Da Vinci - Documentation Templates and Rules
2.1.0 - STU 2.1 United States of America flag

Da Vinci - Documentation Templates and Rules, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-dtr/ and changes regularly. See the Directory of published versions

Logical Model: DTR Supported Payers

Official URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/DTRSupportedPayers Version: 2.1.0
Standards status: Informative Maturity Level: 1 Computable Name: DTRSupportedPayers

A logical model describing the listing of payers currently supported by the DTR app.

Purpose:

This logical model is NOT a FHIR data structure for information exchange. Instead, it is a model of the information that the DTR app will maintain for the Payers that are supported by the app. (See the Determination of Payers Supported by a DTR App section of the Formal Specification)

The Payer Identifier used in structures based on this model SHALL be the same as the ones that are returned by the endpoint discovery mechanism defined in HRex.

Usage:

  • This Logical Model Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. DTRSupportedPayers 0..* Base DTR Supported Payers
Instances of this logical model are not marked to be the target of a Reference
... payer 0..* BackboneElement Supported Payer
.... name 1..1 string Name of the payer
.... identifier 1..1 Identifier Identifier of the payer
..... system 1..1 uri Identifier namespace for this payer
..... value 1..1 string Specific identifier value for this payer

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DTRSupportedPayers 0..* Base DTR Supported Payers
Instances of this logical model are not marked to be the target of a Reference
... payer 0..* BackboneElement Supported Payer
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... name 1..1 string Name of the payer
.... identifier 1..1 Identifier Identifier of the payer
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ 1..1 uri Identifier namespace for this payer
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string Specific identifier value for this payer
Example General: 123456

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DTRSupportedPayers.payer.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. DTRSupportedPayers 0..* Base DTR Supported Payers
Instances of this logical model are not marked to be the target of a Reference
... payer 0..* BackboneElement Supported Payer
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... name 1..1 string Name of the payer
.... identifier 1..1 Identifier Identifier of the payer
..... @id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ 1..1 uri Identifier namespace for this payer
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string Specific identifier value for this payer
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DTRSupportedPayers.payer.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
DTRSupportedPayers.payer.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard

This structure is derived from Base

Summary

Mandatory: 0 element(4 nested mandatory elements)

Maturity: 1

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. DTRSupportedPayers 0..* Base DTR Supported Payers
Instances of this logical model are not marked to be the target of a Reference
... payer 0..* BackboneElement Supported Payer
.... name 1..1 string Name of the payer
.... identifier 1..1 Identifier Identifier of the payer
..... system 1..1 uri Identifier namespace for this payer
..... value 1..1 string Specific identifier value for this payer

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DTRSupportedPayers 0..* Base DTR Supported Payers
Instances of this logical model are not marked to be the target of a Reference
... payer 0..* BackboneElement Supported Payer
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... name 1..1 string Name of the payer
.... identifier 1..1 Identifier Identifier of the payer
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ 1..1 uri Identifier namespace for this payer
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string Specific identifier value for this payer
Example General: 123456

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DTRSupportedPayers.payer.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DTRSupportedPayers 0..* Base DTR Supported Payers
Instances of this logical model are not marked to be the target of a Reference
... payer 0..* BackboneElement Supported Payer
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... name 1..1 string Name of the payer
.... identifier 1..1 Identifier Identifier of the payer
..... @id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system Σ 1..1 uri Identifier namespace for this payer
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string Specific identifier value for this payer
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DTRSupportedPayers.payer.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
DTRSupportedPayers.payer.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard

This structure is derived from Base

Summary

Mandatory: 0 element(4 nested mandatory elements)

Maturity: 1

 

Other representations of profile: CSV, Excel