StructureDefinition-extension-itemAuthorizedDetail

Sourcehl7.fhir.us.davinci-pas#current:Da Vinci Prior Authorization Support (PAS) FHIR IG (v4.0.1)
resourceTypeStructureDefinition
idextension-itemAuthorizedDetail
canonicalhttp://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail
version1.2.0
statusactive
publisherHL7 International - Financial Management Work Group
nameItemAuthorizedDetail
date2023-09-05T15:43:16+00:00
descriptionThe details of what has been authorized for this item if different from what was requested.
jurisdictionsus
fhirVersion4.0.1
kindcomplex-type
abstractfalse
sdTtypeExtension
derivationconstraint
basehttp://hl7.org/fhir/StructureDefinition/Extension
contextselement:ClaimResponse.item
Usages
Name Flags Card. Type Description & Constraints doco
. . 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

doco Documentation for this format

Produced 08 Sep 2023