This page is part of the Da Vinci Payer Data Exchange (v2.1.0-ballot: STU2.1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

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: Prior Authorization Values - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="PriorAuthorizationValueCodes"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem PriorAuthorizationValueCodes</b></p><a name="PriorAuthorizationValueCodes"> </a><a name="hcPriorAuthorizationValueCodes"> </a><a name="PriorAuthorizationValueCodes-en-US"> </a><p>This case-insensitive code system <code>http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PriorAuthorizationValueCodes</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">submitted<a name="PriorAuthorizationValueCodes-submitted"> </a></td><td>Submitted</td><td>Proposed amounts of units or services</td></tr><tr><td style="white-space:nowrap">eligible<a name="PriorAuthorizationValueCodes-eligible"> </a></td><td>Eligible</td><td>Eligible/agreed items or services</td></tr><tr><td style="white-space:nowrap">utilized<a name="PriorAuthorizationValueCodes-utilized"> </a></td><td>Utilized</td><td>Amount of items or services consumed to date</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PriorAuthorizationValueCodes"/>
  <version value="2.1.0-ballot"/>
  <name value="PriorAuthorizationValueCodes"/>
  <title value="Prior Authorization Values"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-08-14T20:04:35+00:00"/>
  <publisher value="HL7 International / Financial Management"/>
  <contact>
    <name value="HL7 International / Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fm@lists.HL7.org"/>
    </telecom>
  </contact>
  <contact>
    <name value="Mark Scrimshire (mark.scrimshire@onyxhealth.io)"/>
    <telecom>
      <system value="email"/>
      <value value="mailto:mark.scrimshire@onyxhealth.io"/>
    </telecom>
  </contact>
  <contact>
    <name value="HL7 International - Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
  </contact>
  <description value="Codes used to define Prior Authorization categories"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Used by permission of HL7 International, all rights reserved Creative Commons License"/>
  <caseSensitive value="false"/>
  <content value="complete"/>
  <count value="3"/>
  <concept>
    <code value="submitted"/>
    <display value="Submitted"/>
    <definition value="Proposed amounts of units or services"/>
  </concept>
  <concept>
    <code value="eligible"/>
    <display value="Eligible"/>
    <definition value="Eligible/agreed items or services"/>
  </concept>
  <concept>
    <code value="utilized"/>
    <display value="Utilized"/>
    <definition value="Amount of items or services consumed to date"/>
  </concept>
</CodeSystem>