Da Vinci Clinical Data Exchange (CDex), published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ecdx/ and changes regularly. See the Directory of published versions
Page standards status: Trial-use | Maturity Level: 2 |
{
"resourceType" : "ValueSet",
"id" : "cdex-claim-use",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet cdex-claim-use</b></p><a name=\"cdex-claim-use\"> </a><a name=\"hccdex-claim-use\"> </a><a name=\"cdex-claim-use-en-US\"> </a><ul><li>Include these codes as defined in <a href=\"http://hl7.org/fhir/R4/codesystem-claim-use.html\"><code>http://hl7.org/fhir/claim-use</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-claim-use.html#claim-use-claim\">claim</a></td><td style=\"color: #cccccc\">Claim</td><td>The treatment is complete and this represents a Claim for the services.</td></tr><tr><td><a href=\"http://hl7.org/fhir/R4/codesystem-claim-use.html#claim-use-preauthorization\">preauthorization</a></td><td style=\"color: #cccccc\">Preauthorization</td><td>The treatment is proposed and this represents a Pre-authorization for the services.</td></tr></table></li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "claims"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 2,
"_valueInteger" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/us/davinci-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use",
"_valueCode" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/us/davinci-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-cdex/ValueSet/cdex-claim-use",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.40.21.48.2"
}
],
"version" : "2.1.0",
"name" : "CDexClaimUseCodes",
"title" : "CDex Claim Use Value Set",
"status" : "active",
"experimental" : false,
"date" : "2022-10-24",
"publisher" : "HL7 International / Payer/Provider Information Exchange Work Group",
"contact" : [
{
"name" : "HL7 International / Payer/Provider Information Exchange Work Group",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/claims"
},
{
"system" : "email",
"value" : "pie@lists.hl7.org"
}
]
}
],
"description" : "The purpose of a Claim resource and the reason for attachments. It includes the codes \"preauthorization\" and \"claim\".",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"copyright" : "Used by permission of HL7 International all rights reserved Creative Commons License",
"compose" : {
"include" : [
{
"system" : "http://hl7.org/fhir/claim-use",
"concept" : [
{
"code" : "claim"
},
{
"code" : "preauthorization"
}
]
}
]
}
}