Extensions for Using Data Elements from FHIR STU3 in FHIR R5 - Downloaded Version null See the Directory of published versions

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: Adjudication Reason Codes - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "adjudication-reason",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem adjudication-reason</b></p><a name=\"adjudication-reason\"> </a><a name=\"hcadjudication-reason\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/adjudication-reason</code> 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>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
      "valueString" : "Informative"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    },
    {
      "extension" : [
        {
          "url" : "packageId",
          "valueId" : "hl7.fhir.uv.xver-r3.r5"
        },
        {
          "url" : "version",
          "valueString" : "0.1.0"
        },
        {
          "url" : "uri",
          "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r5"
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "informative",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r5"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/adjudication-reason",
  "version" : "3.0.2",
  "name" : "Adjudication Reason Codes",
  "status" : "draft",
  "experimental" : true,
  "date" : "2026-03-20T12:39:37+11:00",
  "publisher" : "Financial Management",
  "contact" : [
    {
      "name" : "Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "This value set includes smattering of Adjudication Reason codes.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "copyright" : "This is an example set.",
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-reason|5.0.0",
  "content" : "complete",
  "concept" : [
    {
      "code" : "ar001",
      "display" : "Not covered",
      "definition" : "Not covered"
    },
    {
      "code" : "ar002",
      "display" : "Plan Limit Reached",
      "definition" : "Plan Limit Reached"
    }
  ]
}