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 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-devicerequest | Version: 2.1.0 | |||
Standards status: Trial-use | Maturity Level: 3 | Computable Name: PASDeviceRequest | ||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.56 |
PAS constraints on DeviceRequest resource mandating support for elements relevant to the devices being requested on a prior authorization request
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DeviceRequest
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DeviceRequest | 0..* | DeviceRequest | Medical device request | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
coverage | S | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information |
intent | S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order |
code[x] | S | 1..1 | CodeableConcept | Device requested Binding: X12 278 Requested Service Type (required) |
subject | S | 1..1 | Reference(PAS Beneficiary Patient) | Focus of request |
occurrence[x] | S | 0..1 | PASTiming | A timing schedule that specifies an event that may occur multiple times |
Documentation for this format |
Path | Conformance | ValueSet | URI |
DeviceRequest.code[x] | required | X12278RequestedServiceTypehttp://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceType from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DeviceRequest | 0..* | DeviceRequest | Medical device request dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
coverage | SC | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
status | ?!Σ | 0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. ele-1: All FHIR elements must have a @value or children |
intent | ?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. ele-1: All FHIR elements must have a @value or children Fixed Value: order |
code[x] | SΣ | 1..1 | CodeableConcept | Device requested Binding: X12 278 Requested Service Type (required) ele-1: All FHIR elements must have a @value or children |
subject | SΣ | 1..1 | Reference(PAS Beneficiary Patient) | Focus of request ele-1: All FHIR elements must have a @value or children |
occurrence[x] | S | 0..1 | PASTiming | A timing schedule that specifies an event that may occur multiple times ele-1: All FHIR elements must have a @value or children |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
DeviceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard | |
DeviceRequest.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard | |
DeviceRequest.code[x] | required | X12278RequestedServiceTypehttp://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceType from this IG |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
DeviceRequest | 0..* | DeviceRequest | Medical device request | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
coverage | SC | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | External Request identifier | ||||
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
basedOn | Σ | 0..* | Reference(Resource) | What request fulfills | ||||
priorRequest | Σ | 0..* | Reference(Resource) | What request replaces | ||||
groupIdentifier | Σ | 0..1 | Identifier | Identifier of composite request | ||||
status | ?!Σ | 0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. | ||||
intent | ?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Fixed Value: order | ||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
code[x] | SΣ | 1..1 | CodeableConcept | Device requested Binding: X12 278 Requested Service Type (required) | ||||
parameter | 0..* | BackboneElement | Device details | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 0..1 | CodeableConcept | Device detail Binding Description (No ValueSet): (example): A code that identifies the device detail. | |||||
value[x] | 0..1 | Value of detail | ||||||
valueCodeableConcept | CodeableConcept | |||||||
valueQuantity | Quantity | |||||||
valueRange | Range | |||||||
valueBoolean | boolean | |||||||
subject | SΣ | 1..1 | Reference(PAS Beneficiary Patient) | Focus of request | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter motivating request | ||||
occurrence[x] | S | 0..1 | PASTiming | A timing schedule that specifies an event that may occur multiple times | ||||
authoredOn | Σ | 0..1 | dateTime | When recorded | ||||
requester | Σ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Organization) | Who/what is requesting diagnostics | ||||
performerType | Σ | 0..1 | CodeableConcept | Filler role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||
performer | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested Filler | ||||
reasonCode | Σ | 0..* | CodeableConcept | Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device. | ||||
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Linked Reason for request | ||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
supportingInfo | 0..* | Reference(Resource) | Additional clinical information | |||||
note | 0..* | Annotation | Notes or comments | |||||
relevantHistory | 0..* | Reference(Provenance) | Request provenance | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
DeviceRequest.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
DeviceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard | ||||
DeviceRequest.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard | ||||
DeviceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
DeviceRequest.code[x] | required | X12278RequestedServiceTypehttp://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceType from this IG | ||||
DeviceRequest.parameter.code | example | |||||
DeviceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard | ||||
DeviceRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard |
This structure is derived from DeviceRequest
Summary
Must-Support: 5 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 3
Differential View
This structure is derived from DeviceRequest
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DeviceRequest | 0..* | DeviceRequest | Medical device request | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
coverage | S | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information |
intent | S | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order |
code[x] | S | 1..1 | CodeableConcept | Device requested Binding: X12 278 Requested Service Type (required) |
subject | S | 1..1 | Reference(PAS Beneficiary Patient) | Focus of request |
occurrence[x] | S | 0..1 | PASTiming | A timing schedule that specifies an event that may occur multiple times |
Documentation for this format |
Path | Conformance | ValueSet | URI |
DeviceRequest.code[x] | required | X12278RequestedServiceTypehttp://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceType from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DeviceRequest | 0..* | DeviceRequest | Medical device request dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
coverage | SC | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
status | ?!Σ | 0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. ele-1: All FHIR elements must have a @value or children |
intent | ?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. ele-1: All FHIR elements must have a @value or children Fixed Value: order |
code[x] | SΣ | 1..1 | CodeableConcept | Device requested Binding: X12 278 Requested Service Type (required) ele-1: All FHIR elements must have a @value or children |
subject | SΣ | 1..1 | Reference(PAS Beneficiary Patient) | Focus of request ele-1: All FHIR elements must have a @value or children |
occurrence[x] | S | 0..1 | PASTiming | A timing schedule that specifies an event that may occur multiple times ele-1: All FHIR elements must have a @value or children |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
DeviceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard | |
DeviceRequest.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard | |
DeviceRequest.code[x] | required | X12278RequestedServiceTypehttp://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceType from this IG |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
DeviceRequest | 0..* | DeviceRequest | Medical device request | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
coverage | SC | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | External Request identifier | ||||
instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
basedOn | Σ | 0..* | Reference(Resource) | What request fulfills | ||||
priorRequest | Σ | 0..* | Reference(Resource) | What request replaces | ||||
groupIdentifier | Σ | 0..1 | Identifier | Identifier of composite request | ||||
status | ?!Σ | 0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. | ||||
intent | ?!SΣ | 1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Fixed Value: order | ||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
code[x] | SΣ | 1..1 | CodeableConcept | Device requested Binding: X12 278 Requested Service Type (required) | ||||
parameter | 0..* | BackboneElement | Device details | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 0..1 | CodeableConcept | Device detail Binding Description (No ValueSet): (example): A code that identifies the device detail. | |||||
value[x] | 0..1 | Value of detail | ||||||
valueCodeableConcept | CodeableConcept | |||||||
valueQuantity | Quantity | |||||||
valueRange | Range | |||||||
valueBoolean | boolean | |||||||
subject | SΣ | 1..1 | Reference(PAS Beneficiary Patient) | Focus of request | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter motivating request | ||||
occurrence[x] | S | 0..1 | PASTiming | A timing schedule that specifies an event that may occur multiple times | ||||
authoredOn | Σ | 0..1 | dateTime | When recorded | ||||
requester | Σ | 0..1 | Reference(Device | Practitioner | PractitionerRole | Organization) | Who/what is requesting diagnostics | ||||
performerType | Σ | 0..1 | CodeableConcept | Filler role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | ||||
performer | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested Filler | ||||
reasonCode | Σ | 0..* | CodeableConcept | Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device. | ||||
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Linked Reason for request | ||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
supportingInfo | 0..* | Reference(Resource) | Additional clinical information | |||||
note | 0..* | Annotation | Notes or comments | |||||
relevantHistory | 0..* | Reference(Provenance) | Request provenance | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
DeviceRequest.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
DeviceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1 from the FHIR Standard | ||||
DeviceRequest.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/request-intent|4.0.1 from the FHIR Standard | ||||
DeviceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
DeviceRequest.code[x] | required | X12278RequestedServiceTypehttp://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceType from this IG | ||||
DeviceRequest.parameter.code | example | |||||
DeviceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard | ||||
DeviceRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard |
This structure is derived from DeviceRequest
Summary
Must-Support: 5 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 3
Other representations of profile: CSV, Excel, Schematron