Da Vinci Prior Authorization Support (PAS) FHIR IG
1.0.0 - STU 1

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Extension: AuthorizedItemDetail - Mappings

Mappings for the extension-itemAuthorizedDetail extension.

Mappings for RIM Mapping (http://hl7.org/v3)

AuthorizedItemDetail
Extension
   idn/a
   extensionn/a
   extension (productOrServiceCode)
      idn/a
      urlN/A
      value[x]N/A
      value[x] (valueCodeableConcept)N/A
   extension (productOrServiceCodeEnd)n/a, N/A
   extension (modifier)
      idn/a
      urlN/A
      value[x]N/A
      value[x] (valueCodeableConcept)N/A
   extension (unitPrice)
      idn/a
      urlN/A
      value[x]N/A
   extension (quantity)
      idn/a
      urlN/A
      value[x]n/a, PQ, IVL<PQ>, MO, CO, depending on the values
   extension (epsdtIndicator)n/a, N/A
   extension (nursingHomeLevelOfCare)n/a, N/A
   extension (revenue)
      idn/a
      urlN/A
      value[x]N/A
      value[x] (valueCodeableConcept)N/A
   extension (revenueUnitRateLimit)n/a, N/A
   extension (authorizedService)n/a, N/A
   urlN/A