Provenance Payer Data Source Format

{
  "description" : "CodeSystem for source formats that identify what non-FHIR source was used to create FHIR record(s)",
  "date" : "2025-06-18T00:57:14+00:00",
  "publisher" : "HL7 International / Financial Management",
  "jurisdiction" : [ {
    "coding" : [ {
      "system" : "urn:iso:std:iso:3166",
      "code" : "US",
      "display" : "United States of America"
    } ]
  } ],
  "content" : "complete",
  "property" : null,
  "name" : "ProvenancePayerDataSource",
  "copyright" : "Used by permission of HL7 International, all rights reserved Creative Commons License",
  "experimental" : false,
  "resourceType" : "CodeSystem",
  "title" : "Provenance Payer Data Source Format",
  "extension" : [ {
    "valueCode" : "fm",
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
  }, {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2,
    "_valueInteger" : {
      "extension" : [ {
        "valueCanonical" : "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex",
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"
      } ]
    }
  }, {
    "valueCode" : "trial-use",
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "_valueCode" : {
      "extension" : [ {
        "valueCanonical" : "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex",
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"
      } ]
    }
  }, {
    "extension" : [ {
      "valueString" : "concept",
      "url" : "path"
    }, {
      "url" : "count",
      "valueInteger" : 26
    } ],
    "url" : "http://health-samurai.io/extensions/excised-data"
  }, {
    "url" : "http://health-samurai.io/extensions/source",
    "valueCode" : "db"
  } ],
  "status" : "active",
  "id" : "ProvenancePayerDataSource",
  "count" : 26,
  "url" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource",
  "caseSensitive" : false,
  "version" : "2.1.0",
  "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"
    } ]
  } ],
  "text" : {
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem ProvenancePayerDataSource</b></p><a name=\"ProvenancePayerDataSource\"> </a><a name=\"hcProvenancePayerDataSource\"> </a><p>This case-insensitive code system <code>http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource</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\">hl7v2other<a name=\"ProvenancePayerDataSource-hl7v2other\"> </a></td><td>HL7 v2</td><td>HL7 v2 Message</td></tr><tr><td style=\"white-space:nowrap\">hl7v2oru<a name=\"ProvenancePayerDataSource-hl7v2oru\"> </a></td><td>HL7 v2 ORU</td><td>HL7 v2 Structured Observation Report(ORU) message</td></tr><tr><td style=\"white-space:nowrap\">hl7v2adt<a name=\"ProvenancePayerDataSource-hl7v2adt\"> </a></td><td>HL7 v2 ADT</td><td>HL7 v2 Admit, Discharge Transfer (ADT) message</td></tr><tr><td style=\"white-space:nowrap\">hl7v2r01<a name=\"ProvenancePayerDataSource-hl7v2r01\"> </a></td><td>HL7 v2 R01</td><td>HL7 v2 Observation (R01) message</td></tr><tr><td style=\"white-space:nowrap\">hl7v2rsp<a name=\"ProvenancePayerDataSource-hl7v2rsp\"> </a></td><td>HL7 v2 RSP</td><td>HL7 V2 Immunization Record Response</td></tr><tr><td style=\"white-space:nowrap\">hl7v2orm<a name=\"ProvenancePayerDataSource-hl7v2orm\"> </a></td><td>HL7 v2 ORM</td><td>HL7 v2 Orders</td></tr><tr><td style=\"white-space:nowrap\">hl7v2mdm<a name=\"ProvenancePayerDataSource-hl7v2mdm\"> </a></td><td>HL7 v2 MDM</td><td>Medical Document Management</td></tr><tr><td style=\"white-space:nowrap\">hl7v2vxu<a name=\"ProvenancePayerDataSource-hl7v2vxu\"> </a></td><td>HL7 v2 VXU</td><td>HL7 V2 Immunization Transaction</td></tr><tr><td style=\"white-space:nowrap\">hl7v3<a name=\"ProvenancePayerDataSource-hl7v3\"> </a></td><td>HL7 v3</td><td>HL7 v3 Message</td></tr><tr><td style=\"white-space:nowrap\">hl7ccda<a name=\"ProvenancePayerDataSource-hl7ccda\"> </a></td><td>HL7 C-CDA</td><td>HL7 Consolidated-Clinical Document Architecture</td></tr><tr><td style=\"white-space:nowrap\">hl7cda<a name=\"ProvenancePayerDataSource-hl7cda\"> </a></td><td>HL7 CDA</td><td>HL7 CDA documents that are not C-CDA</td></tr><tr><td style=\"white-space:nowrap\">hl7cdaqrda<a name=\"ProvenancePayerDataSource-hl7cdaqrda\"> </a></td><td>HL7 CDA QRDA</td><td>HL7 Quality Reporting Document</td></tr><tr><td style=\"white-space:nowrap\">hl7fhirdstu2<a name=\"ProvenancePayerDataSource-hl7fhirdstu2\"> </a></td><td>FHIR DSTU2</td><td>HL7 FHIR DSTU2</td></tr><tr><td style=\"white-space:nowrap\">hl7fhirdstu3<a name=\"ProvenancePayerDataSource-hl7fhirdstu3\"> </a></td><td>FHIR STU3</td><td>HL7 FHIR STU3</td></tr><tr><td style=\"white-space:nowrap\">hl7fhirr4<a name=\"ProvenancePayerDataSource-hl7fhirr4\"> </a></td><td>FHIR R4</td><td>HL7 FHIR R4</td></tr><tr><td style=\"white-space:nowrap\">x12837<a name=\"ProvenancePayerDataSource-x12837\"> </a></td><td>837 claim</td><td>X12 837 Claim</td></tr><tr><td style=\"white-space:nowrap\">x12278<a name=\"ProvenancePayerDataSource-x12278\"> </a></td><td>278</td><td>X12 Prior Authorization</td></tr><tr><td style=\"white-space:nowrap\">x12275<a name=\"ProvenancePayerDataSource-x12275\"> </a></td><td>275</td><td>X12 Attachment</td></tr><tr><td style=\"white-space:nowrap\">x12other<a name=\"ProvenancePayerDataSource-x12other\"> </a></td><td>X12</td><td>X12 non-specific transaction</td></tr><tr><td style=\"white-space:nowrap\">script<a name=\"ProvenancePayerDataSource-script\"> </a></td><td>NCPDP SCRIPT</td><td>National Council for Prescription Drug Programs (NCPDP) SCRIPT message (eRx)</td></tr><tr><td style=\"white-space:nowrap\">ncpdp<a name=\"ProvenancePayerDataSource-ncpdp\"> </a></td><td>NCPDP Telecommunication</td><td>NCPDP Telecommunication transaction (pharmacy claims)</td></tr><tr><td style=\"white-space:nowrap\">capture<a name=\"ProvenancePayerDataSource-capture\"> </a></td><td>Direct Capture</td><td>Direct Capture, such as into a payers case management system</td></tr><tr><td style=\"white-space:nowrap\">customtx<a name=\"ProvenancePayerDataSource-customtx\"> </a></td><td>Trading Partner Format</td><td>Trading Partner Proprietary format</td></tr><tr><td style=\"white-space:nowrap\">image<a name=\"ProvenancePayerDataSource-image\"> </a></td><td>Image</td><td>Fax or scanned document</td></tr><tr><td style=\"white-space:nowrap\">unstructured<a name=\"ProvenancePayerDataSource-unstructured\"> </a></td><td>Unstructured Document</td><td>PDF, text and other unstructured document</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"ProvenancePayerDataSource-other\"> </a></td><td>Other</td><td>Any other document format not specifically defined</td></tr></table></div>",
    "status" : "generated"
  }
}