Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-ballot - STU 2.2 - Ballot
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-ballot - STU 2.2 - Ballot
This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.2.0-ballot: STU 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
| Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-documentInformation | Version: 2.2.0-ballot | |||
| Standards status: Trial-use | Maturity Level: 3 | Computable Name: DocumentInformation | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.80 | ||||
Information about the document being included such as the type, transmission method, and identifier.
Context of Use
This extension may be used on the following element(s)
Claim.supportingInfo
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Extension |
0..* | Extension | Extension | |
  extension |
1..* | Extension | Extension | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:reportTypeCode |
1..1 | Extension | The type of additional information being provided | |
  extension |
0..0 | |||
| url |
1..1 | uri | "reportTypeCode" | |
  value[x] |
0..1 | CodeableConcept | Value of extension Binding: PAS PWK01 Attachment Report Type Code Value Set (required) | |
| extension:transmissionMethod |
0..1 | Extension | How the additional information is being provided | |
| extension |
0..0 | |||
| url |
1..1 | uri | "transmissionMethod" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756 (required) | |
| extension:controlNumber |
0..1 | Extension | A control number that identifies the document | |
| extension |
0..0 | |||
| url |
1..1 | uri | "controlNumber" | |
 value[x] |
0..1 | string | Value of extension | |
 extension:description |
0..1 | Extension | Special information about the additional information provided | |
 extension |
0..0 | |||
| url |
1..1 | uri | "description" | |
| value[x] |
0..1 | string | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-documentInformation" | |
 value[x] |
0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:reportTypeCode |
1..1 | Extension | The type of additional information being provided | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "reportTypeCode" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: PAS PWK01 Attachment Report Type Code Value Set (required) | |
| extension:transmissionMethod |
0..1 | Extension | How the additional information is being provided | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "transmissionMethod" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756 (required) | |
| extension:controlNumber |
0..1 | Extension | A control number that identifies the document | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "controlNumber" | |
| value[x] |
0..1 | string | Value of extension | |
| extension:description |
0..1 | Extension | Special information about the additional information provided | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "description" | |
| value[x] |
0..1 | string | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-documentInformation" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: Information about the document being included such as the type, transmission method, and identifier.
Maturity: 3
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Extension | |
| extension |
1..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:reportTypeCode |
1..1 | Extension | The type of additional information being provided | |
| extension |
0..0 | |||
| url |
1..1 | uri | "reportTypeCode" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: PAS PWK01 Attachment Report Type Code Value Set (required) | |
| extension:transmissionMethod |
0..1 | Extension | How the additional information is being provided | |
| extension |
0..0 | |||
| url |
1..1 | uri | "transmissionMethod" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756 (required) | |
| extension:controlNumber |
0..1 | Extension | A control number that identifies the document | |
| extension |
0..0 | |||
| url |
1..1 | uri | "controlNumber" | |
| value[x] |
0..1 | string | Value of extension | |
| extension:description |
0..1 | Extension | Special information about the additional information provided | |
| extension |
0..0 | |||
| url |
1..1 | uri | "description" | |
| value[x] |
0..1 | string | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-documentInformation" | |
| value[x] |
0..0 | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:reportTypeCode |
1..1 | Extension | The type of additional information being provided | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "reportTypeCode" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: PAS PWK01 Attachment Report Type Code Value Set (required) | |
| extension:transmissionMethod |
0..1 | Extension | How the additional information is being provided | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "transmissionMethod" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756 (required) | |
| extension:controlNumber |
0..1 | Extension | A control number that identifies the document | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "controlNumber" | |
| value[x] |
0..1 | string | Value of extension | |
| extension:description |
0..1 | Extension | Special information about the additional information provided | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "description" | |
| value[x] |
0..1 | string | Value of extension | |
| url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-documentInformation" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: Information about the document being included such as the type, transmission method, and identifier.
Maturity: 3
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet | URI |
| Extension.extension:reportTypeCode.value[x] | required | PASPWK01AttachmentReportTypeCodeValueSet(a valid code from https://codesystem.x12.org/005010/755)http://hl7.org/fhir/us/davinci-pas/ValueSet/pas-pwk01-attachment-report-type-codeFrom this IG | |
| Extension.extension:transmissionMethod.value[x] | required | https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756https://valueset.x12.org/x217/005010/request/2000E/PWK/1/02/00/756 |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
IG © 2020+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pas#2.2.0-ballot based on FHIR 4.0.1. Generated 2025-07-30
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