CRD Coverage Information Prior Authorization Value Set

{
  "description" : "Codes defining whether prior auth will be needed for coverage to be provided",
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  "date" : "2023-10-20T14:20:30+00:00",
  "publisher" : "HL7 International / Financial Management",
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    "coding" : [ {
      "system" : "urn:iso:std:iso:3166",
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  "name" : "CRDCoveragePaDetail",
  "experimental" : false,
  "resourceType" : "ValueSet",
  "title" : "CRD Coverage Information Prior Authorization Value Set",
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    "valueInteger" : 1
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    "valueCode" : "fm",
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  "id" : "53f97b71-f218-47d3-b75a-a975267e8690",
  "url" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail",
  "version" : "2.0.0",
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  "text" : {
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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>Decision cannot be made without more information (more detailed code, service rendering information, etc.)</td></tr></table></li></ul></div>",
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}