<status value="active"/> <experimental value="false"/> <date value="2025-09-01T22:36:41.403317+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="This cross-version ValueSet represents concepts from http://hl7.org/fhir/ValueSet/adjudication|4.3.0 for use in FHIR R5. Concepts not present here have direct `equivalent` mappings crossing all versions from R4B to R5."/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <compose> <include> <system value="http://terminology.hl7.org/CodeSystem/adjudication"/> <version value="4.3.0"/> <concept> <code value="submitted"/> <display value="Submitted Amount"/> </concept> <concept> <code value="eligible"/> <display value="Eligible Amount"/> </concept> <concept> <code value="unallocdeduct"/> <display value="Unallocated Deductible"/> </concept> <concept> <code value="tax"/> <display value="Tax"/> </concept> </include> </compose> <expansion> <timestamp value="2025-09-01T22:36:41.403318+10:00"/> <contains> <system value="http://terminology.hl7.org/CodeSystem/adjudication"/> <version value="4.3.0"/> <code value="submitted"/> <display value="Submitted Amount"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/adjudication"/> <version value="4.3.0"/> <code value="eligible"/> <display value="Eligible Amount"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/adjudication"/> <version value="4.3.0"/> <code value="unallocdeduct"/> <display value="Unallocated Deductible"/> </contains> <contains> <system value="http://terminology.hl7.org/CodeSystem/adjudication"/> <version value="4.3.0"/> <code value="tax"/> <display value="Tax"/> </contains> </expansion> </ValueSet>

Generated Narrative: ValueSet R4B-adjudication-for-R5

This value set expansion contains 4 concepts.

Code	System	Display	Definition
submitted	http://terminology.hl7.org/CodeSystem/adjudication	Submitted Amount	The total submitted amount for the claim or group or line item.
eligible	http://terminology.hl7.org/CodeSystem/adjudication	Eligible Amount	Amount of the change which is considered for adjudication.
unallocdeduct	http://terminology.hl7.org/CodeSystem/adjudication	Unallocated Deductible	The amount of deductible which could not allocated to other line items.
tax	http://terminology.hl7.org/CodeSystem/adjudication	Tax	The amount of tax.