description: The details of what has been authorized for this item if different from what was requested.
package_name: hl7.fhir.us.davinci-pas
derivation: constraint
name: ItemAuthorizedDetail
type: Extension
elements:
  extension:
    index: 0
    slicing:
      slices:
        modifier:
          match: {}
          schema:
            array: true
            index: 8
            extensions: {}
            elements:
              extension: {index: 9}
              url:
                pattern: {type: Uri, value: modifier}
                index: 10
              value:
                choices: [valueCodeableConcept]
                index: 12
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 13}
        revenue:
          match: {}
          schema:
            index: 29
            extensions: {}
            elements:
              extension: {index: 30}
              url:
                pattern: {type: Uri, value: revenue}
                index: 31
              value:
                choices: [valueCodeableConcept]
                index: 33
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 34}
        nursingHomeLevelOfCare:
          match: {}
          schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare', index: 28}
          min: 0
          max: 1
        productOrServiceCodeEnd:
          match: {}
          schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd', index: 7}
          min: 0
          max: 1
        epsdtIndicator:
          match: {}
          schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator', index: 27}
          min: 0
          max: 1
        revenueUnitRateLimit:
          match: {}
          schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit', index: 36}
          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: 21
            extensions: {}
            elements:
              extension: {index: 22}
              url:
                pattern: {type: Uri, value: quantity}
                index: 23
              value:
                choices: [valueQuantity]
                index: 25
              valueQuantity: {type: Quantity, choiceOf: value, index: 26}
        authorizedService:
          match: {}
          schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService', index: 37}
          min: 0
          max: 1
        unitPrice:
          match: {}
          schema:
            index: 15
            extensions: {}
            elements:
              extension: {index: 16}
              url:
                pattern: {type: Uri, value: unitPrice}
                index: 17
              value:
                choices: [valueMoney]
                index: 19
              valueMoney: {type: Money, choiceOf: value, index: 20}
  url:
    pattern: {type: Uri, value: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail'}
    index: 38
  value:
    choices: []
    index: 40
package_version: 1.2.0-ballot
extensions:
  modifier:
    url: null
    array: true
    index: 8
    extensions: {}
    elements:
      extension: {index: 9}
      url:
        pattern: {type: Uri, value: modifier}
        index: 10
      value:
        choices: [valueCodeableConcept]
        index: 12
      valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 13}
  revenue:
    url: null
    index: 29
    extensions: {}
    elements:
      extension: {index: 30}
      url:
        pattern: {type: Uri, value: revenue}
        index: 31
      value:
        choices: [valueCodeableConcept]
        index: 33
      valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 34}
  nursingHomeLevelOfCare: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare', min: 0, max: 1, type: Extension, index: 28}
  productOrServiceCodeEnd: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd', min: 0, max: 1, type: Extension, index: 7}
  epsdtIndicator: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator', min: 0, max: 1, type: Extension, index: 27}
  revenueUnitRateLimit: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit', min: 0, max: 1, type: Extension, index: 36}
  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: 21
    extensions: {}
    elements:
      extension: {index: 22}
      url:
        pattern: {type: Uri, value: quantity}
        index: 23
      value:
        choices: [valueQuantity]
        index: 25
      valueQuantity: {type: Quantity, choiceOf: value, index: 26}
  authorizedService: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService', min: 0, max: 1, type: Extension, index: 37}
  unitPrice:
    url: null
    index: 15
    extensions: {}
    elements:
      extension: {index: 16}
      url:
        pattern: {type: Uri, value: unitPrice}
        index: 17
      value:
        choices: [valueMoney]
        index: 19
      valueMoney: {type: Money, choiceOf: value, index: 20}
class: extension
kind: complex-type
url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail
base: http://hl7.org/fhir/StructureDefinition/Extension
version: 1.2.0-ballot