{
  "resourceType": "CodeSystem",
  "id": "eligibilityrequest-purpose",
  "meta": {
    "lastUpdated": "2023-03-26T15:21:02.749+11:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <p>This code system \n              <code>http://hl7.org/fhir/eligibilityrequest-purpose</code> defines the following codes:\n            </p>\n            <table class=\"codes\">\n              <tr>\n                <td style=\"white-space:nowrap\">\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 style=\"white-space:nowrap\">auth-requirements\n                  <a name=\"eligibilityrequest-purpose-auth-requirements\"> </a>\n                </td>\n                <td>Coverage auth-requirements</td>\n                <td>The prior authorization requirements for the listed, or discovered if specified, converages for the categories of service and/or specifed biling codes are requested.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">benefits\n                  <a name=\"eligibilityrequest-purpose-benefits\"> </a>\n                </td>\n                <td>Coverage benefits</td>\n                <td>The plan benefits and optionally benefits consumed  for the listed, or discovered if specified, converages are requested.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">discovery\n                  <a name=\"eligibilityrequest-purpose-discovery\"> </a>\n                </td>\n                <td>Coverage Discovery</td>\n                <td>The insurer is requested to report on any coverages which they are aware of in addition to any specifed.</td>\n              </tr>\n              <tr>\n                <td style=\"white-space:nowrap\">validation\n                  <a name=\"eligibilityrequest-purpose-validation\"> </a>\n                </td>\n                <td>Coverage Validation</td>\n                <td>A check that the specified coverages are in-force is requested.</td>\n              </tr>\n            </table>\n          </div>"
  },
  "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/eligibilityrequest-purpose",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.4.1183"
    }
  ],
  "version": "5.0.0",
  "name": "EligibilityRequestPurpose",
  "title": "Eligibility Request Purpose",
  "status": "active",
  "experimental": false,
  "date": "2021-01-05T10:01:24+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.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/eligibilityrequest-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."
    }
  ]
}