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Example CodeSystem/eligibility (XML)

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

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

Definition for Code SystemEligibility

<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="eligibility"/> 
  <meta> 
    <lastUpdated value="2024-12-12T18:56:29.677+00:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <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> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pa"/> 
  </extension> 
  <url value="http://hl7.org/fhir/eligibility"/> 
  <version value="6.0.0-ballot2"/> 
  <name value="Eligibility"/> 
  <title value="Eligibility Characteristics"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <publisher value="HL7 International"/> 
  <description value="Example set of HealthcareService eligibility codes"/> 
  <jurisdiction> 
    <coding> 
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> 
      <code value="001"/> 
      <display value="World"/> 
    </coding> 
  </jurisdiction> 
  <caseSensitive value="true"/> 
  <content value="complete"/> 
  <concept> 
    <code value="veterans"/> 
    <display value="Veterans"/> 
    <definition value="Only Veterans are eligible to receive services associated with this code"/> 
  </concept> 
  <concept> 
    <code value="pediatric-patients"/> 
    <display value="Pediatric patients"/> 
    <definition value="Pediatric Patients"/> 
  </concept> 
  <concept> 
    <code value="existing-patients"/> 
    <display value="Existing Patients"/> 
    <definition value="Existing Patients"/> 
  </concept> 
  <concept> 
    <code value="new-patients"/> 
    <display value="New patients"/> 
    <definition value="New patients"/> 
  </concept> 
  <concept> 
    <code value="low-income-patients"/> 
    <display value="Low-income patients"/> 
    <definition value="Low-income patients"/> 
  </concept> 
  <concept> 
    <code value="uninsured-patients"/> 
    <display value="Uninsured patients"/> 
    <definition value="Uninsured patients"/> 
  </concept> 
  <concept> 
    <code value="renal-patients"/> 
    <display value="Renal patients"/> 
    <definition value="Renal patients (e.g., for dialysis services)"/> 
  </concept> 
  <concept> 
    <code value="specialist-referral-required"/> 
    <display value="Specialist referral required"/> 
    <definition value="A specific specialist referral is required to receive services associated with
     this code"/> 
  </concept> 
  <concept> 
    <code value="assessment-required"/> 
    <display value="Assessment required"/> 
    <definition value="An assessment is required to receive services associated with this code"/> 
  </concept> 
</CodeSystem> 

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.