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 2.1.0 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
Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle | Version: 2.1.0 | |||
Standards status: Trial-use | Maturity Level: 3 | Computable Name: PASRequestBundle | ||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.66 |
PAS constraints on Bundle resource ensuring that a claim/claim update resource is present and that non-supported elements are not.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Bundle
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Bundle | 0..* | Bundle | Contains a collection of resources | |
identifier | S | 1..1 | Identifier | Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the transaction within the sender's business application system |
type | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: collection | |
timestamp | S | 1..1 | instant | When the bundle was assembled |
Slices for entry | S | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource |
entry:All Slices | Content/Rules for all slices | |||
fullUrl | S | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) |
resource | S | 1..1 | Resource | A resource in the bundle |
search | 0..0 | |||
request | 0..0 | |||
response | 0..0 | |||
entry:Claim | S | 1..2 | BackboneElement | Entry in the bundle - will have a resource or information |
resource | 0..1 | PASClaimUpdate, PASClaim | Preauthorization | |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Bundle | C | 0..* | Bundle | Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
identifier | SΣ | 1..1 | Identifier | Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the transaction within the sender's business application system |
type | Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection |
timestamp | SΣ | 1..1 | instant | When the bundle was assembled |
Slices for entry | SΣC | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
entry:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
fullUrl | SΣ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) |
resource | SΣ | 1..1 | Resource | A resource in the bundle |
entry:Claim | SΣC | 1..2 | BackboneElement | Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
resource | 0..1 | PASClaimUpdate, PASClaim | Preauthorization | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Bundle.type | required | Pattern: collectionhttp://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard | |
Bundle.entry.request.method | required | HTTPVerbhttp://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Bundle | C | 0..* | Bundle | Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
identifier | SΣ | 1..1 | Identifier | Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the transaction within the sender's business application system | ||||
type | Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection | ||||
timestamp | SΣ | 1..1 | instant | When the bundle was assembled | ||||
total | ΣC | 0..1 | unsignedInt | If search, the total number of matches | ||||
link | Σ | 0..* | BackboneElement | Links related to this Bundle | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
relation | Σ | 1..1 | string | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 | ||||
url | Σ | 1..1 | uri | Reference details for the link | ||||
Slices for entry | SΣC | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
entry:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
fullUrl | SΣ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
resource | SΣ | 1..1 | Resource | A resource in the bundle | ||||
entry:Claim | SΣC | 1..2 | BackboneElement | Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
resource | 0..1 | PASClaimUpdate, PASClaim | Preauthorization | |||||
search | ΣC | 0..1 | BackboneElement | Search related information | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
ifMatch | Σ | 0..1 | string | For managing update contention | ||||
ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
status | Σ | 1..1 | string | Status response code (text optional) | ||||
location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
signature | Σ | 0..1 | Signature | Digital Signature | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Bundle.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Bundle.type | required | Pattern: collectionhttp://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard | ||||
Bundle.entry.search.mode | required | SearchEntryModehttp://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard | ||||
Bundle.entry.request.method | required | HTTPVerbhttp://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard | ||||
Bundle.entry:Claim.search.mode | required | SearchEntryModehttp://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard | ||||
Bundle.entry:Claim.request.method | required | HTTPVerbhttp://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard |
This structure is derived from Bundle
Summary
Mandatory: 6 elements
Must-Support: 6 elements
Prohibited: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 3
Differential View
This structure is derived from Bundle
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Bundle | 0..* | Bundle | Contains a collection of resources | |
identifier | S | 1..1 | Identifier | Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the transaction within the sender's business application system |
type | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: collection | |
timestamp | S | 1..1 | instant | When the bundle was assembled |
Slices for entry | S | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource |
entry:All Slices | Content/Rules for all slices | |||
fullUrl | S | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) |
resource | S | 1..1 | Resource | A resource in the bundle |
search | 0..0 | |||
request | 0..0 | |||
response | 0..0 | |||
entry:Claim | S | 1..2 | BackboneElement | Entry in the bundle - will have a resource or information |
resource | 0..1 | PASClaimUpdate, PASClaim | Preauthorization | |
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Bundle | C | 0..* | Bundle | Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
identifier | SΣ | 1..1 | Identifier | Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the transaction within the sender's business application system |
type | Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection |
timestamp | SΣ | 1..1 | instant | When the bundle was assembled |
Slices for entry | SΣC | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
entry:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
fullUrl | SΣ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) |
resource | SΣ | 1..1 | Resource | A resource in the bundle |
entry:Claim | SΣC | 1..2 | BackboneElement | Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
resource | 0..1 | PASClaimUpdate, PASClaim | Preauthorization | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Bundle.type | required | Pattern: collectionhttp://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard | |
Bundle.entry.request.method | required | HTTPVerbhttp://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Bundle | C | 0..* | Bundle | Contains a collection of resources bdl-1: total only when a search or history bdl-2: entry.search only when a search bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) bdl-9: A document must have an identifier with a system and a value bdl-10: A document must have a date bdl-11: A document must have a Composition as the first resource bdl-12: A message must have a MessageHeader as the first resource | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
identifier | SΣ | 1..1 | Identifier | Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the transaction within the sender's business application system | ||||
type | Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection | ||||
timestamp | SΣ | 1..1 | instant | When the bundle was assembled | ||||
total | ΣC | 0..1 | unsignedInt | If search, the total number of matches | ||||
link | Σ | 0..* | BackboneElement | Links related to this Bundle | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
relation | Σ | 1..1 | string | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 | ||||
url | Σ | 1..1 | uri | Reference details for the link | ||||
Slices for entry | SΣC | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
entry:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
fullUrl | SΣ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
resource | SΣ | 1..1 | Resource | A resource in the bundle | ||||
entry:Claim | SΣC | 1..2 | BackboneElement | Entry in the bundle - will have a resource or information bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
resource | 0..1 | PASClaimUpdate, PASClaim | Preauthorization | |||||
search | ΣC | 0..1 | BackboneElement | Search related information | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
ifMatch | Σ | 0..1 | string | For managing update contention | ||||
ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
status | Σ | 1..1 | string | Status response code (text optional) | ||||
location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
signature | Σ | 0..1 | Signature | Digital Signature | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Bundle.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Bundle.type | required | Pattern: collectionhttp://hl7.org/fhir/ValueSet/bundle-type|4.0.1 from the FHIR Standard | ||||
Bundle.entry.search.mode | required | SearchEntryModehttp://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard | ||||
Bundle.entry.request.method | required | HTTPVerbhttp://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard | ||||
Bundle.entry:Claim.search.mode | required | SearchEntryModehttp://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard | ||||
Bundle.entry:Claim.request.method | required | HTTPVerbhttp://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard |
This structure is derived from Bundle
Summary
Mandatory: 6 elements
Must-Support: 6 elements
Prohibited: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 3
Other representations of profile: CSV, Excel, Schematron