# | Name | Source | Ver | Description | |
1 | An attribute to express the amount of a service or item that has been utilized | hl7.fhir.us.davinci-pdex#current | R4 | Attribute that expresses the amount of an item or service that has been consumed under the current prior authorization. | |
2 | Based on | hl7.fhir.uv.extensions.r4#1.0.0 | R4 | A plan, proposal or order that is fulfilled in whole or in part by this event. | |
3 | LevelOfServiceCode | hl7.fhir.us.davinci-pdex#current | R4 | A code specifying the level of service being requested (UM06) | |
4 | ReviewAction | hl7.fhir.us.davinci-pdex#current | R4 | The details of the review action that is necessary for the authorization. | |
5 | ReviewActionCode | hl7.fhir.us.davinci-pdex#current | R4 | The code describing the result of the review. |
1 | 2 | 3 | 4 | 5 | |
Extension | D | C D | D | D | D |
Extension.extension | C | C | C | S C (4) | C |
Extension.extension.value[x] | B M (3) | ||||
Extension.extension.url | F (3) | ||||
Extension.extension.extension | C (3) | ||||
Extension.url | F | F | F | F | F |
Extension.value[x] | C | B M | C | B M |
Produced 08 Sep 2023