PDex Adjudication Category Discriminator

{
  "description" : "Used as the discriminator for adjudication.category and item.adjudication.category for the PDex Prior Authorization.",
  "compose" : {
    "exclude" : [ ],
    "include" : [ {
      "valueSet" : [ "http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexAdjudication" ]
    }, {
      "valueSet" : [ "http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexPayerBenefitPaymentStatus" ]
    }, {
      "system" : "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication"
    }, {
      "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexAdjudicationDiscriminator"
    } ]
  },
  "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"
    } ]
  } ],
  "name" : "PDexAdjudicationCategoryDiscriminator",
  "copyright" : "This Valueset is not copyrighted.",
  "experimental" : true,
  "resourceType" : "ValueSet",
  "title" : "PDex Adjudication Category Discriminator",
  "extension" : [ {
    "valueCode" : "fm",
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
  }, {
    "valueCode" : "informative",
    "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"
      } ]
    }
  }, {
    "url" : "http://health-samurai.io/extensions/source",
    "valueCode" : "db"
  } ],
  "status" : "active",
  "id" : "PDexAdjudicationCategoryDiscriminator",
  "url" : "http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexAdjudicationCategoryDiscriminator",
  "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: ValueSet PDexAdjudicationCategoryDiscriminator</b></p><a name=\"PDexAdjudicationCategoryDiscriminator\"> </a><a name=\"hcPDexAdjudicationCategoryDiscriminator\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Import all the codes that are contained in <a href=\"ValueSet-PDexAdjudication.html\">PDex Adjudication</a></li><li>Import all the codes that are contained in <a href=\"ValueSet-PDexPayerBenefitPaymentStatus.html\">PDex Payer Benefit Payment Status</a></li><li>Include all codes defined in <a href=\"http://hl7.org/fhir/us/carin-bb/STU2.1/CodeSystem-C4BBAdjudication.html\"><code>http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication</code></a></li><li>Include all codes defined in <a href=\"CodeSystem-PDexAdjudicationDiscriminator.html\"><code>http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexAdjudicationDiscriminator</code></a></li></ul></div>",
    "status" : "generated"
  }
}