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Packagehl7.fhir.us.davinci-pdex.r4
Resource TypeCodeSystem
IdCodeSystem-PriorAuthorizationValueCodes.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: CodeSystem PriorAuthorizationValueCodes

This case-insensitive code system http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PriorAuthorizationValueCodes defines the following codes:

CodeDisplayDefinition
submitted SubmittedProposed amounts of units or services
eligible EligibleEligible/agreed items or services
utilized UtilizedAmount of items or services consumed to date

Source1

{
  "resourceType": "CodeSystem",
  "id": "PriorAuthorizationValueCodes",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"
          }
        ]
      }
    },
    {
      "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-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PriorAuthorizationValueCodes",
  "version": "2.1.0",
  "name": "PriorAuthorizationValueCodes",
  "title": "Prior Authorization Values",
  "status": "active",
  "experimental": false,
  "date": "2025-06-18T03:12:04+00:00",
  "publisher": "HL7 International / Financial Management",
  "contact": [
    {
      "name": "HL7 International / Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        },
        {
          "system": "email",
          "value": "fm@lists.HL7.org"
        }
      ]
    },
    {
      "name": "Mark Scrimshire (mark.scrimshire@onyxhealth.io)",
      "telecom": [
        {
          "system": "email",
          "value": "mailto:mark.scrimshire@onyxhealth.io"
        }
      ]
    },
    {
      "name": "HL7 International - Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description": "Codes used to define Prior Authorization categories",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "copyright": "Used by permission of HL7 International, all rights reserved Creative Commons License",
  "caseSensitive": false,
  "content": "complete",
  "count": 3,
  "concept": [
    {
      "code": "submitted",
      "display": "Submitted",
      "definition": "Proposed amounts of units or services"
    },
    {
      "code": "eligible",
      "display": "Eligible",
      "definition": "Eligible/agreed items or services"
    },
    {
      "code": "utilized",
      "display": "Utilized",
      "definition": "Amount of items or services consumed to date"
    }
  ]
}