This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.0.1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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: PAS Supporting Info Type Value Set - JSON Representation

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{
  "resourceType" : "ValueSet",
  "id" : "PASSupportingInfoType",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"CodeSystem-PASTempCodes.html\"><code>http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-PASTempCodes.html#PASTempCodes-patientEvent\">patientEvent</a></td><td style=\"color: #cccccc\">Patient Event</td><td>Information about the dates of the event that are being requested.</td></tr><tr><td><a href=\"CodeSystem-PASTempCodes.html#PASTempCodes-admissionDates\">admissionDates</a></td><td style=\"color: #cccccc\">Admission Dates</td><td>Information about the admission dates of a hospital admission being requested.</td></tr><tr><td><a href=\"CodeSystem-PASTempCodes.html#PASTempCodes-dischargeDates\">dischargeDates</a></td><td style=\"color: #cccccc\">Discharge Dates</td><td>Information about discharge dates of a hospital admission being requested.</td></tr><tr><td><a href=\"CodeSystem-PASTempCodes.html#PASTempCodes-additionalInformation\">additionalInformation</a></td><td style=\"color: #cccccc\">Additional Information</td><td>Send additional paperwork or supporting information for the request.</td></tr><tr><td><a href=\"CodeSystem-PASTempCodes.html#PASTempCodes-freeFormMessage\">freeFormMessage</a></td><td style=\"color: #cccccc\">Free Form Message</td><td>Send text messages to the UMO.</td></tr><tr><td><a href=\"CodeSystem-PASTempCodes.html#PASTempCodes-institutionalEncounter\">institutionalEncounter</a></td><td style=\"color: #cccccc\">Institutional Encounter</td><td>Information about a hospital claim being requested.</td></tr></table></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/PASSupportingInfoType",
  "version" : "2.0.1",
  "name" : "PASSupportingInfoType",
  "title" : "PAS Supporting Info Type Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2023-12-01T21:19:45+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" : "Types of supporting information for a Prior Authorization Claim.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
        "concept" : [
          {
            "code" : "patientEvent"
          },
          {
            "code" : "admissionDates"
          },
          {
            "code" : "dischargeDates"
          },
          {
            "code" : "additionalInformation"
          },
          {
            "code" : "freeFormMessage"
          },
          {
            "code" : "institutionalEncounter"
          }
        ]
      }
    ]
  }
}