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
| Page standards status: Trial-use | Maturity Level: 3 |
Mappings for the extension-itemAuthorizedDetail extension.
| ItemAuthorizedDetail | ||
| Extension | ||
| id | n/a | |
| extension | n/a | |
| extension (productOrServiceCode) | ||
| id | n/a | |
| url | N/A | |
| value[x] | N/A | |
| extension (productOrServiceCodeEnd) | ||
| extension (modifier) | ||
| id | n/a | |
| url | N/A | |
| value[x] | N/A | |
| extension (unitPrice) | ||
| id | n/a | |
| url | N/A | |
| value[x] | N/A | |
| extension (quantity) | ||
| id | n/a | |
| url | N/A | |
| value[x] | n/a, PQ, IVL<PQ>, MO, CO, depending on the values | |
| extension (epsdtIndicator) | ||
| extension (nursingHomeLevelOfCare) | ||
| extension (revenue) | ||
| id | n/a | |
| url | N/A | |
| value[x] | N/A | |
| url | N/A | |