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

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: PAS Organization Base Profile ( Abstract )

A base profile for organizations in PAS

Usage:

• Derived from this Resource Profile: PAS Insurer Organization and PAS Requestor Organization
• Refer to this Resource Profile: ItemAuthorizedProvider, PAS Claim Base, PAS CommunicationRequest and PAS PractitionerRole

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from USCoreOrganizationProfile

Name	Flags	Card.	Type	Description & Constraints
Organization			USCoreOrganizationProfile	This is an abstractprofile. Childprofiles: PASInsurer, PASRequestor
identifier		0..*	PASIdentifier	Identifies this organization across multiple systems
Slices for identifier				Content/Rules for all slices
identifier:NPI		0..1	PASIdentifier	An identifier intended for computation
identifier:CLIA		0..1	PASIdentifier	An identifier intended for computation
identifier:TIN	S	0..1	Identifier	The US Employer Identification Number (EIN) or Tax Identification Number (TIN). Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://terminology.hl7.org/NamingSystem/USEIN
system		1..1	uri	The namespace for the identifier value
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	USCoreOrganizationProfile	This is an abstractprofile. Childprofiles: PASInsurer, PASRequestor A grouping of people or organizations with a common purpose org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣC	0..*	PASIdentifier	Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this
identifier:NPI	S	0..1	PASIdentifier	An identifier intended for computation Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
identifier:CLIA		0..1	PASIdentifier	An identifier intended for computation Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7
identifier:TIN	SΣC	0..1	Identifier	The US Employer Identification Number (EIN) or Tax Identification Number (TIN). Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://terminology.hl7.org/NamingSystem/USEIN
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	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
active	?!SΣ	1..1	boolean	Whether the organization's record is still in active use
name	SΣC	1..1	string	Name used for the organization
telecom	SC	0..*	ContactPoint	A contact detail for the organization org-3: The telecom of an organization can never be of use 'home'
address	SC	0..*	Address	An address for the organization org-2: An address of an organization can never be of use 'home'
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line	SΣ	0..4	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Organization.identifier:TIN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Organization.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address.state	extensible	UspsTwoLetterAlphabeticCodes http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	USCoreOrganizationProfile	This is an abstractprofile. Childprofiles: PASInsurer, PASRequestor A grouping of people or organizations with a common purpose org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣC	0..*	PASIdentifier	Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this
identifier:NPI	S	0..1	PASIdentifier	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:CLIA		0..1	PASIdentifier	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:TIN	SΣC	0..1	Identifier	The US Employer Identification Number (EIN) or Tax Identification Number (TIN). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://terminology.hl7.org/NamingSystem/USEIN
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
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	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique 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)
active	?!SΣ	1..1	boolean	Whether the organization's record is still in active use
type	Σ	0..*	CodeableConcept	Kind of organization Binding: OrganizationType (example): Used to categorize the organization.
name	SΣC	1..1	string	Name used for the organization
alias		0..*	string	A list of alternate names that the organization is known as, or was known as in the past
telecom	SC	0..*	ContactPoint	A contact detail for the organization org-3: The telecom of an organization can never be of use 'home'
address	SC	0..*	Address	An address for the organization org-2: An address of an organization can never be of use 'home'
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	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..4	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
partOf	Σ	0..1	Reference(Organization)	The organization of which this organization forms a part
contact		0..*	BackboneElement	Contact for the organization for a certain purpose
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
purpose		0..1	CodeableConcept	The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name		0..1	HumanName	A name associated with the contact
telecom		0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact
address		0..1	Address	Visiting or postal addresses for the contact
endpoint		0..*	Reference(Endpoint)	Technical endpoints providing access to services operated for the organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Organization.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Organization.identifier:TIN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Organization.identifier:TIN.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type from the FHIR Standard
Organization.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Organization.address.state	extensible	UspsTwoLetterAlphabeticCodes http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.contact.purpose	extensible	ContactEntityType http://hl7.org/fhir/ValueSet/contactentity-type from the FHIR Standard

This structure is derived from USCoreOrganizationProfile

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 1 element

Structures

This structure refers to these other structures:

• PAS Identifier (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-identifier)

Maturity: 3

Differential View

This structure is derived from USCoreOrganizationProfile

Name	Flags	Card.	Type	Description & Constraints
Organization			USCoreOrganizationProfile	This is an abstractprofile. Childprofiles: PASInsurer, PASRequestor
identifier		0..*	PASIdentifier	Identifies this organization across multiple systems
Slices for identifier				Content/Rules for all slices
identifier:NPI		0..1	PASIdentifier	An identifier intended for computation
identifier:CLIA		0..1	PASIdentifier	An identifier intended for computation
identifier:TIN	S	0..1	Identifier	The US Employer Identification Number (EIN) or Tax Identification Number (TIN). Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://terminology.hl7.org/NamingSystem/USEIN
system		1..1	uri	The namespace for the identifier value
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	USCoreOrganizationProfile	This is an abstractprofile. Childprofiles: PASInsurer, PASRequestor A grouping of people or organizations with a common purpose org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣC	0..*	PASIdentifier	Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this
identifier:NPI	S	0..1	PASIdentifier	An identifier intended for computation Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
identifier:CLIA		0..1	PASIdentifier	An identifier intended for computation Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7
identifier:TIN	SΣC	0..1	Identifier	The US Employer Identification Number (EIN) or Tax Identification Number (TIN). Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://terminology.hl7.org/NamingSystem/USEIN
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	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
active	?!SΣ	1..1	boolean	Whether the organization's record is still in active use
name	SΣC	1..1	string	Name used for the organization
telecom	SC	0..*	ContactPoint	A contact detail for the organization org-3: The telecom of an organization can never be of use 'home'
address	SC	0..*	Address	An address for the organization org-2: An address of an organization can never be of use 'home'
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
line	SΣ	0..4	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Organization.identifier:TIN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Organization.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address.state	extensible	UspsTwoLetterAlphabeticCodes http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	USCoreOrganizationProfile	This is an abstractprofile. Childprofiles: PASInsurer, PASRequestor A grouping of people or organizations with a common purpose org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣC	0..*	PASIdentifier	Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this
identifier:NPI	S	0..1	PASIdentifier	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:CLIA		0..1	PASIdentifier	An identifier intended for computation Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:TIN	SΣC	0..1	Identifier	The US Employer Identification Number (EIN) or Tax Identification Number (TIN). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
use		0..1	code	usual | official | temp | secondary | old (If known)
type		0..1	CodeableConcept	Description of identifier
system		1..1	uri	The namespace for the identifier value Fixed Value: http://terminology.hl7.org/NamingSystem/USEIN
value		0..1	string	The value that is unique
period		0..1	Period	Time period when id is/was valid for use
assigner		0..1	Reference(Organization)	Organization that issued id (may be just text)
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	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique 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)
active	?!SΣ	1..1	boolean	Whether the organization's record is still in active use
type	Σ	0..*	CodeableConcept	Kind of organization Binding: OrganizationType (example): Used to categorize the organization.
name	SΣC	1..1	string	Name used for the organization
alias		0..*	string	A list of alternate names that the organization is known as, or was known as in the past
telecom	SC	0..*	ContactPoint	A contact detail for the organization org-3: The telecom of an organization can never be of use 'home'
address	SC	0..*	Address	An address for the organization org-2: An address of an organization can never be of use 'home'
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	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. Example General: home
type	Σ	0..1	code	postal | physical | both Binding: AddressType (required): The type of an address (physical / postal). Example General: both
text	Σ	0..1	string	Text representation of the address Example General: 137 Nowhere Street, Erewhon 9132
line	SΣ	0..4	string	Street name, number, direction & P.O. Box etc. This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street
city	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.
postalCode	SΣ	0..1	string	US Zip Codes Example General: 9132
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code)
period	Σ	0..1	Period	Time period when address was/is in use Example General: {"start":"2010-03-23","end":"2010-07-01"}
partOf	Σ	0..1	Reference(Organization)	The organization of which this organization forms a part
contact		0..*	BackboneElement	Contact for the organization for a certain purpose
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
purpose		0..1	CodeableConcept	The type of contact Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.
name		0..1	HumanName	A name associated with the contact
telecom		0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact
address		0..1	Address	Visiting or postal addresses for the contact
endpoint		0..*	Reference(Endpoint)	Technical endpoints providing access to services operated for the organization
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Organization.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Organization.identifier:TIN.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Organization.identifier:TIN.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Organization.type	example	OrganizationType http://hl7.org/fhir/ValueSet/organization-type from the FHIR Standard
Organization.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Organization.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Organization.address.state	extensible	UspsTwoLetterAlphabeticCodes http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
Organization.contact.purpose	extensible	ContactEntityType http://hl7.org/fhir/ValueSet/contactentity-type from the FHIR Standard

This structure is derived from USCoreOrganizationProfile

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 1 element

Structures

This structure refers to these other structures:

• PAS Identifier (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-identifier)

Maturity: 3

Other representations of profile: CSV, Excel, Schematron