HL7 Terminology (THO)
5.3.0 - Publication International flag

This page is part of the HL7 Terminology (v5.3.0: 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 Value Codes - TTL Representation

Draft as of 2023-09-08 Maturity Level: 1

Raw ttl | Download


@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "adjudication"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2020-04-09T21:10:28.568+00:00"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/shareablecodesystem>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Placeholder</div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "fm" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]
  ] ) ; # 
  fhir:url [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.1.1171" ]
  ] ) ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "AdjudicationValueCodes"] ; # 
  fhir:title [ fhir:v "Adjudication Value Codes"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2023-09-08T17:52:31-06:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "FHIR Project team"] ; # 
  fhir:contact ( [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/fhir" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "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."] ; # 
  fhir:copyright [ fhir:v "This is an example set."] ; # 
  fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:valueSet [
fhir:v "http://terminology.hl7.org/ValueSet/adjudication"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/ValueSet/adjudication>
  ] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "submitted" ] ;
fhir:display [ fhir:v "Submitted Amount" ] ;
fhir:definition [ fhir:v "The total submitted amount for the claim or group or line item." ]
  ] [
fhir:code [ fhir:v "copay" ] ;
fhir:display [ fhir:v "CoPay" ] ;
fhir:definition [ fhir:v "Patient Co-Payment" ]
  ] [
fhir:code [ fhir:v "eligible" ] ;
fhir:display [ fhir:v "Eligible Amount" ] ;
fhir:definition [ fhir:v "Amount of the change which is considered for adjudication." ]
  ] [
fhir:code [ fhir:v "deductible" ] ;
fhir:display [ fhir:v "Deductible" ] ;
fhir:definition [ fhir:v "Amount deducted from the eligible amount prior to adjudication." ]
  ] [
fhir:code [ fhir:v "unallocdeduct" ] ;
fhir:display [ fhir:v "Unallocated Deductible" ] ;
fhir:definition [ fhir:v "The amount of deductible which could not allocated to other line items." ]
  ] [
fhir:code [ fhir:v "eligpercent" ] ;
fhir:display [ fhir:v "Eligible %" ] ;
fhir:definition [ fhir:v "Eligible Percentage." ]
  ] [
fhir:code [ fhir:v "tax" ] ;
fhir:display [ fhir:v "Tax" ] ;
fhir:definition [ fhir:v "The amount of tax." ]
  ] [
fhir:code [ fhir:v "benefit" ] ;
fhir:display [ fhir:v "Benefit Amount" ] ;
fhir:definition [ fhir:v "Amount payable under the coverage" ]
  ] ) . #