Health Connect Australia Provider Directory FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 0.1.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/HealthConnect/ and changes regularly. See the Directory of published versions

: HC Service Eligibility CodeSystem - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "hc-service-eligibility-cs",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem hc-service-eligibility-cs</b></p><a name=\"hc-service-eligibility-cs\"> </a><a name=\"hchc-service-eligibility-cs\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/R4/shareablecodesystem.html\">Shareable CodeSystem</a></p></div><p>This case-sensitive code system <code>http://ns.electronichealth.net.au/hc/CodeSystem/hc-service-eligibility-cs</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\">newBorn0to3<a name=\"hc-service-eligibility-cs-newBorn0to3\"> </a></td><td>Neonate/newborn 0-3 months</td><td>Neonate/newborn 0-3 months</td></tr><tr><td style=\"white-space:nowrap\">infant3to6<a name=\"hc-service-eligibility-cs-infant3to6\"> </a></td><td>Infant 3-6 months</td><td>Infant 3-6 months</td></tr><tr><td style=\"white-space:nowrap\">infant6to12<a name=\"hc-service-eligibility-cs-infant6to12\"> </a></td><td>Infant 6-12 months</td><td>Infant 6-12 months</td></tr><tr><td style=\"white-space:nowrap\">toddlerPreschool1to4<a name=\"hc-service-eligibility-cs-toddlerPreschool1to4\"> </a></td><td>Toddler to preschool 1-4 years</td><td>Toddler to preschool 1-4 years</td></tr><tr><td style=\"white-space:nowrap\">childYouth5to17<a name=\"hc-service-eligibility-cs-childYouth5to17\"> </a></td><td>Children and young people 5-17 years</td><td>Children and young people 5-17 years</td></tr><tr><td style=\"white-space:nowrap\">adult18to64<a name=\"hc-service-eligibility-cs-adult18to64\"> </a></td><td>Adult 18-64 years</td><td>Adult 18-64 years</td></tr><tr><td style=\"white-space:nowrap\">adult65Plus<a name=\"hc-service-eligibility-cs-adult65Plus\"> </a></td><td>Older Adult 65+ years</td><td>Older Adult 65+ years</td></tr><tr><td style=\"white-space:nowrap\">carer-youngCarerUnder25<a name=\"hc-service-eligibility-cs-carer-youngCarerUnder25\"> </a></td><td>Carer - Young Carer (Under 25)</td><td>Carer - Young Carer (Under 25)</td></tr><tr><td style=\"white-space:nowrap\">carer-adultCarer<a name=\"hc-service-eligibility-cs-carer-adultCarer\"> </a></td><td>Carer - Adult Carer</td><td>Carer - Adult Carer</td></tr><tr><td style=\"white-space:nowrap\">coverage-restrictedResidents<a name=\"hc-service-eligibility-cs-coverage-restrictedResidents\"> </a></td><td>Coverage - Restricted To Residents In Coverage Area</td><td>Coverage - Restricted To Residents In Coverage Area</td></tr><tr><td style=\"white-space:nowrap\">disabled-intellectually<a name=\"hc-service-eligibility-cs-disabled-intellectually\"> </a></td><td>Disabled - Intellectually</td><td>Disabled - Intellectually</td></tr><tr><td style=\"white-space:nowrap\">disabled-disabledPhysically<a name=\"hc-service-eligibility-cs-disabled-disabledPhysically\"> </a></td><td>Disabled - Physically</td><td>Disabled - Physically</td></tr><tr><td style=\"white-space:nowrap\">gender-men<a name=\"hc-service-eligibility-cs-gender-men\"> </a></td><td>Gender - Men</td><td>Gender - Men</td></tr><tr><td style=\"white-space:nowrap\">gender-women<a name=\"hc-service-eligibility-cs-gender-women\"> </a></td><td>Gender - Women</td><td>Gender - Women</td></tr><tr><td style=\"white-space:nowrap\">other-aboriginalPeoples<a name=\"hc-service-eligibility-cs-other-aboriginalPeoples\"> </a></td><td>Aboriginal Peoples</td><td>Aboriginal Peoples</td></tr><tr><td style=\"white-space:nowrap\">other-torresStraitIslanderPeoples<a name=\"hc-service-eligibility-cs-other-torresStraitIslanderPeoples\"> </a></td><td>Torres Strait Islander Peoples</td><td>Torres Strait Islander Peoples</td></tr><tr><td style=\"white-space:nowrap\">other-cald<a name=\"hc-service-eligibility-cs-other-cald\"> </a></td><td>CALD (Culturally and Linguistically Diverse)</td><td>CALD (Culturally and Linguistically Diverse)</td></tr><tr><td style=\"white-space:nowrap\">other-lgbti<a name=\"hc-service-eligibility-cs-other-lgbti\"> </a></td><td>LGBTI (Lesbian, Gay, Bisexual, Transgender and Intersex)</td><td>LGBTI (Lesbian, Gay, Bisexual, Transgender and Intersex)</td></tr><tr><td style=\"white-space:nowrap\">other-families<a name=\"hc-service-eligibility-cs-other-families\"> </a></td><td>Families</td><td>Families</td></tr><tr><td style=\"white-space:nowrap\">other-parents<a name=\"hc-service-eligibility-cs-other-parents\"> </a></td><td>Parents</td><td>Parents</td></tr><tr><td style=\"white-space:nowrap\">other-veterans<a name=\"hc-service-eligibility-cs-other-veterans\"> </a></td><td>Veterans</td><td>Veterans</td></tr><tr><td style=\"white-space:nowrap\">other-existingPatientsOnly<a name=\"hc-service-eligibility-cs-other-existingPatientsOnly\"> </a></td><td>Existing Patients Only</td><td>Existing Patients Only</td></tr><tr><td style=\"white-space:nowrap\">other-requiresReferral<a name=\"hc-service-eligibility-cs-other-requiresReferral\"> </a></td><td>Requires Referral</td><td>Requires Referral</td></tr><tr><td style=\"white-space:nowrap\">other-mentalHealth<a name=\"hc-service-eligibility-cs-other-mentalHealth\"> </a></td><td>People with Mental Health Issues</td><td>People with Mental Health Issues</td></tr><tr><td style=\"white-space:nowrap\">other-chronicTerminalIllness<a name=\"hc-service-eligibility-cs-other-chronicTerminalIllness\"> </a></td><td>People with Chronic/Terminal Illness</td><td>People with Chronic/Terminal Illness</td></tr><tr><td style=\"white-space:nowrap\">other-drugAlcohol<a name=\"hc-service-eligibility-cs-other-drugAlcohol\"> </a></td><td>People with Drug and/or Alcohol Issues</td><td>People with Drug and/or Alcohol Issues</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "draft",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://ns.electronichealth.net.au/hc/ImplementationGuide/au.digitalhealth.r4.healthconnect"
          }
        ]
      }
    }
  ],
  "url" : "http://ns.electronichealth.net.au/hc/CodeSystem/hc-service-eligibility-cs",
  "version" : "0.1.0-preview",
  "name" : "HCServiceEligibilityCodeSystem",
  "title" : "HC Service Eligibility CodeSystem",
  "status" : "draft",
  "experimental" : false,
  "date" : "2025-11-20T22:43:19+00:00",
  "publisher" : "Australian Digital Health Agency",
  "contact" : [
    {
      "name" : "Australian Digital Health Agency",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://example.org/example-publisher"
        },
        {
          "system" : "email",
          "value" : "help@digitalhealth.gov.au"
        }
      ]
    },
    {
      "name" : "Australian Digital Health Agency",
      "telecom" : [
        {
          "system" : "email",
          "value" : "mailto:help@digitalhealth.gov.au",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "Health Connect code system for service eligibility, modeled after PCA's eligibility code system. Codes represent eligibility requirements for healthcare services.",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "jurisdiction"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:3166",
            "code" : "AU",
            "display" : "Australia"
          }
        ]
      }
    }
  ],
  "copyright" : "This code system is a clone of the PCA Service Eligibility CodeSystem. Copyright © Australian Digital Health Agency.",
  "caseSensitive" : true,
  "valueSet" : "http://ns.electronichealth.net.au/hc/ValueSet/hc-service-eligibility-vs",
  "compositional" : false,
  "versionNeeded" : false,
  "content" : "complete",
  "count" : 26,
  "concept" : [
    {
      "code" : "newBorn0to3",
      "display" : "Neonate/newborn 0-3 months",
      "definition" : "Neonate/newborn 0-3 months"
    },
    {
      "code" : "infant3to6",
      "display" : "Infant 3-6 months",
      "definition" : "Infant 3-6 months"
    },
    {
      "code" : "infant6to12",
      "display" : "Infant 6-12 months",
      "definition" : "Infant 6-12 months"
    },
    {
      "code" : "toddlerPreschool1to4",
      "display" : "Toddler to preschool 1-4 years",
      "definition" : "Toddler to preschool 1-4 years"
    },
    {
      "code" : "childYouth5to17",
      "display" : "Children and young people 5-17 years",
      "definition" : "Children and young people 5-17 years"
    },
    {
      "code" : "adult18to64",
      "display" : "Adult 18-64 years",
      "definition" : "Adult 18-64 years"
    },
    {
      "code" : "adult65Plus",
      "display" : "Older Adult 65+ years",
      "definition" : "Older Adult 65+ years"
    },
    {
      "code" : "carer-youngCarerUnder25",
      "display" : "Carer - Young Carer (Under 25)",
      "definition" : "Carer - Young Carer (Under 25)"
    },
    {
      "code" : "carer-adultCarer",
      "display" : "Carer - Adult Carer",
      "definition" : "Carer - Adult Carer"
    },
    {
      "code" : "coverage-restrictedResidents",
      "display" : "Coverage - Restricted To Residents In Coverage Area",
      "definition" : "Coverage - Restricted To Residents In Coverage Area"
    },
    {
      "code" : "disabled-intellectually",
      "display" : "Disabled - Intellectually",
      "definition" : "Disabled - Intellectually"
    },
    {
      "code" : "disabled-disabledPhysically",
      "display" : "Disabled - Physically",
      "definition" : "Disabled - Physically"
    },
    {
      "code" : "gender-men",
      "display" : "Gender - Men",
      "definition" : "Gender - Men"
    },
    {
      "code" : "gender-women",
      "display" : "Gender - Women",
      "definition" : "Gender - Women"
    },
    {
      "code" : "other-aboriginalPeoples",
      "display" : "Aboriginal Peoples",
      "definition" : "Aboriginal Peoples"
    },
    {
      "code" : "other-torresStraitIslanderPeoples",
      "display" : "Torres Strait Islander Peoples",
      "definition" : "Torres Strait Islander Peoples"
    },
    {
      "code" : "other-cald",
      "display" : "CALD (Culturally and Linguistically Diverse)",
      "definition" : "CALD (Culturally and Linguistically Diverse)"
    },
    {
      "code" : "other-lgbti",
      "display" : "LGBTI (Lesbian, Gay, Bisexual, Transgender and Intersex)",
      "definition" : "LGBTI (Lesbian, Gay, Bisexual, Transgender and Intersex)"
    },
    {
      "code" : "other-families",
      "display" : "Families",
      "definition" : "Families"
    },
    {
      "code" : "other-parents",
      "display" : "Parents",
      "definition" : "Parents"
    },
    {
      "code" : "other-veterans",
      "display" : "Veterans",
      "definition" : "Veterans"
    },
    {
      "code" : "other-existingPatientsOnly",
      "display" : "Existing Patients Only",
      "definition" : "Existing Patients Only"
    },
    {
      "code" : "other-requiresReferral",
      "display" : "Requires Referral",
      "definition" : "Requires Referral"
    },
    {
      "code" : "other-mentalHealth",
      "display" : "People with Mental Health Issues",
      "definition" : "People with Mental Health Issues"
    },
    {
      "code" : "other-chronicTerminalIllness",
      "display" : "People with Chronic/Terminal Illness",
      "definition" : "People with Chronic/Terminal Illness"
    },
    {
      "code" : "other-drugAlcohol",
      "display" : "People with Drug and/or Alcohol Issues",
      "definition" : "People with Drug and/or Alcohol Issues"
    }
  ]
}