Da Vinci - Coverage Requirements Discovery
2.2.0-snapshot - STU 2.2 Peer Review

Da Vinci - Coverage Requirements Discovery, 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-crd/ and changes regularly. See the Directory of published versions

## Logical Model: CRD Metric Data - Detailed Descriptions

Page standards status: Informative | Maturity Level: 1

Definitions for the CRDMetricData logical model

- Key Elements Table
- Differential Table
- Snapshot Table

Guidance on how to interpret the contents of this table can be foundhere

0. CRDMetricData
Definition | A logical model describing the information that should be captured by CRD implementers about every CRD invocation to support measures evaluating CRD implementation
Short | CRD Metric Data
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. CRDMetricData.source
Definition | A code to indicate which type of system collected the metric data.
Short | provider-src | payer-src
Comments | Each hook should have metric data captured by both the initiating provider and the responding payer.
Control | 1..1
Binding | The codes SHALL be taken from CRD Metric Data Source Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
4. CRDMetricData.hookInstance
Definition | The unique id for this specific hook invocation.
Short | Unique hook invocation id
Comments | Used to link the statistics for a given hook call between provider and payer systems.
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
6. CRDMetricData.hookType
Definition | The type of hook specified in the `hook` element in the CDS hooks request.
Short | order-select | order-sign +
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from CDS Hook Types Value Set (extensible to `http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
8. CRDMetricData.providerId
Definition | The NPI number of the user who initiated the hook request.
Short | User invoking hook
Control | 1..1
Type | Identifier
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. CRDMetricData.providerId.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
12. CRDMetricData.providerId.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `CRDMetricData.providerId.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
14. CRDMetricData.providerId.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. CRDMetricData.providerId.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Summary | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. CRDMetricData.providerId.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `http://hl7.org/fhir/sid/us-npi`
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. CRDMetricData.providerId.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. CRDMetricData.providerId.period
Definition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. CRDMetricData.providerId.assigner
Definition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. CRDMetricData.groupId
Definition | The NPI of the hospital/clinic/other organization that initiated the hook request.
Short | Healthcare org of user
Control | 1..1
Type | Identifier
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. CRDMetricData.groupId.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
30. CRDMetricData.groupId.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `CRDMetricData.groupId.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
32. CRDMetricData.groupId.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. CRDMetricData.groupId.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Summary | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. CRDMetricData.groupId.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `http://hl7.org/fhir/sid/us-npi`
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. CRDMetricData.groupId.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. CRDMetricData.groupId.period
Definition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. CRDMetricData.groupId.assigner
Definition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. CRDMetricData.payerId
Definition | The identifier of the payer organization to whom the CRD call was made.
Short | Payer receiving hook
Control | 1..1
Type | Identifier
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. CRDMetricData.payerId.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
48. CRDMetricData.payerId.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `CRDMetricData.payerId.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
50. CRDMetricData.payerId.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. CRDMetricData.payerId.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Summary | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. CRDMetricData.payerId.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. CRDMetricData.payerId.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 10..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. CRDMetricData.payerId.period
Definition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. CRDMetricData.payerId.assigner
Definition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. CRDMetricData.requestTime
Definition | For providers, the time the hook call was made. For payers, the time the hook call was received.
Short | Time hook initiated
Control | 1..1
Type | instant
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
64. CRDMetricData.responseTime
Definition | For providers, the time the hook response was received. For payers, the time the hook response was returned.
Short | Time of hook response
Control | 0..1
Type | instant
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
66. CRDMetricData.httpResponse
Definition | What HTTP response code was returned for the hook invocation.
Short | e.g. 200
Control | 1..1
Type | positiveInt
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
68. CRDMetricData.issue
Definition | In the event of an HTTP error, if an OperationOutcome is returned, what were the issues?
Short | OperationOutcome info
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. CRDMetricData.issue.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
72. CRDMetricData.issue.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `CRDMetricData.issue.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
74. CRDMetricData.issue.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
76. CRDMetricData.issue.code
Definition | The issue.code value from the OperationOutcome for this issue.
Short | Error code
Control | 1..1
Binding | The codes SHALL be taken from IssueType (required to `http://hl7.org/fhir/ValueSet/issue-type` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
78. CRDMetricData.issue.details
Definition | The issue.details value from the OperationOutcome for this issue.
Short | More detailed error code
Control | 0..1
Binding | For example codes, see OperationOutcomeCodes (example to `http://hl7.org/fhir/ValueSet/operation-outcome` )
Type | CodeableConcept
Requirements | Because these codes are not standardized, they will primarily only be useful for evaluation between communication partners, not for comparison across implementations
80. CRDMetricData.tokenUse
Definition | Indicates whether the provided access token was used to retrieve additional information. Rejected indicates that when used, the access failed.
Short | used | not-used | rejected
Control | 1..1
Binding | For example codes, see CRD Metric Token Use Value Set (example to `http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
82. CRDMetricData.resources
Definition | Information other than the 'focal' resources (orders, encounter, appointment) for the hook that were accessed by the payer.
Short | Resource types accessed
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. CRDMetricData.resources.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
86. CRDMetricData.resources.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `CRDMetricData.resources.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
88. CRDMetricData.resources.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
90. CRDMetricData.resources.type
Definition | What kind of resource was accessed.
Short | Kind of resource
Control | 1..1
Binding | The codes SHALL be taken from ResourceType (required to `http://hl7.org/fhir/ValueSet/resource-types` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
92. CRDMetricData.resources.profile
Definition | Indicates the sub-type of data accessed in situations where multiple US-core profiles could apply (e.g. Observation). Note: This does not mean that the data received was actually valid against the profile, merely that the search criteria used were intended to retrieve data of this type.
Short | Solicited profile
Control | 0..1
Type | canonical(StructureDefinition)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
94. CRDMetricData.resources.count
Definition | How many resources of that type were accessed.
Short | Number retrieved
Control | 1..1
Type | positiveInt
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
96. CRDMetricData.resources.prefetch
Definition | Was the data retrieved by prefetch or direct query. (If some resources of the same type were accessed both with and without prefetch, include two repetitions.)
Short | Retrieved by prefetch?
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
98. CRDMetricData.request
Definition | Details about what request resources were passed in (and what resposnes came back)
Short | Request resource passed
Control | 1..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. CRDMetricData.request.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
102. CRDMetricData.request.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `CRDMetricData.request.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
104. CRDMetricData.request.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
106. CRDMetricData.request.type
Definition | The request resource that was passed as part of the request for an order-select, order-sign, or order-dispatch hook.
Short | Resource type
Control | 1..1
Binding | The codes SHALL be taken from Event Or Request Resource Types (required to `http://hl7.org/fhir/ValueSet/event-or-request-resource-types` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
108. CRDMetricData.request.orderDetail
Definition | The code defining the type of product or service from the focal Request, the Encounter code, etc.
Short | Service or product code(s)
Comments | Specifically, this corresponds to: Appointment.serviceType, CommunicationRequest.payload.valueCodeableConcept, DeviceRequest.codeCodeableConcept, DeviceRequest.codeReference.resolve().udiCarrier.deviceIdentifier (expressed as a CodeableConcept), Encounter.serviceType, MedicationRequest.medicationCodeableConcept, MedicationRequest.medicationReference.resolve().code, ServiceRequest.code, VisionPrescription.lensSpecification.productType
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from CRD Order Detail Codes Value Set (extensible to `http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail` )
Type | CodeableConcept
110. CRDMetricData.request.response
Definition | Summary information about each card or systemAction returned related to a given request resource. (If a card pertains to multiple orders, list the response for each).
Short | Returned card/system action
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. CRDMetricData.request.response.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
114. CRDMetricData.request.response.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `CRDMetricData.request.response.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
116. CRDMetricData.request.response.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
118. CRDMetricData.request.response.type
Definition | The CRD code for the card/systemAction. Mandatory if the response corresponds to a type defined by CRD, otherwise omit.
Short | Type of CRD response
Control | 0..1
Binding | The codes SHALL be taken from CRD Response Types Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
120. CRDMetricData.request.response.focus
Definition | Indicates the type of resource(s) tied to the card or systemAction.
Short | Resource tied to response
Control | 0..*
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
122. CRDMetricData.request.response.engagement
Definition | Indicates if the user engaged with the card as per the CDS Hooks feedback mechanism. (Not relevant for systemActions.)
Short | ignore | accept | override
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
124. CRDMetricData.request.response.coverageInfo
Definition | If the response includes a coverage-information systemAction, indicates additional information about the information provided in the coverage-information extension.
Short | Coverage information
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. CRDMetricData.request.response.coverageInfo.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
128. CRDMetricData.request.response.coverageInfo.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `CRDMetricData.request.response.coverageInfo.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
130. CRDMetricData.request.response.coverageInfo.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
132. CRDMetricData.request.response.coverageInfo.covered
Definition | Indicates whether the service is covered.
Short | covered | not-covered | conditional
Control | 0..1
Binding | The codes SHALL be taken from CRD Coverage Information Covered Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
134. CRDMetricData.request.response.coverageInfo.paNeeded
Definition | Indicates whether prior authorization is necessary or not, as well as considerations about applying for prior authorization.
Short | auth-needed | no-auth | satisfied +
Control | 0..1
Binding | The codes SHALL be taken from CRD Coverage Information Prior Authorization Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
136. CRDMetricData.request.response.coverageInfo.docNeeded
Definition | Indicates whether additional information is necessary (for prior auth, claims submission, or some other purpose).
Short | no-doc | clinical | admin | both +
Control | 0..1
Binding | The codes SHALL be taken from CRD Coverage Information Additional Documentation Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
138. CRDMetricData.request.response.coverageInfo.infoNeeded
Definition | Indicates what additional information is necessary to determine authorization/coverage - which might be available on a later hook invocation.
Short | performer | location | timeframe
Control | 0..1
Binding | The codes SHALL be taken from CRD Information Needed Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
140. CRDMetricData.request.response.coverageInfo.questionnaire
Definition | Information about the Questionnaire(s) returned to gather additional information (e.g. through DTR).
Short | Questionnaire(s) returned
Control | 0..*
Type | BackboneElement
Requirements | Allows linking metadata about forms identified 'to be filled out' in CRD with what is actually completed in DTR, and eventually submitted in CDex, PAS or claims
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. CRDMetricData.request.response.coverageInfo.questionnaire.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
144. CRDMetricData.request.response.coverageInfo.questionnaire.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `CRDMetricData.request.response.coverageInfo.questionnaire.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
146. CRDMetricData.request.response.coverageInfo.questionnaire.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
148. CRDMetricData.request.response.coverageInfo.questionnaire.reference
Definition | The official identifier of one of the Questionnaires provided to be filled out.
Short | Questionnaire url & version
Control | 1..1
Type | canonical(Questionnaire)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
150. CRDMetricData.request.response.coverageInfo.questionnaire.adaptive
Definition | If true, it indicates that the questionnaire is adaptive (i.e. uses the $next-question operation to determine questions).
Short | Is questionnaire adaptive?
Control | 1..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
152. CRDMetricData.request.response.coverageInfo.questionnaire.response
Definition | If true, it indicates that the response included a partially populated QuestionnaireResponse with answers filled by the payer from pre-known data.
Short | Pre-pop response provided?
Control | 1..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
154. CRDMetricData.request.response.coverageInfo.assertionId
Definition | Corresponds to the coverage-assertion-id from the coverage-information extension.
Short | Id for coverage assertion
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | Used to link the results of CRD to metric information captured for DTR and/or PAS.
156. CRDMetricData.request.response.coverageInfo.satisfiedId
Definition | Corresponds to the satisfied-pa-id from the coverage-information extension.
Short | Id if PA is satisfied
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
158. CRDMetricData.request.response.coverageInfo.businessLine
Definition | A code that indicates which type of insurance this assertion applies to.
Short | E.g. Medicare Advantage
Control | 0..1
Type | CodeableConcept

Guidance on how to interpret the contents of this table can be foundhere

0. CRDMetricData
Definition | A logical model describing the information that should be captured by CRD implementers about every CRD invocation to support measures evaluating CRD implementation
Short | CRD Metric Data
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. CRDMetricData.source
Definition | A code to indicate which type of system collected the metric data.
Short | provider-src | payer-src
Comments | Each hook should have metric data captured by both the initiating provider and the responding payer.
Control | 1..1
Binding | The codes SHALL be taken from CRD Metric Data Source Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
4. CRDMetricData.hookInstance
Definition | The unique id for this specific hook invocation.
Short | Unique hook invocation id
Comments | Used to link the statistics for a given hook call between provider and payer systems.
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
6. CRDMetricData.hookType
Definition | The type of hook specified in the `hook` element in the CDS hooks request.
Short | order-select | order-sign +
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from CDS Hook Types Value Set (extensible to `http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
8. CRDMetricData.providerId
Definition | The NPI number of the user who initiated the hook request.
Short | User invoking hook
Control | 1..1
Type | Identifier
10. CRDMetricData.providerId.system
Pattern Value | `http://hl7.org/fhir/sid/us-npi`
12. CRDMetricData.providerId.value
Control | 1..?
14. CRDMetricData.groupId
Definition | The NPI of the hospital/clinic/other organization that initiated the hook request.
Short | Healthcare org of user
Control | 1..1
Type | Identifier
16. CRDMetricData.groupId.system
Pattern Value | `http://hl7.org/fhir/sid/us-npi`
18. CRDMetricData.groupId.value
Control | 1..?
20. CRDMetricData.payerId
Definition | The identifier of the payer organization to whom the CRD call was made.
Short | Payer receiving hook
Control | 1..1
Type | Identifier
22. CRDMetricData.payerId.system
Control | 1..?
24. CRDMetricData.payerId.value
Control | 1..?
26. CRDMetricData.requestTime
Definition | For providers, the time the hook call was made. For payers, the time the hook call was received.
Short | Time hook initiated
Control | 1..1
Type | instant
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
28. CRDMetricData.responseTime
Definition | For providers, the time the hook response was received. For payers, the time the hook response was returned.
Short | Time of hook response
Control | 0..1
Type | instant
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. CRDMetricData.httpResponse
Definition | What HTTP response code was returned for the hook invocation.
Short | e.g. 200
Control | 1..1
Type | positiveInt
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. CRDMetricData.issue
Definition | In the event of an HTTP error, if an OperationOutcome is returned, what were the issues?
Short | OperationOutcome info
Control | 0..*
Type | BackboneElement
34. CRDMetricData.issue.code
Definition | The issue.code value from the OperationOutcome for this issue.
Short | Error code
Control | 1..1
Binding | The codes SHALL be taken from IssueType (required to `http://hl7.org/fhir/ValueSet/issue-type` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
36. CRDMetricData.issue.details
Definition | The issue.details value from the OperationOutcome for this issue.
Short | More detailed error code
Control | 0..1
Binding | For example codes, see OperationOutcomeCodes (example to `http://hl7.org/fhir/ValueSet/operation-outcome` )
Type | CodeableConcept
Requirements | Because these codes are not standardized, they will primarily only be useful for evaluation between communication partners, not for comparison across implementations
38. CRDMetricData.tokenUse
Definition | Indicates whether the provided access token was used to retrieve additional information. Rejected indicates that when used, the access failed.
Short | used | not-used | rejected
Control | 1..1
Binding | For example codes, see CRD Metric Token Use Value Set (example to `http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
40. CRDMetricData.resources
Definition | Information other than the 'focal' resources (orders, encounter, appointment) for the hook that were accessed by the payer.
Short | Resource types accessed
Control | 0..*
Type | BackboneElement
42. CRDMetricData.resources.type
Definition | What kind of resource was accessed.
Short | Kind of resource
Control | 1..1
Binding | The codes SHALL be taken from ResourceType (required to `http://hl7.org/fhir/ValueSet/resource-types` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
44. CRDMetricData.resources.profile
Definition | Indicates the sub-type of data accessed in situations where multiple US-core profiles could apply (e.g. Observation). Note: This does not mean that the data received was actually valid against the profile, merely that the search criteria used were intended to retrieve data of this type.
Short | Solicited profile
Control | 0..1
Type | canonical(StructureDefinition)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
46. CRDMetricData.resources.count
Definition | How many resources of that type were accessed.
Short | Number retrieved
Control | 1..1
Type | positiveInt
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
48. CRDMetricData.resources.prefetch
Definition | Was the data retrieved by prefetch or direct query. (If some resources of the same type were accessed both with and without prefetch, include two repetitions.)
Short | Retrieved by prefetch?
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
50. CRDMetricData.request
Definition | Details about what request resources were passed in (and what resposnes came back)
Short | Request resource passed
Control | 1..*
Type | BackboneElement
52. CRDMetricData.request.type
Definition | The request resource that was passed as part of the request for an order-select, order-sign, or order-dispatch hook.
Short | Resource type
Control | 1..1
Binding | The codes SHALL be taken from Event Or Request Resource Types (required to `http://hl7.org/fhir/ValueSet/event-or-request-resource-types` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
54. CRDMetricData.request.orderDetail
Definition | The code defining the type of product or service from the focal Request, the Encounter code, etc.
Short | Service or product code(s)
Comments | Specifically, this corresponds to: Appointment.serviceType, CommunicationRequest.payload.valueCodeableConcept, DeviceRequest.codeCodeableConcept, DeviceRequest.codeReference.resolve().udiCarrier.deviceIdentifier (expressed as a CodeableConcept), Encounter.serviceType, MedicationRequest.medicationCodeableConcept, MedicationRequest.medicationReference.resolve().code, ServiceRequest.code, VisionPrescription.lensSpecification.productType
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from CRD Order Detail Codes Value Set (extensible to `http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail` )
Type | CodeableConcept
56. CRDMetricData.request.response
Definition | Summary information about each card or systemAction returned related to a given request resource. (If a card pertains to multiple orders, list the response for each).
Short | Returned card/system action
Control | 0..*
Type | BackboneElement
58. CRDMetricData.request.response.type
Definition | The CRD code for the card/systemAction. Mandatory if the response corresponds to a type defined by CRD, otherwise omit.
Short | Type of CRD response
Control | 0..1
Binding | The codes SHALL be taken from CRD Response Types Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
60. CRDMetricData.request.response.focus
Definition | Indicates the type of resource(s) tied to the card or systemAction.
Short | Resource tied to response
Control | 0..*
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
62. CRDMetricData.request.response.engagement
Definition | Indicates if the user engaged with the card as per the CDS Hooks feedback mechanism. (Not relevant for systemActions.)
Short | ignore | accept | override
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
64. CRDMetricData.request.response.coverageInfo
Definition | If the response includes a coverage-information systemAction, indicates additional information about the information provided in the coverage-information extension.
Short | Coverage information
Control | 0..*
Type | BackboneElement
66. CRDMetricData.request.response.coverageInfo.covered
Definition | Indicates whether the service is covered.
Short | covered | not-covered | conditional
Control | 0..1
Binding | The codes SHALL be taken from CRD Coverage Information Covered Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
68. CRDMetricData.request.response.coverageInfo.paNeeded
Definition | Indicates whether prior authorization is necessary or not, as well as considerations about applying for prior authorization.
Short | auth-needed | no-auth | satisfied +
Control | 0..1
Binding | The codes SHALL be taken from CRD Coverage Information Prior Authorization Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
70. CRDMetricData.request.response.coverageInfo.docNeeded
Definition | Indicates whether additional information is necessary (for prior auth, claims submission, or some other purpose).
Short | no-doc | clinical | admin | both +
Control | 0..1
Binding | The codes SHALL be taken from CRD Coverage Information Additional Documentation Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
72. CRDMetricData.request.response.coverageInfo.infoNeeded
Definition | Indicates what additional information is necessary to determine authorization/coverage - which might be available on a later hook invocation.
Short | performer | location | timeframe
Control | 0..1
Binding | The codes SHALL be taken from CRD Information Needed Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
74. CRDMetricData.request.response.coverageInfo.questionnaire
Definition | Information about the Questionnaire(s) returned to gather additional information (e.g. through DTR).
Short | Questionnaire(s) returned
Control | 0..*
Type | BackboneElement
Requirements | Allows linking metadata about forms identified 'to be filled out' in CRD with what is actually completed in DTR, and eventually submitted in CDex, PAS or claims
76. CRDMetricData.request.response.coverageInfo.questionnaire.reference
Definition | The official identifier of one of the Questionnaires provided to be filled out.
Short | Questionnaire url & version
Control | 1..1
Type | canonical(Questionnaire)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
78. CRDMetricData.request.response.coverageInfo.questionnaire.adaptive
Definition | If true, it indicates that the questionnaire is adaptive (i.e. uses the $next-question operation to determine questions).
Short | Is questionnaire adaptive?
Control | 1..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
80. CRDMetricData.request.response.coverageInfo.questionnaire.response
Definition | If true, it indicates that the response included a partially populated QuestionnaireResponse with answers filled by the payer from pre-known data.
Short | Pre-pop response provided?
Control | 1..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
82. CRDMetricData.request.response.coverageInfo.assertionId
Definition | Corresponds to the coverage-assertion-id from the coverage-information extension.
Short | Id for coverage assertion
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | Used to link the results of CRD to metric information captured for DTR and/or PAS.
84. CRDMetricData.request.response.coverageInfo.satisfiedId
Definition | Corresponds to the satisfied-pa-id from the coverage-information extension.
Short | Id if PA is satisfied
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
86. CRDMetricData.request.response.coverageInfo.businessLine
Definition | A code that indicates which type of insurance this assertion applies to.
Short | E.g. Medicare Advantage
Control | 0..1
Type | CodeableConcept

Guidance on how to interpret the contents of this table can be foundhere

0. CRDMetricData
Definition | A logical model describing the information that should be captured by CRD implementers about every CRD invocation to support measures evaluating CRD implementation
Short | CRD Metric Data
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. CRDMetricData.source
Definition | A code to indicate which type of system collected the metric data.
Short | provider-src | payer-src
Comments | Each hook should have metric data captured by both the initiating provider and the responding payer.
Control | 1..1
Binding | The codes SHALL be taken from CRD Metric Data Source Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
4. CRDMetricData.hookInstance
Definition | The unique id for this specific hook invocation.
Short | Unique hook invocation id
Comments | Used to link the statistics for a given hook call between provider and payer systems.
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
6. CRDMetricData.hookType
Definition | The type of hook specified in the `hook` element in the CDS hooks request.
Short | order-select | order-sign +
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from CDS Hook Types Value Set (extensible to `http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
8. CRDMetricData.providerId
Definition | The NPI number of the user who initiated the hook request.
Short | User invoking hook
Control | 1..1
Type | Identifier
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. CRDMetricData.providerId.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
12. CRDMetricData.providerId.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `CRDMetricData.providerId.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
14. CRDMetricData.providerId.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. CRDMetricData.providerId.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Summary | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
18. CRDMetricData.providerId.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `http://hl7.org/fhir/sid/us-npi`
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. CRDMetricData.providerId.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. CRDMetricData.providerId.period
Definition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. CRDMetricData.providerId.assigner
Definition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. CRDMetricData.groupId
Definition | The NPI of the hospital/clinic/other organization that initiated the hook request.
Short | Healthcare org of user
Control | 1..1
Type | Identifier
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. CRDMetricData.groupId.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
30. CRDMetricData.groupId.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `CRDMetricData.groupId.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
32. CRDMetricData.groupId.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. CRDMetricData.groupId.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Summary | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. CRDMetricData.groupId.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 0..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Pattern Value | `http://hl7.org/fhir/sid/us-npi`
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. CRDMetricData.groupId.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. CRDMetricData.groupId.period
Definition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. CRDMetricData.groupId.assigner
Definition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. CRDMetricData.payerId
Definition | The identifier of the payer organization to whom the CRD call was made.
Short | Payer receiving hook
Control | 1..1
Type | Identifier
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. CRDMetricData.payerId.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
48. CRDMetricData.payerId.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `CRDMetricData.payerId.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
50. CRDMetricData.payerId.use
Definition | The purpose of this identifier.
Short | usual | official | temp | secondary | old (If known)
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control | 0..1
Binding | The codes SHALL be taken from IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Type | code
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. CRDMetricData.payerId.type
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short | Description of identifier
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type | CodeableConcept
Is Modifier | false
Summary | true
Requirements | Allows users to make use of identifiers when the identifier system is not known.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. CRDMetricData.payerId.system
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short | The namespace for the identifier value
Comments | Identifier.system is always case sensitive.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Example | General: http://www.acme.com/identifiers/patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. CRDMetricData.payerId.value
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short | The value that is unique
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Example | General: 123456
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. CRDMetricData.payerId.period
Definition | Time period during which identifier is/was valid for use.
Short | Time period when id is/was valid for use
Control | 0..1
Type | Period
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. CRDMetricData.payerId.assigner
Definition | Organization that issued/manages the identifier.
Short | Organization that issued id (may be just text)
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Control | 0..1
Type | Reference(Organization)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. CRDMetricData.requestTime
Definition | For providers, the time the hook call was made. For payers, the time the hook call was received.
Short | Time hook initiated
Control | 1..1
Type | instant
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
64. CRDMetricData.responseTime
Definition | For providers, the time the hook response was received. For payers, the time the hook response was returned.
Short | Time of hook response
Control | 0..1
Type | instant
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
66. CRDMetricData.httpResponse
Definition | What HTTP response code was returned for the hook invocation.
Short | e.g. 200
Control | 1..1
Type | positiveInt
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
68. CRDMetricData.issue
Definition | In the event of an HTTP error, if an OperationOutcome is returned, what were the issues?
Short | OperationOutcome info
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. CRDMetricData.issue.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
72. CRDMetricData.issue.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `CRDMetricData.issue.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
74. CRDMetricData.issue.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
76. CRDMetricData.issue.code
Definition | The issue.code value from the OperationOutcome for this issue.
Short | Error code
Control | 1..1
Binding | The codes SHALL be taken from IssueType (required to `http://hl7.org/fhir/ValueSet/issue-type` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
78. CRDMetricData.issue.details
Definition | The issue.details value from the OperationOutcome for this issue.
Short | More detailed error code
Control | 0..1
Binding | For example codes, see OperationOutcomeCodes (example to `http://hl7.org/fhir/ValueSet/operation-outcome` )
Type | CodeableConcept
Requirements | Because these codes are not standardized, they will primarily only be useful for evaluation between communication partners, not for comparison across implementations
80. CRDMetricData.tokenUse
Definition | Indicates whether the provided access token was used to retrieve additional information. Rejected indicates that when used, the access failed.
Short | used | not-used | rejected
Control | 1..1
Binding | For example codes, see CRD Metric Token Use Value Set (example to `http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
82. CRDMetricData.resources
Definition | Information other than the 'focal' resources (orders, encounter, appointment) for the hook that were accessed by the payer.
Short | Resource types accessed
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. CRDMetricData.resources.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
86. CRDMetricData.resources.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `CRDMetricData.resources.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
88. CRDMetricData.resources.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
90. CRDMetricData.resources.type
Definition | What kind of resource was accessed.
Short | Kind of resource
Control | 1..1
Binding | The codes SHALL be taken from ResourceType (required to `http://hl7.org/fhir/ValueSet/resource-types` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
92. CRDMetricData.resources.profile
Definition | Indicates the sub-type of data accessed in situations where multiple US-core profiles could apply (e.g. Observation). Note: This does not mean that the data received was actually valid against the profile, merely that the search criteria used were intended to retrieve data of this type.
Short | Solicited profile
Control | 0..1
Type | canonical(StructureDefinition)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
94. CRDMetricData.resources.count
Definition | How many resources of that type were accessed.
Short | Number retrieved
Control | 1..1
Type | positiveInt
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
96. CRDMetricData.resources.prefetch
Definition | Was the data retrieved by prefetch or direct query. (If some resources of the same type were accessed both with and without prefetch, include two repetitions.)
Short | Retrieved by prefetch?
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
98. CRDMetricData.request
Definition | Details about what request resources were passed in (and what resposnes came back)
Short | Request resource passed
Control | 1..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. CRDMetricData.request.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
102. CRDMetricData.request.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `CRDMetricData.request.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
104. CRDMetricData.request.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
106. CRDMetricData.request.type
Definition | The request resource that was passed as part of the request for an order-select, order-sign, or order-dispatch hook.
Short | Resource type
Control | 1..1
Binding | The codes SHALL be taken from Event Or Request Resource Types (required to `http://hl7.org/fhir/ValueSet/event-or-request-resource-types` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
108. CRDMetricData.request.orderDetail
Definition | The code defining the type of product or service from the focal Request, the Encounter code, etc.
Short | Service or product code(s)
Comments | Specifically, this corresponds to: Appointment.serviceType, CommunicationRequest.payload.valueCodeableConcept, DeviceRequest.codeCodeableConcept, DeviceRequest.codeReference.resolve().udiCarrier.deviceIdentifier (expressed as a CodeableConcept), Encounter.serviceType, MedicationRequest.medicationCodeableConcept, MedicationRequest.medicationReference.resolve().code, ServiceRequest.code, VisionPrescription.lensSpecification.productType
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from CRD Order Detail Codes Value Set (extensible to `http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail` )
Type | CodeableConcept
110. CRDMetricData.request.response
Definition | Summary information about each card or systemAction returned related to a given request resource. (If a card pertains to multiple orders, list the response for each).
Short | Returned card/system action
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. CRDMetricData.request.response.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
114. CRDMetricData.request.response.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `CRDMetricData.request.response.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
116. CRDMetricData.request.response.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
118. CRDMetricData.request.response.type
Definition | The CRD code for the card/systemAction. Mandatory if the response corresponds to a type defined by CRD, otherwise omit.
Short | Type of CRD response
Control | 0..1
Binding | The codes SHALL be taken from CRD Response Types Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
120. CRDMetricData.request.response.focus
Definition | Indicates the type of resource(s) tied to the card or systemAction.
Short | Resource tied to response
Control | 0..*
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
122. CRDMetricData.request.response.engagement
Definition | Indicates if the user engaged with the card as per the CDS Hooks feedback mechanism. (Not relevant for systemActions.)
Short | ignore | accept | override
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
124. CRDMetricData.request.response.coverageInfo
Definition | If the response includes a coverage-information systemAction, indicates additional information about the information provided in the coverage-information extension.
Short | Coverage information
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. CRDMetricData.request.response.coverageInfo.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
128. CRDMetricData.request.response.coverageInfo.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `CRDMetricData.request.response.coverageInfo.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
130. CRDMetricData.request.response.coverageInfo.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
132. CRDMetricData.request.response.coverageInfo.covered
Definition | Indicates whether the service is covered.
Short | covered | not-covered | conditional
Control | 0..1
Binding | The codes SHALL be taken from CRD Coverage Information Covered Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
134. CRDMetricData.request.response.coverageInfo.paNeeded
Definition | Indicates whether prior authorization is necessary or not, as well as considerations about applying for prior authorization.
Short | auth-needed | no-auth | satisfied +
Control | 0..1
Binding | The codes SHALL be taken from CRD Coverage Information Prior Authorization Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
136. CRDMetricData.request.response.coverageInfo.docNeeded
Definition | Indicates whether additional information is necessary (for prior auth, claims submission, or some other purpose).
Short | no-doc | clinical | admin | both +
Control | 0..1
Binding | The codes SHALL be taken from CRD Coverage Information Additional Documentation Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
138. CRDMetricData.request.response.coverageInfo.infoNeeded
Definition | Indicates what additional information is necessary to determine authorization/coverage - which might be available on a later hook invocation.
Short | performer | location | timeframe
Control | 0..1
Binding | The codes SHALL be taken from CRD Information Needed Value Set (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
140. CRDMetricData.request.response.coverageInfo.questionnaire
Definition | Information about the Questionnaire(s) returned to gather additional information (e.g. through DTR).
Short | Questionnaire(s) returned
Control | 0..*
Type | BackboneElement
Requirements | Allows linking metadata about forms identified 'to be filled out' in CRD with what is actually completed in DTR, and eventually submitted in CDex, PAS or claims
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. CRDMetricData.request.response.coverageInfo.questionnaire.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
144. CRDMetricData.request.response.coverageInfo.questionnaire.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `CRDMetricData.request.response.coverageInfo.questionnaire.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
146. CRDMetricData.request.response.coverageInfo.questionnaire.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
148. CRDMetricData.request.response.coverageInfo.questionnaire.reference
Definition | The official identifier of one of the Questionnaires provided to be filled out.
Short | Questionnaire url & version
Control | 1..1
Type | canonical(Questionnaire)
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
150. CRDMetricData.request.response.coverageInfo.questionnaire.adaptive
Definition | If true, it indicates that the questionnaire is adaptive (i.e. uses the $next-question operation to determine questions).
Short | Is questionnaire adaptive?
Control | 1..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
152. CRDMetricData.request.response.coverageInfo.questionnaire.response
Definition | If true, it indicates that the response included a partially populated QuestionnaireResponse with answers filled by the payer from pre-known data.
Short | Pre-pop response provided?
Control | 1..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
154. CRDMetricData.request.response.coverageInfo.assertionId
Definition | Corresponds to the coverage-assertion-id from the coverage-information extension.
Short | Id for coverage assertion
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Requirements | Used to link the results of CRD to metric information captured for DTR and/or PAS.
156. CRDMetricData.request.response.coverageInfo.satisfiedId
Definition | Corresponds to the satisfied-pa-id from the coverage-information extension.
Short | Id if PA is satisfied
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
158. CRDMetricData.request.response.coverageInfo.businessLine
Definition | A code that indicates which type of insurance this assertion applies to.
Short | E.g. Medicare Advantage
Control | 0..1
Type | CodeableConcept