{
"package" : "hl7.terminology.r4@6.3.0",
"definition" : "**Description:**Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties.",
"system" : "http://terminology.hl7.org/CodeSystem/conceptdomains",
"property" : [ {
"code" : "source",
"valueCode" : "v3"
}, {
"code" : "contextBindingC1-valueSet",
"valueString" : "2.16.840.1.113883.1.11.19871"
}, {
"code" : "contextBindingC1-strength",
"valueCode" : "CWE"
}, {
"code" : "contextBindingC1-effectiveDate",
"valueDateTime" : "2020-01-01"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#parent",
"code" : "parent",
"_implicit" : true,
"valueCode" : "ActReason"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#child",
"code" : "child",
"_implicit" : true,
"valueCode" : "ActCoverageProviderReason"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#child",
"code" : "child",
"_implicit" : true,
"valueCode" : "ActCoverageServiceReason"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#child",
"code" : "child",
"_implicit" : true,
"valueCode" : "CoverageExclusionReason"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#child",
"code" : "child",
"_implicit" : true,
"valueCode" : "CoverageFinancialParticipationReason"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#child",
"code" : "child",
"_implicit" : true,
"valueCode" : "CoverageLimitationReason"
}, {
"_uri" : "http://hl7.org/fhir/concept-properties#child",
"code" : "child",
"_implicit" : true,
"valueCode" : "EligibilityActReasonCode"
} ],
"codesystem" : "33eb862a-4e29-55df-b067-9b9d45b786af",
"concept_id" : "cede31fc-9ab2-5cfe-85c9-ffa3093954ee",
"ancestors" : {
"ActReason" : 1,
"ActCoverageReason" : 0
},
"id" : "8c6e28e2-a06d-4559-8728-a5edf39cb0be",
"code" : "ActCoverageReason",
"display" : "ActCoverageReason",
"version" : "3.0.0"
}