{
  "resourceType": "CodeSystem",
  "id": "eligibility",
  "meta": {
    "lastUpdated": "2026-07-03T14:29:03.795+00:00"
  },
  "text": {
    "status": "generated",
    "div": "\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\u003cp class\u003d\"res-header-id\"\u003e\u003cb\u003eGenerated Narrative: CodeSystem eligibility\u003c/b\u003e\u003c/p\u003e\u003ca name\u003d\"eligibility\"\u003e \u003c/a\u003e\u003ca name\u003d\"hceligibility\"\u003e \u003c/a\u003e\u003cp\u003eThis case-sensitive code system \u003ccode\u003ehttp://hl7.org/fhir/eligibility\u003c/code\u003e defines the following codes:\u003c/p\u003e\u003ctable class\u003d\"codes\"\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003e\u003cb\u003eCode\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003eDisplay\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003eDefinition\u003c/b\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003eveterans\u003ca name\u003d\"eligibility-veterans\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003eVeterans\u003c/td\u003e\u003ctd\u003eOnly Veterans are eligible to receive services associated with this code\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003epediatric-patients\u003ca name\u003d\"eligibility-pediatric-patients\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003ePediatric patients\u003c/td\u003e\u003ctd\u003ePediatric Patients\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003eexisting-patients\u003ca name\u003d\"eligibility-existing-patients\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003eExisting Patients\u003c/td\u003e\u003ctd\u003eExisting Patients\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003enew-patients\u003ca name\u003d\"eligibility-new-patients\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003eNew patients\u003c/td\u003e\u003ctd\u003eNew patients\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003elow-income-patients\u003ca name\u003d\"eligibility-low-income-patients\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003eLow-income patients\u003c/td\u003e\u003ctd\u003eLow-income patients\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003euninsured-patients\u003ca name\u003d\"eligibility-uninsured-patients\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003eUninsured patients\u003c/td\u003e\u003ctd\u003eUninsured patients\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003erenal-patients\u003ca name\u003d\"eligibility-renal-patients\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003eRenal patients\u003c/td\u003e\u003ctd\u003eRenal patients (e.g., for dialysis services)\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003especialist-referral-required\u003ca name\u003d\"eligibility-specialist-referral-required\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003eSpecialist referral required\u003c/td\u003e\u003ctd\u003eA specific specialist referral is required to receive services associated with this code\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003eassessment-required\u003ca name\u003d\"eligibility-assessment-required\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003eAssessment required\u003c/td\u003e\u003ctd\u003eAn assessment is required to receive services associated with this code\u003c/td\u003e\u003c/tr\u003e\u003c/table\u003e\u003c/div\u003e"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "pa"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "informative"
    }
  ],
  "url": "http://hl7.org/fhir/eligibility",
  "version": "6.0.0-ballot4",
  "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"
    }
  ]
}