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 - XML Representation

Page standards status: Trial-use Maturity Level: 3

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="PASTempCodes"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"/>
  <version value="2.0.1"/>
  <name value="PASTempCodes"/>
  <title value="PAS Temporary Codes"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2024-05-28T15:04:42+00:00"/>
  <publisher value="HL7 International / Financial Management"/>
  <contact>
    <name value="HL7 International / Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/Special/committees/fm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fmlists@lists.hl7.org"/>
    </telecom>
  </contact>
  <contact>
    <name value="Jean Duteau"/>
    <telecom>
      <system value="email"/>
      <value value="mailto:jean@duteaudesign.com"/>
    </telecom>
  </contact>
  <contact>
    <name value="HL7 International / Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
  </contact>
  <description
               value="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)."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <hierarchyMeaning value="is-a"/>
  <content value="complete"/>
  <count value="22"/>
  <concept>
    <code value="provider-src"/>
    <display value="Provider-sourced"/>
    <definition
                value="The metric information was captured from the provider system's perspective"/>
  </concept>
  <concept>
    <code value="payer-src"/>
    <display value="Payer-sourced"/>
    <definition
                value="The metric information was captured from the payer system's perspective"/>
  </concept>
  <concept>
    <code value="intermediary-src"/>
    <display value="Intermediary-sourced"/>
    <definition
                value="The metric information was captured from the intermediary system's perspective"/>
  </concept>
  <concept>
    <code value="changed"/>
    <display value="Changed"/>
    <definition value="Previously sent information has been changed."/>
  </concept>
  <concept>
    <code value="added"/>
    <display value="Added"/>
    <definition value="New information that was not sent previously."/>
  </concept>
  <concept>
    <code value="patientEvent"/>
    <display value="Patient Event"/>
    <definition
                value="Information about the dates of the event that are being requested."/>
  </concept>
  <concept>
    <code value="admissionDates"/>
    <display value="Admission Dates"/>
    <definition
                value="Information about the admission dates of a hospital admission being requested."/>
  </concept>
  <concept>
    <code value="dischargeDates"/>
    <display value="Discharge Dates"/>
    <definition
                value="Information about discharge dates of a hospital admission being requested."/>
  </concept>
  <concept>
    <code value="additionalInformation"/>
    <display value="Additional Information"/>
    <definition
                value="Send additional paperwork or supporting information for the request."/>
  </concept>
  <concept>
    <code value="freeFormMessage"/>
    <display value="Free Form Message"/>
    <definition value="Send text messages to the UMO."/>
  </concept>
  <concept>
    <code value="institutionalEncounter"/>
    <display value="Institutional Encounter"/>
    <definition value="Information about a hospital claim being requested."/>
  </concept>
  <concept>
    <code value="result-available"/>
    <display value="Result Available"/>
    <definition value="A new result for a PAS submission is now available."/>
  </concept>
  <concept>
    <code value="admitting"/>
    <display value="Admitting"/>
    <definition
                value="The diagnosis given as the reason why the patient was admitted to the hospital."/>
  </concept>
  <concept>
    <code value="principal"/>
    <display value="Principal"/>
    <definition
                value="The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment."/>
  </concept>
  <concept>
    <code value="patientreasonforvisit"/>
    <display value="Patient Reason For Visit"/>
    <definition
                value="The diagnosis given as why the patient came to the hospital."/>
  </concept>
  <concept>
    <code value="CDEX"/>
    <display value="CDex Submit-Attachment"/>
    <definition value="Via a CDex Submitt-Attachment operation"/>
  </concept>
  <concept>
    <code value="attachment-request-code"/>
    <display value="Attach Request Code"/>
    <definition value="Attachments are identified by LOINC or PWK01 codes"/>
  </concept>
  <concept>
    <code value="attachment-request-questionnaire"/>
    <display value="Attachment Request Questionnaire"/>
    <definition
                value="Attachments are identified by a questionnaire using the TRN input parameter"/>
  </concept>
  <concept>
    <code value="priorAuthorization"/>
    <display value="Prior Authorization Information Request"/>
    <definition
                value="Additional information is needed to determine response for a prior authorization"/>
  </concept>
  <concept>
    <code value="payer-url"/>
    <display value="Payer URL"/>
    <definition value="The Payer Endpoint URL needed to submit attachments"/>
  </concept>
  <concept>
    <code value="attachments-needed"/>
    <display value="Attachments Needed"/>
    <definition value="Communicates what attachments are needed"/>
  </concept>
  <concept>
    <code value="questionnaires-needed"/>
    <display value="Questionnaires Needed"/>
    <definition value="Communicates what questionnaires are needed"/>
  </concept>
</CodeSystem>