Source | hl7.fhir.us.davinci-pdex#current:Da Vinci Payer Data Exchange (v4.0.1) |
resourceType | StructureDefinition |
id | extension-reviewAction |
canonical | http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/extension-reviewAction |
version | 2.0.0 |
status | draft |
publisher | HL7 Financial Management Working Group |
name | ReviewAction |
date | 2023-08-14T14:40:10+00:00 |
description | The details of the review action that is necessary for the authorization. |
jurisdictions | us |
fhirVersion | 4.0.1 |
kind | complex-type |
abstract | false |
sdTtype | Extension |
derivation | constraint |
base | http://hl7.org/fhir/StructureDefinition/Extension |
contexts | element:ExplanationOfBenefit |
Usages |
|
Name | Flags | Card. | Type |
Description & Constraints
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Extension | |||
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0..1 | CodeableConcept |
Healthcare Services Outcome URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/extension-reviewActionCode Binding: todo ( required ): Codes indicating type of action. 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. |
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0..1 | Item Level Review Number | ||
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.. 0 | |||
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"number" | |||
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string | |||
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0..* |
Explanation of the review denial or partial approval |
||
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.. 0 | |||
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"reasonCode" | |||
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CodeableConcept | Binding: X12 278 Review Decision Reason Codes ( required ) | ||
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0..1 | Whether a second surgical opinion is need for approval | ||
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.. 0 | |||
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"secondSurgicalOpinionFlag" | |||
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boolean | |||
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"http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/extension-reviewAction" | |||
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.. 0 | |||
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Produced 08 Sep 2023