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

• Narrative Content
• XML
• JSON
• TTL

: Adjudication Value Codes - XML Representation

Raw xml | Download

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="adjudication"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem adjudication</b></p><a name="adjudication"> </a><a name="hcadjudication"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/adjudication</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">total<a name="adjudication-total"> </a></td><td>Total</td><td>Total submitted</td></tr><tr><td style="white-space:nowrap">copay<a name="adjudication-copay"> </a></td><td>CoPay</td><td>Patient Co-Payment</td></tr><tr><td style="white-space:nowrap">eligible<a name="adjudication-eligible"> </a></td><td>Eligible Amount</td><td>Amount of the change which is considered for adjudication</td></tr><tr><td style="white-space:nowrap">deductible<a name="adjudication-deductible"> </a></td><td>Deductable</td><td>Amount deducted from the eligible amount prior to adjudication</td></tr><tr><td style="white-space:nowrap">eligpercent<a name="adjudication-eligpercent"> </a></td><td>Eligible %</td><td>Eligible Percentage</td></tr><tr><td style="white-space:nowrap">tax<a name="adjudication-tax"> </a></td><td>Emergency Department</td><td>Emergency Department</td></tr><tr><td style="white-space:nowrap">benefit<a name="adjudication-benefit"> </a></td><td>Benefit Amount</td><td>Amount payable under the coverage</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status">
    <valueString value="Informative"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r3.r5"/>
    </extension>
    <extension url="version">
      <valueString value="0.1.0"/>
    </extension>
    <extension url="uri">
      <valueUri
                value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r5"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="informative">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r5"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://hl7.org/fhir/adjudication"/>
  <version value="3.0.2"/>
  <name value="Adjudication Value Codes"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-03-20T12:39:37+11:00"/>
  <publisher value="Financial Management"/>
  <contact>
    <name value="Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
  </contact>
  <description
               value="This value set includes a smattering of Adjudication Value codes which includes codes to indicate the amounts eligible under the plan, the amount of benefit, copays etc."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <copyright value="This is an example set."/>
  <caseSensitive value="true"/>
  <valueSet value="http://hl7.org/fhir/ValueSet/adjudication|5.0.0"/>
  <content value="complete"/>
  <concept>
    <code value="total"/>
    <display value="Total"/>
    <definition value="Total submitted"/>
  </concept>
  <concept>
    <code value="copay"/>
    <display value="CoPay"/>
    <definition value="Patient Co-Payment"/>
  </concept>
  <concept>
    <code value="eligible"/>
    <display value="Eligible Amount"/>
    <definition
                value="Amount of the change which is considered for adjudication"/>
  </concept>
  <concept>
    <code value="deductible"/>
    <display value="Deductable"/>
    <definition
                value="Amount deducted from the eligible amount prior to adjudication"/>
  </concept>
  <concept>
    <code value="eligpercent"/>
    <display value="Eligible %"/>
    <definition value="Eligible Percentage"/>
  </concept>
  <concept>
    <code value="tax"/>
    <display value="Emergency Department"/>
    <definition value="Emergency Department"/>
  </concept>
  <concept>
    <code value="benefit"/>
    <display value="Benefit Amount"/>
    <definition value="Amount payable under the coverage"/>
  </concept>
</CodeSystem>