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Example CodeSystem/eligibility (JSON)

Patient Administration Work GroupMaturity Level: N/AStandards Status: Informative

Raw JSON (canonical form + also see JSON Format Specification)

Definition for Code SystemEligibility

{
  "resourceType" : "CodeSystem",
  "id" : "eligibility",
  "meta" : {
    "lastUpdated" : "2024-12-12T18:56:29.677+00:00",
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem eligibility</b></p><a name=\"eligibility\"> </a><a name=\"hceligibility\"> </a><a name=\"eligibility-en-US\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/eligibility</code> 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\">veterans<a name=\"eligibility-veterans\"> </a></td><td>Veterans</td><td>Only Veterans are eligible to receive services associated with this code</td></tr><tr><td style=\"white-space:nowrap\">pediatric-patients<a name=\"eligibility-pediatric-patients\"> </a></td><td>Pediatric patients</td><td>Pediatric Patients</td></tr><tr><td style=\"white-space:nowrap\">existing-patients<a name=\"eligibility-existing-patients\"> </a></td><td>Existing Patients</td><td>Existing Patients</td></tr><tr><td style=\"white-space:nowrap\">new-patients<a name=\"eligibility-new-patients\"> </a></td><td>New patients</td><td>New patients</td></tr><tr><td style=\"white-space:nowrap\">low-income-patients<a name=\"eligibility-low-income-patients\"> </a></td><td>Low-income patients</td><td>Low-income patients</td></tr><tr><td style=\"white-space:nowrap\">uninsured-patients<a name=\"eligibility-uninsured-patients\"> </a></td><td>Uninsured patients</td><td>Uninsured patients</td></tr><tr><td style=\"white-space:nowrap\">renal-patients<a name=\"eligibility-renal-patients\"> </a></td><td>Renal patients</td><td>Renal patients (e.g., for dialysis services)</td></tr><tr><td style=\"white-space:nowrap\">specialist-referral-required<a name=\"eligibility-specialist-referral-required\"> </a></td><td>Specialist referral required</td><td>A specific specialist referral is required to receive services associated with this code</td></tr><tr><td style=\"white-space:nowrap\">assessment-required<a name=\"eligibility-assessment-required\"> </a></td><td>Assessment required</td><td>An assessment is required to receive services associated with this code</td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "pa"
  }],
  "url" : "http://hl7.org/fhir/eligibility",
  "version" : "6.0.0-ballot2",
  "name" : "Eligibility",
  "title" : "Eligibility Characteristics",
  "status" : "active",
  "experimental" : false,
  "publisher" : "HL7 International",
  "description" : "Example set of HealthcareService eligibility codes",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "caseSensitive" : true,
  "content" : "complete",
  "concept" : [{
    "code" : "veterans",
    "display" : "Veterans",
    "definition" : "Only Veterans are eligible to receive services associated with this code"
  },
  {
    "code" : "pediatric-patients",
    "display" : "Pediatric patients",
    "definition" : "Pediatric Patients"
  },
  {
    "code" : "existing-patients",
    "display" : "Existing Patients",
    "definition" : "Existing Patients"
  },
  {
    "code" : "new-patients",
    "display" : "New patients",
    "definition" : "New patients"
  },
  {
    "code" : "low-income-patients",
    "display" : "Low-income patients",
    "definition" : "Low-income patients"
  },
  {
    "code" : "uninsured-patients",
    "display" : "Uninsured patients",
    "definition" : "Uninsured patients"
  },
  {
    "code" : "renal-patients",
    "display" : "Renal patients",
    "definition" : "Renal patients (e.g., for dialysis services)"
  },
  {
    "code" : "specialist-referral-required",
    "display" : "Specialist referral required",
    "definition" : "A specific specialist referral is required to receive services associated with this code"
  },
  {
    "code" : "assessment-required",
    "display" : "Assessment required",
    "definition" : "An assessment is required to receive services associated with this code"
  }]
}

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.