Da Vinci - Coverage Requirements Discovery
2.2.0-ballot - STU 2.2 Ballot United States of America flag

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.2.0-ballot: STU 2.2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 2.1.0. For a full list of available versions, see the Directory of published versions

Extension: Billing Options

Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Version: 2.2.0-ballot
Standards status: Trial-use Maturity Level: 1 Computable Name: CRDBillingOptions
Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.42.24

Identifies billing codes that could potentially be used for this clinical code

Used to allow conveying multiple (possibly conflicting) billing codes that can't be provided as translations because they don't necessarily all represent the same ordering concept.

Context of Use

Introduction

CRD clients SHALL use this element to convey likely billing codes if they are known, but are not required to know billing codes (e.g. if ordering and performing systems will differ). CRD services SHALL NOT depend on this element being present in order to provide a response. If codes are provided with this extension, CRD services SHALL consider any codes provided and MAY consider additional codes determined by their own mapping when returning coverage information responses.

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Billing Options
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options"
... value[x] 0..1 CodeableConcept Value of extension
Binding: CRD Billing Codes Value Set (extensible)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Billing Options
... id 0..1 string Unique id for inter-element referencing
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options"

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type CodeableConcept: Identifies billing codes that could potentially be used for this clinical code

Maturity: 1

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Billing Options
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options"
... value[x] 0..1 CodeableConcept Value of extension
Binding: CRD Billing Codes Value Set (extensible)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Billing Options
... id 0..1 string Unique id for inter-element referencing
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options"

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type CodeableConcept: Identifies billing codes that could potentially be used for this clinical code

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.value[x]extensibleCRDBillingCodes
http://hl7.org/fhir/us/davinci-crd/ValueSet/billingCodes
From this IG

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()