Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.1 - release
Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.1 - release
Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/review-outcome | Version: 0.4.1 | |||
| Active as of 2025-08-31 | Computable Name: ReviewOutcome | |||
Result of adjudication for this item
Context of Use
This extension may be used on the following element(s)
ClaimResponse.item
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
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 Filter:   |
|---|---|---|---|---|
  Extension |
0..* | Extension | Review Outcome | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:decision |
0..1 | Extension | Extension | |
   extension |
0..0 | |||
| url |
1..1 | uri | "decision" | |
  value[x] |
0..1 | CodeableConcept | Value of extension Binding: Claim Decision Codes (required) | |
 extension:reason |
0..* | Extension | Extension | |
 extension |
0..0 | |||
| url |
1..1 | uri | "reason" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Claim Decision Reason Codes (required) | |
 url |
1..1 | uri | "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/review-outcome" | |
 value[x] |
0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Review Outcome | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| extension:decision |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "decision" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Claim Decision Codes (required) | |
| extension:reason |
0..* | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "reason" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Claim Decision Reason Codes (required) | |
| url |
1..1 | uri | "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/review-outcome" | |
| Documentation for this format | ||||
This structure is derived from Extension
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Review Outcome | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:decision |
0..1 | Extension | Extension | |
| extension |
0..0 | |||
| url |
1..1 | uri | "decision" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Claim Decision Codes (required) | |
| extension:reason |
0..* | Extension | Extension | |
| extension |
0..0 | |||
| url |
1..1 | uri | "reason" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Claim Decision Reason Codes (required) | |
| url |
1..1 | uri | "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/review-outcome" | |
| value[x] |
0..0 | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Review Outcome | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| extension:decision |
0..1 | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "decision" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Claim Decision Codes (required) | |
| extension:reason |
0..* | Extension | Extension | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "reason" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Claim Decision Reason Codes (required) | |
| url |
1..1 | uri | "https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/review-outcome" | |
| Documentation for this format | ||||
This structure is derived from Extension
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet | URI |
| Extension.extension:decision.value[x] | required | ClaimDecisionCodes(a valid code from Claim Decision Code System)https://fhir-ig.digital.health.nz/shared-care/ValueSet/claim-decision-codesFrom this IG | |
| Extension.extension:reason.value[x] | required | ClaimDecisionReasonCodes(a valid code from Claim Decision Reason Code System)https://fhir-ig.digital.health.nz/shared-care/ValueSet/claim-decision-reason-codesFrom this IG |
| 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() |