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  1. FHIR Specification Feedback
  2. FHIR-45948

Header level : ClaimResponse.adjudication.category


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      In the Claim Response profile, ClaimResponse.Category doesn’t have “Allowed Units” (we have checked in the Binding which is: http://hl7.org/fhir/R4/valueset-adjudication.html)

      However, in the description it says AdjudicationValueCodes (example), which means we can use other values and not bound to use from the defined code set (Screeshot attached).

      In this case, Can we use “Allowed Units”? and in the URL, can we use PDEX Url because it has "Allowed Units"?

      Pdex URL: http://hl7.org/fhir/us/davinci-pdex/STU2/CodeSystem-PDexAdjudicationDiscriminator.html

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            poonam.dhingra@evicore.com poonamDhingra
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