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: ReviewAction

The details of the review action that is necessary for the authorization.

The official URL for this extension is: 

http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction

Status: active
Extension maintained by: HL7 International - Financial Management Work Group

Context of Use

This extension may be used on the following element(s):

  • Element

Usage info

Usage:

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Fixed Value: 4 elements
Prohibited: 4 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Extension.extension.value[x] is sliced based on the value of type:$this

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionExtension
... extension-reviewActionCode 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode
Binding: https://valueset.x12.org/x217/005010/response/2000F/HCR/1/01/00/306 (required): Codes indicating type of action. 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.

... extension:number 0..1ExtensionExtension
.... extension 0..0
.... url 1..1uri"number"
.... value[x] 0..1stringValue of extension
... extension:reasonCode 0..1ExtensionExtension
.... extension 0..0
.... url 1..1uri"reasonCode"
.... value[x] 0..1(Slice Definition)Value of extension
Slice: Unordered, Open by type:$this
.... valueCodeableConcept 0..1CodeableConceptValue of extension
Binding: X12 278 Review Descision Reason Codes (required)
.... extension 0..0
.... url 1..1uri"secondSurgicalOpinionFlag"
.... value[x] 0..1booleanValue of extension
... url 1..1uri"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction"
... value[x] 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionExtension
... id 0..1stringUnique id for inter-element referencing
... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... extension-reviewActionCode 0..1CodeableConceptOptional Extensions Element
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode
Binding: https://valueset.x12.org/x217/005010/response/2000F/HCR/1/01/00/306 (required): Codes indicating type of action. 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.


.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"number"
.... value[x] 0..1stringValue of extension
... extension:reasonCode 0..1ExtensionExtension
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"reasonCode"
.... value[x] 0..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept 0..1CodeableConceptValue of extension
Binding: X12 278 Review Descision Reason Codes (required)
... extension:secondSurgicalOpinionFlag 0..1ExtensionExtension
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"secondSurgicalOpinionFlag"
.... value[x] 0..1booleanValue of extension
... url 1..1uri"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction"

doco Documentation for this format

This structure is derived from Extension

Summary

Fixed Value: 4 elements
Prohibited: 4 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Extension.extension.value[x] is sliced based on the value of type:$this

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionExtension
... extension-reviewActionCode 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode
Binding: https://valueset.x12.org/x217/005010/response/2000F/HCR/1/01/00/306 (required): Codes indicating type of action. 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.

... extension:number 0..1ExtensionExtension
.... extension 0..0
.... url 1..1uri"number"
.... value[x] 0..1stringValue of extension
... extension:reasonCode 0..1ExtensionExtension
.... extension 0..0
.... url 1..1uri"reasonCode"
.... value[x] 0..1(Slice Definition)Value of extension
Slice: Unordered, Open by type:$this
.... valueCodeableConcept 0..1CodeableConceptValue of extension
Binding: X12 278 Review Descision Reason Codes (required)
.... extension 0..0
.... url 1..1uri"secondSurgicalOpinionFlag"
.... value[x] 0..1booleanValue of extension
... url 1..1uri"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction"
... value[x] 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionExtension
... id 0..1stringUnique id for inter-element referencing
... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... extension-reviewActionCode 0..1CodeableConceptOptional Extensions Element
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode
Binding: https://valueset.x12.org/x217/005010/response/2000F/HCR/1/01/00/306 (required): Codes indicating type of action. 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.


.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"number"
.... value[x] 0..1stringValue of extension
... extension:reasonCode 0..1ExtensionExtension
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"reasonCode"
.... value[x] 0..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept 0..1CodeableConceptValue of extension
Binding: X12 278 Review Descision Reason Codes (required)
... extension:secondSurgicalOpinionFlag 0..1ExtensionExtension
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"secondSurgicalOpinionFlag"
.... value[x] 0..1booleanValue of extension
... url 1..1uri"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction"

doco Documentation for this format

 

Other representations of extension: Schematron

Terminology Bindings

PathConformanceValueSet
Extension.extension:reasonCode.value[x]:valueCodeableConceptrequiredX12278ReviewDecisionReasonCode