Release 4 5 Preview #2
This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

4.4.1.374 4.4.1.402 Value Set http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose

Financial Management Work Group   Maturity Level : 2 Trial Use Use Context : Any

This is a value set defined by the FHIR project.

Summary

Defining URL: http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose
Version: 4.0.1 4.4.0
Name: EligibilityRequestPurpose
Title: EligibilityRequestPurpose
Definition:

A code specifying the types of information being requested.

Committee: Financial Management Work Group
OID: 2.16.840.1.113883.4.642.3.1182 (for OID based terminology systems)
Source Resource XML / JSON

This value set is used in the following places:


This value set includes codes from the following code systems:

 

This expansion generated 01 Nov 2019 10 Aug 2020


This value set contains 4 concepts

Expansion based on http://hl7.org/fhir/eligibilityrequest-purpose version 4.0.1 EligibilityRequestPurpose v4.4.0 (CodeSystem)

All codes from system http://hl7.org/fhir/eligibilityrequest-purpose

Code Display Definition
auth-requirements Coverage auth-requirements The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested.
benefits Coverage benefits The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested.
discovery Coverage Discovery The insurer is requested to report on any coverages which they are aware of in addition to any specifed.
validation Coverage Validation A check that the specified coverages are in-force is requested.

 

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