AI Transparency on FHIR
1.0.0-current - STU1 Ballot International flag

AI Transparency on FHIR, published by HL7 International / Electronic Health Records. This guide is not an authorized publication; it is the continuous build for version 1.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/aitransparency-ig/ and changes regularly. See the Directory of published versions

Example ClaimResponse: Prior Authorization Determination drafted by AI

Page standards status: Informative

status: Active

type: Professional

use: Preauthorization

patient: http://server.example.org/fhir/Patient/pat

created: 2026-02-10 09:15:00+0000

insurer: http://server.example.org/fhir/Organization/payer

request: http://server.example.org/fhir/Claim/priorauth-mri-request

outcome: Processing Complete

disposition: Prior authorization approved for the requested MRI of the lumbar spine based on the submitted clinical documentation and the plan's medical-necessity criteria.

preAuthRef: PA-2026-0099