This page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). 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: R5 R4B R4
Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative |
Raw JSON (canonical form + also see JSON Format Specification)
Definition for Code System EligibilityRequestPurpose
{ "resourceType" : "CodeSystem", "id" : "eligibilityrequest-purpose", "meta" : { "lastUpdated" : "2021-12-20T14:08:35.086+11:00", "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"] }, "text" : { "status" : "generated", "div" : "<div>!-- Snipped for Brevity --></div>" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "fm" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "trial-use" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger" : 2 }], "url" : "http://hl7.org/fhir/eligibilityrequest-purpose", "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:2.16.840.1.113883.4.642.4.1183" }], "version" : "4.3.0-snapshot1", "name" : "EligibilityRequestPurpose", "title" : "EligibilityRequestPurpose", "status" : "draft", "experimental" : false, "date" : "2021-01-17T07:06:13+11:00", "publisher" : "HL7 (FHIR Project)", "contact" : [{ "telecom" : [{ "system" : "url", "value" : "http://hl7.org/fhir" }, { "system" : "email", "value" : "fhir@lists.hl7.org" }] }], "description" : "A code specifying the types of information being requested.", "caseSensitive" : true, "valueSet" : "http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose", "content" : "complete", "concept" : [{ "code" : "auth-requirements", "display" : "Coverage auth-requirements", "definition" : "The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested." }, { "code" : "benefits", "display" : "Coverage benefits", "definition" : "The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested." }, { "code" : "discovery", "display" : "Coverage Discovery", "definition" : "The insurer is requested to report on any coverages which they are aware of in addition to any specifed." }, { "code" : "validation", "display" : "Coverage Validation", "definition" : "A check that the specified coverages are in-force is requested." }] }
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.