Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0-snapshot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions

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Extension:

Information about the document being included such as the type, transmission method, and identifier.

Context of Use

This extension may be used on the following element(s)

• Element ID: Claim.supportingInfo

Usage info

Usages:

• Use this Extension: PAS Claim Update and PAS Claim
• Examples for this Extension: Bundle/ErrorResponseBundleExample, Bundle/PASClaimInquiryResponseBundleExample, Bundle/ReferralAuthorizationBundleExample, Bundle/RejectionResponseBundleExample... Show 2 more, Claim/ReferralAuthorizationExample and Parameters/PASClaimInquiryOperationResponseExample

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Extension
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:reportTypeCode		1..1	Extension	The type of additional information being provided
extension		0..0		Extension
url		1..1	uri	"reportTypeCode"
value[x]		0..1	CodeableConcept	Value of extension Binding: PASPWK01AttachmentReportTypeCodeValueSet (2.2.0-snapshot) (required)
extension:transmissionMethod		0..1	Extension	How the additional information is being provided
extension		0..0		Extension
url		1..1	uri	"transmissionMethod"
value[x]		0..1	CodeableConcept	Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756 (required)
extension:controlNumber		0..1	Extension	A control number that identifies the document
extension		0..0		Extension
url		1..1	uri	"controlNumber"
value[x]		0..1	string	Value of extension
extension:description		0..1	Extension	Special information about the additional information provided
extension		0..0		Extension
url		1..1	uri	"description"
value[x]		0..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-documentInformation"
value[x]		0..0		Value of extension
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:reportTypeCode.​value[x]	Base	required	PAS PWK01 Attachment Report Type Code Value Set	📍2.2.0-snapshot	This IG
Extension.extension:transmissionMethod.​value[x]	Base	required	https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756	Not State	Unknown

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:reportTypeCode		1..1	Extension	The type of additional information being provided
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"reportTypeCode"
value[x]		0..1	CodeableConcept	Value of extension Binding: PASPWK01AttachmentReportTypeCodeValueSet (2.2.0-snapshot) (required)
extension:transmissionMethod		0..1	Extension	How the additional information is being provided
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"transmissionMethod"
value[x]		0..1	CodeableConcept	Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756 (required)
extension:controlNumber		0..1	Extension	A control number that identifies the document
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"controlNumber"
value[x]		0..1	string	Value of extension
extension:description		0..1	Extension	Special information about the additional information provided
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"description"
value[x]		0..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-documentInformation"
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:reportTypeCode.​value[x]	Base	required	PAS PWK01 Attachment Report Type Code Value Set	📍2.2.0-snapshot	This IG
Extension.extension:transmissionMethod.​value[x]	Base	required	https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Complex Extension: Information about the document being included such as the type, transmission method, and identifier.

• reportTypeCode: CodeableConcept: An Extension
• transmissionMethod: CodeableConcept: An Extension
• controlNumber: string: An Extension
• description: string: An Extension

Maturity: 4

Differential ViewDifferential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Extension
extension		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:reportTypeCode		1..1	Extension	The type of additional information being provided
extension		0..0		Extension
url		1..1	uri	"reportTypeCode"
value[x]		0..1	CodeableConcept	Value of extension Binding: PASPWK01AttachmentReportTypeCodeValueSet (2.2.0-snapshot) (required)
extension:transmissionMethod		0..1	Extension	How the additional information is being provided
extension		0..0		Extension
url		1..1	uri	"transmissionMethod"
value[x]		0..1	CodeableConcept	Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756 (required)
extension:controlNumber		0..1	Extension	A control number that identifies the document
extension		0..0		Extension
url		1..1	uri	"controlNumber"
value[x]		0..1	string	Value of extension
extension:description		0..1	Extension	Special information about the additional information provided
extension		0..0		Extension
url		1..1	uri	"description"
value[x]		0..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-documentInformation"
value[x]		0..0		Value of extension
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:reportTypeCode.​value[x]	Base	required	PAS PWK01 Attachment Report Type Code Value Set	📍2.2.0-snapshot	This IG
Extension.extension:transmissionMethod.​value[x]	Base	required	https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756	Not State	Unknown

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:reportTypeCode		1..1	Extension	The type of additional information being provided
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"reportTypeCode"
value[x]		0..1	CodeableConcept	Value of extension Binding: PASPWK01AttachmentReportTypeCodeValueSet (2.2.0-snapshot) (required)
extension:transmissionMethod		0..1	Extension	How the additional information is being provided
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"transmissionMethod"
value[x]		0..1	CodeableConcept	Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756 (required)
extension:controlNumber		0..1	Extension	A control number that identifies the document
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"controlNumber"
value[x]		0..1	string	Value of extension
extension:description		0..1	Extension	Special information about the additional information provided
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"description"
value[x]		0..1	string	Value of extension
url		1..1	uri	"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-documentInformation"
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:reportTypeCode.​value[x]	Base	required	PAS PWK01 Attachment Report Type Code Value Set	📍2.2.0-snapshot	This IG
Extension.extension:transmissionMethod.​value[x]	Base	required	https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756	Not State	Unknown

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Complex Extension: Information about the document being included such as the type, transmission method, and identifier.

• reportTypeCode: CodeableConcept: An Extension
• transmissionMethod: CodeableConcept: An Extension
• controlNumber: string: An Extension
• description: string: An Extension

Maturity: 4

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