Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-snapshot - STU 2.2 - Public Review United States of America flag

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

Resource Profile: PAS Inquiry Request Bundle

2.2.0-snapshot
Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-inquiry-request-bundle Version:
Standards status: Trial-use Active as of 2026-01-30 Maturity Level: 4 Computable Name: PASInquiryRequestBundle
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.64

PAS constraints on Bundle resource ensuring that a claim inquiry resource is present and that non-supported elements are not.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle Contains a collection of resources
Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, ClaimFirst
... 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 **Inquiry** transaction within the sender's business application system. It does not represent any of the queried request identifiers.
... 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
... Slices for entry SΣC 1..* BackboneElement Entry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
Constraints: bdl-5, bdl-8
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..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
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
..... fullUrl SΣ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 PASClaimInquiry(2.2.0-snapshot) Query for Preauthorizations

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Bundle.type Base required BundleType 📍4.0.1 FHIR Std.
Bundle.entry.request.​method Base required HTTPVerb 📍4.0.1 FHIR Std.
Bundle.entry:Claim.request.​method Base required HTTPVerb 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ClaimFirst error Bundle A Prior Authorization Bundle must have the PAS Request as the first resource entry.first().resource is Claim
bdl-1 error Bundle total only when a search or history total.empty() or (type = 'searchset') or (type = 'history')
bdl-2 error Bundle entry.search only when a search entry.search.empty() or (type = 'searchset')
bdl-3 error Bundle entry.request mandatory for batch/transaction/history, otherwise prohibited entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4 error Bundle entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5 error Bundle.entry, Bundle.entry:Claim must be a resource unless there's a request or response resource.exists() or request.exists() or response.exists()
bdl-7 error Bundle FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8 error Bundle.entry, Bundle.entry:Claim fullUrl cannot be a version specific reference fullUrl.contains('/_history/').not()
bdl-9 error Bundle A document must have an identifier with a system and a value type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10 error Bundle A document must have a date type = 'document' implies (timestamp.hasValue())
bdl-11 error Bundle A document must have a Composition as the first resource type = 'document' implies entry.first().resource.is(Composition)
bdl-12 error Bundle A message must have a MessageHeader as the first resource type = 'message' implies entry.first().resource.is(MessageHeader)
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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 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 **Inquiry** transaction within the sender's business application system. It does not represent any of the queried request identifiers.
... 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
.... 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 Search related information
..... request 0..0 Additional execution information (transaction/batch/history)
..... response 0..0 Results of execution (transaction/batch/history)
.... entry:Claim S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 PASClaimInquiry(2.2.0-snapshot) Query for Preauthorizations

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle Contains a collection of resources
Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, ClaimFirst
... 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
... identifier SΣ 1..1 Identifier Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the **Inquiry** transaction within the sender's business application system. It does not represent any of the queried request identifiers.
... 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
Constraints: bdl-5, bdl-8
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..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
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 SΣ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 PASClaimInquiry(2.2.0-snapshot) Query for Preauthorizations
... signature Σ 0..1 Signature Digital Signature

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Bundle.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Bundle.type Base required BundleType 📍4.0.1 FHIR Std.
Bundle.entry.search.​mode Base required SearchEntryMode 📍4.0.1 FHIR Std.
Bundle.entry.request.​method Base required HTTPVerb 📍4.0.1 FHIR Std.
Bundle.entry:Claim.search.​mode Base required SearchEntryMode 📍4.0.1 FHIR Std.
Bundle.entry:Claim.request.​method Base required HTTPVerb 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ClaimFirst error Bundle A Prior Authorization Bundle must have the PAS Request as the first resource entry.first().resource is Claim
bdl-1 error Bundle total only when a search or history total.empty() or (type = 'searchset') or (type = 'history')
bdl-2 error Bundle entry.search only when a search entry.search.empty() or (type = 'searchset')
bdl-3 error Bundle entry.request mandatory for batch/transaction/history, otherwise prohibited entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4 error Bundle entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5 error Bundle.entry, Bundle.entry:Claim must be a resource unless there's a request or response resource.exists() or request.exists() or response.exists()
bdl-7 error Bundle FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8 error Bundle.entry, Bundle.entry:Claim fullUrl cannot be a version specific reference fullUrl.contains('/_history/').not()
bdl-9 error Bundle A document must have an identifier with a system and a value type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10 error Bundle A document must have a date type = 'document' implies (timestamp.hasValue())
bdl-11 error Bundle A document must have a Composition as the first resource type = 'document' implies entry.first().resource.is(Composition)
bdl-12 error Bundle A message must have a MessageHeader as the first resource type = 'message' implies entry.first().resource.is(MessageHeader)
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

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:

  • The element 1 is sliced based on the value of Bundle.entry

Maturity: 4

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle Contains a collection of resources
Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, ClaimFirst
... 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 **Inquiry** transaction within the sender's business application system. It does not represent any of the queried request identifiers.
... 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
... Slices for entry SΣC 1..* BackboneElement Entry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
Constraints: bdl-5, bdl-8
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..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
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
..... fullUrl SΣ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 PASClaimInquiry(2.2.0-snapshot) Query for Preauthorizations

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Bundle.type Base required BundleType 📍4.0.1 FHIR Std.
Bundle.entry.request.​method Base required HTTPVerb 📍4.0.1 FHIR Std.
Bundle.entry:Claim.request.​method Base required HTTPVerb 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ClaimFirst error Bundle A Prior Authorization Bundle must have the PAS Request as the first resource entry.first().resource is Claim
bdl-1 error Bundle total only when a search or history total.empty() or (type = 'searchset') or (type = 'history')
bdl-2 error Bundle entry.search only when a search entry.search.empty() or (type = 'searchset')
bdl-3 error Bundle entry.request mandatory for batch/transaction/history, otherwise prohibited entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4 error Bundle entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5 error Bundle.entry, Bundle.entry:Claim must be a resource unless there's a request or response resource.exists() or request.exists() or response.exists()
bdl-7 error Bundle FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8 error Bundle.entry, Bundle.entry:Claim fullUrl cannot be a version specific reference fullUrl.contains('/_history/').not()
bdl-9 error Bundle A document must have an identifier with a system and a value type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10 error Bundle A document must have a date type = 'document' implies (timestamp.hasValue())
bdl-11 error Bundle A document must have a Composition as the first resource type = 'document' implies entry.first().resource.is(Composition)
bdl-12 error Bundle A message must have a MessageHeader as the first resource type = 'message' implies entry.first().resource.is(MessageHeader)
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 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 **Inquiry** transaction within the sender's business application system. It does not represent any of the queried request identifiers.
... 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
.... 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 Search related information
..... request 0..0 Additional execution information (transaction/batch/history)
..... response 0..0 Results of execution (transaction/batch/history)
.... entry:Claim S 1..1 BackboneElement Entry in the bundle - will have a resource or information
..... resource 1..1 PASClaimInquiry(2.2.0-snapshot) Query for Preauthorizations

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Bundle C 0..* Bundle Contains a collection of resources
Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, ClaimFirst
... 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
... identifier SΣ 1..1 Identifier Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the **Inquiry** transaction within the sender's business application system. It does not represent any of the queried request identifiers.
... 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
Constraints: bdl-5, bdl-8
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..1 BackboneElement Entry in the bundle - will have a resource or information
Constraints: bdl-5, bdl-8
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 SΣ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S 1..1 PASClaimInquiry(2.2.0-snapshot) Query for Preauthorizations
... signature Σ 0..1 Signature Digital Signature

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Bundle.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Bundle.type Base required BundleType 📍4.0.1 FHIR Std.
Bundle.entry.search.​mode Base required SearchEntryMode 📍4.0.1 FHIR Std.
Bundle.entry.request.​method Base required HTTPVerb 📍4.0.1 FHIR Std.
Bundle.entry:Claim.search.​mode Base required SearchEntryMode 📍4.0.1 FHIR Std.
Bundle.entry:Claim.request.​method Base required HTTPVerb 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ClaimFirst error Bundle A Prior Authorization Bundle must have the PAS Request as the first resource entry.first().resource is Claim
bdl-1 error Bundle total only when a search or history total.empty() or (type = 'searchset') or (type = 'history')
bdl-2 error Bundle entry.search only when a search entry.search.empty() or (type = 'searchset')
bdl-3 error Bundle entry.request mandatory for batch/transaction/history, otherwise prohibited entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))
bdl-4 error Bundle entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))
bdl-5 error Bundle.entry, Bundle.entry:Claim must be a resource unless there's a request or response resource.exists() or request.exists() or response.exists()
bdl-7 error Bundle FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8 error Bundle.entry, Bundle.entry:Claim fullUrl cannot be a version specific reference fullUrl.contains('/_history/').not()
bdl-9 error Bundle A document must have an identifier with a system and a value type = 'document' implies (identifier.system.exists() and identifier.value.exists())
bdl-10 error Bundle A document must have a date type = 'document' implies (timestamp.hasValue())
bdl-11 error Bundle A document must have a Composition as the first resource type = 'document' implies entry.first().resource.is(Composition)
bdl-12 error Bundle A message must have a MessageHeader as the first resource type = 'message' implies entry.first().resource.is(MessageHeader)
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

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:

  • The element 1 is sliced based on the value of Bundle.entry

Maturity: 4

 

Other representations of profile: CSV, Excel, Schematron