Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0 - STU 2.1 United States of America flag

Da Vinci Prior Authorization Support (PAS) FHIR IG, 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-pas/ and changes regularly. See the Directory of published versions

: X12 278 Diagnosis Code Value Set - JSON Representation

Page standards status: Trial-use Maturity Level: 3

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{
  "resourceType" : "ValueSet",
  "id" : "X12278DiagnosisCodes",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet X12278DiagnosisCodes</b></p><a name=\"X12278DiagnosisCodes\"> </a><a name=\"hcX12278DiagnosisCodes\"> </a><a name=\"X12278DiagnosisCodes-en-US\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-icd9cm.html\"><code>http://terminology.hl7.org/CodeSystem/icd9cm</code></a></li><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-icd10CM.html\"><code>http://hl7.org/fhir/sid/icd-10-cm</code></a></li><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-MSDRG.html\"><code>https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software</code></a></li><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-APDRG.html\"><code>http://uri.hddaccess.com/cs/apdrg</code></a></li><li>Include all codes defined in <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-APRDRG.html\"><code>http://uri.hddaccess.com/cs/aprdrg</code></a></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 3,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    },
    {
      "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-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278DiagnosisCodes",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.24.48.9"
    }
  ],
  "version" : "2.1.0",
  "name" : "X12278DiagnosisCodes",
  "title" : "X12 278 Diagnosis Code Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-12-20T19:33:39+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/Special/committees/fm"
        },
        {
          "system" : "email",
          "value" : "fmlists@lists.hl7.org"
        }
      ]
    },
    {
      "name" : "Jean Duteau",
      "telecom" : [
        {
          "system" : "email",
          "value" : "mailto:jean@duteaudesign.com"
        }
      ]
    },
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "The complete set of codes that can be used to convey a patient diagnosis.  This includes codes from ICD-10-CM, ICD-9-CM and Diagnosis Related Group codes.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/icd9cm"
      },
      {
        "system" : "http://hl7.org/fhir/sid/icd-10-cm"
      },
      {
        "system" : "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software"
      },
      {
        "system" : "http://uri.hddaccess.com/cs/apdrg"
      },
      {
        "system" : "http://uri.hddaccess.com/cs/aprdrg"
      }
    ]
  }
}