Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.reviewOutcome | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: ExtensionExplanationOfBenefit_Item_ReviewOutcome | ||
R5: ExplanationOfBenefit.item.reviewOutcome (new:BackboneElement)
This extension is part of the cross-version definitions generated to enable use of the
element ExplanationOfBenefit.item.reviewOutcome as defined in FHIR R5
in FHIR R4B.
The source element is defined as:
ExplanationOfBenefit.item.reviewOutcome 0..1 BackboneElement
Following are the generation technical comments:
Element ExplanationOfBenefit.item.reviewOutcome has a context of ExplanationOfBenefit.item based on following the parent source element upwards and mapping to ExplanationOfBenefit.
Element ExplanationOfBenefit.item.reviewOutcome has no mapping targets in FHIR R4B. 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)
ExplanationOfBenefit.item
This extension is allowed for use with FHIR versions R4B to R4B .
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: ![]() ![]() |
|---|---|---|---|---|
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0..1 | Extension(4.3.0) | R5: Adjudication results (new) | |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
0..1 | Extension | R5: Result of the adjudication (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "decision" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Result of the adjudication Binding: R5ClaimDecisionForR4B (0.1.0) (example) | |
![]() ![]() ![]() |
0..* | Extension | R5: Reason for result of the adjudication (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "reason" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Reason for result of the adjudication Binding: R5ClaimDecisionReasonForR4B (0.1.0) (example) | |
![]() ![]() ![]() |
0..1 | Extension | R5: Preauthorization reference (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "preAuthRef" | |
![]() ![]() ![]() ![]() |
0..1 | string | Preauthorization reference | |
![]() ![]() ![]() |
0..1 | Extension | R5: Preauthorization reference effective period (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "preAuthPeriod" | |
![]() ![]() ![]() ![]() |
0..1 | Period | Preauthorization reference effective period | |
![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.reviewOutcome" | |
![]() ![]() |
0..0 | Value of extension | ||
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..1 | Extension(4.3.0) | R5: Adjudication results (new) Constraints: ext-1 | |
![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |
![]() ![]() ![]() |
0..1 | Extension | R5: Result of the adjudication (new) Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
1..1 | uri | "decision" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Result of the adjudication Binding: R5ClaimDecisionForR4B (0.1.0) (example) | |
![]() ![]() ![]() |
0..* | Extension | R5: Reason for result of the adjudication (new) Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
1..1 | uri | "reason" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Reason for result of the adjudication Binding: R5ClaimDecisionReasonForR4B (0.1.0) (example) | |
![]() ![]() ![]() |
0..1 | Extension | R5: Preauthorization reference (new) Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
1..1 | uri | "preAuthRef" | |
![]() ![]() ![]() ![]() |
0..1 | string | Preauthorization reference | |
![]() ![]() ![]() |
0..1 | Extension | R5: Preauthorization reference effective period (new) Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
1..1 | uri | "preAuthPeriod" | |
![]() ![]() ![]() ![]() |
0..1 | Period | Preauthorization reference effective period | |
![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.reviewOutcome" | |
Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: R5: ExplanationOfBenefit.item.reviewOutcome (new:BackboneElement)
ExplanationOfBenefit.item.reviewOutcome.decision (new:CodeableConcept)ExplanationOfBenefit.item.reviewOutcome.reason (new:CodeableConcept)ExplanationOfBenefit.item.reviewOutcome.preAuthRef (new:string)ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod (new:Period)Maturity: 0
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..1 | Extension(4.3.0) | R5: Adjudication results (new) | |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
0..1 | Extension | R5: Result of the adjudication (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "decision" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Result of the adjudication Binding: R5ClaimDecisionForR4B (0.1.0) (example) | |
![]() ![]() ![]() |
0..* | Extension | R5: Reason for result of the adjudication (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "reason" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Reason for result of the adjudication Binding: R5ClaimDecisionReasonForR4B (0.1.0) (example) | |
![]() ![]() ![]() |
0..1 | Extension | R5: Preauthorization reference (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "preAuthRef" | |
![]() ![]() ![]() ![]() |
0..1 | string | Preauthorization reference | |
![]() ![]() ![]() |
0..1 | Extension | R5: Preauthorization reference effective period (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "preAuthPeriod" | |
![]() ![]() ![]() ![]() |
0..1 | Period | Preauthorization reference effective period | |
![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.reviewOutcome" | |
![]() ![]() |
0..0 | Value of extension | ||
Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..1 | Extension(4.3.0) | R5: Adjudication results (new) Constraints: ext-1 | |
![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |
![]() ![]() ![]() |
0..1 | Extension | R5: Result of the adjudication (new) Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
1..1 | uri | "decision" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Result of the adjudication Binding: R5ClaimDecisionForR4B (0.1.0) (example) | |
![]() ![]() ![]() |
0..* | Extension | R5: Reason for result of the adjudication (new) Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
1..1 | uri | "reason" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Reason for result of the adjudication Binding: R5ClaimDecisionReasonForR4B (0.1.0) (example) | |
![]() ![]() ![]() |
0..1 | Extension | R5: Preauthorization reference (new) Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
1..1 | uri | "preAuthRef" | |
![]() ![]() ![]() ![]() |
0..1 | string | Preauthorization reference | |
![]() ![]() ![]() |
0..1 | Extension | R5: Preauthorization reference effective period (new) Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |
![]() ![]() ![]() ![]() |
1..1 | uri | "preAuthPeriod" | |
![]() ![]() ![]() ![]() |
0..1 | Period | Preauthorization reference effective period | |
![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.reviewOutcome" | |
Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: R5: ExplanationOfBenefit.item.reviewOutcome (new:BackboneElement)
ExplanationOfBenefit.item.reviewOutcome.decision (new:CodeableConcept)ExplanationOfBenefit.item.reviewOutcome.reason (new:CodeableConcept)ExplanationOfBenefit.item.reviewOutcome.preAuthRef (new:string)ExplanationOfBenefit.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 R4B | 📍0.1.0 | This IG |
| Extension.extension:reason.value[x] | Base | example | Cross-version ValueSet R5.ClaimAdjudicationDecisionReasonCodes for use in FHIR R4B | 📍0.1.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | Extension, Extension.extension, Extension.extension:decision, Extension.extension:decision.extension, Extension.extension:decision.value[x], Extension.extension:reason, Extension.extension:reason.extension, Extension.extension:reason.value[x], Extension.extension:preAuthRef, Extension.extension:preAuthRef.extension, Extension.extension:preAuthRef.value[x], Extension.extension:preAuthPeriod, Extension.extension:preAuthPeriod.extension, Extension.extension:preAuthPeriod.value[x] | All FHIR elements must have a @value or children unless an empty Parameters resource |
hasValue() or (children().count() > id.count()) or $this is Parameters
|
| ext-1 | error | Extension, Extension.extension, Extension.extension:decision, Extension.extension:decision.extension, Extension.extension:reason, Extension.extension:reason.extension, Extension.extension:preAuthRef, Extension.extension:preAuthRef.extension, Extension.extension:preAuthPeriod, Extension.extension:preAuthPeriod.extension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|