Generated Narrative: StructureDefinition ext-R5-ClaimResponse.it.reviewOutcome Name Flags Card. Type Description & Constraints Extension 0..1 Extension(4.0.1) Adjudication results #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Closed by value:url #xD; extension:decision 0..1 Extension Result of the adjudication #xD; url 1..1 uri "decision" #xD; value[x] 0..1 CodeableConcept Result of the adjudication Binding: R5_claim_decision_for_R4 (0.0.1-snapshot-2) (example) #xD; extension:reason 0..* Extension Reason for result of the adjudication #xD; url 1..1 uri "reason" #xD; value[x] 0..1 CodeableConcept Reason for result of the adjudication Binding: R5_claim_decision_reason_for_R4 (0.0.1-snapshot-2) (example) #xD; extension:preAuthRef 0..1 Extension Preauthorization reference #xD; url 1..1 uri "preAuthRef" #xD; value[x] 0..1 string Preauthorization reference #xD; extension:preAuthPeriod 0..1 Extension Preauthorization reference effective period #xD; url 1..1 uri "preAuthPeriod" #xD; value[x] 0..1 Period Preauthorization reference effective period #xD; url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome" #xD; Documentation for this format
Cross-version Extension for R5.ClaimResponse.item.reviewOutcome for use in FHIR R4
This cross-version extension represents ClaimResponse.item.reviewOutcome from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 for use in FHIR R4.
The high-level results of the adjudication if adjudication has been performed.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
The result of the claim, predetermination, or preauthorization adjudication.
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Source of the definition for the extension code - a logical name or a URL.
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
The reasons for the result of the claim, predetermination, or preauthorization adjudication.
Reference from the Insurer which is used in later communications which refers to this adjudication.
Preauthorization reference effective period
The time frame during which this authorization is effective.
Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).