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. For a full list of available versions, see the Directory of published versions

Extension: ItemAuthorizedProvider

Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedProvider Version: 2.1.0
Standards status: Trial-use Maturity Level: 3 Computable Name: ItemAuthorizedProvider
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.20

The specific provider who has been authorized to provide this item.

Context of Use

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

  • Element ID ExplanationOfBenefit
  • Element ID ClaimResponse.item

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

Complex Extension: The specific provider who has been authorized to provide this item.

  • provider: Reference: An Extension

Maturity: 3

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:provider 0..1 Extension Extension
..... extension 0..0
..... url 1..1 uri "provider"
..... value[x] 0..1 Reference(PAS Practitioner | PAS Organization Base Profile) Value of extension
.... providerType 0..1 CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizedProviderType
Binding: https://valueset.x12.org/x217/005010/response/2010EA/NM1/1/01/00/98 (required): Code identifying an organization entity, a physical location, property or an individual. 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.

... url 1..1 uri "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedProvider"
... value[x] 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:provider 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "provider"
..... value[x] 0..1 Reference(PAS Practitioner | PAS Organization Base Profile) Value of extension
.... providerType 0..1 CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizedProviderType
Binding: https://valueset.x12.org/x217/005010/response/2010EA/NM1/1/01/00/98 (required): Code identifying an organization entity, a physical location, property or an individual. 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.


... url 1..1 uri "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedProvider"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: The specific provider who has been authorized to provide this item.

  • provider: Reference: An Extension

Maturity: 3

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:provider 0..1 Extension Extension
..... extension 0..0
..... url 1..1 uri "provider"
..... value[x] 0..1 Reference(PAS Practitioner | PAS Organization Base Profile) Value of extension
.... providerType 0..1 CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizedProviderType
Binding: https://valueset.x12.org/x217/005010/response/2010EA/NM1/1/01/00/98 (required): Code identifying an organization entity, a physical location, property or an individual. 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.

... url 1..1 uri "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedProvider"
... value[x] 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Extension
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:provider 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "provider"
..... value[x] 0..1 Reference(PAS Practitioner | PAS Organization Base Profile) Value of extension
.... providerType 0..1 CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizedProviderType
Binding: https://valueset.x12.org/x217/005010/response/2010EA/NM1/1/01/00/98 (required): Code identifying an organization entity, a physical location, property or an individual. 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.


... url 1..1 uri "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedProvider"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron