Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-snapshot - STU 2.2 - Public Review
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-snapshot - STU 2.2 - Public Review
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 2.2.0-snapshot 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-devicerequest | Version: | 2.2.0-snapshot | |||
| Standards status: Trial-use Active as of 2026-01-30 | Maturity Level: 4 | Computable Name: PASDeviceRequest | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.56 | |||||
PAS constraints on DeviceRequest resource mandating support for elements relevant to the devices being requested on a prior authorization request
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  DeviceRequest |
0..* | DeviceRequest | Medical device request | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:coverage |
SC | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7 |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. |
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Fixed Value: order |
 code[x] |
SΣ | 1..1 | CodeableConcept | Device requested Binding: X12278RequestedServiceType (2.2.0-snapshot) (required) |
 subject |
SΣ | 1..1 | Reference(PAS Beneficiary Patient(2.2.0-snapshot)) | Focus of request |
 occurrence[x] |
SΣ | 0..1 | PASTiming(2.2.0-snapshot) | Desired time or schedule for use |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| DeviceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| DeviceRequest.code[x] | Base | required | X12 278 Requested Service Type | 📍2.2.0-snapshot | This IG |
| Id | Grade | Path(s) | Description | Expression |
| crd-ci-q1 | error | DeviceRequest.extension:coverage | Questionnaire is only allowed when doc-needed exists |
extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
|
| crd-ci-q2 | error | DeviceRequest.extension:coverage | If covered is set to 'not-covered', then 'pa-needed' must not exist. |
extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
|
| crd-ci-q3 | error | DeviceRequest.extension:coverage | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. |
extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
|
| crd-ci-q4 | error | DeviceRequest.extension:coverage | If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. |
extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
|
| crd-ci-q5 | error | DeviceRequest.extension:coverage | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
|
| crd-ci-q6 | error | DeviceRequest.extension:coverage | If 'info-needed' is Other, then reason must be specified |
extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists()
|
| crd-ci-q7 | error | DeviceRequest.extension:coverage | If reason.coding is present and is not from the extensible value set, then reason.text must be present |
extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
|
| dom-2 | error | DeviceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DeviceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DeviceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DeviceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DeviceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| 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()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DeviceRequest |
0..* | DeviceRequest | Medical device request | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:coverage |
S | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information |
 intent |
S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order |
| code[x] |
S | 1..1 | CodeableConcept | Device requested Binding: X12278RequestedServiceType (2.2.0-snapshot) (required) |
| subject |
S | 1..1 | Reference(PAS Beneficiary Patient(2.2.0-snapshot)) | Focus of request |
| occurrence[x] |
S | 0..1 | PASTiming(2.2.0-snapshot) | Desired time or schedule for use |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.code[x] | Base | required | X12 278 Requested Service Type | 📍2.2.0-snapshot | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DeviceRequest |
0..* | DeviceRequest | Medical device request | |||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:coverage |
SC | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7 | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Request identifier | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(Resource) | What request fulfills | ||||
| priorRequest |
Σ | 0..* | Reference(Resource) | What request replaces | ||||
| groupIdentifier |
Σ | 0..1 | Identifier | Identifier of composite request | ||||
| status |
?!Σ | 0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. | ||||
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Fixed Value: order | ||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| code[x] |
SΣ | 1..1 | CodeableConcept | Device requested Binding: X12278RequestedServiceType (2.2.0-snapshot) (required) | ||||
| parameter |
0..* | BackboneElement | Device details | |||||
| 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 | ||||
| code |
0..1 | CodeableConcept | Device detail Binding Description: (example): A code that identifies the device detail. | |||||
  value[x] |
0..1 | Value of detail | ||||||
 valueCodeableConcept |
CodeableConcept | |||||||
| valueQuantity |
Quantity | |||||||
| valueRange |
Range | |||||||
| valueBoolean |
boolean | |||||||
| subject |
SΣ | 1..1 | Reference(PAS Beneficiary Patient(2.2.0-snapshot)) | Focus of request | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter motivating request | ||||
| occurrence[x] |
SΣ | 0..1 | PASTiming(2.2.0-snapshot) | Desired time or schedule for use | ||||
| authoredOn |
Σ | 0..1 | dateTime | When recorded | ||||
| requester |
Σ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Organization) | Who/what is requesting diagnostics | ||||
| performerType |
Σ | 0..1 | CodeableConcept | Filler role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||
| performer |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested Filler | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device. | ||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Linked Reason for request | ||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
0..* | Reference(Resource) | Additional clinical information | |||||
| note |
0..* | Annotation | Notes or comments | |||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DeviceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| DeviceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| DeviceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| DeviceRequest.code[x] | Base | required | X12 278 Requested Service Type | 📍2.2.0-snapshot | This IG |
| DeviceRequest.parameter.code | Base | example | Not State | Unknown | |
| DeviceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| DeviceRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| crd-ci-q1 | error | DeviceRequest.extension:coverage | Questionnaire is only allowed when doc-needed exists |
extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
|
| crd-ci-q2 | error | DeviceRequest.extension:coverage | If covered is set to 'not-covered', then 'pa-needed' must not exist. |
extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
|
| crd-ci-q3 | error | DeviceRequest.extension:coverage | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. |
extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
|
| crd-ci-q4 | error | DeviceRequest.extension:coverage | If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. |
extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
|
| crd-ci-q5 | error | DeviceRequest.extension:coverage | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
|
| crd-ci-q6 | error | DeviceRequest.extension:coverage | If 'info-needed' is Other, then reason must be specified |
extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists()
|
| crd-ci-q7 | error | DeviceRequest.extension:coverage | If reason.coding is present and is not from the extensible value set, then reason.text must be present |
extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
|
| dom-2 | error | DeviceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DeviceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DeviceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DeviceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DeviceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| 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()
|
Summary
Must-Support: 5 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 4
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DeviceRequest |
0..* | DeviceRequest | Medical device request | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:coverage |
SC | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7 |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. |
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Fixed Value: order |
| code[x] |
SΣ | 1..1 | CodeableConcept | Device requested Binding: X12278RequestedServiceType (2.2.0-snapshot) (required) |
| subject |
SΣ | 1..1 | Reference(PAS Beneficiary Patient(2.2.0-snapshot)) | Focus of request |
| occurrence[x] |
SΣ | 0..1 | PASTiming(2.2.0-snapshot) | Desired time or schedule for use |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| DeviceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| DeviceRequest.code[x] | Base | required | X12 278 Requested Service Type | 📍2.2.0-snapshot | This IG |
| Id | Grade | Path(s) | Description | Expression |
| crd-ci-q1 | error | DeviceRequest.extension:coverage | Questionnaire is only allowed when doc-needed exists |
extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
|
| crd-ci-q2 | error | DeviceRequest.extension:coverage | If covered is set to 'not-covered', then 'pa-needed' must not exist. |
extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
|
| crd-ci-q3 | error | DeviceRequest.extension:coverage | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. |
extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
|
| crd-ci-q4 | error | DeviceRequest.extension:coverage | If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. |
extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
|
| crd-ci-q5 | error | DeviceRequest.extension:coverage | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
|
| crd-ci-q6 | error | DeviceRequest.extension:coverage | If 'info-needed' is Other, then reason must be specified |
extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists()
|
| crd-ci-q7 | error | DeviceRequest.extension:coverage | If reason.coding is present and is not from the extensible value set, then reason.text must be present |
extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
|
| dom-2 | error | DeviceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DeviceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DeviceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DeviceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DeviceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| 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()
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DeviceRequest |
0..* | DeviceRequest | Medical device request | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:coverage |
S | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information |
| intent |
S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order |
| code[x] |
S | 1..1 | CodeableConcept | Device requested Binding: X12278RequestedServiceType (2.2.0-snapshot) (required) |
| subject |
S | 1..1 | Reference(PAS Beneficiary Patient(2.2.0-snapshot)) | Focus of request |
| occurrence[x] |
S | 0..1 | PASTiming(2.2.0-snapshot) | Desired time or schedule for use |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.code[x] | Base | required | X12 278 Requested Service Type | 📍2.2.0-snapshot | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DeviceRequest |
0..* | DeviceRequest | Medical device request | |||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:coverage |
SC | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7 | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Request identifier | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(Resource) | What request fulfills | ||||
| priorRequest |
Σ | 0..* | Reference(Resource) | What request replaces | ||||
| groupIdentifier |
Σ | 0..1 | Identifier | Identifier of composite request | ||||
| status |
?!Σ | 0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. | ||||
| intent |
?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Fixed Value: order | ||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| code[x] |
SΣ | 1..1 | CodeableConcept | Device requested Binding: X12278RequestedServiceType (2.2.0-snapshot) (required) | ||||
| parameter |
0..* | BackboneElement | Device details | |||||
| 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 | ||||
| code |
0..1 | CodeableConcept | Device detail Binding Description: (example): A code that identifies the device detail. | |||||
| value[x] |
0..1 | Value of detail | ||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueQuantity |
Quantity | |||||||
| valueRange |
Range | |||||||
| valueBoolean |
boolean | |||||||
| subject |
SΣ | 1..1 | Reference(PAS Beneficiary Patient(2.2.0-snapshot)) | Focus of request | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter motivating request | ||||
| occurrence[x] |
SΣ | 0..1 | PASTiming(2.2.0-snapshot) | Desired time or schedule for use | ||||
| authoredOn |
Σ | 0..1 | dateTime | When recorded | ||||
| requester |
Σ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Organization) | Who/what is requesting diagnostics | ||||
| performerType |
Σ | 0..1 | CodeableConcept | Filler role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||
| performer |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested Filler | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device. | ||||
| reasonReference |
Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Linked Reason for request | ||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
0..* | Reference(Resource) | Additional clinical information | |||||
| note |
0..* | Annotation | Notes or comments | |||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DeviceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| DeviceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| DeviceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| DeviceRequest.code[x] | Base | required | X12 278 Requested Service Type | 📍2.2.0-snapshot | This IG |
| DeviceRequest.parameter.code | Base | example | Not State | Unknown | |
| DeviceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| DeviceRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| crd-ci-q1 | error | DeviceRequest.extension:coverage | Questionnaire is only allowed when doc-needed exists |
extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
|
| crd-ci-q2 | error | DeviceRequest.extension:coverage | If covered is set to 'not-covered', then 'pa-needed' must not exist. |
extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
|
| crd-ci-q3 | error | DeviceRequest.extension:coverage | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. |
extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
|
| crd-ci-q4 | error | DeviceRequest.extension:coverage | If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. |
extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')
|
| crd-ci-q5 | error | DeviceRequest.extension:coverage | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
|
| crd-ci-q6 | error | DeviceRequest.extension:coverage | If 'info-needed' is Other, then reason must be specified |
extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists()
|
| crd-ci-q7 | error | DeviceRequest.extension:coverage | If reason.coding is present and is not from the extensible value set, then reason.text must be present |
extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
|
| dom-2 | error | DeviceRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DeviceRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DeviceRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DeviceRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DeviceRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| 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()
|
Summary
Must-Support: 5 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 4
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Financial Management.
Package hl7.fhir.us.davinci-pas#2.2.0-snapshot based on FHIR 4.0.1.
Generated
2026-01-30
Links: Table of Contents |
QA Report
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