Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt | Version: 2.0.0-draft | |||
Standards status: Trial-use | Computable Name: SubjectToMedicalMgmt | |||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.47 |
This extension is used to provide a reason to explain how the estimate may change subject to medical management.
Context of Use
This extension may be used on the following element(s)
ExplanationOfBenefit.adjudication
ExplanationOfBenefit.item.adjudication
Usage info
Usages:
Changes since version 1.1.0:
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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0..* | Extension | Subject To Medical Management | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt" | |
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1..1 | The estimate may change subject to medical management with this reason Slice: Unordered, Open by type:$this | ||
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string | |||
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CodeableConcept | |||
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0..1 | CodeableConcept | Value of extension Binding: PCT Subject-To-Medical-Management Reason Value Set (extensible) | |
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Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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0..* | Extension | Subject To Medical Management | |
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0..1 | string | Unique id for inter-element referencing | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt" | |
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1..1 | The estimate may change subject to medical management with this reason Slice: Unordered, Open by type:$this | ||
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string | |||
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CodeableConcept | |||
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0..1 | CodeableConcept | Value of extension Binding: PCT Subject-To-Medical-Management Reason Value Set (extensible) | |
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This structure is derived from Extension
Differential View
This structure is derived from Extension
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Extension | Subject To Medical Management | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt" | |
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1..1 | The estimate may change subject to medical management with this reason Slice: Unordered, Open by type:$this | ||
![]() ![]() ![]() ![]() |
string | |||
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CodeableConcept | |||
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0..1 | CodeableConcept | Value of extension Binding: PCT Subject-To-Medical-Management Reason Value Set (extensible) | |
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Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | Extension | Subject To Medical Management | |
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt" | |
![]() ![]() ![]() |
1..1 | The estimate may change subject to medical management with this reason Slice: Unordered, Open by type:$this | ||
![]() ![]() ![]() ![]() |
string | |||
![]() ![]() ![]() ![]() |
CodeableConcept | |||
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0..1 | CodeableConcept | Value of extension Binding: PCT Subject-To-Medical-Management Reason Value Set (extensible) | |
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This structure is derived from Extension
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet | URI |
Extension.value[x]:valueCodeableConcept | extensible | PCTSubjectToMedicalMgmtReasonVS(a valid code from PCT Subject-To-Medical-Management Reason Code System)http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTSubjectToMedicalMgmtReasonVS From this IG |
Id | Grade | Path(s) | Details | Requirements |
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() |