Details
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Change Request
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Resolution: Persuasive
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Medium
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US Da Vinci PDex (FHIR)
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2.0.0-ballot
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Financial Mgmt
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PDex Prior Authorization
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PDex Prior Authorization
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Bob Dieterle / Mark Scrimshire : 9-0-0
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Clarification
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Compatible, substantive
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Yes
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2.0.0-ballot
Description
ExplanationOfBenefit resources that correspond to prior authorization could be identified (and searched for) using the `use` element set to `preauthorization`.
This would avoid having to make meta.profile required and search on profiles, and have a clear way to separate prior authorization from claim data in the resource itself.
Examples already use use = "preauthorization"
Setting profile to make use 1..1 Must Support and setting value to "preauthorization".