{
  "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\"><h2>Adjudication Value Codes</h2><div><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></div><p><b>Copyright Statement:</b> This is an example set.\r\n            </p><p>This code system http://hl7.org/fhir/adjudication defines the following codes:</p><table class=\"codes\"><tr><td><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>total\r\n                  <a name=\"adjudication-total\"></a></td><td>Total</td><td>Total submitted</td></tr><tr><td>copay\r\n                  <a name=\"adjudication-copay\"></a></td><td>CoPay</td><td>Patient Co-Payment</td></tr><tr><td>eligible\r\n                  <a name=\"adjudication-eligible\"></a></td><td>Eligible Amount</td><td>Amount of the change which is considered for adjudication</td></tr><tr><td>deductible\r\n                  <a name=\"adjudication-deductible\"></a></td><td>Deductable</td><td>Amount deducted from the eligible amount prior to adjudication</td></tr><tr><td>eligpercent\r\n                  <a name=\"adjudication-eligpercent\"></a></td><td>Eligible %</td><td>Eligible Percentage</td></tr><tr><td>tax\r\n                  <a name=\"adjudication-tax\"></a></td><td>Emergency Department</td><td>Emergency Department</td></tr><tr><td>benefit\r\n                  <a name=\"adjudication-benefit\"></a></td><td>Benefit Amount</td><td>Amount payable under the coverage</td></tr></table></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"
    }
  ]
}