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: When Adjudicated

Official URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-when-adjudicated | Version: 2.1.1
Standards status: Trial-use | Maturity Level: 2 | Computable Name: WhenAdjudicated
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Date and Time when Adjudication Action took place. NOTE: that this extension may be replaced by an inter-version extension after R6 version of the EOB implements this DataTime element.

Context of Use

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

- Element ID: `ExplanationOfBenefit.adjudication`
- Element ID: `ExplanationOfBenefit.item.adjudication`

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 | When Adjudicated
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-when-adjudicated"
value[x] |  | 0..1 | dateTime | Value of extension
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | When Adjudicated
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/base-ext-when-adjudicated"
value[x] |  | 0..1 | dateTime | Value of extension
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type dateTime: Date and Time when Adjudication Action took place. NOTE: that this extension may be replaced by an inter-version extension after R6 version of the EOB implements this DataTime element.

Maturity: 2

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | When Adjudicated
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-when-adjudicated"
value[x] |  | 0..1 | dateTime | Value of extension
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | When Adjudicated
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/base-ext-when-adjudicated"
value[x] |  | 0..1 | dateTime | Value of extension
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type dateTime: Date and Time when Adjudication Action took place. NOTE: that this extension may be replaced by an inter-version extension after R6 version of the EOB implements this DataTime element.

Maturity: 2

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()`