This page is part of the FHIR Specification (v1.8.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3
Definition for Code System Adjudication Codes
{ "resourceType": "CodeSystem", "id": "adjudication", "meta": { "lastUpdated": "2016-12-06T12:22:34.981+11:00", "profile": [ "http://hl7.org/fhir/StructureDefinition/codesystem-shareable-definition" ] }, "text": { "status": "generated", "div": "<div>!-- Snipped for Brevity --></div>" }, "url": "http://hl7.org/fhir/adjudication", "identifier": { "system": "urn:ietf:rfc:3986", "value": "urn:oid:2.16.840.1.113883.4.642.1.325" }, "version": "1.8.0", "name": "Adjudication 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 codes.", "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" } ] }
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.