Da Vinci Prior Authorization Support (PAS) FHIR IG
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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: LevelOfServiceCode

Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode Version: 2.1.0
Standards status: Trial-use Maturity Level: 3 Computable Name: LevelOfServiceCode
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.28

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

Context of Use

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

  • Element ID Claim

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 code specifying the level of service being requested (UM06)

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-levelOfServiceCode"
... value[x] 0..1 CodeableConcept Value 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
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-levelOfServiceCode"

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: A code specifying the level of service being requested (UM06)

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-levelOfServiceCode"
... value[x] 0..1 CodeableConcept Value 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

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-levelOfServiceCode"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

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