Da Vinci Payer Data Exchange
2.1.0 - STU2 United States of America flag

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. 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-epdx/ and changes regularly. See the Directory of published versions

CodeSystem: PDex Adjudication Discriminator

Official URL: http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexAdjudicationDiscriminator Version: 2.1.0
Active as of 2024-02-23 Computable Name: PDexAdjudicationDiscriminator

Copyright/Legal: This CodeSystem is not copyrighted.

Used as the discriminator for the data elements in adjudication and item.adjudication

This Code system is referenced in the content logical definition of the following value sets:

  • This CodeSystem is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

This case-insensitive code system http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexAdjudicationDiscriminator defines the following codes:

allowedunits allowed unitsdefines the adjudication slice to define allowed units
consumedunits consumed unitsdefines the adjudication slice to define consumed units
denialreason Denial Reasondefines the adjudication slice to identify the denial reason