Valueset-adjudication.json

Definition for Value SetAdjudication Codes

{
  "resourceType": "ValueSet",
  "id": "adjudication",
  "meta": {
    "lastUpdated": "2015-12-11T17:38:40.294+11:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-oid",
      "valueUri": "urn:oid:2.16.840.1.113883.4.642.2.325"
    }
  ],
  "url": "http://hl7.org/fhir/ValueSet/adjudication",
  "version": "1.2.0",
  "name": "Adjudication Codes",
  "status": "draft",
  "experimental": true,
  "publisher": "FHIR Project team",
  "contact": [
    {
      "telecom": [
        {
          "system": "other",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "date": "2015-12-11T17:38:40+11:00",
  "description": "This value set includes a smattering of Adjudication codes.",
  "copyright": "This is an example set.",
  "codeSystem": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/valueset-oid",
        "valueUri": "urn:oid:2.16.840.1.113883.4.642.1.325"
      }
    ],
    "system": "http://hl7.org/fhir/adjudication",
    "caseSensitive": true,
    "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"
      }
    ]
  }
}