Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2
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 2.2.1 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
| Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail | Version: 2.2.1 | ||||
| Standards status: Trial-use | Maturity Level: 4 | Computable Name: ItemAuthorizedDetail | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.19 | |||||
The details of what has been authorized for this item.
Context of Use
This extension may be used on the following element(s)
ExplanationOfBenefit
ExplanationOfBenefit.item
ClaimResponse.item
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
This structure is derived from Extension
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:productOrServiceCode.value[x] | Base | required | X12 278 Requested Service Type | 📍2.2.1 | This IG |
| Extension.extension:modifier.value[x] | Base | required | X12 278 Requested Service Modifier Type | 📍2.2.1 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Extension |
0..* | Extension | Item Authorized Detail | |
  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 | 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 | ||
| url |
1..1 | uri | "productOrServiceCode" | |
  value[x] |
0..1 | CodeableConcept | Value of extension Binding: X12278RequestedServiceType (2.2.1) (required) | |
 extension:productOrServiceCodeEnd |
0..1 | CodeableConcept | Product or Service Code End URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd Binding: X12278RequestedServiceType (2.2.1) (required) | |
| extension:modifier |
0..* | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| 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 | ||
| url |
1..1 | uri | "modifier" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: X12278RequestedServiceModifierType (2.2.1) (required) | |
| extension:unitPrice |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| 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 | ||
| 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 | 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 | ||
| url |
1..1 | uri | "quantity" | |
| value[x] |
C | 0..1 | PASQuantity(2.2.1) | Value of extension Constraints: sqty-1 |
| extension:epsdtIndicator |
0..1 | boolean | EPSDT Indicator URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator | |
| extension:nursingHomeLevelOfCare |
0..1 | CodeableConcept | Nursing Home Level of Care 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 | CodeableConcept | Revenue Code URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueCode Binding: AHANUBCRevenueCodes (2.2.1) (required) | |
| extension:revenueUnitRateLimit |
0..1 | decimal | Revenue Unit Rate Limit URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit | |
 extension:authorizedService |
0..1 | Reference(PAS Medication Request(2.2.1) | PAS Service Request(2.2.1) | PAS Device Request(2.2.1) | PAS Nutrition Order(2.2.1)) | Requested Service 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 | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:productOrServiceCode.value[x] | Base | required | X12 278 Requested Service Type | 📍2.2.1 | This IG |
| Extension.extension:modifier.value[x] | Base | required | X12 278 Requested Service Modifier Type | 📍2.2.1 | This IG |
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from Extension
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:productOrServiceCode.value[x] | Base | required | X12 278 Requested Service Type | 📍2.2.1 | This IG |
| Extension.extension:modifier.value[x] | Base | required | X12 278 Requested Service Modifier Type | 📍2.2.1 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Item Authorized Detail | |
| 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 | 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 | ||
| url |
1..1 | uri | "productOrServiceCode" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: X12278RequestedServiceType (2.2.1) (required) | |
| extension:productOrServiceCodeEnd |
0..1 | CodeableConcept | Product or Service Code End URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd Binding: X12278RequestedServiceType (2.2.1) (required) | |
| extension:modifier |
0..* | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| 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 | ||
| url |
1..1 | uri | "modifier" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: X12278RequestedServiceModifierType (2.2.1) (required) | |
| extension:unitPrice |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| 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 | ||
| 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 | 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 | ||
| url |
1..1 | uri | "quantity" | |
| value[x] |
C | 0..1 | PASQuantity(2.2.1) | Value of extension Constraints: sqty-1 |
| extension:epsdtIndicator |
0..1 | boolean | EPSDT Indicator URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator | |
| extension:nursingHomeLevelOfCare |
0..1 | CodeableConcept | Nursing Home Level of Care 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 | CodeableConcept | Revenue Code URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueCode Binding: AHANUBCRevenueCodes (2.2.1) (required) | |
| extension:revenueUnitRateLimit |
0..1 | decimal | Revenue Unit Rate Limit URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit | |
| extension:authorizedService |
0..1 | Reference(PAS Medication Request(2.2.1) | PAS Service Request(2.2.1) | PAS Device Request(2.2.1) | PAS Nutrition Order(2.2.1)) | Requested Service 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 | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:productOrServiceCode.value[x] | Base | required | X12 278 Requested Service Type | 📍2.2.1 | This IG |
| Extension.extension:modifier.value[x] | Base | required | X12 278 Requested Service Modifier Type | 📍2.2.1 | This IG |
| Id | Grade | Path(s) | Description | Expression |
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Financial Management.
Package hl7.fhir.us.davinci-pas#2.2.1 based on FHIR 4.0.1.
Generated
2026-10-09
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