Extensions for Using Data Elements from FHIR R5 in FHIR STU3
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR STU3
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR STU3 - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: ExtensionClaimResponse_Item_ReviewOutcome | ||
R5: ClaimResponse.item.reviewOutcome (new:BackboneElement)
This extension is part of the cross-version definitions generated to enable use of the
element ClaimResponse.item.reviewOutcome as defined in FHIR R5
in FHIR STU3.
The source element is defined as:
ClaimResponse.item.reviewOutcome 0..1 BackboneElement
Across FHIR versions, the element set has been mapped as:
ClaimResponse.item.reviewOutcome 0..1 BackboneElementFollowing are the generation technical comments:
Element ClaimResponse.item.reviewOutcome has a context of ClaimResponse.item based on following the parent source element upwards and mapping to ClaimResponse.
Element ClaimResponse.item.reviewOutcome has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Context of Use
This extension may be used on the following element(s)
ClaimResponse.item
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..1 | Extension | R5: Adjudication results (new) | |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:decision |
0..1 | Extension | R5: Result of the adjudication (new) | |
  url |
1..1 | uri | "decision" | |
  value[x] |
0..1 | CodeableConcept | Result of the adjudication Binding: R5ClaimDecisionForR3 (0.1.0) (example) | |
| extension:reason |
0..* | Extension | R5: Reason for result of the adjudication (new) | |
| url |
1..1 | uri | "reason" | |
| value[x] |
0..1 | CodeableConcept | Reason for result of the adjudication Binding: R5ClaimDecisionReasonForR3 (0.1.0) (example) | |
| extension:preAuthRef |
0..1 | Extension | R5: Preauthorization reference (new) | |
| url |
1..1 | uri | "preAuthRef" | |
 value[x] |
0..1 | string | Preauthorization reference | |
 extension:preAuthPeriod |
0..1 | Extension | R5: Preauthorization reference effective period (new) | |
 url |
1..1 | uri | "preAuthPeriod" | |
| value[x] |
0..1 | Period | Preauthorization reference effective period | |
 url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome" | |
 value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..1 | Extension | R5: Adjudication results (new) | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:decision |
0..1 | Extension | R5: Result of the adjudication (new) | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url |
1..1 | uri | "decision" | |
| value[x] |
0..1 | CodeableConcept | Result of the adjudication Binding: R5ClaimDecisionForR3 (0.1.0) (example) | |
| extension:reason |
0..* | Extension | R5: Reason for result of the adjudication (new) | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url |
1..1 | uri | "reason" | |
| value[x] |
0..1 | CodeableConcept | Reason for result of the adjudication Binding: R5ClaimDecisionReasonForR3 (0.1.0) (example) | |
| extension:preAuthRef |
0..1 | Extension | R5: Preauthorization reference (new) | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url |
1..1 | uri | "preAuthRef" | |
| value[x] |
0..1 | string | Preauthorization reference | |
| extension:preAuthPeriod |
0..1 | Extension | R5: Preauthorization reference effective period (new) | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url |
1..1 | uri | "preAuthPeriod" | |
| value[x] |
0..1 | Period | Preauthorization reference effective period | |
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: R5: ClaimResponse.item.reviewOutcome (new:BackboneElement)
ClaimResponse.item.reviewOutcome.decision (new:CodeableConcept)ClaimResponse.item.reviewOutcome.reason (new:CodeableConcept)ClaimResponse.item.reviewOutcome.preAuthRef (new:string)ClaimResponse.item.reviewOutcome.preAuthPeriod (new:Period)Maturity: 0
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..1 | Extension | R5: Adjudication results (new) | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:decision |
0..1 | Extension | R5: Result of the adjudication (new) | |
| url |
1..1 | uri | "decision" | |
| value[x] |
0..1 | CodeableConcept | Result of the adjudication Binding: R5ClaimDecisionForR3 (0.1.0) (example) | |
| extension:reason |
0..* | Extension | R5: Reason for result of the adjudication (new) | |
| url |
1..1 | uri | "reason" | |
| value[x] |
0..1 | CodeableConcept | Reason for result of the adjudication Binding: R5ClaimDecisionReasonForR3 (0.1.0) (example) | |
| extension:preAuthRef |
0..1 | Extension | R5: Preauthorization reference (new) | |
| url |
1..1 | uri | "preAuthRef" | |
| value[x] |
0..1 | string | Preauthorization reference | |
| extension:preAuthPeriod |
0..1 | Extension | R5: Preauthorization reference effective period (new) | |
| url |
1..1 | uri | "preAuthPeriod" | |
| value[x] |
0..1 | Period | Preauthorization reference effective period | |
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome" | |
| value[x] |
0..0 | Value of extension | ||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..1 | Extension | R5: Adjudication results (new) | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:decision |
0..1 | Extension | R5: Result of the adjudication (new) | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url |
1..1 | uri | "decision" | |
| value[x] |
0..1 | CodeableConcept | Result of the adjudication Binding: R5ClaimDecisionForR3 (0.1.0) (example) | |
| extension:reason |
0..* | Extension | R5: Reason for result of the adjudication (new) | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url |
1..1 | uri | "reason" | |
| value[x] |
0..1 | CodeableConcept | Reason for result of the adjudication Binding: R5ClaimDecisionReasonForR3 (0.1.0) (example) | |
| extension:preAuthRef |
0..1 | Extension | R5: Preauthorization reference (new) | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url |
1..1 | uri | "preAuthRef" | |
| value[x] |
0..1 | string | Preauthorization reference | |
| extension:preAuthPeriod |
0..1 | Extension | R5: Preauthorization reference effective period (new) | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url |
1..1 | uri | "preAuthPeriod" | |
| value[x] |
0..1 | Period | Preauthorization reference effective period | |
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: R5: ClaimResponse.item.reviewOutcome (new:BackboneElement)
ClaimResponse.item.reviewOutcome.decision (new:CodeableConcept)ClaimResponse.item.reviewOutcome.reason (new:CodeableConcept)ClaimResponse.item.reviewOutcome.preAuthRef (new:string)ClaimResponse.item.reviewOutcome.preAuthPeriod (new:Period)Maturity: 0
Other representations of profile: CSV, Excel, Schematron
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:decision.value[x] | Base | example | Cross-version ValueSet R5.ClaimAdjudicationDecisionsCodes for use in FHIR STU3 | 📍0.1.0 | This IG |
| Extension.extension:reason.value[x] | Base | example | Cross-version ValueSet R5.ClaimAdjudicationDecisionReasonCodes for use in FHIR STU3 | 📍0.1.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() | (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r3#0.1.0 based on FHIR 3.0.2. Generated 2026-03-20
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