{
  "resourceType": "CodeSystem",
  "id": "adjudication",
  "meta": {
    "lastUpdated": "2017-04-18T21:44:43.294+00:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <h2>Adjudication Value Codes</h2>\n            <div>\n              <p>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.</p>\n\n            </div>\n            <p>\n              <b>Copyright Statement:</b> This is an example set.\n            </p>\n            <p>This code system http://hl7.org/fhir/adjudication defines the following codes:</p>\n            <table class=\"codes\">\n              <tr>\n                <td>\n                  <b>Code</b>\n                </td>\n                <td>\n                  <b>Display</b>\n                </td>\n                <td>\n                  <b>Definition</b>\n                </td>\n              </tr>\n              <tr>\n                <td>total\n                  <a name=\"adjudication-total\"> </a>\n                </td>\n                <td>Total</td>\n                <td>Total submitted</td>\n              </tr>\n              <tr>\n                <td>copay\n                  <a name=\"adjudication-copay\"> </a>\n                </td>\n                <td>CoPay</td>\n                <td>Patient Co-Payment</td>\n              </tr>\n              <tr>\n                <td>eligible\n                  <a name=\"adjudication-eligible\"> </a>\n                </td>\n                <td>Eligible Amount</td>\n                <td>Amount of the change which is considered for adjudication</td>\n              </tr>\n              <tr>\n                <td>deductible\n                  <a name=\"adjudication-deductible\"> </a>\n                </td>\n                <td>Deductable</td>\n                <td>Amount deducted from the eligible amount prior to adjudication</td>\n              </tr>\n              <tr>\n                <td>eligpercent\n                  <a name=\"adjudication-eligpercent\"> </a>\n                </td>\n                <td>Eligible %</td>\n                <td>Eligible Percentage</td>\n              </tr>\n              <tr>\n                <td>tax\n                  <a name=\"adjudication-tax\"> </a>\n                </td>\n                <td>Emergency Department</td>\n                <td>Emergency Department</td>\n              </tr>\n              <tr>\n                <td>benefit\n                  <a name=\"adjudication-benefit\"> </a>\n                </td>\n                <td>Benefit Amount</td>\n                <td>Amount payable under the coverage</td>\n              </tr>\n            </table>\n          </div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
      "valueString": "Informative"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    }
  ],
  "url": "http://hl7.org/fhir/adjudication",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.4.642.1.589"
  },
  "version": "3.0.1",
  "name": "Adjudication Value Codes",
  "status": "draft",
  "experimental": true,
  "publisher": "FHIR Project team",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "description": "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.",
  "copyright": "This is an example set.",
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/adjudication",
  "content": "complete",
  "concept": [
    {
      "code": "total",
      "display": "Total",
      "definition": "Total submitted"
    },
    {
      "code": "copay",
      "display": "CoPay",
      "definition": "Patient Co-Payment"
    },
    {
      "code": "eligible",
      "display": "Eligible Amount",
      "definition": "Amount of the change which is considered for adjudication"
    },
    {
      "code": "deductible",
      "display": "Deductable",
      "definition": "Amount deducted from the eligible amount prior to adjudication"
    },
    {
      "code": "eligpercent",
      "display": "Eligible %",
      "definition": "Eligible Percentage"
    },
    {
      "code": "tax",
      "display": "Emergency Department",
      "definition": "Emergency Department"
    },
    {
      "code": "benefit",
      "display": "Benefit Amount",
      "definition": "Amount payable under the coverage"
    }
  ]
}