| Source | URL | Version | Realm | Type | Description |
|---|---|---|---|---|---|
| ExplanationOfBenefit | |||||
| hl7.fhir.uv.extensions.r4#1.0.0 | http://hl7.org/fhir/StructureDefinition/event-basedOn|1.0.0 | 5.0.0 | uv | Reference | A plan, proposal or order that is fulfilled in whole or in part by this event. Profile Paths: Immunization, MedicationAdministration |
| hl7.fhir.us.davinci-pdex#current | http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/PriorAuthorizationUtilization|2.0.0 | 4.0.1 | us | Quantity, Ratio | Attribute that expresses the amount of an item or service that has been consumed under the current prior authorization. Profile Paths: ExplanationOfBenefit.total |
| hl7.fhir.us.davinci-pdex#current | http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/extension-levelOfServiceCode|2.0.0 | 4.0.1 | us | CodeableConcept | A code specifying the level of service being requested (UM06) Profile Paths: ExplanationOfBenefit |
| hl7.fhir.us.davinci-pdex#current | http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/extension-reviewAction|2.0.0 | 4.0.1 | us | (complex) | The details of the review action that is necessary for the authorization. Profile Paths: ExplanationOfBenefit.adjudication, ExplanationOfBenefit.item.adjudication |
| hl7.fhir.us.davinci-pdex#current | http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/extension-reviewActionCode|2.0.0 | 4.0.1 | us | CodeableConcept | The code describing the result of the review. |