HL7 Terminology (THO)
5.2.0 - Publication International flag

This page is part of the HL7 Terminology (v5.2.0: Release) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Adjudication Reason Codes - XML Representation

Draft as of 2023-07-17 Maturity Level: 1

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="adjudication-reason"/>
  <meta>
    <lastUpdated value="2020-04-09T21:10:28.568+00:00"/>
    <profile
             value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>This code system <code>http://terminology.hl7.org/CodeSystem/adjudication-reason</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">ar001<a name="adjudication-reason-ar001"> </a></td><td>Not covered</td><td>Not covered</td></tr><tr><td style="white-space:nowrap">ar002<a name="adjudication-reason-ar002"> </a></td><td>Plan Limit Reached</td><td>Plan Limit Reached</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </extension>
  <url value="http://terminology.hl7.org/CodeSystem/adjudication-reason"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.1.1172"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="AdjudicationReasonCodes"/>
  <title value="Adjudication Reason Codes"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2023-07-17T22:16:15-06:00"/>
  <publisher value="Financial Management"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <description
               value="This value set includes smattering of Adjudication Reason codes."/>
  <copyright value="This is an example set."/>
  <caseSensitive value="true"/>
  <valueSet value="http://terminology.hl7.org/ValueSet/adjudication-reason"/>
  <content value="complete"/>
  <concept>
    <code value="ar001"/>
    <display value="Not covered"/>
    <definition value="Not covered"/>
  </concept>
  <concept>
    <code value="ar002"/>
    <display value="Plan Limit Reached"/>
    <definition value="Plan Limit Reached"/>
  </concept>
</CodeSystem>