ fhir:v "Version Specific" ] ;
fhir:definition [ fhir:v "The reference must be version specific." ]
] ) .
# -------------------------------------------------------------------------------------
This code system http://hl7.org/fhir/eligibilityrequest-purpose defines the following
codes:
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.
benefits
The plan benefits and optionally benefits consumed for the listed, or discovered if specified,
converages are requested.
discovery
The insurer is requested to report on any coverages which they are aware of in addition
to any specifed.
validation
The prior authorization requirements for the listed, or discovered if specified, converages
for the categories of service and/or specifed biling codes are requested.
The plan benefits and optionally benefits consumed for the listed, or discovered if specified,
converages are requested.
The insurer is requested to report on any coverages which they are aware of in addition
to any specifed.
</
CodeSystem
>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
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FHIR
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R5
hl7.fhir.core#5.0.0-draft-final
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Wed,
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09:32+1100.
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2023
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