This page is part of the FHIR Specification (v4.3.0: R4B - STU). 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
Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative |
Raw XML (canonical form + also see XML Format Specification)
Definition for Code SystemAdjudicationReasonCodes
<?xml version="1.0" encoding="UTF-8"?> <CodeSystem xmlns="http://hl7.org/fhir"> <id value="adjudication-reason"/> <meta> <lastUpdated value="2022-05-28T12:47:40.239+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 http://terminology.hl7.org/CodeSystem/adjudication-reason 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">ar001 <a name="adjudication-reason-ar001"> </a> </td> <td> Not covered</td> <td> Not covered</td> </tr> <tr> <td style="white-space:nowrap">ar002 <a name="adjudication-reason-ar002"> </a> </td> <td> Plan Limit Reached</td> <td> Plan Limit Reached</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="fm"/> </extension> <url value="http://terminology.hl7.org/CodeSystem/adjudication-reason"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.1.1172"/> </identifier> <version value="4.3.0"/> <name value="AdjudicationReasonCodes"/> <title value="Adjudication Reason Codes"/> <status value="draft"/> <experimental value="false"/> <description value="This value set includes smattering of Adjudication Reason codes."/> <copyright value="This is an example set."/> <caseSensitive value="true"/> <content value="complete"/> <concept> <code value="ar001"/> <display value="Not covered"/> <definition value="Not covered"/> </concept> <concept> <code value="ar002"/> <display value="Plan Limit Reached"/> <definition value="Plan Limit Reached"/> </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.