Patient Cost Transparency Implementation Guide
2.0.0-ballot - STU 2 Ballot US

This page is part of the Da Vinci Patient Cost Transparency Implementation Guide (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Extension: Subject To Medical Management

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt Version: 2.0.0-ballot
Standards status: Trial-use Computable Name: SubjectToMedicalMgmt
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.47

This extension is used to provide a reason to explain how the estimate may change subject to medical management.

Context of Use

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

  • Element ID ExplanationOfBenefit.adjudication
  • Element ID ExplanationOfBenefit.item.adjudication

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: This extension is used to provide a reason to explain how the estimate may change subject to medical management.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Subject To Medical Management
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt"
... Slices for value[x] 1..1 The estimate may change subject to medical management with this reason
Slice: Unordered, Open by type:$this
.... valueString string
.... valueCodeableConcept CodeableConcept
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: PCT Subject-To-Medical-Management Reason Value Set (extensible)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Subject To Medical Management
... id 0..1 string Unique id for inter-element referencing
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt"
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: PCT Subject-To-Medical-Management Reason Value Set (extensible)

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: This extension is used to provide a reason to explain how the estimate may change subject to medical management.

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Subject To Medical Management
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt"
... Slices for value[x] 1..1 The estimate may change subject to medical management with this reason
Slice: Unordered, Open by type:$this
.... valueString string
.... valueCodeableConcept CodeableConcept
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: PCT Subject-To-Medical-Management Reason Value Set (extensible)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Subject To Medical Management
... id 0..1 string Unique id for inter-element referencing
... extension 0..0
... url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/subjectToMedicalMgmt"
.... value[x]:valueCodeableConcept 0..1 CodeableConcept Value of extension
Binding: PCT Subject-To-Medical-Management Reason Value Set (extensible)

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.value[x]:valueCodeableConceptextensiblePCTSubjectToMedicalMgmtReasonVS (a valid code from PCT Subject-To-Medical-Management Reason Code System)
http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTSubjectToMedicalMgmtReasonVS
from this IG