Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0-preview - STU 2 United States of America flag

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.1.0-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

Extension: AdministrationReferenceNumber

Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber Version: 2.1.0-preview
Standards status: Trial-use Maturity Level: 3 Computable Name: AdministrationReferenceNumber

A string assigned by the UMO to the original disallowed review outcome associated with this service item.

Context of Use

This extension may be used on the following element(s):

  • Element ID Claim.item
  • Element ID ClaimResponse.item
  • Element ID ClaimResponse.addItem
  • Element ID ExplanationOfBenefit

Usage info

Usage:

Formal Views of Extension Content

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

This structure is derived from Extension

Summary

Simple Extension of type string: A string assigned by the UMO to the original disallowed review outcome associated with this service item.

Maturity: 3

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber"
... value[x] 0..1 string Value of extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... id 0..1 string Unique id for inter-element referencing
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber"

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type string: A string assigned by the UMO to the original disallowed review outcome associated with this service item.

Maturity: 3

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber"
... value[x] 0..1 string Value of extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... id 0..1 string Unique id for inter-element referencing
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron