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: Item Requested Service Date

Context of Use

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

• Element ID: ClaimResponse.item
• Element ID: ClaimResponse.addItem

Usage info

Usages:

• Use this Extension: PAS Claim Response Base and PAS Claim Response Base
• Examples for this Extension: Bundle/PASClaimInquiryResponseBundleExample, Bundle/PASSubscriptionNotification, Bundle/ReferralAuthorizationResponseBundleExample, ClaimResponse/PASClaimInquiryResponseExample... Show 3 more, ClaimResponse/PractitionerRequestorAdditionalContentResponseExample, ClaimResponse/PractitionerRequestorResponseExample and Parameters/PASClaimInquiryOperationResponseExample

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	Item Requested Service Date
Extension.extension		0..0		Extension
Extension.url		1..1	uri	"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemRequestedServiceDate"
Extension.value[x]		0..1		Value of extension
Extension.value[x].valueDateTime			dateTime
Extension.value[x].valuePeriod			Period
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Item Requested Service Date
Extension.id		0..1	string	Unique id for inter-element referencing
Extension.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.url		1..1	uri	"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemRequestedServiceDate"
Extension.value[x]		0..1		Value of extension
Extension.value[x].valueDateTime			dateTime
Extension.value[x].valuePeriod			Period
Documentation for this format

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from Extension

Summary

Simple Extension with the type dateTime, Period: The original date/period that was requested by the submitter for this item.

Maturity: 4

Differential View

This structure is derived from Extension

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Item Requested Service Date
Extension.extension		0..0		Extension
Extension.url		1..1	uri	"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemRequestedServiceDate"
Extension.value[x]		0..1		Value of extension
Extension.value[x].valueDateTime			dateTime
Extension.value[x].valuePeriod			Period
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Item Requested Service Date
Extension.id		0..1	string	Unique id for inter-element referencing
Extension.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.url		1..1	uri	"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemRequestedServiceDate"
Extension.value[x]		0..1		Value of extension
Extension.value[x].valueDateTime			dateTime
Extension.value[x].valuePeriod			Period
Documentation for this format

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from Extension

Summary

Simple Extension with the type dateTime, Period: The original date/period that was requested by the submitter for this item.

Maturity: 4

Other representations of profile: CSV, Excel, Schematron