| Name | Flags | Card. | Type |
Description & Constraints
|
|---|---|---|---|---|
Claim
|
PASClaimBase | |||
extension:encounter
|
S | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Claim.encounter]] |
Information about a hospital claim being requested. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Claim.encounter |
value[x]
|
Reference (PAS Encounter) | |||
identifier
|
1.. | |||
|
supportingInfo:AdditionalInformation
|
0..* |
Send additional paperwork or supporting information for the request. This can be most commonly a DocumentReference profile although any type of information is allowed. |
||
category
|
Required Pattern: At least the following | |||
coding
|
1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system
|
1..1 | uri |
Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASSupportingInfoType |
|
|
code
|
1..1 | code |
Symbol in syntax defined by the system Fixed Value: additionalInformation |
|
|
timing[x]
|
.. 0 | |||
|
value[x]
|
S | 1.. | Reference (US Core DocumentReference Profile | Resource ) | |
|
supportingInfo:MessageText
|
0..* |
Send text messages to the UMO. |
||
|
category
|
Required Pattern: At least the following | |||
|
coding
|
1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
|
system
|
1..1 | uri |
Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASSupportingInfoType |
|
|
code
|
1..1 | code |
Symbol in syntax defined by the system Fixed Value: freeFormMessage |
|
|
timing[x]
|
.. 0 | |||
value[x]
|
S | 1.. | string | |
|
diagnosis
|
Pertinent diagnosis information. NOTE: Only the first 12 diagnoses can be sent in the X12 request. | |||
Slices for extension
|
Slice: Unordered, Open by value:url | |||
|
recordedDate
|
S | 0..1 | date |
The date that a diagnosis was recorded. (HIxx-4) URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate |
|
item
|
||||
|
epsdtIndicator
|
S | 0..1 | boolean |
An indicator of whether early and periodic screen for diagnosis and treatment of children is involved. URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator |
|
nursingHomeResidentialStatus
|
S | 0..1 | CodeableConcept |
A code specifying the status of a nursing home resident at the time of service. (SV209) URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus |
|
value[x]
|
Binding:
todo
( required
): Codes specifying the status of a nursing home resident at the time of service. 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. |
|||
|
nursingHomeLevelOfCare
|
S | 0..1 | CodeableConcept |
A code specifying the level of care provided by a nursing home facility. (SV120, SV210) 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. |
|
revenueUnitRateLimit
|
S | 0..1 | decimal |
The limit on the rate per unit of revenue for hospital accomodation. (SV206) URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit |
|
requestedService
|
S | 0..1 | Reference (PAS Medication Request | PAS Service Request | PAS Device Request | PAS Nutrition Order) |
The details of the service being requested. URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService |
|
category
|
S | 1.. | Since PAS requests only have item-level information, a category is required for conformance with the X12 278 request. | |
|
unitPrice
|
S | |||
|
Documentation for this format
|
||||