Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0 - STU 2
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0 - STU 2
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 2.1.0 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
| Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail | Version: 2.1.0 | |||
| Standards status: Trial-use | Maturity Level: 3 | Computable Name: ItemAuthorizedDetail | ||
The details of what has been authorized for this item if different from what was requested.
Context of Use
This extension may be used on the following element(s):
Usage info
Usage:
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
Summary
Complex Extension: The details of what has been authorized for this item if different from what was requested.
Maturity: 3
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Extension |
0..* | Extension | Extension | |
  id |
0..1 | string | Unique id for inter-element referencing | |
  Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
   extension:productOrServiceCode |
0..1 | Extension | Extension | |
  id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "productOrServiceCode" | |
  value[x] |
0..1 | CodeableConcept | Value of extension Binding: X12 278 Requested Service Type (required) | |
 productOrServiceCodeEnd |
0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd Binding: X12 278 Requested Service Type (required) | |
| extension:modifier |
0..* | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "modifier" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: X12 278 Requested Service Modifier Type (required) | |
| extension:unitPrice |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "unitPrice" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:quantity |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "quantity" | |
| value[x] |
C | 0..1 | PASQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
| epsdtIndicator |
0..1 | boolean | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator | |
| nursingHomeLevelOfCare |
0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare Binding: https://valueset.x12.org/x217/005010/request/2000F/SV1/1/20/00/1337 (required): Codes specifying the level of care provided by a nursing home facility. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. | |
| extension:revenue |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "revenue" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: AHA NUBC Revenue Value Set (required) | |
| revenueUnitRateLimit |
0..1 | decimal | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit | |
 authorizedService |
0..1 | Reference(PAS Medication Request | PAS Service Request | PAS Device Request | PAS Nutrition Order) | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService | |
 url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: The details of what has been authorized for this item if different from what was requested.
Maturity: 3
Differential View
This structure is derived from Extension
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
0..* | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| extension:productOrServiceCode |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "productOrServiceCode" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: X12 278 Requested Service Type (required) | |
| productOrServiceCodeEnd |
0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd Binding: X12 278 Requested Service Type (required) | |
| extension:modifier |
0..* | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "modifier" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: X12 278 Requested Service Modifier Type (required) | |
| extension:unitPrice |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "unitPrice" | |
| value[x] |
0..1 | Money | Value of extension | |
| extension:quantity |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "quantity" | |
| value[x] |
C | 0..1 | PASQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
| epsdtIndicator |
0..1 | boolean | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator | |
| nursingHomeLevelOfCare |
0..1 | CodeableConcept | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare Binding: https://valueset.x12.org/x217/005010/request/2000F/SV1/1/20/00/1337 (required): Codes specifying the level of care provided by a nursing home facility. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. | |
| extension:revenue |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "revenue" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: AHA NUBC Revenue Value Set (required) | |
| revenueUnitRateLimit |
0..1 | decimal | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit | |
| authorizedService |
0..1 | Reference(PAS Medication Request | PAS Service Request | PAS Device Request | PAS Nutrition Order) | Extension URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService | |
| url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail" | |
| Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet | URI |
| Extension.extension:productOrServiceCode.value[x] | required | X12278RequestedServiceTypehttp://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceTypefrom this IG | |
| Extension.extension:modifier.value[x] | required | X12278RequestedServiceModifierTypehttp://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceModifierTypefrom this IG | |
| Extension.extension:revenue.value[x] | required | AHANUBCRevenueCodes (a valid code from https://www.nubc.org/revenue-code)http://hl7.org/fhir/us/davinci-pas/ValueSet/AHANUBCRevenueCodesfrom this IG |
IG © 2020+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pas#2.1.0 based on FHIR 4.0.1. Generated 2024-11-19
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Slices for extension