Cross-Version Extension for Claim.diagnosisRelatedGroup in R5

Context of Use

This extension may be used in the following contexts:

• element Claim (For version R4B)
• extension http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim
• element Claim (For version R4)
• extension http://hl7.org/fhir/4.0/StructureDefinition/extension-Claim
• element Claim (For version R3)
• extension http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim
• element Claim (For version R2)
• extension http://hl7.org/fhir/1.0/StructureDefinition/extension-Claim

Name	Flags	Card.	Type	Description & Constraints
Extension		0..1	Extension	Package billing code
extension		..0
value[x]		1..	CodeableConcept
url				"http://hl7.org/fhir/5.0/StructureDefinition/extension-Claim.diagnosisRelatedGroup"
Documentation for this format

{
  "resourceType" : "StructureDefinition",
  "id" : "xv-r5-clm.diagnosisRelatedGroup",
  "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Claim.diagnosisRelatedGroup",
  "name" : "XVerExtensionClaim.diagnosisRelatedGroupR5",
  "title" : "Cross-Version Extension for Claim.diagnosisRelatedGroup in R5",
  "status" : "active",
  "experimental" : false,
  "publisher" : "Health Level Seven International (Financial Management)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
    }]
  }],
  "description" : "Cross-Version Extension for Claim.diagnosisRelatedGroup. Valid in versions R2, R3, R4, R4B\r\n\r\nThis is a valid cross-version extension because it's counted as a new element",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "fhirVersion" : "5.0.0",
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "4.3"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "4.3"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "Claim"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/4.3/StructureDefinition/extension-Claim"
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "4.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "4.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "Claim"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-Claim"
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "3.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "3.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "Claim"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/3.0/StructureDefinition/extension-Claim"
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "startFhirVersion",
        "valueCode" : "1.0"
      },
      {
        "url" : "endFhirVersion",
        "valueCode" : "1.0"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/version-specific-use"
    }],
    "type" : "element",
    "expression" : "Claim"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-Claim"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "path" : "Extension",
      "short" : "Package billing code",
      "definition" : "A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.",
      "comment" : "For example DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardial Infarction and a DRG for HeartAttack would be assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event.",
      "requirements" : "Required to relate the current diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code.",
      "min" : 0,
      "max" : "1",
      "isModifier" : false
    },
    {
      "path" : "Extension.extension",
      "max" : "0"
    },
    {
      "path" : "Extension.value[x]",
      "min" : 1,
      "type" : [{
        "code" : "CodeableConcept"
      }]
    },
    {
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Claim.diagnosisRelatedGroup"
    }]
  }
}