Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2
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
| Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-inquiry-request-bundle | Version: 2.0.1 | |||
| Standards status: Trial-use | Maturity Level: 3 | Computable Name: PASInquiryRequestBundle | ||
PAS constraints on Bundle resource ensuring that a claim inquiry resource is present and that non-supported elements are not.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Bundle
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Bundle | 0..* | Bundle | Contains a collection of resources | |
  identifier | S | 1..1 | Identifier | Persistent identifier for the bundle |
| type | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: collection | |
| timestamp | S | 1..1 | instant | When the bundle was assembled |
  Slices for entry | S | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource |
  entry:All Slices | Content/Rules for all slices | |||
  fullUrl | S | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) |
| resource | S | 1..1 | Resource | A resource in the bundle |
| search | 0..0 | |||
| request | 0..0 | |||
 response | 0..0 | |||
  entry:Claim | S | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information |
 resource | 0..1 | PASClaimInquiry | Claim, Pre-determination or Pre-authorization | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle | C | 0..* | Bundle | Contains a collection of resources |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 identifier | SΣ | 1..1 | Identifier | Persistent identifier for the bundle |
| type | Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection |
| timestamp | SΣ | 1..1 | instant | When the bundle was assembled |
| Slices for entry | SΣC | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| entry:All Slices | Content/Rules for all slices | |||
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| fullUrl | SΣ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) |
| resource | SΣ | 1..1 | Resource | A resource in the bundle |
| entry:Claim | SΣC | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | 0..1 | PASClaimInquiry | Claim, Pre-determination or Pre-authorization | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Bundle.type | required | Pattern: collection |
| Bundle.entry.request.method | required | HTTPVerb |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Bundle | C | 0..* | Bundle | Contains a collection of resources | ||||
| 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.
| |||||
| identifier | SΣ | 1..1 | Identifier | Persistent identifier for the bundle | ||||
| type | Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection | ||||
| timestamp | SΣ | 1..1 | instant | When the bundle was assembled | ||||
| total | ΣC | 0..1 | unsignedInt | If search, the total number of matches | ||||
 link | Σ | 0..* | BackboneElement | Links related to this Bundle | ||||
 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 | ||||
| relation | Σ | 1..1 | string | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 | ||||
 url | Σ | 1..1 | uri | Reference details for the link | ||||
| Slices for entry | SΣC | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| entry:All Slices | Content/Rules for all slices | |||||||
| 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 | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | SΣ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | SΣ | 1..1 | Resource | A resource in the bundle | ||||
| entry:Claim | SΣC | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| 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 | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | 0..1 | PASClaimInquiry | Claim, Pre-determination or Pre-authorization | |||||
 search | ΣC | 0..1 | BackboneElement | Search related information | ||||
 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 | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| 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 | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
 response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| 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 | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| signature | Σ | 0..1 | Signature | Digital Signature | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Bundle.language | preferred | CommonLanguages
| ||||
| Bundle.type | required | Pattern: collection | ||||
| Bundle.entry.search.mode | required | SearchEntryMode | ||||
| Bundle.entry.request.method | required | HTTPVerb | ||||
| Bundle.entry:Claim.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:Claim.request.method | required | HTTPVerb |
This structure is derived from Bundle
Differential View
This structure is derived from Bundle
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle | 0..* | Bundle | Contains a collection of resources | |
| identifier | S | 1..1 | Identifier | Persistent identifier for the bundle |
| type | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: collection | |
| timestamp | S | 1..1 | instant | When the bundle was assembled |
| Slices for entry | S | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource |
| entry:All Slices | Content/Rules for all slices | |||
| fullUrl | S | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) |
| resource | S | 1..1 | Resource | A resource in the bundle |
| search | 0..0 | |||
| request | 0..0 | |||
| response | 0..0 | |||
| entry:Claim | S | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information |
| resource | 0..1 | PASClaimInquiry | Claim, Pre-determination or Pre-authorization | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle | C | 0..* | Bundle | Contains a collection of resources |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| identifier | SΣ | 1..1 | Identifier | Persistent identifier for the bundle |
| type | Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection |
| timestamp | SΣ | 1..1 | instant | When the bundle was assembled |
| Slices for entry | SΣC | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| entry:All Slices | Content/Rules for all slices | |||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| fullUrl | SΣ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) |
| resource | SΣ | 1..1 | Resource | A resource in the bundle |
| entry:Claim | SΣC | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | 0..1 | PASClaimInquiry | Claim, Pre-determination or Pre-authorization | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Bundle.type | required | Pattern: collection |
| Bundle.entry.request.method | required | HTTPVerb |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Bundle | C | 0..* | Bundle | Contains a collection of resources | ||||
| 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.
| |||||
| identifier | SΣ | 1..1 | Identifier | Persistent identifier for the bundle | ||||
| type | Σ | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection | ||||
| timestamp | SΣ | 1..1 | instant | When the bundle was assembled | ||||
| total | ΣC | 0..1 | unsignedInt | If search, the total number of matches | ||||
| link | Σ | 0..* | BackboneElement | Links related to this Bundle | ||||
| 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 | ||||
| relation | Σ | 1..1 | string | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 | ||||
| url | Σ | 1..1 | uri | Reference details for the link | ||||
| Slices for entry | SΣC | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| entry:All Slices | Content/Rules for all slices | |||||||
| 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 | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | SΣ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | SΣ | 1..1 | Resource | A resource in the bundle | ||||
| entry:Claim | SΣC | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| 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 | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | 0..1 | PASClaimInquiry | Claim, Pre-determination or Pre-authorization | |||||
| search | ΣC | 0..1 | BackboneElement | Search related information | ||||
| 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 | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| 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 | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
| response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| 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 | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| signature | Σ | 0..1 | Signature | Digital Signature | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Bundle.language | preferred | CommonLanguages
| ||||
| Bundle.type | required | Pattern: collection | ||||
| Bundle.entry.search.mode | required | SearchEntryMode | ||||
| Bundle.entry.request.method | required | HTTPVerb | ||||
| Bundle.entry:Claim.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:Claim.request.method | required | HTTPVerb |
This structure is derived from Bundle
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pas#2.0.1 based on FHIR 4.0.1. Generated 2024-01-08
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