ValueSet Comparison between http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTGFEItemAdjudicationVS vs http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAdjudicationCategoryVS

Messages

Metadata

Name	Value		Comments
compose.inactive
compose.lockedDate
copyright	This Valueset is not copyrighted.
date	2021-12-04T21:54:35+00:00	2023-03-30T13:34:22+00:00	Values Differ
description	Sample Adjudication codes to indicate the amounts eligible under the plan, the amount of benefit, copays etc.	Value Set containing codes for the type of adjudication information provided.	Values Differ
experimental		false	Added the item 'false'
immutable
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
name	PCTGFEItemAdjudicationVS	PCTAdjudicationCategoryVS	Values Differ
publisher	HL7 International - Financial Management Work Group
purpose
status	active
title	PCT GFE Item Adjudication Value Set - locally defined for testing purpose; an external FHIR value set will be created through the HL7 Terminology (THO) process to replace this value set	PCT GFE Item Adjudication Value Set	Values Differ
url	http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTGFEItemAdjudicationVS	http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTAdjudicationCategoryVS	Values Differ
version	0.1.0	1.0.0	Values Differ

Definition

Item	Property		Value		Comments
include	http://terminology.hl7.org/CodeSystem/adjudication
include	http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryType				Removed Include
include		http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryCS			Added Include

Expansion

System	Code	Display		Comments
http://terminology.hl7.org/CodeSystem/adjudication	submitted	Submitted Amount
http://terminology.hl7.org/CodeSystem/adjudication	copay	CoPay
http://terminology.hl7.org/CodeSystem/adjudication	eligible	Eligible Amount
http://terminology.hl7.org/CodeSystem/adjudication	deductible	Deductible
http://terminology.hl7.org/CodeSystem/adjudication	unallocdeduct	Unallocated Deductible
http://terminology.hl7.org/CodeSystem/adjudication	eligpercent	Eligible %
http://terminology.hl7.org/CodeSystem/adjudication	tax	Tax
http://terminology.hl7.org/CodeSystem/adjudication	benefit	Benefit Amount
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryType	coinsurance	Co-insurance		Removed from expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryType	noncovered	Noncovered		Removed from expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryType	priorpayerpaid	Prior payer paid		Removed from expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryType	paidbypatient	Paid by patient		Removed from expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryType	paidtoprovider	Paid to provider		Removed from expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryType	paidtopatient	Paid to patient		Removed from expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryType	memberliability	Member liability		Removed from expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryType	discount	Discount		Removed from expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryType	drugcost	Drug cost		Removed from expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryCS	billingnetworkstatus		Billing Network Status	Added to expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryCS	renderingnetworkstatus		Rendering Network Status	Added to expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryCS	benefitpaymentstatus		Benefit Payment Status	Added to expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryCS	adjustmentreason		Adjustment Reason	Added to expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryCS	medicalmanagement		Medical Management	Added to expansion
http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTAdjudicationCategoryCS	memberliability		Member Liability	Added to expansion