This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions
Definition for Code SystemEligibility
{
"resourceType" : "CodeSystem",
"id" : "eligibility",
"meta" : {
"lastUpdated" : "2023-12-18T15:12:07.602+11:00",
"profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This case-sensitive code system <code>http://hl7.org/fhir/eligibility</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\">veterans<a name=\"eligibility-veterans\"> </a></td><td>Veterans</td><td>Only Veterans are eligible to receive services associated with this code</td></tr><tr><td style=\"white-space:nowrap\">pediatric-patients<a name=\"eligibility-pediatric-patients\"> </a></td><td>Pediatric patients</td><td>Pediatric Patients</td></tr><tr><td style=\"white-space:nowrap\">existing-patients<a name=\"eligibility-existing-patients\"> </a></td><td>Existing Patients</td><td>Existing Patients</td></tr><tr><td style=\"white-space:nowrap\">new-patients<a name=\"eligibility-new-patients\"> </a></td><td>New patients</td><td>New patients</td></tr><tr><td style=\"white-space:nowrap\">low-income-patients<a name=\"eligibility-low-income-patients\"> </a></td><td>Low-income patients</td><td>Low-income patients</td></tr><tr><td style=\"white-space:nowrap\">uninsured-patients<a name=\"eligibility-uninsured-patients\"> </a></td><td>Uninsured patients</td><td>Uninsured patients</td></tr><tr><td style=\"white-space:nowrap\">renal-patients<a name=\"eligibility-renal-patients\"> </a></td><td>Renal patients</td><td>Renal patients (e.g., for dialysis services)</td></tr><tr><td style=\"white-space:nowrap\">specialist-referral-required<a name=\"eligibility-specialist-referral-required\"> </a></td><td>Specialist referral required</td><td>A specific specialist referral is required to receive services associated with this code</td></tr><tr><td style=\"white-space:nowrap\">assessment-required<a name=\"eligibility-assessment-required\"> </a></td><td>Assessment required</td><td>An assessment is required to receive services associated with this code</td></tr></table></div>"
},
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "pa"
}],
"url" : "http://hl7.org/fhir/eligibility",
"version" : "6.0.0-ballot1",
"name" : "Eligibility",
"title" : "Eligibility Characteristics",
"status" : "active",
"experimental" : false,
"publisher" : "HL7 International",
"description" : "Example set of HealthcareService eligibility codes",
"jurisdiction" : [{
"coding" : [{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}]
}],
"caseSensitive" : true,
"content" : "complete",
"concept" : [{
"code" : "veterans",
"display" : "Veterans",
"definition" : "Only Veterans are eligible to receive services associated with this code"
},
{
"code" : "pediatric-patients",
"display" : "Pediatric patients",
"definition" : "Pediatric Patients"
},
{
"code" : "existing-patients",
"display" : "Existing Patients",
"definition" : "Existing Patients"
},
{
"code" : "new-patients",
"display" : "New patients",
"definition" : "New patients"
},
{
"code" : "low-income-patients",
"display" : "Low-income patients",
"definition" : "Low-income patients"
},
{
"code" : "uninsured-patients",
"display" : "Uninsured patients",
"definition" : "Uninsured patients"
},
{
"code" : "renal-patients",
"display" : "Renal patients",
"definition" : "Renal patients (e.g., for dialysis services)"
},
{
"code" : "specialist-referral-required",
"display" : "Specialist referral required",
"definition" : "A specific specialist referral is required to receive services associated with this code"
},
{
"code" : "assessment-required",
"display" : "Assessment required",
"definition" : "An assessment is required to receive services associated with this code"
}]
}
Usage note: every effort has been made to ensure that the
examples are correct and useful, but they are not a normative part
of the specification.