Patient Cost Transparency Implementation Guide
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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-ballot 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: 2.0.0-ballot
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):

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

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

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Subject To Medical Management
... id 0..1 string Unique id for inter-element referencing
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt"
.... valueString string
.... valueCodeableConcept CodeableConcept
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Value 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

PathConformanceValueSetURI
Extension.value[x]:valueCodeableConceptextensiblePCTSubjectToMedicalMgmtReasonVS (a valid code from PCT Subject-To-Medical-Management Reason Code System)
http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTSubjectToMedicalMgmtReasonVS
from this IG