http://hl7.org/fhir/eligibilityrequest-purpose|5.0.0

name
EligibilityRequestPurpose
package
hl7.fhir.r5.core@5.0.0
content
complete
status
active
date
2021-01-04 23:01:24.0

Eligibility Request Purpose

A code specifying the types of information being requested.

{
  "description" : "A code specifying the types of information being requested.",
  "compose" : null,
  "package" : "hl7.fhir.r5.core@5.0.0",
  "date" : "2021-01-04T23:01:24Z",
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ],
    "lastUpdated" : "2023-03-26T15:21:02.749+11:00"
  },
  "publisher" : "HL7 (FHIR Project)",
  "jurisdiction" : [ {
    "coding" : [ {
      "code" : "001",
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display" : "World"
    } ]
  } ],
  "content" : "complete",
  "name" : "EligibilityRequestPurpose",
  "experimental" : false,
  "resourceType" : "CodeSystem",
  "title" : "Eligibility Request Purpose",
  "supliment" : null,
  "extension" : [ {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  }, {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  }, {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2
  } ],
  "status" : "active",
  "id" : "04fd570f-26ae-5469-a6e8-01ab41c83b3f",
  "valueSet" : "http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose",
  "url" : "http://hl7.org/fhir/eligibilityrequest-purpose",
  "identifier" : [ {
    "value" : "urn:oid:2.16.840.1.113883.4.642.4.1183",
    "system" : "urn:ietf:rfc:3986"
  } ],
  "concept" : [ {
    "code" : "auth-requirements",
    "display" : "Coverage auth-requirements",
    "definition" : "The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested."
  }, {
    "code" : "benefits",
    "display" : "Coverage benefits",
    "definition" : "The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested."
  }, {
    "code" : "discovery",
    "display" : "Coverage Discovery",
    "definition" : "The insurer is requested to report on any coverages which they are aware of in addition to any specifed."
  }, {
    "code" : "validation",
    "display" : "Coverage Validation",
    "definition" : "A check that the specified coverages are in-force is requested."
  } ],
  "caseSensitive" : true,
  "version" : "5.0.0",
  "contact" : [ {
    "telecom" : [ {
      "value" : "http://hl7.org/fhir",
      "system" : "url"
    }, {
      "value" : "fhir@lists.hl7.org",
      "system" : "email"
    } ]
  } ]
}