Cross-Version Extension for ClaimResponse.item.reviewOutcome.decision in R5

URLhttp://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome.decision
Version
Statusactive
Description

Cross-Version Extension for ClaimResponse.item.reviewOutcome.decision. Valid in versions R2, R3, R4, R4B

This is a valid cross-version extension because it's counted as a new element

Context of Use

This extension may be used in the following contexts:


NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionResult of the adjudication
... extension ..0
... value[x] 1..CodeableConcept
... url "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome.decision"

doco Documentation for this format

{
  "resourceType" : "StructureDefinition",
  "id" : "xv-r5-clr.ite.rev.decision",
  "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome.decision",
  "name" : "XVerExtensionClaimResponse.item.reviewOutcome.decisionR5",
  "title" : "Cross-Version Extension for ClaimResponse.item.reviewOutcome.decision 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 ClaimResponse.item.reviewOutcome.decision. 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" : [{
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome"
  },
  {
    "type" : "extension",
    "expression" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "path" : "Extension",
      "short" : "Result of the adjudication",
      "definition" : "The result of the claim, predetermination, or preauthorization adjudication.",
      "comment" : "The element is used to indicate the current state of the adjudication overall for the claim resource, for example: the request has been held (pended) for adjudication processing, for manual review or other reasons; that it has been processed and will be paid, or the outstanding paid, as submitted (approved); that no amount will be paid (denied); or that some amount between zero and the submitted amount will be paid (partial).",
      "requirements" : "To advise the requestor of the result of the adjudication process.",
      "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-ClaimResponse.item.reviewOutcome.decision"
    }]
  }
}