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-ballot 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
: PDex Adjudication Category Discriminator - TTL Representation
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:ValueSet ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "PDexAdjudicationCategoryDiscriminator"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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=\"CodeSystem-PDexAdjudicationCS.html\"><code>http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexAdjudicationCS</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>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "fm" ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
fhir:value [
fhir:v "informative" ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
fhir:value [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex> ] ] ) ]
] ) ; #
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexAdjudicationCategoryDiscriminator"^^xsd:anyURI] ; #
fhir:version [ fhir:v "2.1.0-ballot"] ; #
fhir:name [ fhir:v "PDexAdjudicationCategoryDiscriminator"] ; #
fhir:title [ fhir:v "PDex Adjudication Category Discriminator"] ; #
fhir:status [ fhir:v "active"] ; #
fhir:experimental [ fhir:v "true"^^xsd:boolean] ; #
fhir:date [ fhir:v "2024-08-14T16:56:46+00:00"^^xsd:dateTime] ; #
fhir:publisher [ fhir:v "HL7 International / Financial Management"] ; #
fhir:contact ( [
fhir:name [ fhir:v "HL7 International / Financial Management" ] ;
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fm" ] ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fm@lists.HL7.org" ] ] )
] [
fhir:name [ fhir:v "Mark Scrimshire (mark.scrimshire@onyxhealth.io)" ] ;
( fhir:telecom [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "mailto:mark.scrimshire@onyxhealth.io" ] ] )
] [
fhir:name [ fhir:v "HL7 International - Financial Management" ] ;
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fm" ] ] )
] ) ; #
fhir:description [ fhir:v "Used as the discriminator for adjudication.category and item.adjudication.category for the PDex Prior Authorization."] ; #
fhir:jurisdiction ( [
( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ] ;
fhir:display [ fhir:v "United States of America" ] ] )
] ) ; #
fhir:copyright [ fhir:v "This Valueset is not copyrighted."] ; #
fhir:compose [
( fhir:include [
( fhir:valueSet [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexAdjudication"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexAdjudication> ] ) ] [
( fhir:valueSet [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexPayerBenefitPaymentStatus"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexPayerBenefitPaymentStatus> ] ) ] [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexAdjudicationCS"^^xsd:anyURI ] ] [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexAdjudicationDiscriminator"^^xsd:anyURI ] ] )
] . #