FHIR Cross-Version Extensions package for FHIR R4B from FHIR R4 - Version 0.0.1-snapshot-2. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 2 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="eligibilityrequest-purpose"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem eligibilityrequest-purpose</b></p><a name="eligibilityrequest-purpose"> </a><a name="hceligibilityrequest-purpose"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/eligibilityrequest-purpose</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">auth-requirements<a name="eligibilityrequest-purpose-auth-requirements"> </a></td><td>Coverage auth-requirements</td><td>The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested.</td></tr><tr><td style="white-space:nowrap">benefits<a name="eligibilityrequest-purpose-benefits"> </a></td><td>Coverage benefits</td><td>The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested.</td></tr><tr><td style="white-space:nowrap">discovery<a name="eligibilityrequest-purpose-discovery"> </a></td><td>Coverage Discovery</td><td>The insurer is requested to report on any coverages which they are aware of in addition to any specifed.</td></tr><tr><td style="white-space:nowrap">validation<a name="eligibilityrequest-purpose-validation"> </a></td><td>Coverage Validation</td><td>A check that the specified coverages are in-force is requested.</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="informative"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="2"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r4.r4b"/>
</extension>
<extension url="version">
<valueString value="0.0.1-snapshot-2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fm"/>
</extension>
<url value="http://hl7.org/fhir/eligibilityrequest-purpose"/>
<version value="4.0.1"/>
<name value="EligibilityRequestPurpose"/>
<title value="EligibilityRequestPurpose"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2019-11-01T08:29:23+10:00"/>
<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="A code specifying the types of information being requested."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<caseSensitive value="true"/>
<valueSet
value="http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.3.0"/>
<content value="complete"/>
<concept>
<code value="auth-requirements"/>
<display value="Coverage auth-requirements"/>
<definition
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."/>
</concept>
<concept>
<code value="benefits"/>
<display value="Coverage benefits"/>
<definition
value="The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested."/>
</concept>
<concept>
<code value="discovery"/>
<display value="Coverage Discovery"/>
<definition
value="The insurer is requested to report on any coverages which they are aware of in addition to any specifed."/>
</concept>
<concept>
<code value="validation"/>
<display value="Coverage Validation"/>
<definition
value="A check that the specified coverages are in-force is requested."/>
</concept>
</CodeSystem>