ESMD FHIR Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Extension: ESMD Response Type Category
| Official URL: https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ResponseTypeCategory | Version: 1.0.0 | |||
| Active as of 2024-02-25 | Computable Name: EsmdExtResponseTypeCategory | |||
The Esmd-Ext-ResponseTypeCategory is a custom esMD FHIR resource that is used to classify the type of response that is expected for a particular submission such as: approval, denial, or request for additional information. Health Information Handlers (HIHs) receive the ResponseTypeCategory along with notifications and payload bundles when retrieving them from the esMD system. By categorizing responses, the esMD process streamlines the claim review process by improving clarity, thereby enabling Review Contractors (RCs) and submitting entities to efficiently process and respond to the submitted clinical documentation.
Context of Use
-
Element ID:
List -
Element ID:
DocumentReference
This extension may be used on the following element(s):
Usage info
Usage:
- Use this Extension: Esmd List SubmissionSet Profile
- Examples for this Extension: Bundle/TC001-BundleSubmission-Requestid1, Bundle/TC001-BundleSubmission, Bundle/TC0012-BundleSubmission-PWK, Bundle/TC0013-BundleSubmission-Ambulance... Show 8 more
Formal Views of Extension Content
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Extension |
0..* | Extension | ESMD Response Type Category | |
  id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..0 | |||
| url |
1..1 | uri | "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ResponseTypeCategory" | |
 value[x] |
1..1 | string | Value of extension | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Simple Extension of type string: The Esmd-Ext-ResponseTypeCategory is a custom esMD FHIR resource that is used to classify the type of response that is expected for a particular submission such as: approval, denial, or request for additional information. Health Information Handlers (HIHs) receive the ResponseTypeCategory along with notifications and payload bundles when retrieving them from the esMD system. By categorizing responses, the esMD process streamlines the claim review process by improving clarity, thereby enabling Review Contractors (RCs) and submitting entities to efficiently process and respond to the submitted clinical documentation.
Differential View
This structure is derived from Extension
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
0..* | Extension | ESMD Response Type Category | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Ext-ResponseTypeCategory" | |
| value[x] |
1..1 | string | Value of extension | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Simple Extension of type string: The Esmd-Ext-ResponseTypeCategory is a custom esMD FHIR resource that is used to classify the type of response that is expected for a particular submission such as: approval, denial, or request for additional information. Health Information Handlers (HIHs) receive the ResponseTypeCategory along with notifications and payload bundles when retrieving them from the esMD system. By categorizing responses, the esMD process streamlines the claim review process by improving clarity, thereby enabling Review Contractors (RCs) and submitting entities to efficiently process and respond to the submitted clinical documentation.
Other representations of profile: CSV, Excel, Schematron
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |