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Authorization Activity

[Act: templateId 2.16.840.1.113883.]

An Authorization Activity represents authorizations or pre-authorizations currently active for the patient for the particular payer.
Authorizations are represented using an act subordinate to the policy or program that provided it.  The authorization refers to the policy or program. Authorized treatments can be grouped into an organizer class, where common properties, such as the reason for the authorization, can be expressed. Subordinate acts represent what was authorized.

  1. SHALL contain exactly one [1..1] templateId ( CONF:8946, CONF:10529 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883."
  2. SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass) (CONF:8944)
  3. SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:8945)
  4. SHALL contain exactly one [1..1] id (CONF:8947)
  5. SHALL contain exactly one [1..1] entryRelationship (CONF:8948)
    1. This entryRelationship SHALL contain exactly one [1..1] @typeCode="SUBJ" (CONF:8949)
    2. This entryRelationship The target of an authorization activity with act/entryRelationship/@typeCode="SUBJ" SHALL be a clinical statement with moodCode="PRMS" Promise (CONF:8951).
    3. This entryRelationship The target of an authorization activity MAY contain one or more performer, to indicate the providers that have been authorized to provide treatment. (CONF:8952)

Authorization Activity example

<act xmlns="urn:hl7-org:v3">
  <id root="MDHT" extension="220738042"/>
  <code code="510076683"/>
    <low value="2013"/>
    <high value="2013"/>
  <entryRelationship typeCode="SUBJ"/>