{

"resourceType": "CodeSystem",
"id": "adjudication",
"meta": {
  "lastUpdated": "2019-11-01T09:29:23.356+11:00",
  "profile": [
    "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
  ]
},
"extension": [
  {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "fm"
  },
  {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "draft"
  },
  {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 1
  }
],
"url": "http://terminology.hl7.org/CodeSystem/adjudication",
"identifier": [
  {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.4.642.4.1171"
  }
],
"version": "4.0.1",
"name": "AdjudicationValueCodes",
"title": "Adjudication Value Codes",
"status": "draft",
"experimental": false,
"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": "submitted",
    "display": "Submitted Amount",
    "definition": "The total submitted amount for the claim or group or line item."
  },
  {
    "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": "Deductible",
    "definition": "Amount deducted from the eligible amount prior to adjudication."
  },
  {
    "code": "unallocdeduct",
    "display": "Unallocated Deductible",
    "definition": "The amount of deductible which could not allocated to other line items."
  },
  {
    "code": "eligpercent",
    "display": "Eligible %",
    "definition": "Eligible Percentage."
  },
  {
    "code": "tax",
    "display": "Tax",
    "definition": "The amount of tax."
  },
  {
    "code": "benefit",
    "display": "Benefit Amount",
    "definition": "Amount payable under the coverage"
  }
]

}