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Packagehl7.fhir.uv.xver-r4.r4b
Resource TypeCodeSystem
IdCodeSystem-eligibilityrequest-purpose.json
FHIR VersionR4B
Sourcehttp://hl7.org/fhir/uv/xver-r4.r4b/0.0.1-snapshot-2/CodeSystem-eligibilityrequest-purpose.html
URLhttp://hl7.org/fhir/eligibilityrequest-purpose
Version4.0.1
Statusdraft
Date2019-11-01T08:29:23+10:00
NameEligibilityRequestPurpose
TitleEligibilityRequestPurpose
Realmuv
Authorityhl7
DescriptionA code specifying the types of information being requested.
Contentcomplete

Resources that use this resource

ValueSet
R4-eligibilityrequest-purpose-for-R4BCross-version VS for R4.EligibilityRequestPurpose for use in FHIR R4B
R4-eligibilityrequest-purpose-for-R5Cross-version VS for R4.EligibilityRequestPurpose for use in FHIR R5
t17-eligibilityrequest-purposeT17 EligibilityRequest Purpose codes
t17-eligibilityresponse-purposeT17 EligibilityResponse Purpose codes

Resources that this resource uses

No resources found


Narrative

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

Generated Narrative: CodeSystem eligibilityrequest-purpose

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

CodeDisplayDefinition
auth-requirements Coverage auth-requirementsThe prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested.
benefits Coverage benefitsThe plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested.
discovery Coverage DiscoveryThe insurer is requested to report on any coverages which they are aware of in addition to any specifed.
validation Coverage ValidationA check that the specified coverages are in-force is requested.

Source1

{
  "resourceType": "CodeSystem",
  "id": "eligibilityrequest-purpose",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r4.r4b"
        },
        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    }
  ],
  "url": "http://hl7.org/fhir/eligibilityrequest-purpose",
  "version": "4.0.1",
  "name": "EligibilityRequestPurpose",
  "title": "EligibilityRequestPurpose",
  "status": "draft",
  "experimental": false,
  "date": "2019-11-01T08:29:23+10:00",
  "publisher": "Financial Management",
  "contact": [
    {
      "name": "Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description": "A code specifying the types of information being requested.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.3.0",
  "content": "complete",
  "concept": [
    {
      "code": "auth-requirements",
      "display": "Coverage auth-requirements",
      "definition": "The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested."
    },
    {
      "code": "benefits",
      "display": "Coverage benefits",
      "definition": "The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested."
    },
    {
      "code": "discovery",
      "display": "Coverage Discovery",
      "definition": "The insurer is requested to report on any coverages which they are aware of in addition to any specifed."
    },
    {
      "code": "validation",
      "display": "Coverage Validation",
      "definition": "A check that the specified coverages are in-force is requested."
    }
  ]
}