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 CommunicationRequest

2.2.0-snapshot
Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-communicationrequest Version:
Standards status: Trial-use Active as of 2026-01-30 Maturity Level: 4 Computable Name: PASCommunicationRequest
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.53

PAS constraints on CommunicationRequest resource mandating support for elements relevant to the prior authorization response. For DTR submit-attachment use, the identifer will always be present since the medium will not be VOICE and thus the identifiers can be used as the tracking control number.

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
.. CommunicationRequest C 0..* CommunicationRequest A request for information to be sent to a receiver
Constraints: IdentifierUnlessVO
... 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:serviceLineNumber S 0..1 positiveInt Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.
Fixed Value: active
... category S 0..1 CodeableConcept Message category
Binding: https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 (required): Codes indicating the title or contents of a document, report or supporting item. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medium S 0..1 CodeableConcept A channel of communication
Binding: PASCommunicationRequestMedium (2.2.0-snapshot) (extensible)
... payload S 0..1 BackboneElement Message payload
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:communicatedDiagnosis S 0..* CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis
Binding: X12278DiagnosisCodes (2.2.0-snapshot) (required)
..... extension:contentModifier S 0..* CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier
Binding: X12278DiagnosisInformationType (2.2.0-snapshot) (required)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] S 1..1 string Message part content
Binding: LOINC valid-hl7-attachment-requests (required)
... requester SΣ 0..1 Reference(PAS Insurer Organization(2.2.0-snapshot)) Who/what is requesting service
... recipient S 0..* Reference(PAS Practitioner(2.2.0-snapshot) | PAS Organization Base Profile(2.2.0-snapshot)) Message recipient
... sender SΣ 0..1 Reference(PAS Requestor Organization(2.2.0-snapshot)) Message sender

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CommunicationRequest.​status Base required RequestStatus 📍4.0.1 FHIR Std.
CommunicationRequest.​category Base required https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 Not State Unknown
CommunicationRequest.​medium Base extensible PAS Communication Medium Value Set 📍2.2.0-snapshot This IG
CommunicationRequest.​payload.content[x] Base required HL7 Attachment Requests ∅ unknown?

Constraints

Id Grade Path(s) Description Expression
IdentifierUnlessVO error CommunicationRequest CommunicationRequest.identifier is required unless CommunicationRequest.medium is 'VO'. $this.medium.coding.where(code='VO').count() = 0 implies $this.identifier.count() > 0
dom-2 error CommunicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CommunicationRequest 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 CommunicationRequest 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 CommunicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CommunicationRequest 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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CommunicationRequest C 0..* CommunicationRequest A request for information to be sent to a receiver
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:serviceLineNumber S 0..1 positiveInt Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber
... identifier S 0..1 Identifier Unique Identifier used in linking the Communication Request to the response (X12's Attachment Control Number).
... status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Fixed Value: active
... medium S 0..1 CodeableConcept A channel of communication
Binding: PASCommunicationRequestMedium (2.2.0-snapshot) (extensible)
... payload S 0..1 BackboneElement Message payload
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:communicatedDiagnosis S 0..* CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis
Binding: X12278DiagnosisCodes (2.2.0-snapshot) (required)
..... extension:contentModifier S 0..* CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier
Binding: X12278DiagnosisInformationType (2.2.0-snapshot) (required)
.... content[x] S 1..1 string Message part content
Binding: LOINC valid-hl7-attachment-requests (required)
... requester S 0..1 Reference(PAS Insurer Organization(2.2.0-snapshot)) Who/what is requesting service
... recipient S 0..* Reference(PAS Practitioner(2.2.0-snapshot) | PAS Organization Base Profile(2.2.0-snapshot)) Message recipient
... sender S 0..1 Reference(PAS Requestor Organization(2.2.0-snapshot)) Message sender

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
CommunicationRequest.​category Base required https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 Not State Unknown
CommunicationRequest.​medium Base extensible PAS Communication Medium Value Set 📍2.2.0-snapshot This IG
CommunicationRequest.​payload.content[x] Base required HL7 Attachment Requests ∅ unknown?

Constraints

Id Grade Path(s) Description Expression
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CommunicationRequest C 0..* CommunicationRequest A request for information to be sent to a receiver
Constraints: IdentifierUnlessVO
... 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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:serviceLineNumber S 0..1 positiveInt Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..1 Identifier Unique Identifier used in linking the Communication Request to the response (X12's Attachment Control Number).
... basedOn Σ 0..* Reference(Resource) Fulfills plan or proposal
... replaces Σ 0..* Reference(CommunicationRequest) Request(s) replaced by this request
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.
Fixed Value: active
... statusReason 0..1 CodeableConcept Reason for current status
Binding Description: (example): Codes identifying the reason for the current state of a request.
... category S 0..1 CodeableConcept Message category
Binding: https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 (required): Codes indicating the title or contents of a document, report or supporting item. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medium S 0..1 CodeableConcept A channel of communication
Binding: PASCommunicationRequestMedium (2.2.0-snapshot) (extensible)
... subject 0..1 Reference(Patient | Group) Focus of message
... about 0..* Reference(Resource) Resources that pertain to this communication request
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... payload S 0..1 BackboneElement Message payload
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:communicatedDiagnosis S 0..* CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis
Binding: X12278DiagnosisCodes (2.2.0-snapshot) (required)
..... extension:contentModifier S 0..* CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier
Binding: X12278DiagnosisInformationType (2.2.0-snapshot) (required)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] S 1..1 string Message part content
Binding: LOINC valid-hl7-attachment-requests (required)
... occurrence[x] Σ 0..1 When scheduled
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
... authoredOn Σ 0..1 dateTime When request transitioned to being actionable
... requester SΣ 0..1 Reference(PAS Insurer Organization(2.2.0-snapshot)) Who/what is requesting service
... recipient S 0..* Reference(PAS Practitioner(2.2.0-snapshot) | PAS Organization Base Profile(2.2.0-snapshot)) Message recipient
... sender SΣ 0..1 Reference(PAS Requestor Organization(2.2.0-snapshot)) Message sender
... reasonCode Σ 0..* CodeableConcept Why is communication needed?
Binding: ActReason (3.0.0) (example): Codes for describing reasons for the occurrence of a communication.
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why is communication needed?
... note 0..* Annotation Comments made about communication request

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CommunicationRequest.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
CommunicationRequest.​status Base required RequestStatus 📍4.0.1 FHIR Std.
CommunicationRequest.​statusReason Base example Not State Unknown
CommunicationRequest.​category Base required https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 Not State Unknown
CommunicationRequest.​priority Base required Request priority 📍4.0.1 FHIR Std.
CommunicationRequest.​medium Base extensible PAS Communication Medium Value Set 📍2.2.0-snapshot This IG
CommunicationRequest.​payload.content[x] Base required HL7 Attachment Requests ∅ unknown?
CommunicationRequest.​reasonCode Base example v3 Code System ActReason 📍3.0.0 THO v7.0

Constraints

Id Grade Path(s) Description Expression
IdentifierUnlessVO error CommunicationRequest CommunicationRequest.identifier is required unless CommunicationRequest.medium is 'VO'. $this.medium.coding.where(code='VO').count() = 0 implies $this.identifier.count() > 0
dom-2 error CommunicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CommunicationRequest 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 CommunicationRequest 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 CommunicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CommunicationRequest 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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CommunicationRequest C 0..* CommunicationRequest A request for information to be sent to a receiver
Constraints: IdentifierUnlessVO
... 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:serviceLineNumber S 0..1 positiveInt Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.
Fixed Value: active
... category S 0..1 CodeableConcept Message category
Binding: https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 (required): Codes indicating the title or contents of a document, report or supporting item. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medium S 0..1 CodeableConcept A channel of communication
Binding: PASCommunicationRequestMedium (2.2.0-snapshot) (extensible)
... payload S 0..1 BackboneElement Message payload
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:communicatedDiagnosis S 0..* CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis
Binding: X12278DiagnosisCodes (2.2.0-snapshot) (required)
..... extension:contentModifier S 0..* CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier
Binding: X12278DiagnosisInformationType (2.2.0-snapshot) (required)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] S 1..1 string Message part content
Binding: LOINC valid-hl7-attachment-requests (required)
... requester SΣ 0..1 Reference(PAS Insurer Organization(2.2.0-snapshot)) Who/what is requesting service
... recipient S 0..* Reference(PAS Practitioner(2.2.0-snapshot) | PAS Organization Base Profile(2.2.0-snapshot)) Message recipient
... sender SΣ 0..1 Reference(PAS Requestor Organization(2.2.0-snapshot)) Message sender

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CommunicationRequest.​status Base required RequestStatus 📍4.0.1 FHIR Std.
CommunicationRequest.​category Base required https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 Not State Unknown
CommunicationRequest.​medium Base extensible PAS Communication Medium Value Set 📍2.2.0-snapshot This IG
CommunicationRequest.​payload.content[x] Base required HL7 Attachment Requests ∅ unknown?

Constraints

Id Grade Path(s) Description Expression
IdentifierUnlessVO error CommunicationRequest CommunicationRequest.identifier is required unless CommunicationRequest.medium is 'VO'. $this.medium.coding.where(code='VO').count() = 0 implies $this.identifier.count() > 0
dom-2 error CommunicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CommunicationRequest 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 CommunicationRequest 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 CommunicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CommunicationRequest 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CommunicationRequest C 0..* CommunicationRequest A request for information to be sent to a receiver
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:serviceLineNumber S 0..1 positiveInt Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber
... identifier S 0..1 Identifier Unique Identifier used in linking the Communication Request to the response (X12's Attachment Control Number).
... status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Fixed Value: active
... medium S 0..1 CodeableConcept A channel of communication
Binding: PASCommunicationRequestMedium (2.2.0-snapshot) (extensible)
... payload S 0..1 BackboneElement Message payload
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:communicatedDiagnosis S 0..* CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis
Binding: X12278DiagnosisCodes (2.2.0-snapshot) (required)
..... extension:contentModifier S 0..* CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier
Binding: X12278DiagnosisInformationType (2.2.0-snapshot) (required)
.... content[x] S 1..1 string Message part content
Binding: LOINC valid-hl7-attachment-requests (required)
... requester S 0..1 Reference(PAS Insurer Organization(2.2.0-snapshot)) Who/what is requesting service
... recipient S 0..* Reference(PAS Practitioner(2.2.0-snapshot) | PAS Organization Base Profile(2.2.0-snapshot)) Message recipient
... sender S 0..1 Reference(PAS Requestor Organization(2.2.0-snapshot)) Message sender

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
CommunicationRequest.​category Base required https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 Not State Unknown
CommunicationRequest.​medium Base extensible PAS Communication Medium Value Set 📍2.2.0-snapshot This IG
CommunicationRequest.​payload.content[x] Base required HL7 Attachment Requests ∅ unknown?

Constraints

Id Grade Path(s) Description Expression

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CommunicationRequest C 0..* CommunicationRequest A request for information to be sent to a receiver
Constraints: IdentifierUnlessVO
... 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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:serviceLineNumber S 0..1 positiveInt Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..1 Identifier Unique Identifier used in linking the Communication Request to the response (X12's Attachment Control Number).
... basedOn Σ 0..* Reference(Resource) Fulfills plan or proposal
... replaces Σ 0..* Reference(CommunicationRequest) Request(s) replaced by this request
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!Σ 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.
Fixed Value: active
... statusReason 0..1 CodeableConcept Reason for current status
Binding Description: (example): Codes identifying the reason for the current state of a request.
... category S 0..1 CodeableConcept Message category
Binding: https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 (required): Codes indicating the title or contents of a document, report or supporting item. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medium S 0..1 CodeableConcept A channel of communication
Binding: PASCommunicationRequestMedium (2.2.0-snapshot) (extensible)
... subject 0..1 Reference(Patient | Group) Focus of message
... about 0..* Reference(Resource) Resources that pertain to this communication request
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... payload S 0..1 BackboneElement Message payload
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:communicatedDiagnosis S 0..* CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis
Binding: X12278DiagnosisCodes (2.2.0-snapshot) (required)
..... extension:contentModifier S 0..* CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier
Binding: X12278DiagnosisInformationType (2.2.0-snapshot) (required)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... content[x] S 1..1 string Message part content
Binding: LOINC valid-hl7-attachment-requests (required)
... occurrence[x] Σ 0..1 When scheduled
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
... authoredOn Σ 0..1 dateTime When request transitioned to being actionable
... requester SΣ 0..1 Reference(PAS Insurer Organization(2.2.0-snapshot)) Who/what is requesting service
... recipient S 0..* Reference(PAS Practitioner(2.2.0-snapshot) | PAS Organization Base Profile(2.2.0-snapshot)) Message recipient
... sender SΣ 0..1 Reference(PAS Requestor Organization(2.2.0-snapshot)) Message sender
... reasonCode Σ 0..* CodeableConcept Why is communication needed?
Binding: ActReason (3.0.0) (example): Codes for describing reasons for the occurrence of a communication.
... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why is communication needed?
... note 0..* Annotation Comments made about communication request

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CommunicationRequest.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
CommunicationRequest.​status Base required RequestStatus 📍4.0.1 FHIR Std.
CommunicationRequest.​statusReason Base example Not State Unknown
CommunicationRequest.​category Base required https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 Not State Unknown
CommunicationRequest.​priority Base required Request priority 📍4.0.1 FHIR Std.
CommunicationRequest.​medium Base extensible PAS Communication Medium Value Set 📍2.2.0-snapshot This IG
CommunicationRequest.​payload.content[x] Base required HL7 Attachment Requests ∅ unknown?
CommunicationRequest.​reasonCode Base example v3 Code System ActReason 📍3.0.0 THO v7.0

Constraints

Id Grade Path(s) Description Expression
IdentifierUnlessVO error CommunicationRequest CommunicationRequest.identifier is required unless CommunicationRequest.medium is 'VO'. $this.medium.coding.where(code='VO').count() = 0 implies $this.identifier.count() > 0
dom-2 error CommunicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CommunicationRequest 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 CommunicationRequest 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 CommunicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CommunicationRequest 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()

 

Other representations of profile: CSV, Excel, Schematron