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Patient Administration Work Group | Maturity Level: N/A | Standards Status: Informative |
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Definition for Code SystemEligibility
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- [a fhir:CodeSystem ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "eligibility"] ; # fhir:meta [ fhir:lastUpdated [ fhir:v "2025-01-18T17:22:29.174+00:00"^^xsd:dateTime ] ; fhir:profile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/shareablecodesystem> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "generated" ] ; fhir: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>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ; fhir:value [ fhir:v "pa" ] ] ) ; # fhir:url [ fhir:v "http://hl7.org/fhir/eligibility"^^xsd:anyURI] ; # fhir:version [ fhir:v "6.0.0-ballot2"] ; # fhir:name [ fhir:v "Eligibility"] ; # fhir:title [ fhir:v "Eligibility Characteristics"] ; # fhir:status [ fhir:v "active"] ; # fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # fhir:publisher [ fhir:v "HL7 International"] ; # fhir:description [ fhir:v "Example set of HealthcareService eligibility codes"] ; # fhir:jurisdiction ( [ fhir:coding ( [ fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ; fhir:code [ fhir:v "001" ] ; fhir:display [ fhir:v "World" ] ] ) ] ) ; # fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; # fhir:hierarchyMeaning [] ; # fhir:content [ fhir:v "complete"] ; # fhir:concept ( [ fhir:code [ fhir:v "veterans" ] ; fhir:display [ fhir:v "Veterans" ] ; fhir:definition [ fhir:v "Only Veterans are eligible to receive services associated with this code" ] ] [ fhir:code [ fhir:v "pediatric-patients" ] ; fhir:display [ fhir:v "Pediatric patients" ] ; fhir:definition [ fhir:v "Pediatric Patients" ] ] [ fhir:code [ fhir:v "existing-patients" ] ; fhir:display [ fhir:v "Existing Patients" ] ; fhir:definition [ fhir:v "Existing Patients" ] ] [ fhir:code [ fhir:v "new-patients" ] ; fhir:display [ fhir:v "New patients" ] ; fhir:definition [ fhir:v "New patients" ] ] [ fhir:code [ fhir:v "low-income-patients" ] ; fhir:display [ fhir:v "Low-income patients" ] ; fhir:definition [ fhir:v "Low-income patients" ] ] [ fhir:code [ fhir:v "uninsured-patients" ] ; fhir:display [ fhir:v "Uninsured patients" ] ; fhir:definition [ fhir:v "Uninsured patients" ] ] [ fhir:code [ fhir:v "renal-patients" ] ; fhir:display [ fhir:v "Renal patients" ] ; fhir:definition [ fhir:v "Renal patients (e.g., for dialysis services)" ] ] [ fhir:code [ fhir:v "specialist-referral-required" ] ; fhir:display [ fhir:v "Specialist referral required" ] ; fhir:definition [ fhir:v "A specific specialist referral is required to receive services associated with this code" ] ] [ fhir:code [ fhir:v "assessment-required" ] ; fhir:display [ fhir:v "Assessment required" ] ; fhir:definition [ fhir:v "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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Sat, Jan 18, 2025 17:58+0000.
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