description: The details of what has been authorized for this item if different from what was requested.
package_name: hl7.fhir.us.davinci
derivation: constraint
name: ItemAuthorizedDetail
type: Extension
elements:
  extension:
    index: 0
    slicing:
      slices:
        modifier:
          match: {}
          schema:
            array: true
            index: 7
            extensions: {}
            elements:
              extension: {index: 8}
              url:
                pattern: {type: Uri, value: modifier}
                index: 9
              value:
                choices: [valueCodeableConcept]
                index: 11
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 12}
        revenue:
          match: {}
          schema:
            index: 27
            extensions: {}
            elements:
              extension: {index: 28}
              url:
                pattern: {type: Uri, value: revenue}
                index: 29
              value:
                choices: [valueCodeableConcept]
                index: 31
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 32}
        nursingHomeLevelOfCare:
          match: {}
          schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare', index: 26}
          min: 0
          max: 1
        productOrServiceCodeEnd:
          match: {}
          schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd', index: 6}
          min: 0
          max: 1
        epsdtIndicator:
          match: {}
          schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator', index: 25}
          min: 0
          max: 1
        revenueUnitRateLimit:
          match: {}
          schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit', index: 33}
          min: 0
          max: 1
        productOrServiceCode:
          match: {}
          schema:
            index: 0
            extensions: {}
            elements:
              extension: {index: 1}
              url:
                pattern: {type: Uri, value: productOrServiceCode}
                index: 2
              value:
                choices: [valueCodeableConcept]
                index: 4
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 5}
        quantity:
          match: {}
          schema:
            index: 19
            extensions: {}
            elements:
              extension: {index: 20}
              url:
                pattern: {type: Uri, value: quantity}
                index: 21
              value:
                choices: [valueQuantity]
                index: 23
              valueQuantity: {type: Quantity, choiceOf: value, index: 24}
        authorizedService:
          match: {}
          schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService', index: 34}
          min: 0
          max: 1
        unitPrice:
          match: {}
          schema:
            index: 13
            extensions: {}
            elements:
              extension: {index: 14}
              url:
                pattern: {type: Uri, value: unitPrice}
                index: 15
              value:
                choices: [valueMoney]
                index: 17
              valueMoney: {type: Money, choiceOf: value, index: 18}
  url:
    pattern: {type: Uri, value: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail'}
    index: 35
  value:
    choices: []
    index: 37
package_version: pas-2.0.1
extensions:
  modifier:
    url: null
    array: true
    index: 7
    extensions: {}
    elements:
      extension: {index: 8}
      url:
        pattern: {type: Uri, value: modifier}
        index: 9
      value:
        choices: [valueCodeableConcept]
        index: 11
      valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 12}
  revenue:
    url: null
    index: 27
    extensions: {}
    elements:
      extension: {index: 28}
      url:
        pattern: {type: Uri, value: revenue}
        index: 29
      value:
        choices: [valueCodeableConcept]
        index: 31
      valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 32}
  nursingHomeLevelOfCare: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare', min: 0, max: 1, type: Extension, index: 26}
  productOrServiceCodeEnd: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd', min: 0, max: 1, type: Extension, index: 6}
  epsdtIndicator: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator', min: 0, max: 1, type: Extension, index: 25}
  revenueUnitRateLimit: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit', min: 0, max: 1, type: Extension, index: 33}
  productOrServiceCode:
    url: null
    index: 0
    extensions: {}
    elements:
      extension: {index: 1}
      url:
        pattern: {type: Uri, value: productOrServiceCode}
        index: 2
      value:
        choices: [valueCodeableConcept]
        index: 4
      valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 5}
  quantity:
    url: null
    index: 19
    extensions: {}
    elements:
      extension: {index: 20}
      url:
        pattern: {type: Uri, value: quantity}
        index: 21
      value:
        choices: [valueQuantity]
        index: 23
      valueQuantity: {type: Quantity, choiceOf: value, index: 24}
  authorizedService: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService', min: 0, max: 1, type: Extension, index: 34}
  unitPrice:
    url: null
    index: 13
    extensions: {}
    elements:
      extension: {index: 14}
      url:
        pattern: {type: Uri, value: unitPrice}
        index: 15
      value:
        choices: [valueMoney]
        index: 17
      valueMoney: {type: Money, choiceOf: value, index: 18}
class: extension
kind: complex-type
url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail
base: http://hl7.org/fhir/StructureDefinition/Extension
version: 2.0.1