R5 Final QA
TerminologyThis page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). 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: 2 | Trial Use | Use Context: Country: World |
Official URL: http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose
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Version: 5.0.0-draft-final | |||
| draft as of 2020-12-28 | Computable Name: EligibilityResponsePurpose | |||
| Flags: Immutable | OID: 2.16.840.1.113883.4.642.3.1184 | |||
This value set is used in the following places:
A code specifying the types of information being requested.
http://hl7.org/fhir/eligibilityresponse-purpose
This expansion generated 01 Mar 2023
This value set contains 4 concepts
Expansion based on Eligibility Response Purpose v5.0.0-draft-final (CodeSystem)
| Code | System | Display | Definition |
| auth-requirements | http://hl7.org/fhir/eligibilityresponse-purpose | Coverage auth-requirements | The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested. |
| benefits | http://hl7.org/fhir/eligibilityresponse-purpose | Coverage benefits | The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested. |
| discovery | http://hl7.org/fhir/eligibilityresponse-purpose | Coverage Discovery | The insurer is requested to report on any coverages which they are aware of in addition to any specifed. |
| validation | http://hl7.org/fhir/eligibilityresponse-purpose | Coverage Validation | A check that the specified coverages are in-force is requested. |
See the full registry of value sets defined as part of FHIR.
Explanation of the columns that may appear on this page:
| Lvl | A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information |
| Source | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract') |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0-draft-final generated on Wed, Mar 1, 2023 23:05+1100.
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