# | Name | Source | Ver | Description | |
1 | CommunicatedDiagnosis | hl7.fhir.us.davinci-pas#current | R4 | A code representing the diagnosis that is the subject of the communication | |
2 | ContentModifier | hl7.fhir.us.davinci-pas#current | R4 | A code representing a modifier of the content being requested | |
3 | Coverage Information | hl7.fhir.us.davinci-crd#current | R4 | Captures assertions from a payer about whether the service is covered and/or requires prior authorization. | |
4 | ServiceLineNumber | hl7.fhir.us.davinci-pas#current | R4 | A number that links the content being requested with the claim item number. |
1 | 2 | 3 | 4 | |
Extension | D | D | I D | D |
Extension.extension | C | C | S C D (17) | C |
Extension.extension.value[x] | C D B M (16) | |||
Extension.extension.url | F (16) | |||
Extension.extension.extension | S C D (19) | |||
Extension.extension.extension.value[x] | B M (3) | |||
Extension.extension.extension.url | F (3) | |||
Extension.extension.extension.extension | C (3) | |||
Extension.url | F | F | F | F |
Extension.value[x] | B M | B M | C |
Produced 08 Sep 2023