Definition for Code System Adjudication Codes
{
"resourceType": "CodeSystem",
"id": "adjudication",
"meta": {
"lastUpdated": "2016-12-20T00:33:54.672-05:00",
"profile": [
"http://hl7.org/fhir/StructureDefinition/codesystem-shareable-definition"
]
},
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"url": "http://hl7.org/fhir/adjudication",
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.1.325"
},
"version": "1.8.0",
"name": "Adjudication Codes",
"status": "draft",
"experimental": true,
"publisher": "FHIR Project team",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://hl7.org/fhir"
}
]
}
],
"description": "This value set includes a smattering of Adjudication codes.",
"copyright": "This is an example set.",
"caseSensitive": true,
"valueSet": "http://hl7.org/fhir/ValueSet/adjudication",
"content": "complete",
"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"
}
]
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.