Source | hl7.fhir.us.davinci-pas#current:Da Vinci Prior Authorization Support (PAS) FHIR IG (v4.0.1) |
resourceType | StructureDefinition |
id | extension-itemAuthorizedDetail |
canonical | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail |
version | 1.2.0 |
status | active |
publisher | HL7 International - Financial Management Work Group |
name | ItemAuthorizedDetail |
date | 2023-09-05T15:43:16+00:00 |
description | The details of what has been authorized for this item if different from what was requested. |
jurisdictions | us |
fhirVersion | 4.0.1 |
kind | complex-type |
abstract | false |
sdTtype | Extension |
derivation | constraint |
base | http://hl7.org/fhir/StructureDefinition/Extension |
contexts | element:ClaimResponse.item |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Extension | Extension | |||
extension:productOrServiceCode | 0..1 | |||
extension | .. 0 | |||
url | "productOrServiceCode" | |||
value[x] | CodeableConcept | Binding: X12 278 Requested Service Type ( required ) | ||
productOrServiceCodeEnd | 0..1 | CodeableConcept |
Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd Binding: X12 278 Requested Service Type ( required ) |
|
extension:modifier | 0..* | |||
extension | .. 0 | |||
url | "modifier" | |||
value[x] | CodeableConcept | Binding: X12 278 Requested Service Modifier Type ( required ) | ||
extension:unitPrice | 0..1 | |||
extension | .. 0 | |||
url | "unitPrice" | |||
value[x] | Money | |||
extension:quantity | 0..1 | |||
extension | .. 0 | |||
url | "quantity" | |||
value[x] | Quantity | |||
epsdtIndicator | 0..1 | boolean |
Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator |
|
nursingHomeLevelOfCare | 0..1 | CodeableConcept |
Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare Binding: todo ( required ): Codes specifying the level of care provided by a nursing home facility. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. |
|
extension:revenue | 0..1 | |||
extension | .. 0 | |||
url | "revenue" | |||
value[x] | CodeableConcept | Binding: AHA NUBC Revenue Value Set ( required ) | ||
revenueUnitRateLimit | 0..1 | decimal |
Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit |
|
authorizedService | 0..1 | Reference (PAS Medication Request | PAS Service Request | PAS Device Request | PAS Nutrition Order) |
Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService |
|
url | "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail" | |||
value[x] | .. 0 | |||
Documentation for this format |
Produced 08 Sep 2023