FHIR IG analytics| Package | hl7.fhir.uv.xver-r5.r4b |
| Resource Type | CodeSystem |
| Id | CodeSystem-adjudication.json |
| FHIR Version | R4B |
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Note: links and images are rebased to the (stated) source
This code system http://terminology.hl7.org/CodeSystem/adjudication defines the following codes:
{
"resourceType": "CodeSystem",
"id": "adjudication",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 1
},
{
"extension": [
{
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r5.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://terminology.hl7.org/CodeSystem/adjudication",
"version": "0.1.0",
"name": "AdjudicationValueCodes",
"title": "Adjudication Value Codes",
"status": "draft",
"experimental": false,
"date": "2023-02-26T04:07:30+10:00",
"publisher": "Financial Management",
"contact": [
{
"name": "Financial Management",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fm"
}
]
}
],
"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.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"copyright": "This is an example set.",
"caseSensitive": true,
"valueSet": "http://terminology.hl7.org/ValueSet/adjudication|1.0.1",
"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"
}
]
}