{
  "resourceType" : "ValueSet",
  "id" : "PDexAdjudicationCategoryDiscriminator",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet PDexAdjudicationCategoryDiscriminator</b></p><a name=\"PDexAdjudicationCategoryDiscriminator\"> </a><a name=\"hcPDexAdjudicationCategoryDiscriminator\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Import all the codes that are contained in <a href=\"ValueSet-PDexAdjudication.html\">PDex Adjudication</a></li><li>Import all the codes that are contained in <a href=\"ValueSet-PDexPayerBenefitPaymentStatus.html\">PDex Payer Benefit Payment Status</a></li><li>Include all codes defined in <a href=\"http://hl7.org/fhir/us/carin-bb/STU2.1/CodeSystem-C4BBAdjudication.html\"><code>http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication</code></a><span title=\"Version is explicitly stated to be 2.1.0\"> version &#x1F4CD;2.1.0</span></li><li>Include all codes defined in <a href=\"CodeSystem-PDexAdjudicationDiscriminator.html\"><code>http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexAdjudicationDiscriminator</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version &#x1F4E6;2.2.0</span></li></ul></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "informative",
    "_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/ValueSet/PDexAdjudicationCategoryDiscriminator",
  "version" : "2.2.0",
  "name" : "PDexAdjudicationCategoryDiscriminator",
  "title" : "PDex Adjudication Category Discriminator",
  "status" : "active",
  "experimental" : true,
  "date" : "2026-04-02T13:56:09+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" : "Used as the discriminator for adjudication.category and item.adjudication.category for the PDex Prior Authorization.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US",
      "display" : "United States of America"
    }]
  }],
  "copyright" : "This Valueset is not copyrighted.",
  "compose" : {
    "include" : [{
      "valueSet" : ["http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexAdjudication"]
    },
    {
      "valueSet" : ["http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexPayerBenefitPaymentStatus"]
    },
    {
      "system" : "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication",
      "version" : "2.1.0"
    },
    {
      "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexAdjudicationDiscriminator"
    }]
  }
}