FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions

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: Eligibility Request Purpose - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "eligibilityrequest-purpose",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <p>This code system \n              <code>http://hl7.org/fhir/eligibilityrequest-purpose</code> defines the following codes:\n            </p>\n            <table class=\"codes\">\n              <tr>\n                <td style=\"white-space:nowrap\">\n                  <b>Code</b>\n                </td>\n                <td>\n                  <b>Display</b>\n                </td>\n                <td>\n                  <b>Definition</b>\n                </td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">auth-requirements\n                  <a name=\"eligibilityrequest-purpose-auth-requirements\"> </a>\n                </td>\n                <td>Coverage auth-requirements</td>\n                <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>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">benefits\n                  <a name=\"eligibilityrequest-purpose-benefits\"> </a>\n                </td>\n                <td>Coverage benefits</td>\n                <td>The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">discovery\n                  <a name=\"eligibilityrequest-purpose-discovery\"> </a>\n                </td>\n                <td>Coverage Discovery</td>\n                <td>The insurer is requested to report on any coverages which they are aware of in addition to any specifed.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">validation\n                  <a name=\"eligibilityrequest-purpose-validation\"> </a>\n                </td>\n                <td>Coverage Validation</td>\n                <td>A check that the specified coverages are in-force is requested.</td>\n              </tr>\n            </table>\n          </div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "informative"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2
    },
    {
      "extension" : [
        {
          "url" : "packageId",
          "valueId" : "hl7.fhir.uv.xver-r5.r4"
        },
        {
          "url" : "version",
          "valueString" : "0.0.1-snapshot-2"
        }
      ],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    }
  ],
  "url" : "http://hl7.org/fhir/eligibilityrequest-purpose",
  "version" : "5.0.0",
  "name" : "EligibilityRequestPurpose",
  "title" : "Eligibility Request Purpose",
  "status" : "active",
  "experimental" : false,
  "date" : "2021-01-05T09:01:24+10:00",
  "publisher" : "Financial Management",
  "contact" : [
    {
      "name" : "Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "A code specifying the types of information being requested.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.0.1",
  "content" : "complete",
  "concept" : [
    {
      "code" : "auth-requirements",
      "display" : "Coverage auth-requirements",
      "definition" : "The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested."
    },
    {
      "code" : "benefits",
      "display" : "Coverage benefits",
      "definition" : "The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested."
    },
    {
      "code" : "discovery",
      "display" : "Coverage Discovery",
      "definition" : "The insurer is requested to report on any coverages which they are aware of in addition to any specifed."
    },
    {
      "code" : "validation",
      "display" : "Coverage Validation",
      "definition" : "A check that the specified coverages are in-force is requested."
    }
  ]
}