This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions 
Financial Management Work Group |
Maturity Level: 1 | Draft | Use Context: Country: World |
Official URL: http://hl7.org/fhir/ValueSet/adjudication
|
Version: 6.0.0-ballot3 | |||
| draft as of 2025-10-23 | Computable Name: AdjudicationValueCodes | |||
| Flags: | OID: 2.16.840.1.113883.4.642.3.596 | |||
This value set is used in the following places:
This value set includes a smattering of Adjudication Value codes which includes codes to indicate the amounts eligible under the plan, the amount of benefit, copays etc.
Generated Narrative: ValueSet adjudication
Last updated: 2025-10-23T19:40:00.973Z
Profile: Shareable ValueSet
http://terminology.hl7.org/CodeSystem/adjudication
version 📦1.0.1
This expansion generated 23 Oct 2025
ValueSet
Expansion performed internally based on codesystem Adjudication Value Codes v1.0.1 (CodeSystem) 
This value set contains 8 concepts
| System | Code | Display |
http://terminology.hl7.org/CodeSystem/adjudication |
submitted ![]() |
Submitted Amount |
http://terminology.hl7.org/CodeSystem/adjudication |
copay ![]() |
CoPay |
http://terminology.hl7.org/CodeSystem/adjudication |
eligible ![]() |
Eligible Amount |
http://terminology.hl7.org/CodeSystem/adjudication |
deductible ![]() |
Deductible |
http://terminology.hl7.org/CodeSystem/adjudication |
unallocdeduct ![]() |
Unallocated Deductible |
http://terminology.hl7.org/CodeSystem/adjudication |
eligpercent ![]() |
Eligible % |
http://terminology.hl7.org/CodeSystem/adjudication |
tax ![]() |
Tax |
http://terminology.hl7.org/CodeSystem/adjudication |
benefit ![]() |
Benefit Amount |
See the full registry of value sets defined as part of FHIR.
Explanation of the columns that may appear on this page:
| Lvl | A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information |
| Source | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract') |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |