Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

## Extension: An attribute to express the amount of a service or item that has been utilized (Experimental)

Official URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/PriorAuthorizationUtilization | Version: 2.1.1
Standards status: Informative | Computable Name: PriorAuthorizationUtilization
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Attribute that expresses the amount of an item or service that has been consumed under the current prior authorization.

Context of Use

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

- Element ID: `ExplanationOfBenefit.total`

Usage info

Usages:

- Use this Extension: PDex Prior Authorization
- Examples for this Extension: ExplanationOfBenefit/PDexPriorAuth1

You can also check for usages in the FHIR IG Statistics

### Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

- Differential Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | An attribute to express the amount of a service or item that has been utilized
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/PriorAuthorizationUtilization"
value[x] |  | 0..1 |  | Amount/Quantity of an item or service that has been consumed/utilized
valueQuantity |  |  | Quantity |
valueRatio |  |  | Ratio |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | An attribute to express the amount of a service or item that has been utilized
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/PriorAuthorizationUtilization"
value[x] |  | 0..1 |  | Amount/Quantity of an item or service that has been consumed/utilized
valueQuantity |  |  | Quantity |
valueRatio |  |  | Ratio |
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type Quantity, Ratio: Attribute that expresses the amount of an item or service that has been consumed under the current prior authorization.

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | An attribute to express the amount of a service or item that has been utilized
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/PriorAuthorizationUtilization"
value[x] |  | 0..1 |  | Amount/Quantity of an item or service that has been consumed/utilized
valueQuantity |  |  | Quantity |
valueRatio |  |  | Ratio |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | An attribute to express the amount of a service or item that has been utilized
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/PriorAuthorizationUtilization"
value[x] |  | 0..1 |  | Amount/Quantity of an item or service that has been consumed/utilized
valueQuantity |  |  | Quantity |
valueRatio |  |  | Ratio |
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type Quantity, Ratio: Attribute that expresses the amount of an item or service that has been consumed under the current prior authorization.

Other representations of profile: CSV, Excel, Schematron

#### 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()`