{
"description": "A code specifying the types of information being requested.",
"_filename": "CodeSystem-eligibilityresponse-purpose.json",
"package_name": "hl7.fhir.r6.core",
"date": "2021-01-05T10:01:24+11:00",
"meta": {
"lastUpdated": "2026-07-17T17:22:54.721+10:00"
},
"publisher": "HL7 (FHIR Project)",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"content": "complete",
"name": "EligibilityResponsePurpose",
"type": null,
"experimental": "false",
"resourceType": "CodeSystem",
"title": "Eligibility Response Purpose",
"package_version": "6.0.0-ballot5",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 4
} ],
"status": "active",
"id": "0f2fa8ba-2efc-439f-ad84-cc40475afd81",
"valueSet": "http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose",
"kind": null,
"url": "http://hl7.org/fhir/eligibilityresponse-purpose",
"identifier": [ {
"value": "urn:oid:2.16.840.1.113883.4.642.4.1185",
"system": "urn:ietf:rfc:3986"
} ],
"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."
} ],
"caseSensitive": true,
"version": "6.0.0-ballot5",
"contact": [ {
"telecom": [ {
"value": "http://hl7.org/fhir",
"system": "url"
}, {
"value": "fhir@lists.hl7.org",
"system": "email"
} ]
} ]
}