| Name | Flags | Card. | Type |
Description & Constraints
|
|---|---|---|---|---|
Composition
|
CompositionUvIps | |||
subject
|
1.. | |||
|
section
|
3.. | |||
section:sectionCertificationOfMedicalNecessity
|
0..1 | Certification of Medical Necessity | ||
code
|
S | 1.. | 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://loinc.org |
|
|
code
|
1..1 | code |
Symbol in syntax defined by the system Fixed Value: 52016-3 |
|
Slices for entry
|
S |
Medical Necessity Entry
Slice: Unordered, Open by profile:resolve() |
||
entry:MedicalNecessityEntry
|
S | 0..1 | Reference ( Observation ) | |
|
entry:Signature
|
S | 0..1 | Reference ( Observation ) | |
|
entry:SignatureDate
|
S | 0..1 | Reference ( Observation ) | |
|
entry:SignerProviderType
|
S | 0..1 | Reference ( PractitionerRole ) | |
|
entry:SignerName
|
S | 0..1 | Reference ( Practitioner ) | |
|
entry:Justification
|
S | 0..1 | Reference ( Observation ) | |
|
entry:ReasonForTransport
|
S | 0..1 | Reference ( Observation ) | |
|
entry:PriorAuthorizationCode
|
0..1 | Reference ( Observation ) | ||
entry:PriorAuthorizationCodePayer
|
0..1 | Reference ( Observation ) | ||
|
section:sectionCoverage
|
0..1 | Insurance Section | ||
|
code
|
S | 1.. | 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://loinc.org |
|
|
code
|
1..1 | code |
Symbol in syntax defined by the system Fixed Value: 48768-6 |
|
|
Slices for entry
|
S | .. 1 | Reference ( Coverage ) |
the Patient's insurance information
Slice: Unordered, Open by profile:resolve() |
|
entry:Coverage
|
S | 0..1 | ||
|
section:sectionReasonForReferral
|
0..1 | Reason for Referral | ||
|
code
|
S | 1.. | 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://loinc.org |
|
|
code
|
1..1 | code |
Symbol in syntax defined by the system Fixed Value: 42349-1 |
|
|
Slices for entry
|
S | 2 .. 2 |
Certification of Medical Necessity
Slice: Unordered, Open by profile:resolve() |
|
|
entry:SimpleObservations
|
S | 1..1 | Reference ( Observation ) | |
|
entry:ConditionsEntry
|
S | 1..1 | Reference (Condition (IPS)) | |
|
section:sectionTransportInstructions
|
0..1 | Transport Instructions | ||
|
code
|
S | 1.. | 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://loinc.org |
|
|
code
|
1..1 | code |
Symbol in syntax defined by the system Fixed Value: 74213-0 |
|
|
Slices for entry
|
S |
Transport Instructions Section Entries
Slice: Unordered, Open by profile:resolve() |
||
|
entry:TrasnportInstructions
|
S | 0..1 | ||
|
entry:DestinationInformation
|
S | 0..1 | Reference ( Location ) | |
|
Documentation for this format
|
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