{ "description": "Describes the various amount fields used when payers receive and adjudicate a claim. It includes the values \\ndefined in http://terminology.hl7.org/CodeSystem/adjudication, as well as those defined in the C4BB Adjudication CodeSystem.", "compose": { "include": [ { "system": "http://terminology.hl7.org/CodeSystem/adjudication", "concept": [ { "code": "submitted" }, { "code": "copay" }, { "code": "eligible" }, { "code": "deductible" }, { "code": "benefit" } ], "version": "1.0.1" }, { "system": "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudication", "concept": [ { "code": "coinsurance" }, { "code": "noncovered" }, { "code": "memberliability" }, { "code": "discount" } ] } ] }, "_filename": "ValueSet-PCTAdjudicationVS.json", "package_name": "hl7.fhir.us.davinci-pct", "date": "2025-10-08T20:08:46+00:00", "publisher": "HL7 International / Financial Management", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166" } ] } ], "name": "PCTAdjudicationVS", "copyright": "This Valueset is not copyrighted.", "type": null, "experimental": "false", "resourceType": "ValueSet", "title": "PCT Adjudication Value Set", "package_version": "2.0.0", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "fm" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 2, "_valueInteger": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical": "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct" } ] } }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "trial-use", "_valueCode": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical": "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct" } ] } } ], "status": "active", "id": "88940ed3-79d4-4864-888d-c6cb9b2714d9", "kind": null, "url": "http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAdjudicationVS", "identifier": [ { "value": "urn:oid:2.16.840.1.113883.4.642.40.4.48.40", "system": "urn:ietf:rfc:3986" } ], "version": "2.0.0", "contact": [ { "name": "HL7 International / Financial Management", "telecom": [ { "value": "http://www.hl7.org/Special/committees/fm", "system": "url" }, { "value": "fmlists@lists.hl7.org", "system": "email" } ] } ] }