Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-ballot - STU 2.2 - Ballot

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 2.2.0-ballot 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

## Extension:

Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueCode | Version: 2.2.0-ballot
Standards status: Trial-use Active as of 2026-01-30 | Maturity Level: 3 | Computable Name: RevenueCode
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.36

A revenue code that expresses what was approved which maps to X12 SV201

Context of Use

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

- Element ID: `ClaimResponse.addItem`

Usage info

Usages:

- Use this Extension: ItemAuthorizedDetail, PAS Claim Response Base, ItemAuthorizedDetail and PAS Claim Response Base
- Examples for this Extension: ClaimResponse/PractitionerRequestorAdditionalContentResponseExample

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueCode"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: AHANUBCRevenueCodes (2.2.0-ballot) (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Extension.value[x] | Base | required | AHA NUBC Revenue Value Set | 📍2.2.0-ballot | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
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-pas/StructureDefinition/extension-revenueCode"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: AHANUBCRevenueCodes (2.2.0-ballot) (required)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.value[x] | Base | required | AHA NUBC Revenue Value Set | 📍2.2.0-ballot | This IG

#### 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()`

Summary

Simple Extension with the type CodeableConcept: A revenue code that expresses what was approved which maps to X12 SV201

Maturity: 3

Differential ViewDifferential View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueCode"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: AHANUBCRevenueCodes (2.2.0-ballot) (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Extension.value[x] | Base | required | AHA NUBC Revenue Value Set | 📍2.2.0-ballot | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
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-pas/StructureDefinition/extension-revenueCode"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: AHANUBCRevenueCodes (2.2.0-ballot) (required)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.value[x] | Base | required | AHA NUBC Revenue Value Set | 📍2.2.0-ballot | This IG

#### 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()`

Summary

Simple Extension with the type CodeableConcept: A revenue code that expresses what was approved which maps to X12 SV201

Maturity: 3

Other representations of profile: CSV, Excel, Schematron