Patient Cost Transparency Implementation Guide
1.1.0 - STU 1 United States of America flag

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 1.1.0 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

Extension: Subject To Medical Management

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt Version: 1.1.0
Standards status: Trial-use Computable Name: SubjectToMedicalMgmt

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):

  • Element ID ExplanationOfBenefit.adjudication
  • Element ID ExplanationOfBenefit.item.adjudication

Usage info

Usage:

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: This extension is used to provide a reason to explain how the estimate may change subject to medical management.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionSubject To Medical Management
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt"
... Slices for value[x] 1..1The estimate may change subject to medical management with this reason
Slice: Unordered, Open by type:$this
.... valueStringstring
.... valueCodeableConceptCodeableConcept
.... value[x]:valueCodeableConcept 0..1CodeableConceptValue of extension
Binding: PCT Subject-To-Medical-Management Reason Value Set (extensible)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionSubject To Medical Management
... id 0..1stringUnique id for inter-element referencing
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt"
.... value[x]:valueCodeableConcept 0..1CodeableConceptValue of extension
Binding: PCT Subject-To-Medical-Management Reason Value Set (extensible)

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: This extension is used to provide a reason to explain how the estimate may change subject to medical management.

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionSubject To Medical Management
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt"
... Slices for value[x] 1..1The estimate may change subject to medical management with this reason
Slice: Unordered, Open by type:$this
.... valueStringstring
.... valueCodeableConceptCodeableConcept
.... value[x]:valueCodeableConcept 0..1CodeableConceptValue of extension
Binding: PCT Subject-To-Medical-Management Reason Value Set (extensible)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionSubject To Medical Management
... id 0..1stringUnique id for inter-element referencing
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt"
.... value[x]:valueCodeableConcept 0..1CodeableConceptValue of extension
Binding: PCT Subject-To-Medical-Management Reason Value Set (extensible)

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Extension.value[x]:valueCodeableConceptextensiblePCTSubjectToMedicalMgmtReasonVS (a valid code from PCT Subject-To-Medical-Management Reason Code System)