| Source | URL | Version | Realm | Type | Description |
|---|---|---|---|---|---|
| Claim | |||||
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType|1.2.0 | 4.0.1 | us | CodeableConcept | A code representing the type of certification being requested (UM02) Profile Paths: Claim, Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-conditionCode|1.2.0 | 4.0.1 | us | (complex) | Information to supply various patient conditions. Profile Paths: Claim |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-homeHealthCareInformation|1.2.0 | 4.0.1 | us | (complex) | Information needed for home health care requests. Profile Paths: Claim |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationEffectiveDate|1.2.0 | 4.0.1 | us | date, Period | The specific date or period within which this item's preauthorization became effective. Profile Paths: Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationExpirationDate|1.2.0 | 4.0.1 | us | date, Period | The specific date or period within which this item's preauthorization expires. Profile Paths: Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationIssueDate|1.2.0 | 4.0.1 | us | date, Period | The specific date or period within which this item's preauthorization was issued. Profile Paths: Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode|1.2.0 | 4.0.1 | us | CodeableConcept | A code specifying the level of service being requested (UM06) Profile Paths: Claim |
| hl7.fhir.be.eattestation#current | https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-ext-eattestation-supplement|1.0.0 | 4.0.1 | be | Money | Total supplement to be paid by the patient Profile Paths: Claim |
| Claim.careTeam | |||||
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope|1.2.0 | 4.0.1 | us | boolean | A flag that indicates whether the care team applies to the entire claim or a single item. Profile Paths: Claim.careTeam |
| Claim.diagnosis | |||||
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate|1.2.0 | 4.0.1 | us | date | The date that a diagnosis was recorded. (HIxx-4) Profile Paths: Claim.diagnosis |
| Claim.item | |||||
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber|1.2.0 | 4.0.1 | us | string | A string assigned by the UMO to the original disallowed review outcome associated with this service item. Profile Paths: Claim.item, ClaimResponse.item, ExplanationOfBenefit.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber|1.2.0 | 4.0.1 | us | string | A string assigned by the UMO to an authorized review outcome associated with this service item. Profile Paths: Claim.item, ClaimResponse.item, ExplanationOfBenefit.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType|1.2.0 | 4.0.1 | us | CodeableConcept | A code representing the type of certification being requested (UM02) Profile Paths: Claim, Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator|1.2.0 | 4.0.1 | us | boolean | An indicator of whether early and periodic screen for diagnosis and treatment of children is involved. Profile Paths: Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-infoChanged|1.2.0 | 4.0.1 | us | code | A code indicating how the piece of information has changed. Profile Paths: Claim.item, Claim.supportingInfo |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationEffectiveDate|1.2.0 | 4.0.1 | us | date, Period | The specific date or period within which this item's preauthorization became effective. Profile Paths: Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationExpirationDate|1.2.0 | 4.0.1 | us | date, Period | The specific date or period within which this item's preauthorization expires. Profile Paths: Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationIssueDate|1.2.0 | 4.0.1 | us | date, Period | The specific date or period within which this item's preauthorization was issued. Profile Paths: Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemTraceNumber|1.2.0 | 4.0.1 | us | Identifier | Uniquely identifies this claim item. (2000F-TRN) Profile Paths: Claim.item, ClaimResponse.item, ExplanationOfBenefit.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare|1.2.0 | 4.0.1 | us | CodeableConcept | A code specifying the level of care provided by a nursing home facility. (SV120, SV210) Profile Paths: Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus|1.2.0 | 4.0.1 | us | CodeableConcept | A code specifying the status of a nursing home resident at the time of service. (SV209) Profile Paths: Claim.item, Encounter |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd|1.2.0 | 4.0.1 | us | CodeableConcept | Used to provide the last code in a series of codes for the service being requested. Profile Paths: Claim.item, ServiceRequest |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService|1.2.0 | 4.0.1 | us | Reference | The details of the service being requested. Profile Paths: Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit|1.2.0 | 4.0.1 | us | decimal | The limit on the rate per unit of revenue for hospital accomodation. (SV206) Profile Paths: Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction|1.2.0 | 4.0.1 | us | (complex) | The details of the review action that is necessary for the authorization. Profile Paths: ClaimResponse.item.adjudication |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode|1.2.0 | 4.0.1 | us | CodeableConcept | The code describing the result of the review. Profile Paths: Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType|1.2.0 | 4.0.1 | us | CodeableConcept | A code that identifies the type of service being requested. Profile Paths: Claim.item |
| hl7.fhir.us.davinci-pas#current | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/modifierextension-infoCancelled|1.2.0 | 4.0.1 | us | boolean | A flag indicating whether the piece of information was cancelled. Profile Paths: Claim.item, Claim.supportingInfo |
| hl7.fhir.be.eattestation#current | https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-ext-eattestation-item-preauthref|1.0.0 | 4.0.1 | be | string | Id of the preauthorization of the item Profile Paths: Claim.item |
| hl7.fhir.be.eattestation#current | https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-ext-eattestation-item-supplement|1.0.0 | 4.0.1 | be | Money | Supplement to be paid by the patient per item Profile Paths: Claim.item |
| hl7.fhir.be.mycarenet#current | https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-eattestation-item-patientidentitydocument|2.1.0 | 4.0.1 | be | (complex) | Data from the Belgian eID Profile Paths: Claim.item |
| hl7.fhir.be.mycarenet#current | https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-mycarenet-item-patientfee|2.1.0 | 4.0.1 | be | Money | Sum to be paid by the patient per item Profile Paths: ClaimResponse.addItem |
| hl7.fhir.be.mycarenet#current | https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-mycarenet-item-reimbursement|2.1.0 | 4.0.1 | be | Money | Reimbursement for the patient per item Profile Paths: ClaimResponse.addItem |
| Claim.item.bodySite | |||||
| hl7.fhir.be.core-clinical#current | https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality|1.0.1 | 4.0.1 | be | Coding | An explicit statement of laterality of a lesion, or a treatment, etc. Profile Paths: Claim.item.bodySite, Condition.bodySite, Immunization.site, Observation.bodySite, ServiceRequest.bodySite |