GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

V2-0562.xml

Raw XML (canonical form)

FHIR Value set/code system definition for HL7 v2 table 0562 ( Processing Consideration Codes)

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v2-0562"/>
  <meta>
    <profile value="http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"/>
  </meta>
  <text>
    <status value="additional"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>Processing Consideration Codes</p>

      <table class="grid">
        <tr>
          <td>
            <b>Code</b>
          </td>
          <td>
            <b>Description</b>
          </td>
          <td>
            <b>Comment</b>
          </td>
          <td>
            <b>Version</b>
          </td>
        </tr>
        <tr>
          <td>DFADJ
            <a name="DFADJ"> </a>
          </td>
          <td>Deferred Adjudication Processing</td>
          <td>If permitted by Payer</td>
          <td>added v2.6</td>
        </tr>
        <tr>
          <td>EFORM
            <a name="EFORM"> </a>
          </td>
          <td>Electronic form to follow</td>
          <td>E30 transaction to follow</td>
          <td>added v2.6</td>
        </tr>
        <tr>
          <td>FAX
            <a name="FAX"> </a>
          </td>
          <td>Fax to follow</td>
          <td/>
          <td>added v2.6</td>
        </tr>
        <tr>
          <td>PAPER
            <a name="PAPER"> </a>
          </td>
          <td>Paper documentation to follow</td>
          <td/>
          <td>added v2.6</td>
        </tr>
        <tr>
          <td>PYRDELAY
            <a name="PYRDELAY"> </a>
          </td>
          <td>Delayed by a Previous Payer</td>
          <td>Allows Provider to explain lateness of Invoice to a subsequent Payer</td>
          <td>added v2.6</td>
        </tr>
        <tr>
          <td>RTADJ
            <a name="RTADJ"> </a>
          </td>
          <td>Real Time Adjudication Processing</td>
          <td>If permitted by Payer</td>
          <td>added v2.6</td>
        </tr>
      </table>

    </div>
  </text>
  <url value="http://hl7.org/fhir/ValueSet/v2-0562"/>
  <version value="2.8.2"/>
  <name value="v2 Processing Consideration Codes"/>
  <status value="active"/>
  <experimental value="true"/>
  <publisher value="HL7, Inc"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org"/>
    </telecom>
  </contact>
  <description value="FHIR Value set/code system definition for HL7 v2 table 0562 ( Processing Consideration
     Codes)"/>
  <codeSystem>
    <extension url="http://hl7.org/fhir/StructureDefinition/valueset-oid">
      <valueUri value="urn:oid:2.16.840.1.133883.18.365"/>
    </extension>
    <system value="http://hl7.org/fhir/v2/0562"/>
    <caseSensitive value="false"/>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-comments">
        <valueString value="If permitted by Payer"/>
      </extension>
      <code value="DFADJ"/>
      <display value="Deferred Adjudication Processing"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-comments">
        <valueString value="E30 transaction to follow"/>
      </extension>
      <code value="EFORM"/>
      <display value="Electronic form to follow"/>
    </concept>
    <concept>
      <code value="FAX"/>
      <display value="Fax to follow"/>
    </concept>
    <concept>
      <code value="PAPER"/>
      <display value="Paper documentation to follow"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-comments">
        <valueString value="Allows Provider to explain lateness of Invoice to a subsequent Payer"/>
      </extension>
      <code value="PYRDELAY"/>
      <display value="Delayed by a Previous Payer"/>
    </concept>
    <concept>
      <extension url="http://hl7.org/fhir/StructureDefinition/valueset-comments">
        <valueString value="If permitted by Payer"/>
      </extension>
      <code value="RTADJ"/>
      <display value="Real Time Adjudication Processing"/>
    </concept>
  </codeSystem>
</ValueSet>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.