Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2
Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 3 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="PASTempCodes"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes</code> defines the following codes in a Is-A heirarchy:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">provider-src<a name="PASTempCodes-provider-src"> </a></td><td>Provider-sourced</td><td>The metric information was captured from the provider system's perspective</td></tr><tr><td style="white-space:nowrap">payer-src<a name="PASTempCodes-payer-src"> </a></td><td>Payer-sourced</td><td>The metric information was captured from the payer system's perspective</td></tr><tr><td style="white-space:nowrap">intermediary-src<a name="PASTempCodes-intermediary-src"> </a></td><td>Intermediary-sourced</td><td>The metric information was captured from the intermediary system's perspective</td></tr><tr><td style="white-space:nowrap">changed<a name="PASTempCodes-changed"> </a></td><td>Changed</td><td>Previously sent information has been changed.</td></tr><tr><td style="white-space:nowrap">added<a name="PASTempCodes-added"> </a></td><td>Added</td><td>New information that was not sent previously.</td></tr><tr><td style="white-space:nowrap">patientEvent<a name="PASTempCodes-patientEvent"> </a></td><td>Patient Event</td><td>Information about the dates of the event that are being requested.</td></tr><tr><td style="white-space:nowrap">admissionDates<a name="PASTempCodes-admissionDates"> </a></td><td>Admission Dates</td><td>Information about the admission dates of a hospital admission being requested.</td></tr><tr><td style="white-space:nowrap">dischargeDates<a name="PASTempCodes-dischargeDates"> </a></td><td>Discharge Dates</td><td>Information about discharge dates of a hospital admission being requested.</td></tr><tr><td style="white-space:nowrap">additionalInformation<a name="PASTempCodes-additionalInformation"> </a></td><td>Additional Information</td><td>Send additional paperwork or supporting information for the request.</td></tr><tr><td style="white-space:nowrap">freeFormMessage<a name="PASTempCodes-freeFormMessage"> </a></td><td>Free Form Message</td><td>Send text messages to the UMO.</td></tr><tr><td style="white-space:nowrap">institutionalEncounter<a name="PASTempCodes-institutionalEncounter"> </a></td><td>Institutional Encounter</td><td>Information about a hospital claim being requested.</td></tr><tr><td style="white-space:nowrap">result-available<a name="PASTempCodes-result-available"> </a></td><td>Result Available</td><td>A new result for a PAS submission is now available.</td></tr><tr><td style="white-space:nowrap">admitting<a name="PASTempCodes-admitting"> </a></td><td>Admitting</td><td>The diagnosis given as the reason why the patient was admitted to the hospital.</td></tr><tr><td style="white-space:nowrap">principal<a name="PASTempCodes-principal"> </a></td><td>Principal</td><td>The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment.</td></tr><tr><td style="white-space:nowrap">patientreasonforvisit<a name="PASTempCodes-patientreasonforvisit"> </a></td><td>Patient Reason For Visit</td><td>The diagnosis given as why the patient came to the hospital.</td></tr><tr><td style="white-space:nowrap">CDEX<a name="PASTempCodes-CDEX"> </a></td><td>CDex Submit-Attachment</td><td>Via a CDex Submitt-Attachment operation</td></tr><tr><td style="white-space:nowrap">attachment-request-code<a name="PASTempCodes-attachment-request-code"> </a></td><td>Attach Request Code</td><td>Attachments are identified by LOINC or PWK01 codes</td></tr><tr><td style="white-space:nowrap">attachment-request-questionnaire<a name="PASTempCodes-attachment-request-questionnaire"> </a></td><td>Attachment Request Questionnaire</td><td>Attachments are identified by a questionnaire using the TRN input parameter</td></tr><tr><td style="white-space:nowrap">priorAuthorization<a name="PASTempCodes-priorAuthorization"> </a></td><td>Prior Authorization Information Request</td><td>Additional information is needed to determine response for a prior authorization</td></tr><tr><td style="white-space:nowrap">payer-url<a name="PASTempCodes-payer-url"> </a></td><td>Payer URL</td><td>The Payer Endpoint URL needed to submit attachments</td></tr><tr><td style="white-space:nowrap">attachments-needed<a name="PASTempCodes-attachments-needed"> </a></td><td>Attachments Needed</td><td>Communicates what attachments are needed</td></tr><tr><td style="white-space:nowrap">questionnaires-needed<a name="PASTempCodes-questionnaires-needed"> </a></td><td>Questionnaires Needed</td><td>Communicates what questionnaires are needed</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fm"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="3">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"/>
</extension>
</valueCode>
</extension>
<url value="http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"/>
<version value="2.0.1"/>
<name value="PASTempCodes"/>
<title value="PAS Temporary Codes"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2024-01-08T15:41:12+00:00"/>
<publisher value="HL7 International / Financial Management"/>
<contact>
<name value="HL7 International / Financial Management"/>
<telecom>
<system value="url"/>
<value value="http://hl7.org/Special/committees/fm"/>
</telecom>
<telecom>
<system value="email"/>
<value value="fmlists@lists.hl7.org"/>
</telecom>
</contact>
<contact>
<name value="Jean Duteau"/>
<telecom>
<system value="email"/>
<value value="mailto:jean@duteaudesign.com"/>
</telecom>
</contact>
<contact>
<name value="HL7 International / Financial Management"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fm"/>
</telecom>
</contact>
<description
value="Codes temporarily defined as part of the PAS implementation guide. These will eventually migrate into an officially maintained terminology (likely either SNOMED CT or HL7's UTG code systems)."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
<display value="United States of America"/>
</coding>
</jurisdiction>
<caseSensitive value="true"/>
<hierarchyMeaning value="is-a"/>
<content value="complete"/>
<count value="22"/>
<concept>
<code value="provider-src"/>
<display value="Provider-sourced"/>
<definition
value="The metric information was captured from the provider system's perspective"/>
</concept>
<concept>
<code value="payer-src"/>
<display value="Payer-sourced"/>
<definition
value="The metric information was captured from the payer system's perspective"/>
</concept>
<concept>
<code value="intermediary-src"/>
<display value="Intermediary-sourced"/>
<definition
value="The metric information was captured from the intermediary system's perspective"/>
</concept>
<concept>
<code value="changed"/>
<display value="Changed"/>
<definition value="Previously sent information has been changed."/>
</concept>
<concept>
<code value="added"/>
<display value="Added"/>
<definition value="New information that was not sent previously."/>
</concept>
<concept>
<code value="patientEvent"/>
<display value="Patient Event"/>
<definition
value="Information about the dates of the event that are being requested."/>
</concept>
<concept>
<code value="admissionDates"/>
<display value="Admission Dates"/>
<definition
value="Information about the admission dates of a hospital admission being requested."/>
</concept>
<concept>
<code value="dischargeDates"/>
<display value="Discharge Dates"/>
<definition
value="Information about discharge dates of a hospital admission being requested."/>
</concept>
<concept>
<code value="additionalInformation"/>
<display value="Additional Information"/>
<definition
value="Send additional paperwork or supporting information for the request."/>
</concept>
<concept>
<code value="freeFormMessage"/>
<display value="Free Form Message"/>
<definition value="Send text messages to the UMO."/>
</concept>
<concept>
<code value="institutionalEncounter"/>
<display value="Institutional Encounter"/>
<definition value="Information about a hospital claim being requested."/>
</concept>
<concept>
<code value="result-available"/>
<display value="Result Available"/>
<definition value="A new result for a PAS submission is now available."/>
</concept>
<concept>
<code value="admitting"/>
<display value="Admitting"/>
<definition
value="The diagnosis given as the reason why the patient was admitted to the hospital."/>
</concept>
<concept>
<code value="principal"/>
<display value="Principal"/>
<definition
value="The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment."/>
</concept>
<concept>
<code value="patientreasonforvisit"/>
<display value="Patient Reason For Visit"/>
<definition
value="The diagnosis given as why the patient came to the hospital."/>
</concept>
<concept>
<code value="CDEX"/>
<display value="CDex Submit-Attachment"/>
<definition value="Via a CDex Submitt-Attachment operation"/>
</concept>
<concept>
<code value="attachment-request-code"/>
<display value="Attach Request Code"/>
<definition value="Attachments are identified by LOINC or PWK01 codes"/>
</concept>
<concept>
<code value="attachment-request-questionnaire"/>
<display value="Attachment Request Questionnaire"/>
<definition
value="Attachments are identified by a questionnaire using the TRN input parameter"/>
</concept>
<concept>
<code value="priorAuthorization"/>
<display value="Prior Authorization Information Request"/>
<definition
value="Additional information is needed to determine response for a prior authorization"/>
</concept>
<concept>
<code value="payer-url"/>
<display value="Payer URL"/>
<definition value="The Payer Endpoint URL needed to submit attachments"/>
</concept>
<concept>
<code value="attachments-needed"/>
<display value="Attachments Needed"/>
<definition value="Communicates what attachments are needed"/>
</concept>
<concept>
<code value="questionnaires-needed"/>
<display value="Questionnaires Needed"/>
<definition value="Communicates what questionnaires are needed"/>
</concept>
</CodeSystem>
IG © 2020+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pas#2.0.1 based on FHIR 4.0.1. Generated 2024-01-08
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