Codesystem-adjudication.json

Definition for Code System Adjudication Value Codes AdjudicationValueCodes

{
  "resourceType": "CodeSystem",
  "id": "adjudication",
  "meta": {
    "lastUpdated": "2019-10-24T11:53:00+11:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]

  "resourceType" : "CodeSystem",
  "id" : "adjudication",
  "meta" : {
    "lastUpdated" : "2019-11-01T09:29:23.356+11:00",
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]

  },
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"

  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"

  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
      "valueString": "Informative"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    }
  ],
  "url": "http://hl7.org/fhir/adjudication",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.4.642.1.589"

  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"

  },
  "version": "3.0.2",
  "name": "Adjudication Value Codes",
  "status": "draft",
  "experimental": true,
  "publisher": "FHIR Project team",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "description": "This value set includes a smattering of Adjudication Value codes which includes codes to indicate the amounts eligible under the plan, the amount of benefit, copays etc.",
  "copyright": "This is an example set.",
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/adjudication",
  "content": "complete",
  "concept": [
    {
      "code": "total",
      "display": "Total",
      "definition": "Total submitted"
    },
    {
      "code": "copay",
      "display": "CoPay",
      "definition": "Patient Co-Payment"
    },
    {
      "code": "eligible",
      "display": "Eligible Amount",
      "definition": "Amount of the change which is considered for adjudication"
    },
    {
      "code": "deductible",
      "display": "Deductable",
      "definition": "Amount deducted from the eligible amount prior to adjudication"
    },
    {
      "code": "eligpercent",
      "display": "Eligible %",
      "definition": "Eligible Percentage"
    },
    {
      "code": "tax",
      "display": "Emergency Department",
      "definition": "Emergency Department"
    },
    {
      "code": "benefit",
      "display": "Benefit Amount",
      "definition": "Amount payable under the coverage"
    }
  ]

  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "draft"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  }],
  "url" : "http://terminology.hl7.org/CodeSystem/adjudication",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.4.1171"
  }],
  "version" : "4.0.1",
  "name" : "AdjudicationValueCodes",
  "title" : "Adjudication Value Codes",
  "status" : "draft",
  "experimental" : false,
  "publisher" : "FHIR Project team",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  }],
  "description" : "This value set includes a smattering of Adjudication Value codes which includes codes to indicate the amounts eligible under the plan, the amount of benefit, copays etc.",
  "copyright" : "This is an example set.",
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication",
  "content" : "complete",
  "concept" : [{
    "code" : "submitted",
    "display" : "Submitted Amount",
    "definition" : "The total submitted amount for the claim or group or line item."
  },
  {
    "code" : "copay",
    "display" : "CoPay",
    "definition" : "Patient Co-Payment"
  },
  {
    "code" : "eligible",
    "display" : "Eligible Amount",
    "definition" : "Amount of the change which is considered for adjudication."
  },
  {
    "code" : "deductible",
    "display" : "Deductible",
    "definition" : "Amount deducted from the eligible amount prior to adjudication."
  },
  {
    "code" : "unallocdeduct",
    "display" : "Unallocated Deductible",
    "definition" : "The amount of deductible which could not allocated to other line items."
  },
  {
    "code" : "eligpercent",
    "display" : "Eligible %",
    "definition" : "Eligible Percentage."
  },
  {
    "code" : "tax",
    "display" : "Tax",
    "definition" : "The amount of tax."
  },
  {
    "code" : "benefit",
    "display" : "Benefit Amount",
    "definition" : "Amount payable under the coverage"
  }]

}