Definition for Code SystemEligibilityRequestPurpose
<?xml version="1.0" encoding="UTF-8"?>
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="eligibilityrequest-purpose"/>
<meta>
<lastUpdated value="2022-09-10T04:52:37.223+10:00"/>
<profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p> This code system
<code> http://hl7.org/fhir/eligibilityrequest-purpose</code> defines the following codes:
</p>
<table class="codes">
<tr>
<td style="white-space:nowrap">
<b> Code</b>
</td>
<td>
<b> Display</b>
</td>
<td>
<b> Definition</b>
</td>
</tr>
<tr>
<td style="white-space:nowrap">auth-requirements
<a name="eligibilityrequest-purpose-auth-requirements"> </a>
</td>
<td> Coverage auth-requirements</td>
<td> The prior authorization requirements for the listed, or discovered if specified,
converages for the categories of service and/or specifed biling codes are requested.</td>
</tr>
<tr>
<td style="white-space:nowrap">benefits
<a name="eligibilityrequest-purpose-benefits"> </a>
</td>
<td> Coverage benefits</td>
<td> The plan benefits and optionally benefits consumed for the listed, or discovered
if specified, converages are requested.</td>
</tr>
<tr>
<td style="white-space:nowrap">discovery
<a name="eligibilityrequest-purpose-discovery"> </a>
</td>
<td> Coverage Discovery</td>
<td> The insurer is requested to report on any coverages which they are aware of in
addition to any specifed.</td>
</tr>
<tr>
<td style="white-space:nowrap">validation
<a name="eligibilityrequest-purpose-validation"> </a>
</td>
<td> Coverage Validation</td>
<td> A check that the specified coverages are in-force is requested.</td>
</tr>
</table>
</div>
</text>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fm"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="2"/>
</extension>
<url value="http://hl7.org/fhir/eligibilityrequest-purpose"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.4.1183"/>
</identifier>
<version value="5.0.0-ballot"/>
<name value="EligibilityRequestPurpose"/>
<title value="EligibilityRequestPurpose"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2021-01-05T10:01:24+11:00"/>
<publisher value="HL7 (FHIR Project)"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://hl7.org/fhir"/>
</telecom>
<telecom>
<system value="email"/>
<value value="fhir@lists.hl7.org"/>
</telecom>
</contact>
<description value="A code specifying the types of information being requested."/>
<caseSensitive value="true"/>
<valueSet value="http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose"/>
<content value="complete"/>
<concept>
<code value="auth-requirements"/>
<display value="Coverage auth-requirements"/>
<definition value="The prior authorization requirements for the listed, or discovered if specified,
converages for the categories of service and/or specifed biling codes are requested."/>
</concept>
<concept>
<code value="benefits"/>
<display value="Coverage benefits"/>
<definition value="The plan benefits and optionally benefits consumed for the listed, or discovered
if specified, converages are requested."/>
</concept>
<concept>
<code value="discovery"/>
<display value="Coverage Discovery"/>
<definition value="The insurer is requested to report on any coverages which they are aware of in
addition to any specifed."/>
</concept>
<concept>
<code value="validation"/>
<display value="Coverage Validation"/>
<definition value="A check that the specified coverages are in-force is requested."/>
</concept>
</CodeSystem>
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.