Da Vinci Prior Authorization Support (PAS) FHIR IG
1.2.0-ballot - STU 1.2 US

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v1.2.0-ballot: STU 1.2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Extension: LevelOfServiceCode

Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode Version: 1.2.0-ballot
Active as of 2022-02-17 Computable Name: LevelOfServiceCode

A code specifying the level of service being requested (UM06)

Context of Use

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

  • Element

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

Fixed Value: 1 element
Prohibited: 1 element

Slices

This structure defines the following Slices:

  • The element Extension.value[x] is sliced based on the value of type:$this

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionExtension
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode"
... Slices for value[x] 0..1CodeableConceptValue of extension
Slice: Unordered, Open by type:$this

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionExtension
... id 0..1stringUnique id for inter-element referencing
... Slices for extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode"
.... value[x]:valueCodeableConcept 0..1CodeableConceptValue of extension
Binding: https://valueset.x12.org/x217/005010/request/2000E/UM/1/06/00/1338 (required): Codes specifying the level of service rendered. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.


doco Documentation for this format

This structure is derived from Extension

Summary

Fixed Value: 1 element
Prohibited: 1 element

Slices

This structure defines the following Slices:

  • The element Extension.value[x] is sliced based on the value of type:$this

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionExtension
... extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode"
... Slices for value[x] 0..1CodeableConceptValue of extension
Slice: Unordered, Open by type:$this

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionExtension
... id 0..1stringUnique id for inter-element referencing
... Slices for extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode"
.... value[x]:valueCodeableConcept 0..1CodeableConceptValue of extension
Binding: https://valueset.x12.org/x217/005010/request/2000E/UM/1/06/00/1338 (required): Codes specifying the level of service rendered. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.


doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Extension.value[x]:valueCodeableConceptrequiredhttps://valueset.x12.org/x217/005010/request/2000E/UM/1/06/00/1338