Release 4B

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

Codesystem-adjudication-reason.xml

Financial Management Work GroupMaturity Level: N/AStandards 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.