Resource ValueSet/FHIR Server from package hl7.fhir.us.davinci-crd#current (31 ms)
Resources that use this resource
Resources that this resource uses
| CodeSystem |
temp  | CRD Temporary Codes |
Narrative
Note: links and images are rebased to the (stated) source
- Include these codes as defined in
http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp| Code | Display | Definition |
| no-auth | No Prior Authorization | The ordered service does not require prior authorization |
| auth-needed | Prior Authorization Needed | The ordered service will require prior authorization |
| satisfied | Authorization Satisfied | While prior authorization would typically be needed, the conditions evaluated by prior authorization have already been evaluated and therefore prior authorization can be bypassed |
| performpa | Performer Prior Authorization | Prior authorization is needed for the service, however such prior authoriation must be initiated by the performing (rather than ordering) provider. |
| conditional | Conditional | There is the potential for information requirements from a participant type not listed. However, a decision on whether there in fact are additional information requirements cannot be made without more information (more detailed code, service rendering information, etc.) |
Source
{
"resourceType" : "ValueSet",
"id" : "coveragePaDetail",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet coveragePaDetail</b></p><a name=\"coveragePaDetail\"> </a><a name=\"hccoveragePaDetail\"> </a><a name=\"coveragePaDetail-en-US\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-temp.html\"><code>http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp</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-temp.html#temp-no-auth\">no-auth</a></td><td style=\"color: #cccccc\">No Prior Authorization</td><td>The ordered service does not require prior authorization</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-auth-needed\">auth-needed</a></td><td style=\"color: #cccccc\">Prior Authorization Needed</td><td>The ordered service will require prior authorization</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-satisfied\">satisfied</a></td><td style=\"color: #cccccc\">Authorization Satisfied</td><td>While prior authorization would typically be needed, the conditions evaluated by prior authorization have already been evaluated and therefore prior authorization can be bypassed</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-performpa\">performpa</a></td><td style=\"color: #cccccc\">Performer Prior Authorization</td><td>Prior authorization is needed for the service, however such prior authoriation must be initiated by the performing (rather than ordering) provider.</td></tr><tr><td><a href=\"CodeSystem-temp.html#temp-conditional\">conditional</a></td><td style=\"color: #cccccc\">Conditional</td><td>There is the potential for information requirements from a participant type not listed. However, a decision on whether there in fact are additional information requirements cannot be made without more information (more detailed code, service rendering information, etc.)</td></tr></table></li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fm"
},
{
"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-crd/ImplementationGuide/davinci-crd"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.40.18.48.14"
}
],
"version" : "2.1.0",
"name" : "CRDCoveragePaDetail",
"title" : "CRD Coverage Information Prior Authorization Value Set",
"status" : "active",
"experimental" : false,
"date" : "2024-12-11T01:38:49+00:00",
"publisher" : "HL7 International / Financial Management",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fm"
}
]
}
],
"description" : "Codes defining whether prior auth will be needed for coverage to be provided",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"compose" : {
"include" : [
{
"system" : "http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp",
"concept" : [
{
"code" : "no-auth"
},
{
"code" : "auth-needed"
},
{
"code" : "satisfied"
},
{
"code" : "performpa"
},
{
"code" : "conditional"
}
]
}
]
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.
FHIR