codesystem-eligibilityresponse-purpose.txt

{
 "resourceType": "CodeSystem",
 "id": "eligibilityresponse-purpose",
 "meta": {
  "lastUpdated": "2019-11-01T09:29:23.356+11:00"
 },
 "text": {
  "status": "generated",
  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>EligibilityResponsePurpose</h2><div><p>A code specifying the types of information being requested.</p>\n</div><p>This code system http://hl7.org/fhir/eligibilityresponse-purpose defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">auth-requirements<a name=\"eligibilityresponse-purpose-auth-requirements\"> </a></td><td>Coverage auth-requirements</td><td>The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested.</td></tr><tr><td style=\"white-space:nowrap\">benefits<a name=\"eligibilityresponse-purpose-benefits\"> </a></td><td>Coverage benefits</td><td>The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested.</td></tr><tr><td style=\"white-space:nowrap\">discovery<a name=\"eligibilityresponse-purpose-discovery\"> </a></td><td>Coverage Discovery</td><td>The insurer is requested to report on any coverages which they are aware of in addition to any specifed.</td></tr><tr><td style=\"white-space:nowrap\">validation<a name=\"eligibilityresponse-purpose-validation\"> </a></td><td>Coverage Validation</td><td>A check that the specified coverages are in-force is requested.</td></tr></table></div>"
 },
 "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
  }
 ],
 "url": "http://hl7.org/fhir/eligibilityresponse-purpose",
 "identifier": [
  {
   "system": "urn:ietf:rfc:3986",
   "value": "urn:oid:2.16.840.1.113883.4.642.4.1185"
  }
 ],
 "version": "4.0.1",
 "name": "EligibilityResponsePurpose",
 "title": "EligibilityResponsePurpose",
 "status": "draft",
 "experimental": false,
 "date": "2019-11-01T09:29:23+11:00",
 "publisher": "HL7 (FHIR Project)",
 "contact": [
  {
   "telecom": [
    {
     "system": "url",
     "value": "http://hl7.org/fhir"
    },
    {
     "system": "email",
     "value": "fhir@lists.hl7.org"
    }
   ]
  }
 ],
 "description": "A code specifying the types of information being requested.",
 "caseSensitive": true,
 "valueSet": "http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose",
 "content": "complete",
 "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."
  }
 ]
}