Da Vinci Payer Data Exchange
2.1.0-ballot - STU2 Ballot United States of America flag

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

ValueSet: Prior Authorization value categories (Experimental)

Official URL: http://hl7.org/fhir/us/davinci-pdex/ValueSet/PriorAuthorizationAmounts Version: 2.1.0-ballot
Standards status: Informative Computable Name: PriorAuthorizationAmounts

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Codes to define Prior Authorization requested, agreed and utilized amounts.

References

Logical Definition (CLD)

Generated Narrative: ValueSet PriorAuthorizationAmounts

 

Expansion

Generated Narrative: ValueSet

Expansion based on codesystem Prior Authorization Values v2.1.0-ballot (CodeSystem)

This value set contains 3 concepts

CodeSystemDisplayDefinition
  submittedhttp://hl7.org/fhir/us/davinci-pdex/CodeSystem/PriorAuthorizationValueCodesSubmitted

Proposed amounts of units or services

  eligiblehttp://hl7.org/fhir/us/davinci-pdex/CodeSystem/PriorAuthorizationValueCodesEligible

Eligible/agreed items or services

  utilizedhttp://hl7.org/fhir/us/davinci-pdex/CodeSystem/PriorAuthorizationValueCodesUtilized

Amount of items or services consumed to date

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code