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: R5 R4B R4

Codesystem-eligibilityresponse-purpose.ttl

Financial Management Work Group

Maturity Level: N/A

Standards Status: Informative

Raw Turtle (+ also see Turtle/RDF Format Specification)

Definition for Code SystemEligibilityResponsePurpose

@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .

# - resource -------------------------------------------------------------------

[] a fhir:CodeSystem;
  fhir:Resource.id [ fhir:value "eligibilityresponse-purpose"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2022-05-28T13:47:40.239+11:00" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/StructureDefinition/shareablecodesystem";
       fhir:index 0
     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ];
     fhir:Extension.value [ fhir:value "fm" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ];
     fhir:Extension.value [ fhir:value "trial-use" ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ];
     fhir:Extension.value [ fhir:value "2" ]
  ];
  fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/eligibilityresponse-purpose"];
  fhir:CodeSystem.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.4.1185" ]
  ];
  fhir:CodeSystem.version [ fhir:value "4.3.0"];
  fhir:CodeSystem.name [ fhir:value "EligibilityResponsePurpose"];
  fhir:CodeSystem.title [ fhir:value "EligibilityResponsePurpose"];
  fhir:CodeSystem.status [ fhir:value "draft"];
  fhir:CodeSystem.experimental [ fhir:value "false"];
  fhir:CodeSystem.date [ fhir:value "2021-01-17T07:06:13+11:00"];
  fhir:CodeSystem.publisher [ fhir:value "HL7 (FHIR Project)"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]
     ], [
       fhir:index 1;
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "fhir@lists.hl7.org" ]
     ]
  ];
  fhir:CodeSystem.description [ fhir:value "A code specifying the types of information being requested."];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"];
  fhir:CodeSystem.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose"];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.code [ fhir:value "auth-requirements" ];
     fhir:CodeSystem.display [ fhir:value "Coverage auth-requirements" ];
     fhir:CodeSystem.definition [ fhir: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." ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.code [ fhir:value "benefits" ];
     fhir:CodeSystem.display [ fhir:value "Coverage benefits" ];
     fhir:CodeSystem.definition [ fhir:value "The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested." ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.code [ fhir:value "discovery" ];
     fhir:CodeSystem.display [ fhir:value "Coverage Discovery" ];
     fhir:CodeSystem.definition [ fhir:value "The insurer is requested to report on any coverages which they are aware of in addition to any specifed." ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.code [ fhir:value "validation" ];
     fhir:CodeSystem.display [ fhir:value "Coverage Validation" ];
     fhir:CodeSystem.definition [ fhir:value "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.