Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0 - STU 2.1 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 2.1.0 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

Resource Profile: PAS PractitionerRole

Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitionerrole Version: 2.1.0
Standards status: Trial-use Maturity Level: 3 Computable Name: PASPractitionerRole
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.69

PAS constraints on PractitionerRole resource mandating support for elements relevant to the care team involved in a prior authorization request

Usage:

Formal Views of Profile Content

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

This structure is derived from PractitionerRole

NameFlagsCard.TypeDescription & Constraintsdoco
.. PractitionerRole PractitionerRole
... practitioner S 1..1 Reference(PAS Practitioner) Practitioner that is able to provide the defined services for the organization
... organization S 0..1 Reference(PAS Organization Base Profile) Organization where the roles are available

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. PractitionerRole 0..* PractitionerRole Roles/organizations the practitioner is associated with
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
... 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
... practitioner SΣ 1..1 Reference(PAS Practitioner) Practitioner that is able to provide the defined services for the organization
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. PractitionerRole 0..* PractitionerRole Roles/organizations the practitioner is associated with
... 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
... 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
... identifier Σ 0..* Identifier Business Identifiers that are specific to a role/location
... active Σ 0..1 boolean Whether this practitioner role record is in active use
... period Σ 0..1 Period The period during which the practitioner is authorized to perform in these role(s)
... practitioner SΣ 1..1 Reference(PAS Practitioner) Practitioner that is able to provide the defined services for the organization
... organization SΣ 0..1 Reference(PAS Organization Base Profile) Organization where the roles are available
... code Σ 0..* CodeableConcept Roles which this practitioner may perform
Binding: PractitionerRole (example): The role a person plays representing an organization.


... specialty Σ 0..* CodeableConcept Specific specialty of the practitioner
Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.


... location Σ 0..* Reference(Location) The location(s) at which this practitioner provides care
... healthcareService 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s)
... telecom Σ 0..* ContactPoint Contact details that are specific to the role/location/service
... availableTime 0..* BackboneElement Times the Service Site is available
.... 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
.... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.


.... allDay 0..1 boolean Always available? e.g. 24 hour service
.... availableStartTime 0..1 time Opening time of day (ignored if allDay = true)
.... availableEndTime 0..1 time Closing time of day (ignored if allDay = true)
... notAvailable 0..* BackboneElement Not available during this time due to provided reason
.... 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
.... description 1..1 string Reason presented to the user explaining why time not available
.... during 0..1 Period Service not available from this date
... availabilityExceptions 0..1 string Description of availability exceptions
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the practitioner with this role

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
PractitionerRole.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
PractitionerRole.codeexamplePractitionerRole
http://hl7.org/fhir/ValueSet/practitioner-role
from the FHIR Standard
PractitionerRole.specialtypreferredPracticeSettingCodeValueSet
http://hl7.org/fhir/ValueSet/c80-practice-codes
from the FHIR Standard
PractitionerRole.availableTime.daysOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard

Differential View

This structure is derived from PractitionerRole

NameFlagsCard.TypeDescription & Constraintsdoco
.. PractitionerRole PractitionerRole
... practitioner S 1..1 Reference(PAS Practitioner) Practitioner that is able to provide the defined services for the organization
... organization S 0..1 Reference(PAS Organization Base Profile) Organization where the roles are available

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. PractitionerRole 0..* PractitionerRole Roles/organizations the practitioner is associated with
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
... 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
... practitioner SΣ 1..1 Reference(PAS Practitioner) Practitioner that is able to provide the defined services for the organization
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. PractitionerRole 0..* PractitionerRole Roles/organizations the practitioner is associated with
... 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
... 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
... identifier Σ 0..* Identifier Business Identifiers that are specific to a role/location
... active Σ 0..1 boolean Whether this practitioner role record is in active use
... period Σ 0..1 Period The period during which the practitioner is authorized to perform in these role(s)
... practitioner SΣ 1..1 Reference(PAS Practitioner) Practitioner that is able to provide the defined services for the organization
... organization SΣ 0..1 Reference(PAS Organization Base Profile) Organization where the roles are available
... code Σ 0..* CodeableConcept Roles which this practitioner may perform
Binding: PractitionerRole (example): The role a person plays representing an organization.


... specialty Σ 0..* CodeableConcept Specific specialty of the practitioner
Binding: PracticeSettingCodeValueSet (preferred): Specific specialty associated with the agency.


... location Σ 0..* Reference(Location) The location(s) at which this practitioner provides care
... healthcareService 0..* Reference(HealthcareService) The list of healthcare services that this worker provides for this role's Organization/Location(s)
... telecom Σ 0..* ContactPoint Contact details that are specific to the role/location/service
... availableTime 0..* BackboneElement Times the Service Site is available
.... 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
.... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.


.... allDay 0..1 boolean Always available? e.g. 24 hour service
.... availableStartTime 0..1 time Opening time of day (ignored if allDay = true)
.... availableEndTime 0..1 time Closing time of day (ignored if allDay = true)
... notAvailable 0..* BackboneElement Not available during this time due to provided reason
.... 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
.... description 1..1 string Reason presented to the user explaining why time not available
.... during 0..1 Period Service not available from this date
... availabilityExceptions 0..1 string Description of availability exceptions
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the practitioner with this role

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
PractitionerRole.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
PractitionerRole.codeexamplePractitionerRole
http://hl7.org/fhir/ValueSet/practitioner-role
from the FHIR Standard
PractitionerRole.specialtypreferredPracticeSettingCodeValueSet
http://hl7.org/fhir/ValueSet/c80-practice-codes
from the FHIR Standard
PractitionerRole.availableTime.daysOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard

This structure is derived from PractitionerRole

 

Other representations of profile: CSV, Excel, Schematron