FHIR Cross-Version Extensions package for FHIR R4 from FHIR R4B - Version 0.0.1-snapshot-2. See the Directory of published versions

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: EligibilityResponsePurpose - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="eligibilityresponse-purpose"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      
      
            <h2>EligibilityResponsePurpose</h2>
      
      
            <div>
        
        
              <p>A code specifying the types of information being requested.</p>

      
      
            </div>
      
      
            <p>This code system http://hl7.org/fhir/eligibilityresponse-purpose 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="eligibilityresponse-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="eligibilityresponse-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="eligibilityresponse-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="eligibilityresponse-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-r4b.r4"/>
    </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/eligibilityresponse-purpose"/>
  <version value="4.3.0"/>
  <name value="EligibilityResponsePurpose"/>
  <title value="EligibilityResponsePurpose"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2021-01-17T06:06:13+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/eligibilityresponse-purpose|4.0.1"/>
  <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>