{
"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.r4",
"date": "2025-10-08T20:40:02+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": "a827ff5b-d23d-4d06-82a6-bb5051b0c06d",
"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"
} ]
} ]
}