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 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="cdex-claim-use"/>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="claims"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="2">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/us/davinci-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/us/davinci-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex"/>
</extension>
</valueCode>
</extension>
<url value="http://hl7.org/fhir/us/davinci-cdex/ValueSet/cdex-claim-use"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.21.48.2"/>
</identifier>
<version value="2.1.0"/>
<name value="CDexClaimUseCodes"/>
<title value="CDex Claim Use Value Set"/>
<status value="active"/>
<experimental value="false"/>
<date value="2022-10-24"/>
<publisher
value="HL7 International / Payer/Provider Information Exchange Work Group"/>
<contact>
<name
value="HL7 International / Payer/Provider Information Exchange Work Group"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/claims"/>
</telecom>
<telecom>
<system value="email"/>
<value value="pie@lists.hl7.org"/>
</telecom>
</contact>
<description
value="The purpose of a Claim resource and the reason for attachments. It includes the codes "preauthorization" and "claim"."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<copyright
value="Used by permission of HL7 International all rights reserved Creative Commons License"/>
<compose>
<include>
<system value="http://hl7.org/fhir/claim-use"/>
<concept>
<code value="claim"/>
</concept>
<concept>
<code value="preauthorization"/>
</concept>
</include>
</compose>
</ValueSet>