Left: | PAS Claim Update (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-update) |
Right: | PAS Claim Update (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-update) |
Error | StructureDefinition.version | Values for version differ: '1.0.0' vs '1.1.0' |
Information | StructureDefinition.date | Values for date differ: '2020-12-20T18:54:26+00:00' vs '2021-12-20T21:46:38+00:00' |
Warning | Claim.identifier | Elements differ in short: 'Business Identifier for claim' 'An identifier intended for computation' |
Warning | Claim.identifier | Elements differ in definition: 'A unique identifier assigned to this claim.' 'An identifier - identifies some entity uniquely and unambiguously. Typically this is used for business identifiers.' |
Warning | Claim.careTeam.extension | Elements differ in short: 'Additional content defined by implementations' 'Extension' |
Warning | Claim.careTeam.extension | Elements differ in definition: '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.' 'An Extension' |
Warning | Claim.careTeam.role | Elements differ in binding.description: 'Codes identifying a provider specialty. 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.' 'The role codes for the care team members.' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim | ||
copyright | |||
date | 2020-12-20T18:54:26+00:00 | 2021-12-20T21:46:38+00:00 |
|
description | PAS constraints on Claim resource when submitting an update to a previous PAS prior authorization request | ||
experimental | |||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | resource | ||
name | PASClaimUpdate | ||
publisher | HL7 International - Financial Management Work Group | ||
purpose | |||
status | active | ||
title | PAS Claim Update | ||
type | Claim | ||
url | http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-update | ||
version | 1.0.0 | 1.1.0 |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments |
---|---|---|---|---|---|---|---|---|---|
Claim | |||||||||
id | Σ | Σ | |||||||
meta | Σ | Σ | |||||||
implicitRules | ?!Σ | ?!Σ | |||||||
language | |||||||||
text | |||||||||
contained | |||||||||
Slices for extension | Extension | Extension | |||||||
modifierExtension | ?! | ?! | |||||||
identifier | S | S |
| ||||||
id | |||||||||
Slices for extension | Extension | Extension | |||||||
use | ?!Σ | ?!Σ | |||||||
type | Σ | Σ | |||||||
system | Σ | Σ | |||||||
value | Σ | Σ | |||||||
period | Σ | Σ | |||||||
assigner | Σ | Σ | |||||||
status | ?!Σ | ?!Σ | |||||||
type | Σ | Σ | |||||||
subType | |||||||||
use | Σ | Σ | |||||||
patient | Σ | Σ | |||||||
billablePeriod | Σ | Σ | |||||||
created | Σ | Σ | |||||||
enterer | |||||||||
insurer | SΣ | SΣ | |||||||
provider | SΣ | SΣ | |||||||
priority | Σ | Σ | |||||||
fundsReserve | |||||||||
related | |||||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
claim | |||||||||
relationship | |||||||||
reference | |||||||||
prescription | |||||||||
originalPrescription | |||||||||
payee | |||||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
type | |||||||||
party | |||||||||
referral | |||||||||
facility | |||||||||
careTeam | S | S | |||||||
id | |||||||||
extension | Extension | Extension |
| ||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
sequence | S | S | |||||||
provider | S | S | |||||||
responsible | |||||||||
role | S | S |
| ||||||
qualification | S | S | |||||||
Slices for supportingInfo | S | S | |||||||
id | |||||||||
Slices for extension | Extension | Extension | |||||||
Slices for modifierExtension | ?!Σ | ?!Σ | |||||||
sequence | S | S | |||||||
category | S | S | |||||||
code | |||||||||
timing[x] | |||||||||
value[x] | |||||||||
reason | |||||||||
diagnosis | S | S | |||||||
id | |||||||||
Slices for extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
sequence | S | S | |||||||
Slices for diagnosis[x] | S | S | |||||||
type | S | S | |||||||
onAdmission | |||||||||
packageCode | |||||||||
procedure | |||||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
sequence | |||||||||
type | |||||||||
date | |||||||||
procedure[x] | |||||||||
udi | |||||||||
insurance | SΣ | SΣ | |||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
sequence | SΣ | SΣ | |||||||
focal | Σ | Σ | |||||||
identifier | |||||||||
coverage | SΣ | SΣ | |||||||
businessArrangement | |||||||||
preAuthRef | |||||||||
claimResponse | |||||||||
accident | S | S | |||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
date | S | S | |||||||
type | S | S | |||||||
location[x] | |||||||||
item | S | S | |||||||
id | |||||||||
Slices for extension | Extension | Extension | |||||||
Slices for modifierExtension | ?!Σ | ?!Σ | |||||||
sequence | S | S | |||||||
careTeamSequence | S | S | |||||||
diagnosisSequence | S | S | |||||||
procedureSequence | |||||||||
informationSequence | S | S | |||||||
revenue | S | S | |||||||
category | S | S | |||||||
productOrService | S | S | |||||||
modifier | S | S | |||||||
programCode | |||||||||
serviced[x] | S | S | |||||||
Slices for location[x] | S | S | |||||||
quantity | S | S | |||||||
unitPrice | S | S | |||||||
factor | |||||||||
net | |||||||||
udi | |||||||||
bodySite | |||||||||
subSite | |||||||||
encounter | |||||||||
detail | |||||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
sequence | |||||||||
revenue | |||||||||
category | |||||||||
productOrService | |||||||||
modifier | |||||||||
programCode | |||||||||
quantity | |||||||||
unitPrice | |||||||||
factor | |||||||||
net | |||||||||
udi | |||||||||
subDetail | |||||||||
id | |||||||||
extension | Extension | Extension | |||||||
modifierExtension | ?!Σ | ?!Σ | |||||||
sequence | |||||||||
revenue | |||||||||
category | |||||||||
productOrService | |||||||||
modifier | |||||||||
programCode | |||||||||
quantity | |||||||||
unitPrice | |||||||||
factor | |||||||||
net | |||||||||
udi | |||||||||
total | |||||||||
Documentation for this format |