Codesystem-adjudication.xml

Definition for Code System Adjudication Codes

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="adjudication"/>
  <meta>
    <lastUpdated value="2016-12-06T12:22:34.981+11:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/codesystem-shareable-definition"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>Adjudication Codes</h2>
      <div>
        <p>This value set includes a smattering of Adjudication codes.</p>

      </div>
      <p>
        <b>Copyright Statement:</b> This is an example set.
      </p>
      <p>This code system http://hl7.org/fhir/adjudication defines the following codes:</p>
      <table class="codes">
        <tr>
          <td>
            <b>Code</b>
          </td>
          <td>
            <b>Display</b>
          </td>
          <td>
            <b>Definition</b>
          </td>
        </tr>
        <tr>
          <td>total
            <a name="adjudication-total"> </a>
          </td>
          <td>Total</td>
          <td>Total submitted</td>
        </tr>
        <tr>
          <td>copay
            <a name="adjudication-copay"> </a>
          </td>
          <td>CoPay</td>
          <td>Patient Co-Payment</td>
        </tr>
        <tr>
          <td>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>deductible
            <a name="adjudication-deductible"> </a>
          </td>
          <td>Deductable</td>
          <td>Amount deducted from the eligible amount prior to adjudication</td>
        </tr>
        <tr>
          <td>eligpercent
            <a name="adjudication-eligpercent"> </a>
          </td>
          <td>Eligible %</td>
          <td>Eligible Percentage</td>
        </tr>
        <tr>
          <td>tax
            <a name="adjudication-tax"> </a>
          </td>
          <td>Emergency Department</td>
          <td>Emergency Department</td>
        </tr>
        <tr>
          <td>benefit
            <a name="adjudication-benefit"> </a>
          </td>
          <td>Benefit Amount</td>
          <td>Amount payable under the coverage</td>
        </tr>
      </table>
    </div>
  </text>
  <url value="http://hl7.org/fhir/adjudication"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.1.325"/>
  </identifier>
  <version value="1.8.0"/>
  <name value="Adjudication Codes"/>
  <status value="draft"/>
  <experimental value="true"/>
  <publisher value="FHIR Project team"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <description value="This value set includes a smattering of Adjudication codes."/>
  <copyright value="This is an example set."/>
  <caseSensitive value="true"/>
  <valueSet value="http://hl7.org/fhir/ValueSet/adjudication"/>
  <content value="complete"/>
  <concept>
    <code value="total"/>
    <display value="Total"/>
    <definition value="Total submitted"/>
  </concept>
  <concept>
    <code value="copay"/>
    <display value="CoPay"/>
    <definition value="Patient Co-Payment"/>
  </concept>
  <concept>
    <code value="eligible"/>
    <display value="Eligible Amount"/>
    <definition value="Amount of the change which is considered for adjudication"/>
  </concept>
  <concept>
    <code value="deductible"/>
    <display value="Deductable"/>
    <definition value="Amount deducted from the eligible amount prior to adjudication"/>
  </concept>
  <concept>
    <code value="eligpercent"/>
    <display value="Eligible %"/>
    <definition value="Eligible Percentage"/>
  </concept>
  <concept>
    <code value="tax"/>
    <display value="Emergency Department"/>
    <definition value="Emergency Department"/>
  </concept>
  <concept>
    <code value="benefit"/>
    <display value="Benefit Amount"/>
    <definition value="Amount payable under the coverage"/>
  </concept>
</CodeSystem>