{
  "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"
      } ]
    }, {
      "system": "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudication",
      "concept": [ {
        "code": "coinsurance",
        "display": "Coinsurance"
      }, {
        "code": "noncovered",
        "display": "Noncovered"
      }, {
        "code": "memberliability",
        "display": "Member liability"
      }, {
        "code": "discount",
        "display": "Discount"
      } ]
    } ]
  },
  "_filename": "ValueSet-PCTAdjudication.json",
  "package_name": "hl7.fhir.us.davinci-pct",
  "date": "2024-04-08T16:53:34+00:00",
  "publisher": "HL7 International / Financial Management",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "PCTAdjudication",
  "copyright": "This Valueset is not copyrighted.",
  "type": null,
  "experimental": "false",
  "resourceType": "ValueSet",
  "title": "PCT Adjudication Value Set",
  "package_version": "2.0.0-ballot",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "fm"
  }, {
    "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": "c052e8b1-4d4d-44a3-97df-67e2b7ff790c",
  "kind": null,
  "url": "http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAdjudication",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.4.642.40.4.48.6",
    "system": "urn:ietf:rfc:3986"
  } ],
  "version": "2.0.0-ballot",
  "contact": [ {
    "name": "HL7 International / Financial Management",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/fm",
      "system": "url"
    }, {
      "value": "fmlists@lists.hl7.org",
      "system": "email"
    } ]
  } ]
}