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

• Narrative Content
• XML
• JSON
• TTL

: Prior Authorization Values - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "PriorAuthorizationValueCodes",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem PriorAuthorizationValueCodes</b></p><a name=\"PriorAuthorizationValueCodes\"> </a><a name=\"hcPriorAuthorizationValueCodes\"> </a><a name=\"PriorAuthorizationValueCodes-en-US\"> </a><p>This case-insensitive code system <code>http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PriorAuthorizationValueCodes</code> 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\">submitted<a name=\"PriorAuthorizationValueCodes-submitted\"> </a></td><td>Submitted</td><td>Proposed amounts of units or services</td></tr><tr><td style=\"white-space:nowrap\">eligible<a name=\"PriorAuthorizationValueCodes-eligible\"> </a></td><td>Eligible</td><td>Eligible/agreed items or services</td></tr><tr><td style=\"white-space:nowrap\">utilized<a name=\"PriorAuthorizationValueCodes-utilized\"> </a></td><td>Utilized</td><td>Amount of items or services consumed to date</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "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-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PriorAuthorizationValueCodes",
  "version" : "2.1.0",
  "name" : "PriorAuthorizationValueCodes",
  "title" : "Prior Authorization Values",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-12-26T22:55:41+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        },
        {
          "system" : "email",
          "value" : "fm@lists.HL7.org"
        }
      ]
    },
    {
      "name" : "Mark Scrimshire (mark.scrimshire@onyxhealth.io)",
      "telecom" : [
        {
          "system" : "email",
          "value" : "mailto:mark.scrimshire@onyxhealth.io"
        }
      ]
    },
    {
      "name" : "HL7 International - Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "Codes used to define Prior Authorization categories",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "Used by permission of HL7 International, all rights reserved Creative Commons License",
  "caseSensitive" : false,
  "content" : "complete",
  "count" : 3,
  "concept" : [
    {
      "code" : "submitted",
      "display" : "Submitted",
      "definition" : "Proposed amounts of units or services"
    },
    {
      "code" : "eligible",
      "display" : "Eligible",
      "definition" : "Eligible/agreed items or services"
    },
    {
      "code" : "utilized",
      "display" : "Utilized",
      "definition" : "Amount of items or services consumed to date"
    }
  ]
}