{ "description": "This value set includes a smattering of Adjudication Value codes which includes codes to indicate the amounts eligible under the plan, the amount of benefit, copays etc.", "compose": { "include": [ { "system": "http://terminology.hl7.org/CodeSystem/adjudication" } ] }, "_filename": "ValueSet-adjudication.json", "package_name": "hl7.fhir.r6.expansions", "date": null, "meta": { "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset" ], "lastUpdated": "2025-04-01T12:16:37.966+11:00" }, "publisher": "FHIR Project team", "jurisdiction": [ { "coding": [ { "code": "001", "system": "http://unstats.un.org/unsd/methods/m49/m49.htm", "display": "World" } ] } ], "name": "AdjudicationValueCodes", "copyright": "This is an example set.", "type": null, "experimental": "false", "resourceType": "ValueSet", "expansion": { "total": 8, "offset": 0, "contains": [ { "code": "submitted", "system": "http://terminology.hl7.org/CodeSystem/adjudication", "display": "Submitted Amount" }, { "code": "copay", "system": "http://terminology.hl7.org/CodeSystem/adjudication", "display": "CoPay" }, { "code": "eligible", "system": "http://terminology.hl7.org/CodeSystem/adjudication", "display": "Eligible Amount" }, { "code": "deductible", "system": "http://terminology.hl7.org/CodeSystem/adjudication", "display": "Deductible" }, { "code": "unallocdeduct", "system": "http://terminology.hl7.org/CodeSystem/adjudication", "display": "Unallocated Deductible" }, { "code": "eligpercent", "system": "http://terminology.hl7.org/CodeSystem/adjudication", "display": "Eligible %" }, { "code": "tax", "system": "http://terminology.hl7.org/CodeSystem/adjudication", "display": "Tax" }, { "code": "benefit", "system": "http://terminology.hl7.org/CodeSystem/adjudication", "display": "Benefit Amount" } ], "parameter": [ { "name": "excludeNested", "valueBoolean": true }, { "name": "includeDesignations", "valueBoolean": true }, { "name": "count", "valueInteger": 1000 }, { "name": "offset", "valueInteger": 0 }, { "name": "used-codesystem", "valueUri": "http://terminology.hl7.org/CodeSystem/adjudication|1.0.1" } ], "timestamp": "2025-04-01T12:21:09+11:00", "identifier": "urn:uuid:ed2e2b03-f5d2-49b3-afa2-35c139f3e249" }, "title": "Adjudication Value Codes", "package_version": "6.0.0-ballot3", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "fm" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "draft" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 1 } ], "status": "draft", "id": "da27147b-019e-433f-a433-990f60de35d8", "kind": null, "url": "http://hl7.org/fhir/ValueSet/adjudication", "identifier": [ { "value": "urn:oid:2.16.840.1.113883.4.642.3.596", "system": "urn:ietf:rfc:3986" }, { "use": "old", "value": "urn:oid:2.16.840.1.113883.4.642.3.588", "system": "urn:ietf:rfc:3986" }, { "use": "old", "value": "urn:oid:2.16.840.1.113883.4.642.2.325", "system": "urn:ietf:rfc:3986" } ], "version": "6.0.0-ballot3", "contact": [ { "telecom": [ { "value": "http://hl7.org/fhir", "system": "url" } ] } ] }