{"caseSensitive":true,"concept":[{"code":"veterans","definition":"Only Veterans are eligible to receive services associated with this code","display":"Veterans"},{"code":"pediatric-patients","definition":"Pediatric Patients","display":"Pediatric patients"},{"code":"existing-patients","definition":"Existing Patients","display":"Existing Patients"},{"code":"new-patients","definition":"New patients","display":"New patients"},{"code":"low-income-patients","definition":"Low-income patients","display":"Low-income patients"},{"code":"uninsured-patients","definition":"Uninsured patients","display":"Uninsured patients"},{"code":"renal-patients","definition":"Renal patients (e.g., for dialysis services)","display":"Renal patients"},{"code":"specialist-referral-required","definition":"A specific specialist referral is required to receive services associated with this code","display":"Specialist referral required"},{"code":"assessment-required","definition":"An assessment is required to receive services associated with this code","display":"Assessment required"}],"content":"complete","description":"Example set of HealthcareService eligibility codes","experimental":false,"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"pa"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"informative"}],"id":"eligibility","jurisdiction":[{"coding":[{"code":"001","display":"World","system":"http://unstats.un.org/unsd/methods/m49/m49.htm"}]}],"meta":{"lastUpdated":"2026-03-29T21:54:20.327+00:00"},"name":"Eligibility","publisher":"HL7 International","resourceType":"CodeSystem","status":"active","text":{"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><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>","status":"generated"},"title":"Eligibility Characteristics","url":"http://hl7.org/fhir/eligibility","version":"6.0.0-ballot4"}