{
"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.",
"_filename": "CodeSystem-adjudication.json",
"package_name": "hl7.fhir.core",
"date": null,
"meta": {
"profile": [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ],
"lastUpdated": "2017-12-20T15:52:34.818+11:00"
},
"publisher": "FHIR Project team",
"content": "complete",
"name": "Adjudication Value Codes",
"copyright": "This is an example set.",
"type": null,
"experimental": "true",
"resourceType": "CodeSystem",
"title": null,
"package_version": "3.2.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
"valueString": "Draft"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 1
} ],
"status": "draft",
"id": "dc34e9c9-eb95-4aa4-94c3-11ed4efa5fbc",
"valueSet": "http://hl7.org/fhir/ValueSet/adjudication",
"kind": null,
"url": "http://hl7.org/fhir/adjudication",
"identifier": {
"value": "urn:oid:2.16.840.1.113883.4.642.1.597",
"system": "urn:ietf:rfc:3986"
},
"concept": [ {
"code": "total",
"display": "Total",
"definition": "Total submitted"
}, {
"code": "copay",
"display": "CoPay",
"definition": "Patient Co-Payment"
}, {
"code": "eligible",
"display": "Eligible Amount",
"definition": "Amount of the change which is considered for adjudication"
}, {
"code": "deductible",
"display": "Deductable",
"definition": "Amount deducted from the eligible amount prior to adjudication"
}, {
"code": "eligpercent",
"display": "Eligible %",
"definition": "Eligible Percentage"
}, {
"code": "tax",
"display": "Emergency Department",
"definition": "Emergency Department"
}, {
"code": "benefit",
"display": "Benefit Amount",
"definition": "Amount payable under the coverage"
} ],
"caseSensitive": true,
"version": "3.2.0",
"contact": [ {
"telecom": [ {
"value": "http://hl7.org/fhir",
"system": "url"
} ]
} ]
}