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 2.2.1 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: Condition Code

Context of Use

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

• Element ID: Claim

Usage info

Usages:

• Use this Extension: PAS Claim Base and PAS Claim Base
• Examples for this Extension: Bundle/SurgicalRequestBundleExample and Claim/SurgicalAuthorizationRequestExample

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

This structure is derived from Extension

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Condition Code
Extension.extension		3..*	Extension	Extension
Extension.Slices for extension				Content/Rules for all slices
Extension.Slices for extension.extension:category		1..1	Extension	Condition Code Category (CRC01)
Extension.Slices for extension.extension:category.extension		0..0		Extension
Extension.Slices for extension.extension:category.url		1..1	uri	"category"
Extension.Slices for extension.extension:category.value[x]		0..1	CodeableConcept	Value of extension Binding: X12278ConditionCategory (2.2.1) (required)
Extension.Slices for extension.extension:indicator		1..1	Extension	Certification Condition Indicator (CRC02)
Extension.Slices for extension.extension:indicator.extension		0..0		Extension
Extension.Slices for extension.extension:indicator.url		1..1	uri	"indicator"
Extension.Slices for extension.extension:indicator.value[x]		0..1	boolean	Value of extension
Extension.Slices for extension.extension:code		1..*	Extension	Condition Code (CRC03)
Extension.Slices for extension.extension:code.extension		0..0		Extension
Extension.Slices for extension.extension:code.url		1..1	uri	"code"
Extension.Slices for extension.extension:code.value[x]		0..1	CodeableConcept	Value of extension Binding: X12278ConditionCode (2.2.1) (required)
Extension.url		1..1	uri	"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-conditionCode"
Extension.value[x]		0..0		Value of extension
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:category.​value[x]	Base	required	X12 278 CRC Condition Category	📍2.2.1	This IG
Extension.extension:code.​value[x]	Base	required	X12 278 CRC Condition Code	📍2.2.1	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Condition Code
Extension.id		0..1	string	Unique id for inter-element referencing
Extension.Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Extension.Slices for extension.extension:category		1..1	Extension	Condition Code Category (CRC01)
Extension.Slices for extension.extension:category.id		0..1	string	Unique id for inter-element referencing
Extension.Slices for extension.extension:category.extension		0..0		Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Extension.Slices for extension.extension:category.url		1..1	uri	"category"
Extension.Slices for extension.extension:category.value[x]		0..1	CodeableConcept	Value of extension Binding: X12278ConditionCategory (2.2.1) (required)
Extension.Slices for extension.extension:indicator		1..1	Extension	Certification Condition Indicator (CRC02)
Extension.Slices for extension.extension:indicator.id		0..1	string	Unique id for inter-element referencing
Extension.Slices for extension.extension:indicator.extension		0..0		Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Extension.Slices for extension.extension:indicator.url		1..1	uri	"indicator"
Extension.Slices for extension.extension:indicator.value[x]		0..1	boolean	Value of extension
Extension.Slices for extension.extension:code		1..*	Extension	Condition Code (CRC03)
Extension.Slices for extension.extension:code.id		0..1	string	Unique id for inter-element referencing
Extension.Slices for extension.extension:code.extension		0..0		Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Extension.Slices for extension.extension:code.url		1..1	uri	"code"
Extension.Slices for extension.extension:code.value[x]		0..1	CodeableConcept	Value of extension Binding: X12278ConditionCode (2.2.1) (required)
Extension.url		1..1	uri	"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-conditionCode"
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:category.​value[x]	Base	required	X12 278 CRC Condition Category	📍2.2.1	This IG
Extension.extension:code.​value[x]	Base	required	X12 278 CRC Condition Code	📍2.2.1	This IG

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from Extension

Summary

Complex Extension: Information to supply various patient conditions.

• category: CodeableConcept: An Extension
• indicator: boolean: An Extension
• code: CodeableConcept: An Extension

Maturity: 4

Differential View

This structure is derived from Extension

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Condition Code
Extension.extension		3..*	Extension	Extension
Extension.Slices for extension				Content/Rules for all slices
Extension.Slices for extension.extension:category		1..1	Extension	Condition Code Category (CRC01)
Extension.Slices for extension.extension:category.extension		0..0		Extension
Extension.Slices for extension.extension:category.url		1..1	uri	"category"
Extension.Slices for extension.extension:category.value[x]		0..1	CodeableConcept	Value of extension Binding: X12278ConditionCategory (2.2.1) (required)
Extension.Slices for extension.extension:indicator		1..1	Extension	Certification Condition Indicator (CRC02)
Extension.Slices for extension.extension:indicator.extension		0..0		Extension
Extension.Slices for extension.extension:indicator.url		1..1	uri	"indicator"
Extension.Slices for extension.extension:indicator.value[x]		0..1	boolean	Value of extension
Extension.Slices for extension.extension:code		1..*	Extension	Condition Code (CRC03)
Extension.Slices for extension.extension:code.extension		0..0		Extension
Extension.Slices for extension.extension:code.url		1..1	uri	"code"
Extension.Slices for extension.extension:code.value[x]		0..1	CodeableConcept	Value of extension Binding: X12278ConditionCode (2.2.1) (required)
Extension.url		1..1	uri	"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-conditionCode"
Extension.value[x]		0..0		Value of extension
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:category.​value[x]	Base	required	X12 278 CRC Condition Category	📍2.2.1	This IG
Extension.extension:code.​value[x]	Base	required	X12 278 CRC Condition Code	📍2.2.1	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Condition Code
Extension.id		0..1	string	Unique id for inter-element referencing
Extension.Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Extension.Slices for extension.extension:category		1..1	Extension	Condition Code Category (CRC01)
Extension.Slices for extension.extension:category.id		0..1	string	Unique id for inter-element referencing
Extension.Slices for extension.extension:category.extension		0..0		Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Extension.Slices for extension.extension:category.url		1..1	uri	"category"
Extension.Slices for extension.extension:category.value[x]		0..1	CodeableConcept	Value of extension Binding: X12278ConditionCategory (2.2.1) (required)
Extension.Slices for extension.extension:indicator		1..1	Extension	Certification Condition Indicator (CRC02)
Extension.Slices for extension.extension:indicator.id		0..1	string	Unique id for inter-element referencing
Extension.Slices for extension.extension:indicator.extension		0..0		Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Extension.Slices for extension.extension:indicator.url		1..1	uri	"indicator"
Extension.Slices for extension.extension:indicator.value[x]		0..1	boolean	Value of extension
Extension.Slices for extension.extension:code		1..*	Extension	Condition Code (CRC03)
Extension.Slices for extension.extension:code.id		0..1	string	Unique id for inter-element referencing
Extension.Slices for extension.extension:code.extension		0..0		Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Extension.Slices for extension.extension:code.url		1..1	uri	"code"
Extension.Slices for extension.extension:code.value[x]		0..1	CodeableConcept	Value of extension Binding: X12278ConditionCode (2.2.1) (required)
Extension.url		1..1	uri	"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-conditionCode"
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Extension.extension:category.​value[x]	Base	required	X12 278 CRC Condition Category	📍2.2.1	This IG
Extension.extension:code.​value[x]	Base	required	X12 278 CRC Condition Code	📍2.2.1	This IG

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from Extension

Summary

Complex Extension: Information to supply various patient conditions.

• category: CodeableConcept: An Extension
• indicator: boolean: An Extension
• code: CodeableConcept: An Extension

Maturity: 4

Other representations of profile: CSV, Excel, Schematron