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

: PDex Adjudication Category Discriminator - JSON Representation

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{
  "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><a name=\"PDexAdjudicationCategoryDiscriminator-en-US\"> </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/2.1.0-snapshot1/CodeSystem-C4BBAdjudication.html\"><code>http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication</code></a></li><li>Include all codes defined in <a href=\"CodeSystem-PDexAdjudicationDiscriminator.html\"><code>http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexAdjudicationDiscriminator</code></a></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" : "2.1.0",
  "name" : "PDexAdjudicationCategoryDiscriminator",
  "title" : "PDex Adjudication Category Discriminator",
  "status" : "active",
  "experimental" : true,
  "date" : "2024-12-13T18:03:36+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"
      },
      {
        "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexAdjudicationDiscriminator"
      }
    ]
  }
}