description: This cross-version extension represents ClaimResponse.item.reviewOutcome from http://hl7.org/fhir/StructureDefinition/ClaimResponse|5.0.0 for use in FHIR R4.
package_name: hl7.fhir.uv.xver-r5.r4
derivation: constraint
name: Ext_R5_ClaimResponse_it_reviewOutcome
type: Extension
elements:
  extension:
    base: {max: '*', min: 0, path: Extension.extension}
    array: true
    index: 0
    slicing:
      rules: closed
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: 0
      slices:
        decision:
          match: {url: decision}
          schema:
            base: {max: '*', min: 0, path: Extension.extension}
            short: Result of the adjudication
            index: 1
            elements:
              url:
                base: {max: '1', min: 1, path: Extension.url}
                pattern: {type: Uri, value: decision}
                index: 2
              value:
                base: {max: '1', min: 0, path: 'Extension.value[x]'}
                short: Result of the adjudication
                choices: [valueCodeableConcept]
                index: 4
              valueCodeableConcept:
                base: {max: '1', min: 0, path: 'Extension.value[x]'}
                type: CodeableConcept
                short: Result of the adjudication
                choiceOf: value
                index: 5
            required: [url]
        reason:
          match: {url: reason}
          schema:
            base: {max: '*', min: 0, path: Extension.extension}
            short: Reason for result of the adjudication
            array: true
            index: 6
            elements:
              url:
                base: {max: '1', min: 1, path: Extension.url}
                pattern: {type: Uri, value: reason}
                index: 7
              value:
                base: {max: '1', min: 0, path: 'Extension.value[x]'}
                short: Reason for result of the adjudication
                choices: [valueCodeableConcept]
                index: 9
              valueCodeableConcept:
                base: {max: '1', min: 0, path: 'Extension.value[x]'}
                type: CodeableConcept
                short: Reason for result of the adjudication
                choiceOf: value
                index: 10
            required: [url]
        preAuthRef:
          match: {url: preAuthRef}
          schema:
            base: {max: '*', min: 0, path: Extension.extension}
            short: Preauthorization reference
            index: 11
            elements:
              url:
                base: {max: '1', min: 1, path: Extension.url}
                pattern: {type: Uri, value: preAuthRef}
                index: 12
              value:
                base: {max: '1', min: 0, path: 'Extension.value[x]'}
                short: Preauthorization reference
                choices: [valueString]
                index: 14
              valueString:
                base: {max: '1', min: 0, path: 'Extension.value[x]'}
                type: string
                short: Preauthorization reference
                choiceOf: value
                index: 15
            required: [url]
        preAuthPeriod:
          match: {url: preAuthPeriod}
          schema:
            base: {max: '*', min: 0, path: Extension.extension}
            short: Preauthorization reference effective period
            index: 16
            elements:
              url:
                base: {max: '1', min: 1, path: Extension.url}
                pattern: {type: Uri, value: preAuthPeriod}
                index: 17
              value:
                base: {max: '1', min: 0, path: 'Extension.value[x]'}
                short: Preauthorization reference effective period
                choices: [valuePeriod]
                index: 19
              valuePeriod:
                base: {max: '1', min: 0, path: 'Extension.value[x]'}
                type: Period
                short: Preauthorization reference effective period
                choiceOf: value
                index: 20
            required: [url]
  url:
    base: {max: '1', min: 1, path: Extension.url}
    pattern: {type: Uri, value: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome'}
    index: 21
package_version: 0.0.1-snapshot-2
extensions:
  decision:
    url: decision
    base: {max: '*', min: 0, path: Extension.extension}
    short: Result of the adjudication
    index: 1
    elements:
      url:
        base: {max: '1', min: 1, path: Extension.url}
        pattern: {type: Uri, value: decision}
        index: 2
      value:
        base: {max: '1', min: 0, path: 'Extension.value[x]'}
        short: Result of the adjudication
        choices: [valueCodeableConcept]
        index: 4
      valueCodeableConcept:
        base: {max: '1', min: 0, path: 'Extension.value[x]'}
        type: CodeableConcept
        short: Result of the adjudication
        choiceOf: value
        index: 5
    required: [url]
  reason:
    url: reason
    base: {max: '*', min: 0, path: Extension.extension}
    short: Reason for result of the adjudication
    array: true
    index: 6
    elements:
      url:
        base: {max: '1', min: 1, path: Extension.url}
        pattern: {type: Uri, value: reason}
        index: 7
      value:
        base: {max: '1', min: 0, path: 'Extension.value[x]'}
        short: Reason for result of the adjudication
        choices: [valueCodeableConcept]
        index: 9
      valueCodeableConcept:
        base: {max: '1', min: 0, path: 'Extension.value[x]'}
        type: CodeableConcept
        short: Reason for result of the adjudication
        choiceOf: value
        index: 10
    required: [url]
  preAuthRef:
    url: preAuthRef
    base: {max: '*', min: 0, path: Extension.extension}
    short: Preauthorization reference
    index: 11
    elements:
      url:
        base: {max: '1', min: 1, path: Extension.url}
        pattern: {type: Uri, value: preAuthRef}
        index: 12
      value:
        base: {max: '1', min: 0, path: 'Extension.value[x]'}
        short: Preauthorization reference
        choices: [valueString]
        index: 14
      valueString:
        base: {max: '1', min: 0, path: 'Extension.value[x]'}
        type: string
        short: Preauthorization reference
        choiceOf: value
        index: 15
    required: [url]
  preAuthPeriod:
    url: preAuthPeriod
    base: {max: '*', min: 0, path: Extension.extension}
    short: Preauthorization reference effective period
    index: 16
    elements:
      url:
        base: {max: '1', min: 1, path: Extension.url}
        pattern: {type: Uri, value: preAuthPeriod}
        index: 17
      value:
        base: {max: '1', min: 0, path: 'Extension.value[x]'}
        short: Preauthorization reference effective period
        choices: [valuePeriod]
        index: 19
      valuePeriod:
        base: {max: '1', min: 0, path: 'Extension.value[x]'}
        type: Period
        short: Preauthorization reference effective period
        choiceOf: value
        index: 20
    required: [url]
class: extension
kind: complex-type
url: http://hl7.org/fhir/5.0/StructureDefinition/extension-ClaimResponse.item.reviewOutcome
base: http://hl7.org/fhir/StructureDefinition/Extension|4.0.1
version: 0.0.1-snapshot-2
required: [url]