{ "resourceType": "CodeSystem", "id": "eligibilityresponse-purpose", "meta": { "lastUpdated": "2018-12-27T22:37:54.724+11:00" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "fm" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "trial-use" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 2 } ], "url": "http://hl7.org/fhir/eligibilityresponse-purpose", "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:oid:2.16.840.1.113883.4.642.1.1185" } ], "version": "4.0.0", "name": "EligibilityResponsePurpose", "title": "EligibilityResponsePurpose", "status": "draft", "experimental": false, "date": "2018-12-27T22:37:54+11:00", "publisher": "HL7 (FHIR Project)", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/fhir" }, { "system": "email", "value": "fhir@lists.hl7.org" } ] } ], "description": "A code specifying the types of information being requested.", "caseSensitive": true, "valueSet": "http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose", "content": "complete", "concept": [ { "code": "auth-requirements", "display": "Coverage auth-requirements", "definition": "The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested." }, { "code": "benefits", "display": "Coverage benefits", "definition": "The plan benefits and optionally benefits consumed for the listed, or discovered if specified, converages are requested." }, { "code": "discovery", "display": "Coverage Discovery", "definition": "The insurer is requested to report on any coverages which they are aware of in addition to any specifed." }, { "code": "validation", "display": "Coverage Validation", "definition": "A check that the specified coverages are in-force is requested." } ] }