This page is part of a downloaded copy of this specification. This page is part of the CARIN Blue Button Implementation Guide (v0.1.0: STU1 Ballot 1) based on FHIR R4. For a full list of available versions, see the Directory of published versions
Turtle Format: CodeSystem-CARIN-BB-Adjudication-Category
Raw ttl
@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:Resource.id [ fhir:value "CARIN-BB-Adjudication-Category"]; fhir:Resource.meta [ fhir:Meta.versionId [ fhir:value "4" ]; fhir:Meta.lastUpdated [ fhir:value "2019-12-01T18:53:17.000+00:00"^^xsd:dateTime ] ]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>CARIN Blue Button Claim Adjudication Category Code System</h2><p>This code system http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory 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\">benefitPaymentStatusCode<a name=\"CARIN-BB-Adjudication-Category-benefitPaymentStatusCode\"> </a></td><td>Benefit payment status code</td><td>Benefit payment status code</td></tr><tr><td style=\"white-space:nowrap\">paymentDenialCode<a name=\"CARIN-BB-Adjudication-Category-paymentDenialCode\"> </a></td><td>Payment denial code</td><td>Payment Denial Code</td></tr><tr><td style=\"white-space:nowrap\">submittedamount<a name=\"CARIN-BB-Adjudication-Category-submittedamount\"> </a></td><td>submitted amount</td><td/></tr><tr><td style=\"white-space:nowrap\">allowedamount<a name=\"CARIN-BB-Adjudication-Category-allowedamount\"> </a></td><td>allowed amount</td><td/></tr><tr><td style=\"white-space:nowrap\">deductibleamount<a name=\"CARIN-BB-Adjudication-Category-deductibleamount\"> </a></td><td>deductible amount</td><td/></tr><tr><td style=\"white-space:nowrap\">coinsuranceamount<a name=\"CARIN-BB-Adjudication-Category-coinsuranceamount\"> </a></td><td>coinsurance amount</td><td/></tr><tr><td style=\"white-space:nowrap\">copayamount<a name=\"CARIN-BB-Adjudication-Category-copayamount\"> </a></td><td>copay amount</td><td/></tr><tr><td style=\"white-space:nowrap\">noncoveredamount<a name=\"CARIN-BB-Adjudication-Category-noncoveredamount\"> </a></td><td>noncovered amount</td><td/></tr><tr><td style=\"white-space:nowrap\">cobamount<a name=\"CARIN-BB-Adjudication-Category-cobamount\"> </a></td><td>cob amount</td><td/></tr><tr><td style=\"white-space:nowrap\">paymentamount<a name=\"CARIN-BB-Adjudication-Category-paymentamount\"> </a></td><td>payment amount</td><td/></tr><tr><td style=\"white-space:nowrap\">patientpayamount<a name=\"CARIN-BB-Adjudication-Category-patientpayamount\"> </a></td><td>patient pay amount</td><td/></tr><tr><td style=\"white-space:nowrap\">denialreason<a name=\"CARIN-BB-Adjudication-Category-denialreason\"> </a></td><td>payment denial reason</td><td/></tr><tr><td style=\"white-space:nowrap\">innetworkbenefitpaymentstatus<a name=\"CARIN-BB-Adjudication-Category-innetworkbenefitpaymentstatus\"> </a></td><td>in network benefit payment status</td><td/></tr><tr><td style=\"white-space:nowrap\">outofnetworkbenefitpaymentstatus<a name=\"CARIN-BB-Adjudication-Category-outofnetworkbenefitpaymentstatus\"> </a></td><td>out of network benefit payment status</td><td/></tr><tr><td style=\"white-space:nowrap\">otherbenefitpaymentstatus<a name=\"CARIN-BB-Adjudication-Category-otherbenefitpaymentstatus\"> </a></td><td>other benefit payment status</td><td/></tr><tr><td style=\"white-space:nowrap\">allowedunits<a name=\"CARIN-BB-Adjudication-Category-allowedunits\"> </a></td><td>allowed units</td><td/></tr></table></div>" ]; fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory"]; fhir:CodeSystem.version [ fhir:value "0.1.0"]; fhir:CodeSystem.name [ fhir:value "CARINBBAdjudicationCategory"]; fhir:CodeSystem.title [ fhir:value "CARIN Blue Button Claim Adjudication Category Code System"]; fhir:CodeSystem.status [ fhir:value "draft"]; fhir:CodeSystem.date [ fhir:value "2019-07-27T00:00:00+00:00"^^xsd:dateTime]; fhir:CodeSystem.publisher [ fhir:value "CARIN Alliance"]; fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean]; fhir:CodeSystem.content [ fhir:value "complete"]; fhir:CodeSystem.concept [ fhir:index 0; fhir:CodeSystem.concept.code [ fhir:value "benefitPaymentStatusCode" ]; fhir:CodeSystem.concept.display [ fhir:value "Benefit payment status code" ]; fhir:CodeSystem.concept.definition [ fhir:value "Benefit payment status code" ] ], [ fhir:index 1; fhir:CodeSystem.concept.code [ fhir:value "paymentDenialCode" ]; fhir:CodeSystem.concept.display [ fhir:value "Payment denial code" ]; fhir:CodeSystem.concept.definition [ fhir:value "Payment Denial Code" ] ], [ fhir:index 2; fhir:CodeSystem.concept.code [ fhir:value "submittedamount" ]; fhir:CodeSystem.concept.display [ fhir:value "submitted amount" ] ], [ fhir:index 3; fhir:CodeSystem.concept.code [ fhir:value "allowedamount" ]; fhir:CodeSystem.concept.display [ fhir:value "allowed amount" ] ], [ fhir:index 4; fhir:CodeSystem.concept.code [ fhir:value "deductibleamount" ]; fhir:CodeSystem.concept.display [ fhir:value "deductible amount" ] ], [ fhir:index 5; fhir:CodeSystem.concept.code [ fhir:value "coinsuranceamount" ]; fhir:CodeSystem.concept.display [ fhir:value "coinsurance amount" ] ], [ fhir:index 6; fhir:CodeSystem.concept.code [ fhir:value "copayamount" ]; fhir:CodeSystem.concept.display [ fhir:value "copay amount" ] ], [ fhir:index 7; fhir:CodeSystem.concept.code [ fhir:value "noncoveredamount" ]; fhir:CodeSystem.concept.display [ fhir:value "noncovered amount" ] ], [ fhir:index 8; fhir:CodeSystem.concept.code [ fhir:value "cobamount" ]; fhir:CodeSystem.concept.display [ fhir:value "cob amount" ] ], [ fhir:index 9; fhir:CodeSystem.concept.code [ fhir:value "paymentamount" ]; fhir:CodeSystem.concept.display [ fhir:value "payment amount" ] ], [ fhir:index 10; fhir:CodeSystem.concept.code [ fhir:value "patientpayamount" ]; fhir:CodeSystem.concept.display [ fhir:value "patient pay amount" ] ], [ fhir:index 11; fhir:CodeSystem.concept.code [ fhir:value "denialreason" ]; fhir:CodeSystem.concept.display [ fhir:value "payment denial reason" ] ], [ fhir:index 12; fhir:CodeSystem.concept.code [ fhir:value "innetworkbenefitpaymentstatus" ]; fhir:CodeSystem.concept.display [ fhir:value "in network benefit payment status" ] ], [ fhir:index 13; fhir:CodeSystem.concept.code [ fhir:value "outofnetworkbenefitpaymentstatus" ]; fhir:CodeSystem.concept.display [ fhir:value "out of network benefit payment status" ] ], [ fhir:index 14; fhir:CodeSystem.concept.code [ fhir:value "otherbenefitpaymentstatus" ]; fhir:CodeSystem.concept.display [ fhir:value "other benefit payment status" ] ], [ fhir:index 15; fhir:CodeSystem.concept.code [ fhir:value "allowedunits" ]; fhir:CodeSystem.concept.display [ fhir:value "allowed units" ] ]. # - ontology header ------------------------------------------------------------ a owl:Ontology; owl:imports fhir:fhir.ttl.