FHIR IG analytics

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Narrative

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

Source1

{
  "resourceType": "ClaimResponse",
  "id": "AI-PriorAuth-Determination",
  "meta": {
    "security": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationValue",
        "code": "AIAST",
        "display": "Artificial Intelligence asserted"
      }
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "professional",
        "display": "Professional"
      }
    ]
  },
  "use": "preauthorization",
  "patient": {
    "reference": "http://server.example.org/fhir/Patient/pat"
  },
  "created": "2026-02-10T09:15:00Z",
  "insurer": {
    "reference": "http://server.example.org/fhir/Organization/payer"
  },
  "request": {
    "reference": "http://server.example.org/fhir/Claim/priorauth-mri-request"
  },
  "outcome": "complete",
  "disposition": "Prior authorization approved for the requested MRI of the lumbar spine based on the submitted clinical documentation and the plan's medical-necessity criteria.",
  "preAuthRef": "PA-2026-0099"
}