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 Service Request

Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-servicerequest Version: 2.1.0
Standards status: Trial-use Maturity Level: 3 Computable Name: PASServiceRequest
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.72

PAS constraints on ServiceRequest resource mandating support for elements relevant to the generic services being requested on 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 ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..* ServiceRequest A request for a service to be performed
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... serviceCodeEnd S 0..1 CodeableConcept Extension
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-productOrServiceCodeEnd
Binding: X12 278 Requested Service Type (required)
.... 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 S 0..1 CodeableConcept What is being requested/ordered
Binding: X12 278 Requested Service Type (required)
... subject S 1..1 Reference(PAS Beneficiary Patient) Individual or Entity the service is ordered for
... occurrence[x] S 0..1 PASTiming A timing schedule that specifies an event that may occur multiple times

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.coderequiredX12278RequestedServiceType
http://hl7.org/fhir/us/davinci-pas/ValueSet/X12278RequestedServiceType
from this IG

 

Other representations of profile: CSV, Excel, Schematron