Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2
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 2.2.1 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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/Bundle/PASSubscriptionNotification> a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "PASSubscriptionNotification"] ;
fhir:Resource.language [ fhir:value "en"] ;
fhir:Bundle.type [ fhir:value "history"] ;
fhir:Bundle.timestamp [ fhir:value "2020-05-29T11:44:33.188-05:00"^^xsd:dateTime] ;
fhir:Bundle.entry [
fhir:index -1 ;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/Parameters/SubscriptionNotificationParameters" ] ;
fhir:Bundle.entry.resource <http://example.org/Parameters/SubscriptionNotificationParameters> ;
fhir:Bundle.entry.request [
fhir:Bundle.entry.request.method [ fhir:value "GET" ] ;
fhir:Bundle.entry.request.url [ fhir:value "https://example.org/Subscription/PAS/$status" ]
] ;
fhir:Bundle.entry.response [
fhir:Bundle.entry.response.status [ fhir:value "200" ]
]
], [
fhir:index -1 ;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/Bundle/ReferralAuthorizationResponseBundleExample" ] ;
fhir:Bundle.entry.resource <http://example.org/Bundle/ReferralAuthorizationResponseBundleExample> ;
fhir:Bundle.entry.request [
fhir:Bundle.entry.request.method [ fhir:value "GET" ] ;
fhir:Bundle.entry.request.url [ fhir:value "https://example.org/Bundle/ReferralAuthorizationResponseBundleExample" ]
] ;
fhir:Bundle.entry.response [
fhir:Bundle.entry.response.status [ fhir:value "200" ]
]
] .
<http://example.org/Parameters/SubscriptionNotificationParameters> a fhir:Parameters ;
fhir:Resource.id [ fhir:value "SubscriptionNotificationParameters"] ;
fhir:Resource.language [ fhir:value "en"] ;
fhir:Parameters.parameter [
fhir:index -1 ;
fhir:Parameters.parameter.name [ fhir:value "subscription" ] ;
fhir:Parameters.parameter.valueReference [
fhir:link <http://hl7.org/fhir/Subscription/PASSubscriptionExample> ;
fhir:Reference.reference [ fhir:value "Subscription/PASSubscriptionExample" ]
]
], [
fhir:index -1 ;
fhir:Parameters.parameter.name [ fhir:value "topic" ] ;
fhir:Parameters.parameter.valueCanonical [
fhir:value "http://hl7.org/fhir/us/davinci-pas/SubscriptionTopic/PASSubscriptionTopic" ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/SubscriptionTopic/PASSubscriptionTopic>
]
], [
fhir:index -1 ;
fhir:Parameters.parameter.name [ fhir:value "type" ] ;
fhir:Parameters.parameter.valueCode [ fhir:value "event-notification" ]
], [
fhir:index -1 ;
fhir:Parameters.parameter.name [ fhir:value "notification-event" ] ;
fhir:Parameters.parameter.part [
fhir:index -1 ;
fhir:Parameters.parameter.name [ fhir:value "event-number" ] ;
fhir:Parameters.parameter.valueString [ fhir:value "2" ]
], [
fhir:index -1 ;
fhir:Parameters.parameter.name [ fhir:value "timestamp" ] ;
fhir:Parameters.parameter.valueInstant [ fhir:value "2020-05-29T11:44:33.188-05:00"^^xsd:dateTime ]
], [
fhir:index -1 ;
fhir:Parameters.parameter.name [ fhir:value "focus" ] ;
fhir:Parameters.parameter.valueReference [
fhir:link <http://example.org/Bundle/ReferralAuthorizationResponseBundleExample> ;
fhir:Reference.reference [ fhir:value "http://example.org/Bundle/ReferralAuthorizationResponseBundleExample" ]
]
]
] .
<http://hl7.org/fhir/Subscription/PASSubscriptionExample> a fhir:Subscription .
<http://example.org/Bundle/ReferralAuthorizationResponseBundleExample> a fhir:Bundle ;
fhir:Resource.id [ fhir:value "ReferralAuthorizationResponseBundleExample"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-response-bundle" ;
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-response-bundle>
]
] ;
fhir:Resource.language [ fhir:value "en"] ;
fhir:Bundle.identifier [
fhir:Identifier.system [ fhir:value "http://example.org/SUBMITTER_TRANSACTION_IDENTIFIER" ] ;
fhir:Identifier.value [ fhir:value "A12345" ]
] ;
fhir:Bundle.type [ fhir:value "collection"] ;
fhir:Bundle.timestamp [ fhir:value "2005-05-02T11:02:00+05:00"^^xsd:dateTime] ;
fhir:Bundle.entry [
fhir:index -1 ;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/ClaimResponse/PractitionerRequestorResponseExample" ] ;
fhir:Bundle.entry.resource <http://example.org/fhir/ClaimResponse/PractitionerRequestorResponseExample>
], [
fhir:index -1 ;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Organization/UMOExample" ] ;
fhir:Bundle.entry.resource <http://example.org/fhir/Organization/UMOExample>
], [
fhir:index -1 ;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Organization/InsurerExample" ] ;
fhir:Bundle.entry.resource <http://example.org/fhir/Organization/InsurerExample>
], [
fhir:index -1 ;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Patient/SubscriberExample" ] ;
fhir:Bundle.entry.resource <http://example.org/fhir/Patient/SubscriberExample>
], [
fhir:index -1 ;
fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/Practitioner/ReferralPractitionerExample" ] ;
fhir:Bundle.entry.resource <http://example.org/fhir/Practitioner/ReferralPractitionerExample>
] .
<http://example.org/fhir/ClaimResponse/PractitionerRequestorResponseExample> a fhir:ClaimResponse ;
fhir:Resource.id [ fhir:value "PractitionerRequestorResponseExample"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claimresponse" ;
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claimresponse>
]
] ;
fhir:Resource.language [ fhir:value "en"] ;
fhir:ClaimResponse.identifier [
fhir:index -1 ;
fhir:Identifier.system [ fhir:value "http://example.org/PATIENT_EVENT_TRACE_NUMBER" ] ;
fhir:Identifier.value [ fhir:value "111099" ] ;
fhir:Identifier.assigner [
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://example.org/USER_ASSIGNED" ] ;
fhir:Identifier.value [ fhir:value "9012345678" ]
]
]
] ;
fhir:ClaimResponse.status [ fhir:value "active"] ;
fhir:ClaimResponse.type [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/claim-type" ] ;
fhir:Coding.code [ fhir:value "professional" ]
]
] ;
fhir:ClaimResponse.use [ fhir:value "preauthorization"] ;
fhir:ClaimResponse.patient [
fhir:link <http://hl7.org/fhir/Patient/SubscriberExample> ;
fhir:Reference.reference [ fhir:value "Patient/SubscriberExample" ]
] ;
fhir:ClaimResponse.created [ fhir:value "2005-05-02T11:02:00+05:00"^^xsd:dateTime] ;
fhir:ClaimResponse.insurer [
fhir:link <http://hl7.org/fhir/Organization/InsurerExample> ;
fhir:Reference.reference [ fhir:value "Organization/InsurerExample" ]
] ;
fhir:ClaimResponse.requestor [
fhir:link <http://hl7.org/fhir/PractitionerRole/ReferralPractitionerRoleExample> ;
fhir:Reference.reference [ fhir:value "PractitionerRole/ReferralPractitionerRoleExample" ]
] ;
fhir:ClaimResponse.request [
fhir:link <http://hl7.org/fhir/Claim/ReferralAuthorizationExample> ;
fhir:Reference.reference [ fhir:value "Claim/ReferralAuthorizationExample" ]
] ;
fhir:ClaimResponse.outcome [ fhir:value "complete"] ;
fhir:ClaimResponse.item [
fhir:index -1 ;
fhir:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemRequestedServiceDate" ] ;
fhir:Extension.valuePeriod [
fhir:Period.start [ fhir:value "2005-05-02"^^xsd:date ] ;
fhir:Period.end [ fhir:value "2005-06-02"^^xsd:date ]
]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemPreAuthIssueDate" ] ;
fhir:Extension.valueDate [ fhir:value "2005-05-02"^^xsd:date ]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemPreAuthPeriod" ] ;
fhir:Extension.valuePeriod [
fhir:Period.start [ fhir:value "2005-05-02"^^xsd:date ] ;
fhir:Period.end [ fhir:value "2005-06-02"^^xsd:date ]
]
], [
fhir:index -1 ;
fhir:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "provider" ] ;
fhir:Extension.valueReference [
fhir:link <http://hl7.org/fhir/Practitioner/ReferralPractitionerExample> ;
fhir:Reference.reference [ fhir:value "Practitioner/ReferralPractitionerExample" ]
]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizedProviderType" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "https://codesystem.x12.org/005010/98" ] ;
fhir:Coding.code [ fhir:value "P3" ]
]
]
] ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedProvider" ]
], [
fhir:index -1 ;
fhir:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "productOrServiceCode" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "https://codesystem.x12.org/005010/1365" ] ;
fhir:Coding.code [ fhir:value "3" ] ;
fhir:Coding.display [ fhir:value "Consultation" ]
]
]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "unitPrice" ] ;
fhir:Extension.valueMoney [
fhir:Money.value [ fhir:value "100"^^xsd:decimal ] ;
fhir:Money.currency [ fhir:value "USD" ]
]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "quantity" ] ;
fhir:Extension.valueQuantity [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]
]
] ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail" ]
] ;
fhir:ClaimResponse.item.itemSequence [ fhir:value "1"^^xsd:positiveInteger ] ;
fhir:ClaimResponse.item.adjudication [
fhir:index -1 ;
fhir:Element.extension [
fhir:index -1 ;
fhir:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "number" ] ;
fhir:Extension.valueString [ fhir:value "AUTH0001" ]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "https://codesystem.x12.org/005010/306" ] ;
fhir:Coding.code [ fhir:value "A1" ] ;
fhir:Coding.display [ fhir:value "Certified in total" ]
]
]
] ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction" ]
] ;
fhir:ClaimResponse.item.adjudication.category [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/adjudication" ] ;
fhir:Coding.code [ fhir:value "submitted" ]
]
]
]
] .
<http://hl7.org/fhir/Patient/SubscriberExample> a fhir:Patient .
<http://hl7.org/fhir/Organization/InsurerExample> a fhir:Organization .
<http://hl7.org/fhir/PractitionerRole/ReferralPractitionerRoleExample> a fhir:PractitionerRole .
<http://hl7.org/fhir/Claim/ReferralAuthorizationExample> a fhir:Claim .
<http://hl7.org/fhir/Practitioner/ReferralPractitionerExample> a fhir:Practitioner .
<http://example.org/fhir/Organization/UMOExample> a fhir:Organization ;
fhir:Resource.id [ fhir:value "UMOExample"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor" ;
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor>
]
] ;
fhir:Resource.language [ fhir:value "en"] ;
fhir:Organization.identifier [
fhir:index -1 ;
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "8189991234" ]
] ;
fhir:Organization.active [ fhir:value "true"^^xsd:boolean] ;
fhir:Organization.type [
fhir:index -1 ;
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "https://codesystem.x12.org/005010/98" ] ;
fhir:Coding.code [ fhir:value "X3" ]
]
] ;
fhir:Organization.name [ fhir:value "DR. JOE SMITH CORPORATION"] ;
fhir:Organization.address [
fhir:index -1 ;
fhir:Address.line [
fhir:value "111 1ST STREET" ;
fhir:index -1
] ;
fhir:Address.city [ fhir:value "SAN DIEGO" ] ;
fhir:Address.state [ fhir:value "CA" ] ;
fhir:Address.postalCode [ fhir:value "92101" ] ;
fhir:Address.country [ fhir:value "US" ]
] .
<http://example.org/fhir/Organization/InsurerExample> a fhir:Organization ;
fhir:Resource.id [ fhir:value "InsurerExample"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer" ;
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer>
]
] ;
fhir:Resource.language [ fhir:value "en"] ;
fhir:Organization.identifier [
fhir:index -1 ;
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "1234567893" ]
] ;
fhir:Organization.active [ fhir:value "true"^^xsd:boolean] ;
fhir:Organization.type [
fhir:index -1 ;
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "https://codesystem.x12.org/005010/98" ] ;
fhir:Coding.code [ fhir:value "PR" ]
]
] ;
fhir:Organization.name [ fhir:value "MARYLAND CAPITAL INSURANCE COMPANY"] .
<http://example.org/fhir/Patient/SubscriberExample> a fhir:Patient ;
fhir:Resource.id [ fhir:value "SubscriberExample"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber" ;
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber>
]
] ;
fhir:Resource.language [ fhir:value "en"] ;
fhir:DomainResource.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-militaryStatus" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "https://codesystem.x12.org/005010/584" ] ;
fhir:Coding.code [ fhir:value "RU" ]
]
]
] ;
fhir:Patient.identifier [
fhir:index -1 ;
fhir:Identifier.system [ fhir:value "http://example.org/MIN" ] ;
fhir:Identifier.value [ fhir:value "12345678901" ]
] ;
fhir:Patient.name [
fhir:index -1 ;
fhir:HumanName.family [ fhir:value "SMITH" ] ;
fhir:HumanName.given [
fhir:value "JOE" ;
fhir:index -1
]
] ;
fhir:Patient.gender [ fhir:value "male"] .
<http://example.org/fhir/Practitioner/ReferralPractitionerExample> a fhir:Practitioner ;
fhir:Resource.id [ fhir:value "ReferralPractitionerExample"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitioner" ;
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitioner>
]
] ;
fhir:Resource.language [ fhir:value "en"] ;
fhir:Practitioner.identifier [
fhir:index -1 ;
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "1234567893" ]
] ;
fhir:Practitioner.name [
fhir:index -1 ;
fhir:HumanName.family [ fhir:value "WATSON" ] ;
fhir:HumanName.given [
fhir:value "SUSAN" ;
fhir:index -1
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/Bundle/PASSubscriptionNotification.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/Bundle/PASSubscriptionNotification.ttl> .
IG © 2020+ HL7 International / Financial Management.
Package hl7.fhir.us.davinci-pas#2.2.1 based on FHIR 4.0.1.
Generated
2026-08-28
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