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Resource CodeSystem/FHIR Server from package hl7.terminology#current (47 ms)

Package hl7.terminology
Type CodeSystem
Id Id
FHIR Version R5
Source http://terminology.hl7.org/https://build.fhir.org/ig/HL7/UTG/CodeSystem-adjudication.html
Url http://terminology.hl7.org/CodeSystem/adjudication
Version 1.0.1
Status active
Date 2024-07-25T20:10:42+00:00
Name AdjudicationValueCodes
Title Adjudication Value Codes
Experimental False
Realm uv
Authority hl7
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 material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license
Content complete
valueSet http://terminology.hl7.org/ValueSet/adjudication

Resources that use this resource

ValueSet
http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAdjudication PCT Adjudication Value Set
http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAdjudicationCategoryVS PCT GFE Item Adjudication Value Set
adjudication Adjudication Value Codes
http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBAdjudication C4BB Adjudication Value Set
http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexAdjudication PDex Adjudication

Resources that this resource uses

No resources found



Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: CodeSystem adjudication

Last updated: 2024-04-24 00:00:00+0000

Profile: Shareable CodeSystem

This case-sensitive code system http://terminology.hl7.org/CodeSystem/adjudication defines the following codes:

CodeDisplayDefinition
submitted Submitted AmountThe total submitted amount for the claim or group or line item.
copay CoPayPatient Co-Payment
eligible Eligible AmountAmount of the change which is considered for adjudication.
deductible DeductibleAmount deducted from the eligible amount prior to adjudication.
unallocdeduct Unallocated DeductibleThe amount of deductible which could not allocated to other line items.
eligpercent Eligible %Eligible Percentage.
tax TaxThe amount of tax.
benefit Benefit AmountAmount payable under the coverage

Source

{
  "resourceType" : "CodeSystem",
  "id" : "adjudication",
  "meta" : {
    "lastUpdated" : "2024-04-24T00:00:00+00:00",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem adjudication</b></p><a name=\"adjudication\"> </a><a name=\"hcadjudication\"> </a><a name=\"adjudication-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2024-04-24 00:00:00+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R5/shareablecodesystem.html\">Shareable CodeSystem</a></p></div><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/adjudication</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">submitted<a name=\"adjudication-submitted\"> </a></td><td>Submitted Amount</td><td>The total submitted amount for the claim or group or line item.</td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"adjudication-copay\"> </a></td><td>CoPay</td><td>Patient Co-Payment</td></tr><tr><td style=\"white-space:nowrap\">eligible<a name=\"adjudication-eligible\"> </a></td><td>Eligible Amount</td><td>Amount of the change which is considered for adjudication.</td></tr><tr><td style=\"white-space:nowrap\">deductible<a name=\"adjudication-deductible\"> </a></td><td>Deductible</td><td>Amount deducted from the eligible amount prior to adjudication.</td></tr><tr><td style=\"white-space:nowrap\">unallocdeduct<a name=\"adjudication-unallocdeduct\"> </a></td><td>Unallocated Deductible</td><td>The amount of deductible which could not allocated to other line items.</td></tr><tr><td style=\"white-space:nowrap\">eligpercent<a name=\"adjudication-eligpercent\"> </a></td><td>Eligible %</td><td>Eligible Percentage.</td></tr><tr><td style=\"white-space:nowrap\">tax<a name=\"adjudication-tax\"> </a></td><td>Tax</td><td>The amount of tax.</td></tr><tr><td style=\"white-space:nowrap\">benefit<a name=\"adjudication-benefit\"> </a></td><td>Benefit Amount</td><td>Amount payable under the coverage</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "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:2.16.840.1.113883.4.642.1.1171"
    }
  ],
  "version" : "1.0.1",
  "name" : "AdjudicationValueCodes",
  "title" : "Adjudication Value Codes",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-07-25T20:10:42+00:00",
  "publisher" : "Health Level Seven International",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org"
        },
        {
          "system" : "email",
          "value" : "hq@HL7.org"
        }
      ]
    }
  ],
  "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 material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license",
  "caseSensitive" : true,
  "valueSet" : "http://terminology.hl7.org/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"
    }
  ]
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.