Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

ValueSet: R5V3ActCoverageConfirmationCodeForR4

Official URL: http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActCoverageConfirmationCode-for-R4 Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: R5V3ActCoverageConfirmationCodeForR4

This cross-version ValueSet represents content from http://terminology.hl7.org/ValueSet/v3-ActCoverageConfirmationCode|2.0.0 for use in FHIR R4.

This value set is part of the cross-version definitions generated to enable use of the value set http://terminology.hl7.org/ValueSet/v3-ActCoverageConfirmationCode|2.0.0 as defined in FHIR R5 in FHIR R4.

The source value set is bound to the following FHIR R5 elements:

Note that all concepts are included in this cross-version definition because no concepts have compatible representations

Following are the generation technical comments:

FHIR ValueSet http://terminology.hl7.org/ValueSet/v3-ActCoverageConfirmationCode|2.0.0, defined in FHIR R5 does not have any mapping to FHIR R4

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActCode version 📍8.0.0
    CodeDisplayDefinition
    AUTHAuthorizedAuthorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.
    ELGEligibleInsurance coverage is in effect for healthcare service(s) and/or product(s).
    NAUTHNot AuthorizedAuthorization for specified healthcare service(s) and/or product(s) denied.
    NELGNot EligibleInsurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.
    _ActCoverageAuthorizationConfirmationCodeActCoverageAuthorizationConfirmationCodeIndication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.
    _ActCoverageEligibilityConfirmationCodeActCoverageEligibilityConfirmationCodeIndication of eligibility coverage for healthcare service(s) and/or product(s).

 

Expansion

This value set expansion contains 6 concepts.

SystemVersionCodeDisplayDefinitionJSONXML
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  AUTHAuthorized

Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  ELGEligible

Insurance coverage is in effect for healthcare service(s) and/or product(s).

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NAUTHNot Authorized

Authorization for specified healthcare service(s) and/or product(s) denied.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NELGNot Eligible

Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  _ActCoverageAuthorizationConfirmationCodeActCoverageAuthorizationConfirmationCode

Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  _ActCoverageEligibilityConfirmationCodeActCoverageEligibilityConfirmationCode

Indication of eligibility coverage for healthcare service(s) and/or product(s).

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code