StructureDefinition-extension-reviewAction

Sourcehl7.fhir.us.davinci-pdex#current:Da Vinci Payer Data Exchange (v4.0.1)
resourceTypeStructureDefinition
idextension-reviewAction
canonicalhttp://hl7.org/fhir/us/davinci-pdex/StructureDefinition/extension-reviewAction
version2.0.0
statusdraft
publisherHL7 Financial Management Working Group
nameReviewAction
date2023-08-14T14:40:10+00:00
descriptionThe details of the review action that is necessary for the authorization.
jurisdictionsus
fhirVersion4.0.1
kindcomplex-type
abstractfalse
sdTtypeExtension
derivationconstraint
basehttp://hl7.org/fhir/StructureDefinition/Extension
contextselement:ExplanationOfBenefit
Usages
Name Flags Card. Type Description & Constraints doco
. . Extension Extension
. . . code 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.

. . . extension:number 0..1 Item Level Review Number
. . . . extension .. 0
. . . . url "number"
. . . . value[x] string
. . . extension:reasonCode 0..* Explanation of the review denial or partial approval
. . . . extension .. 0
. . . . url "reasonCode"
. . . . value[x] CodeableConcept Binding: X12 278 Review Decision Reason Codes ( required )
. . . extension:secondSurgicalOpinionFlag 0..1 Whether a second surgical opinion is need for approval
. . . . extension .. 0
. . . . url "secondSurgicalOpinionFlag"
. . . . value[x] boolean
. . . url "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/extension-reviewAction"
. . . value[x] .. 0

doco Documentation for this format

Produced 08 Sep 2023