Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0 - STU 2.1 United States of America flag

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.1.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Extension: RevenueCode

Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueCode Version: 2.1.0
Standards status: Trial-use Maturity Level: 3 Computable Name: RevenueCode
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.36

A revenue code that expresses what was approved which maps to X12 SV201

Context of Use

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

  • Element ID ClaimResponse.addItem

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 CodeableConcept: A revenue code that expresses what was approved which maps to X12 SV201

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-revenueCode"
... value[x] 0..1 CodeableConcept Value of extension
Binding: AHA NUBC Revenue Value Set (required)

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-revenueCode"

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: A revenue code that expresses what was approved which maps to X12 SV201

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-revenueCode"
... value[x] 0..1 CodeableConcept Value of extension
Binding: AHA NUBC Revenue Value Set (required)

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-revenueCode"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.value[x]requiredAHANUBCRevenueCodes
http://hl7.org/fhir/us/davinci-pas/ValueSet/AHANUBCRevenueCodes
from this IG