Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2 United States of America flag

Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions

: PAS Temporary Codes - TTL Representation

Page standards status: Trial-use Maturity Level: 3

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "PASTempCodes"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes</code> defines the following codes in a Is-A hierarchy:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">provider-src<a name=\"PASTempCodes-provider-src\"> </a></td><td>Provider-sourced</td><td>The metric information was captured from the provider system's perspective</td></tr><tr><td style=\"white-space:nowrap\">payer-src<a name=\"PASTempCodes-payer-src\"> </a></td><td>Payer-sourced</td><td>The metric information was captured from the payer system's perspective</td></tr><tr><td style=\"white-space:nowrap\">intermediary-src<a name=\"PASTempCodes-intermediary-src\"> </a></td><td>Intermediary-sourced</td><td>The metric information was captured from the intermediary system's perspective</td></tr><tr><td style=\"white-space:nowrap\">changed<a name=\"PASTempCodes-changed\"> </a></td><td>Changed</td><td>Previously sent information has been changed.</td></tr><tr><td style=\"white-space:nowrap\">added<a name=\"PASTempCodes-added\"> </a></td><td>Added</td><td>New information that was not sent previously.</td></tr><tr><td style=\"white-space:nowrap\">patientEvent<a name=\"PASTempCodes-patientEvent\"> </a></td><td>Patient Event</td><td>Information about the dates of the event that are being requested.</td></tr><tr><td style=\"white-space:nowrap\">admissionDates<a name=\"PASTempCodes-admissionDates\"> </a></td><td>Admission Dates</td><td>Information about the admission dates of a hospital admission being requested.</td></tr><tr><td style=\"white-space:nowrap\">dischargeDates<a name=\"PASTempCodes-dischargeDates\"> </a></td><td>Discharge Dates</td><td>Information about discharge dates of a hospital admission being requested.</td></tr><tr><td style=\"white-space:nowrap\">additionalInformation<a name=\"PASTempCodes-additionalInformation\"> </a></td><td>Additional Information</td><td>Send additional paperwork or supporting information for the request.</td></tr><tr><td style=\"white-space:nowrap\">freeFormMessage<a name=\"PASTempCodes-freeFormMessage\"> </a></td><td>Free Form Message</td><td>Send text messages to the UMO.</td></tr><tr><td style=\"white-space:nowrap\">institutionalEncounter<a name=\"PASTempCodes-institutionalEncounter\"> </a></td><td>Institutional Encounter</td><td>Information about a hospital claim being requested.</td></tr><tr><td style=\"white-space:nowrap\">result-available<a name=\"PASTempCodes-result-available\"> </a></td><td>Result Available</td><td>A new result for a PAS submission is now available.</td></tr><tr><td style=\"white-space:nowrap\">admitting<a name=\"PASTempCodes-admitting\"> </a></td><td>Admitting</td><td>The diagnosis given as the reason why the patient was admitted to the hospital.</td></tr><tr><td style=\"white-space:nowrap\">principal<a name=\"PASTempCodes-principal\"> </a></td><td>Principal</td><td>The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment.</td></tr><tr><td style=\"white-space:nowrap\">patientreasonforvisit<a name=\"PASTempCodes-patientreasonforvisit\"> </a></td><td>Patient Reason For Visit</td><td>The diagnosis given as why the patient came to the hospital.</td></tr><tr><td style=\"white-space:nowrap\">CDEX<a name=\"PASTempCodes-CDEX\"> </a></td><td>CDex Submit-Attachment</td><td>Via a CDex Submitt-Attachment operation</td></tr><tr><td style=\"white-space:nowrap\">attachment-request-code<a name=\"PASTempCodes-attachment-request-code\"> </a></td><td>Attach Request Code</td><td>Attachments are identified by LOINC or PWK01 codes</td></tr><tr><td style=\"white-space:nowrap\">attachment-request-questionnaire<a name=\"PASTempCodes-attachment-request-questionnaire\"> </a></td><td>Attachment Request Questionnaire</td><td>Attachments are identified by a questionnaire using the TRN input parameter</td></tr><tr><td style=\"white-space:nowrap\">priorAuthorization<a name=\"PASTempCodes-priorAuthorization\"> </a></td><td>Prior Authorization Information Request</td><td>Additional information is needed to determine response for a prior authorization</td></tr><tr><td style=\"white-space:nowrap\">payer-url<a name=\"PASTempCodes-payer-url\"> </a></td><td>Payer URL</td><td>The Payer Endpoint URL needed to submit attachments</td></tr><tr><td style=\"white-space:nowrap\">attachments-needed<a name=\"PASTempCodes-attachments-needed\"> </a></td><td>Attachments Needed</td><td>Communicates what attachments are needed</td></tr><tr><td style=\"white-space:nowrap\">questionnaires-needed<a name=\"PASTempCodes-questionnaires-needed\"> </a></td><td>Questionnaires Needed</td><td>Communicates what questionnaires are needed</td></tr></table></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "fm" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
fhir:value [
fhir:v "3"^^xsd:integer ;
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
fhir:value [
fhir:v "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas>         ]       ] )     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
fhir:value [
fhir:v "trial-use" ;
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
fhir:value [
fhir:v "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas>         ]       ] )     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "2.0.1"] ; # 
  fhir:name [ fhir:v "PASTempCodes"] ; # 
  fhir:title [ fhir:v "PAS Temporary Codes"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2024-05-28T15:04:42+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Financial Management"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International / Financial Management" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://hl7.org/Special/committees/fm" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fmlists@lists.hl7.org" ]     ] )
  ] [
fhir:name [ fhir:v "Jean Duteau" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "mailto:jean@duteaudesign.com" ]     ] )
  ] [
fhir:name [ fhir:v "HL7 International / Financial Management" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fm" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Codes temporarily defined as part of the PAS implementation guide.  These will eventually migrate into an officially maintained terminology (likely either SNOMED CT or HL7's UTG code systems)."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ] ;
fhir:display [ fhir:v "United States of America" ]     ] )
  ] ) ; # 
  fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:hierarchyMeaning [ fhir:v "is-a"] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "22"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "provider-src" ] ;
fhir:display [ fhir:v "Provider-sourced" ] ;
fhir:definition [ fhir:v "The metric information was captured from the provider system's perspective" ]
  ] [
fhir:code [ fhir:v "payer-src" ] ;
fhir:display [ fhir:v "Payer-sourced" ] ;
fhir:definition [ fhir:v "The metric information was captured from the payer system's perspective" ]
  ] [
fhir:code [ fhir:v "intermediary-src" ] ;
fhir:display [ fhir:v "Intermediary-sourced" ] ;
fhir:definition [ fhir:v "The metric information was captured from the intermediary system's perspective" ]
  ] [
fhir:code [ fhir:v "changed" ] ;
fhir:display [ fhir:v "Changed" ] ;
fhir:definition [ fhir:v "Previously sent information has been changed." ]
  ] [
fhir:code [ fhir:v "added" ] ;
fhir:display [ fhir:v "Added" ] ;
fhir:definition [ fhir:v "New information that was not sent previously." ]
  ] [
fhir:code [ fhir:v "patientEvent" ] ;
fhir:display [ fhir:v "Patient Event" ] ;
fhir:definition [ fhir:v "Information about the dates of the event that are being requested." ]
  ] [
fhir:code [ fhir:v "admissionDates" ] ;
fhir:display [ fhir:v "Admission Dates" ] ;
fhir:definition [ fhir:v "Information about the admission dates of a hospital admission being requested." ]
  ] [
fhir:code [ fhir:v "dischargeDates" ] ;
fhir:display [ fhir:v "Discharge Dates" ] ;
fhir:definition [ fhir:v "Information about discharge dates of a hospital admission being requested." ]
  ] [
fhir:code [ fhir:v "additionalInformation" ] ;
fhir:display [ fhir:v "Additional Information" ] ;
fhir:definition [ fhir:v "Send additional paperwork or supporting information for the request." ]
  ] [
fhir:code [ fhir:v "freeFormMessage" ] ;
fhir:display [ fhir:v "Free Form Message" ] ;
fhir:definition [ fhir:v "Send text messages to the UMO." ]
  ] [
fhir:code [ fhir:v "institutionalEncounter" ] ;
fhir:display [ fhir:v "Institutional Encounter" ] ;
fhir:definition [ fhir:v "Information about a hospital claim being requested." ]
  ] [
fhir:code [ fhir:v "result-available" ] ;
fhir:display [ fhir:v "Result Available" ] ;
fhir:definition [ fhir:v "A new result for a PAS submission is now available." ]
  ] [
fhir:code [ fhir:v "admitting" ] ;
fhir:display [ fhir:v "Admitting" ] ;
fhir:definition [ fhir:v "The diagnosis given as the reason why the patient was admitted to the hospital." ]
  ] [
fhir:code [ fhir:v "principal" ] ;
fhir:display [ fhir:v "Principal" ] ;
fhir:definition [ fhir:v "The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment." ]
  ] [
fhir:code [ fhir:v "patientreasonforvisit" ] ;
fhir:display [ fhir:v "Patient Reason For Visit" ] ;
fhir:definition [ fhir:v "The diagnosis given as why the patient came to the hospital." ]
  ] [
fhir:code [ fhir:v "CDEX" ] ;
fhir:display [ fhir:v "CDex Submit-Attachment" ] ;
fhir:definition [ fhir:v "Via a CDex Submitt-Attachment operation" ]
  ] [
fhir:code [ fhir:v "attachment-request-code" ] ;
fhir:display [ fhir:v "Attach Request Code" ] ;
fhir:definition [ fhir:v "Attachments are identified by LOINC or PWK01 codes" ]
  ] [
fhir:code [ fhir:v "attachment-request-questionnaire" ] ;
fhir:display [ fhir:v "Attachment Request Questionnaire" ] ;
fhir:definition [ fhir:v "Attachments are identified by a questionnaire using the TRN input parameter" ]
  ] [
fhir:code [ fhir:v "priorAuthorization" ] ;
fhir:display [ fhir:v "Prior Authorization Information Request" ] ;
fhir:definition [ fhir:v "Additional information is needed to determine response for a prior authorization" ]
  ] [
fhir:code [ fhir:v "payer-url" ] ;
fhir:display [ fhir:v "Payer URL" ] ;
fhir:definition [ fhir:v "The Payer Endpoint URL needed to submit attachments" ]
  ] [
fhir:code [ fhir:v "attachments-needed" ] ;
fhir:display [ fhir:v "Attachments Needed" ] ;
fhir:definition [ fhir:v "Communicates what attachments are needed" ]
  ] [
fhir:code [ fhir:v "questionnaires-needed" ] ;
fhir:display [ fhir:v "Questionnaires Needed" ] ;
fhir:definition [ fhir:v "Communicates what questionnaires are needed" ]
  ] ) . #