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Definition for Code SystemEligibilityResponsePurpose
@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
# - resource -------------------------------------------------------------------
[] a fhir:CodeSystem ;
fhir:id [ fhir:v "eligibilityresponse-purpose"] ;
fhir:meta [
fhir:lastUpdated [ fhir:v "2024-12-12T18:56:29.677+00:00" ] ;
fhir:profile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ] )
] ;
fhir:text [
fhir:status [ fhir:v "generated" ]
] ;
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
fhir:value [ fhir:v "fm" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
fhir:value [ fhir:v "trial-use" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
fhir:value [ fhir:v "2" ]
] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/eligibilityresponse-purpose"], [ fhir:v "http://hl7.org/fhir/eligibilityresponse-purpose"] ;
fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986" ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.4.1185" ]
] [
fhir:system [ fhir:v "urn:ietf:rfc:3986" ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.4.1185" ]
] ) ;
fhir:version [ fhir:v "6.0.0-ballot2"], [ fhir:v "6.0.0-ballot2"] ;
fhir:name [ fhir:v "EligibilityResponsePurpose"], [ fhir:v "EligibilityResponsePurpose"] ;
fhir:title [ fhir:v "Eligibility Response Purpose"], [ fhir:v "Eligibility Response Purpose"] ;
fhir:status [ fhir:v "active"], [ fhir:v "active"] ;
fhir:experimental [ fhir:v "false"], [ fhir:v "false"] ;
fhir:date [ fhir:v "2021-01-05T10:01:24+11:00"], [ fhir:v "2021-01-05T10:01:24+11:00"] ;
fhir:publisher [ fhir:v "HL7 (FHIR Project)"], [ fhir:v "HL7 (FHIR Project)"] ;
fhir:contact ( [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fhir@lists.hl7.org" ]
] )
] [
fhir:telecom ( [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fhir@lists.hl7.org" ]
] )
] ) ;
fhir:description [ fhir:v "A code specifying the types of information being requested."], [ fhir:v "A code specifying the types of information being requested."] ;
fhir:jurisdiction ( [
fhir:coding ( [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]
] )
] ) ;
fhir:caseSensitive [ fhir:v "true"] ;
fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose"] ;
fhir:content [ fhir:v "complete"] ;
fhir:concept ( [
fhir:code [ fhir:v "auth-requirements" ] ;
fhir:display [ fhir:v "Coverage auth-requirements" ] ;
fhir:definition [ fhir:v "The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested." ]
] [
fhir:code [ fhir:v "benefits" ] ;
fhir:display [ fhir:v "Coverage benefits" ] ;
fhir:definition [ fhir:v "The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested." ]
] [
fhir:code [ fhir:v "discovery" ] ;
fhir:display [ fhir:v "Coverage Discovery" ] ;
fhir:definition [ fhir:v "The insurer is requested to report on any coverages which they are aware of in addition to any specifed." ]
] [
fhir:code [ fhir:v "validation" ] ;
fhir:display [ fhir:v "Coverage Validation" ] ;
fhir:definition [ fhir:v "A check that the specified coverages are in-force is requested." ]
] ) .
# -------------------------------------------------------------------------------------
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.