PASMetricData
type: StructureDefinition
node role: treeRoot
id:
  v: PASMetricData
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition PASMetricData Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> PASMetricData 0..* Base PAS Metric Data #xD; source 1..1 code provider | intermediary | payer Binding: MetricDataSource (2.2.1) (required) #xD; providerId 1..1 Identifier User invoking hook #xD; system 0..1 uri The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi #xD; value 1..1 string The value that is unique #xD; groupId 1..1 Identifier Healthcare org of user #xD; system 0..1 uri The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi #xD; value 1..1 string The value that is unique #xD; payerId 1..1 Identifier Payer receiving hook #xD; system 1..1 uri The namespace for the identifier value #xD; value 1..1 string The value that is unique #xD; exchange 1..* BackboneElement Prior Authorization Exchanges #xD; type 1..1 code initial | subsequent | cancel | update | query | initialDocToPayer #xD; with 0..1 code provider | intermediary | payer #xD; <a href="StructureDefinition-PASMetricData-definitions.html#PASMetricData.exchange.method" title="Exchange standard used for this specific exchange. Note: RESTful is the default for any Provider to Intermediary exchange, X12 is the defalt for any exchange between the intermediary and the payer for the X12 278, the exchange of the PAS bundle between the intermediary and the payer MAY be any of the methods included in the value set.">method 1..1 code x12 | restful | ihe | direct | other #xD; requestTime 1..1 instant Time exchange initiated #xD; responseTime 0..1 instant Time of exchange response #xD; httpResponse 1..1 code e.g. 200 #xD; issue 0..* BackboneElement OperationOutcome info #xD; code 1..1 code Error code Binding: IssueType (required) #xD; details 0..1 CodeableConcept More detailed error code Binding: OperationOutcomeCodes (example) #xD; aaaCodes 0..* BackboneElement AAA codes returned #…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 1
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: informative
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fm
url:
  v: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/PASMetricData
  l: PASMetricData
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
  value:
    v: urn:oid:2.16.840.1.113883.4.642.40.24.42.1
version:
  v: 2.2.1
name:
  v: PASMetricData
title:
  v: PAS Metric Data
status:
  v: draft
experimental:
  v: false
date:
  v: 2026-05-07T23:00:36+00:00
publisher:
  v: HL7 International / Financial Management
contact:
  name:
    v: HL7 International / Financial Management
  telecom:
    system:
      v: url
    value:
      v: http://hl7.org/Special/committees/fm
  telecom:
    system:
      v: email
contact:
  name:
    v: Jean Duteau
  telecom:
    system:
      v: email
contact:
  name:
    v: HL7 International / Financial Management
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fm
description:
  v: A logical model describing the information that ought to be captured by PAS implementers about every PAS invocation to support measures evaluating PAS implementation
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: US
    display:
      v: United States of America
fhir version:
  v: 4.0.1
kind:
  v: logical
abstract:
  v: false
type:
  v: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/PASMetricData
  l: PASMetricData
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Base
  l: Base
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 4.0.1
  element:
    id:
      v: PASMetricData
    path:
      v: PASMetricData
    short:
      v: PAS Metric Data
    definition:
      v: A logical model describing the information that ought to be captured by PAS implementers about every PAS invocation to support measures evaluating PAS implementation
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Base
      min:
        v: 0
      max:
        v: *
    is modifier:
      v: false
  element:
    id:
      v: PASMetricData.source
    path:
      v: PASMetricData.source
    short:
      v: provider | intermediary | payer
    definition:
      v: A code to indicate which type of system collected the metric data.
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: PASMetricData.source
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: code
        l: code
    binding:
      strength:
        v: required
      value set:
        v: http://hl7.org/fhir/us/davinci-pas/ValueSet/MetricDataSource|2.2.1
        l: http://hl7.org/fhir/us/davinci-pas/ValueSet/MetricDataSource
  element:
    id:
      v: PASMetricData.providerId
    path:
      v: PASMetricData.providerId
    short:
      v: User invoking hook
    definition:
      v: The NPI number of the user who initiated the PAS request.
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: PASMetricData.providerId
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: Identifier
        l: Identifier
    constraint:
      key:
        v: ele-1
      severity:
        v: error
      human:
        v: All FHIR elements must have a @value or children
      expression:
        v: hasValue() or (children().count() > id.count())
      xpath:
        v: @value|f:*|h:div
      source:
        v: http://hl7.org/fhir/StructureDefinition/Element
        l: Element
  element:
    id:
      v: PASMetricData.providerId.id

v: PASMetricData.providerId.id

v: xmlAttr

v: Unique id for inter-element referencing

v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

v: 0

v: 1

path:
  v: Element.id
min:
  v: 0
max:
  v: 1

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    l: structuredefinition-fhir-type
  value: Url
    v: string
    l: string
code:
  v: http://hl7.org/fhirpath/System.String
  l: System.String

v: false

v: false

identity:
  v: rim
map:
  v: n/a

id:
  v: PASMetricData.providerId.extension
path:
  v: PASMetricData.providerId.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.providerId.use
path:
  v: PASMetricData.providerId.use
short:
  v: usual | official | temp | secondary | old (If known)
definition:
  v: The purpose of this identifier.
comment:
  v: Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
requirements:
  v: Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierUse
  strength:
    v: required
  description:
    v: Identifies the purpose for this identifier, if known .
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    l: http://hl7.org/fhir/ValueSet/identifier-use
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: PASMetricData.providerId.type
path:
  v: PASMetricData.providerId.type
short:
  v: Description of identifier
definition:
  v: A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
comment:
  v: This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
requirements:
  v: Allows users to make use of identifiers when the identifier system is not known.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierType
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
      l: elementdefinition-isCommonBinding
    value: Boolean
      v: true
  strength:
    v: extensible
  description:
    v: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-type|4.0.1
    l: http://hl7.org/fhir/ValueSet/identifier-type
mapping:
  identity:
    v: v2
  map:
    v: CX.5
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: PASMetricData.providerId.system
path:
  v: PASMetricData.providerId.system
short:
  v: The namespace for the identifier value
definition:
  v: Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
comment:
  v: Identifier.system is always case sensitive.
requirements:
  v: There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
pattern: Uri
  v: http://hl7.org/fhir/sid/us-npi
  l: us-npi
example:
  label:
    v: General
  value: Uri
    v: http://www.acme.com/identifiers/patient
    l: patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / EI-2-4
mapping:
  identity:
    v: rim
  map:
    v: II.root or Role.id.root
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierType

id:
  v: PASMetricData.providerId.value
path:
  v: PASMetricData.providerId.value
short:
  v: The value that is unique
definition:
  v: The portion of the identifier typically relevant to the user and which is unique within the context of the system.
comment:
  v: If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: 123456
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.1 / EI.1
mapping:
  identity:
    v: rim
  map:
    v: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
mapping:
  identity:
    v: servd
  map:
    v: ./Value

id:
  v: PASMetricData.providerId.period
path:
  v: PASMetricData.providerId.period
short:
  v: Time period when id is/was valid for use
definition:
  v: Time period during which identifier is/was valid for use.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.7 + CX.8
mapping:
  identity:
    v: rim
  map:
    v: Role.effectiveTime or implied by context
mapping:
  identity:
    v: servd
  map:
    v: ./StartDate and ./EndDate

id:
  v: PASMetricData.providerId.assigner
path:
  v: PASMetricData.providerId.assigner
short:
  v: Organization that issued id (may be just text)
definition:
  v: Organization that issued/manages the identifier.
comment:
  v: The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.assigner
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Organization
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / (CX.4,CX.9,CX.10)
mapping:
  identity:
    v: rim
  map:
    v: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierIssuingAuthority

id:
  v: PASMetricData.groupId
path:
  v: PASMetricData.groupId
short:
  v: Healthcare org of user
definition:
  v: The NPI of the hospital/clinic/other organization that initiated the PAS request.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: PASMetricData.groupId
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: PASMetricData.groupId.id
path:
  v: PASMetricData.groupId.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.groupId.extension
path:
  v: PASMetricData.groupId.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.groupId.use
path:
  v: PASMetricData.groupId.use
short:
  v: usual | official | temp | secondary | old (If known)
definition:
  v: The purpose of this identifier.
comment:
  v: Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
requirements:
  v: Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierUse
  strength:
    v: required
  description:
    v: Identifies the purpose for this identifier, if known .
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    l: http://hl7.org/fhir/ValueSet/identifier-use
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: PASMetricData.groupId.type
path:
  v: PASMetricData.groupId.type
short:
  v: Description of identifier
definition:
  v: A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
comment:
  v: This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
requirements:
  v: Allows users to make use of identifiers when the identifier system is not known.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierType
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
      l: elementdefinition-isCommonBinding
    value: Boolean
      v: true
  strength:
    v: extensible
  description:
    v: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-type|4.0.1
    l: http://hl7.org/fhir/ValueSet/identifier-type
mapping:
  identity:
    v: v2
  map:
    v: CX.5
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: PASMetricData.groupId.system
path:
  v: PASMetricData.groupId.system
short:
  v: The namespace for the identifier value
definition:
  v: Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
comment:
  v: Identifier.system is always case sensitive.
requirements:
  v: There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
pattern: Uri
  v: http://hl7.org/fhir/sid/us-npi
  l: us-npi
example:
  label:
    v: General
  value: Uri
    v: http://www.acme.com/identifiers/patient
    l: patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / EI-2-4
mapping:
  identity:
    v: rim
  map:
    v: II.root or Role.id.root
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierType

id:
  v: PASMetricData.groupId.value
path:
  v: PASMetricData.groupId.value
short:
  v: The value that is unique
definition:
  v: The portion of the identifier typically relevant to the user and which is unique within the context of the system.
comment:
  v: If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: 123456
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.1 / EI.1
mapping:
  identity:
    v: rim
  map:
    v: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
mapping:
  identity:
    v: servd
  map:
    v: ./Value

id:
  v: PASMetricData.groupId.period
path:
  v: PASMetricData.groupId.period
short:
  v: Time period when id is/was valid for use
definition:
  v: Time period during which identifier is/was valid for use.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.7 + CX.8
mapping:
  identity:
    v: rim
  map:
    v: Role.effectiveTime or implied by context
mapping:
  identity:
    v: servd
  map:
    v: ./StartDate and ./EndDate

id:
  v: PASMetricData.groupId.assigner
path:
  v: PASMetricData.groupId.assigner
short:
  v: Organization that issued id (may be just text)
definition:
  v: Organization that issued/manages the identifier.
comment:
  v: The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.assigner
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Organization
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / (CX.4,CX.9,CX.10)
mapping:
  identity:
    v: rim
  map:
    v: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierIssuingAuthority

id:
  v: PASMetricData.payerId
path:
  v: PASMetricData.payerId
short:
  v: Payer receiving hook
definition:
  v: The identifier of the payer organization to whom the PAS call was made.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: PASMetricData.payerId
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: PASMetricData.payerId.id
path:
  v: PASMetricData.payerId.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.payerId.extension
path:
  v: PASMetricData.payerId.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.payerId.use
path:
  v: PASMetricData.payerId.use
short:
  v: usual | official | temp | secondary | old (If known)
definition:
  v: The purpose of this identifier.
comment:
  v: Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
requirements:
  v: Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.use
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierUse
  strength:
    v: required
  description:
    v: Identifies the purpose for this identifier, if known .
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    l: http://hl7.org/fhir/ValueSet/identifier-use
mapping:
  identity:
    v: v2
  map:
    v: N/A
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: PASMetricData.payerId.type
path:
  v: PASMetricData.payerId.type
short:
  v: Description of identifier
definition:
  v: A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
comment:
  v: This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
requirements:
  v: Allows users to make use of identifiers when the identifier system is not known.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: IdentifierType
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding
      l: elementdefinition-isCommonBinding
    value: Boolean
      v: true
  strength:
    v: extensible
  description:
    v: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
  value set:
    v: http://hl7.org/fhir/ValueSet/identifier-type|4.0.1
    l: http://hl7.org/fhir/ValueSet/identifier-type
mapping:
  identity:
    v: v2
  map:
    v: CX.5
mapping:
  identity:
    v: rim
  map:
    v: Role.code or implied by context

id:
  v: PASMetricData.payerId.system
path:
  v: PASMetricData.payerId.system
short:
  v: The namespace for the identifier value
definition:
  v: Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
comment:
  v: Identifier.system is always case sensitive.
requirements:
  v: There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.system
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
example:
  label:
    v: General
  value: Uri
    v: http://www.acme.com/identifiers/patient
    l: patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / EI-2-4
mapping:
  identity:
    v: rim
  map:
    v: II.root or Role.id.root
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierType

id:
  v: PASMetricData.payerId.value
path:
  v: PASMetricData.payerId.value
short:
  v: The value that is unique
definition:
  v: The portion of the identifier typically relevant to the user and which is unique within the context of the system.
comment:
  v: If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Identifier.value
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
example:
  label:
    v: General
  value: String
    v: 123456
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.1 / EI.1
mapping:
  identity:
    v: rim
  map:
    v: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
mapping:
  identity:
    v: servd
  map:
    v: ./Value

id:
  v: PASMetricData.payerId.period
path:
  v: PASMetricData.payerId.period
short:
  v: Time period when id is/was valid for use
definition:
  v: Time period during which identifier is/was valid for use.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.7 + CX.8
mapping:
  identity:
    v: rim
  map:
    v: Role.effectiveTime or implied by context
mapping:
  identity:
    v: servd
  map:
    v: ./StartDate and ./EndDate

id:
  v: PASMetricData.payerId.assigner
path:
  v: PASMetricData.payerId.assigner
short:
  v: Organization that issued id (may be just text)
definition:
  v: Organization that issued/manages the identifier.
comment:
  v: The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Identifier.assigner
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization|4.0.1
    l: http://hl7.org/fhir/StructureDefinition/Organization
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: CX.4 / (CX.4,CX.9,CX.10)
mapping:
  identity:
    v: rim
  map:
    v: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
mapping:
  identity:
    v: servd
  map:
    v: ./IdentifierIssuingAuthority

id:
  v: PASMetricData.exchange
path:
  v: PASMetricData.exchange
short:
  v: Prior Authorization Exchanges
definition:
  v: Exchanges between providers, intermediares, and payers to support prior authorization.
min:
  v: 1
max:
  v: *
base:
  path:
    v: PASMetricData.exchange
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: PASMetricData.exchange.id
path:
  v: PASMetricData.exchange.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.exchange.extension
path:
  v: PASMetricData.exchange.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.exchange.modifierExtension
path:
  v: PASMetricData.exchange.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: PASMetricData.exchange.type
path:
  v: PASMetricData.exchange.type
short:
  v: initial | subsequent | cancel | update | query | initialDocToPayer
definition:
  v: A code indicating the type of exchange
min:
  v: 1
max:
  v: 1
base:
  path:
    v: PASMetricData.exchange.type
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.exchange.with
path:
  v: PASMetricData.exchange.with
short:
  v: provider | intermediary | payer
definition:
  v: The destination for the exchange
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.exchange.with
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.exchange.method
path:
  v: PASMetricData.exchange.method
short:
  v: x12 | restful | ihe | direct | other
definition:
  v: Exchange standard used for this specific exchange. Note: RESTful is the default for any Provider to Intermediary exchange, X12 is the defalt for any exchange between the intermediary and the payer for the X12 278, the exchange of the PAS bundle between the intermediary and the payer MAY be any of the methods included in the value set.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: PASMetricData.exchange.method
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.exchange.requestTime
path:
  v: PASMetricData.exchange.requestTime
short:
  v: Time exchange initiated
definition:
  v: For providers, the request was made. For payers, the time the request was received. For intermediaries time the request was received from the provider or time the request was sent to the payer.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: PASMetricData.exchange.requestTime
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: instant
    l: instant

id:
  v: PASMetricData.exchange.responseTime
path:
  v: PASMetricData.exchange.responseTime
short:
  v: Time of exchange response
definition:
  v: For providers, the response was received. For payers, the time the response was sent. For intermediaries time the response was sent to the provider or time the response was received from the payer.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.exchange.responseTime
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: instant
    l: instant

id:
  v: PASMetricData.exchange.httpResponse
path:
  v: PASMetricData.exchange.httpResponse
short:
  v: e.g. 200
definition:
  v: What HTTP response code was returned for the exchange invocation.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: PASMetricData.exchange.httpResponse
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.issue
path:
  v: PASMetricData.issue
short:
  v: OperationOutcome info
definition:
  v: In the event of an HTTP error, if an OperationOutcome was returned, what were the issues.
min:
  v: 0
max:
  v: *
base:
  path:
    v: PASMetricData.issue
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: PASMetricData.issue.id
path:
  v: PASMetricData.issue.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.issue.extension
path:
  v: PASMetricData.issue.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.issue.modifierExtension
path:
  v: PASMetricData.issue.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: PASMetricData.issue.code
path:
  v: PASMetricData.issue.code
short:
  v: Error code
definition:
  v: The issue.code value from the OperationOutcome for this issue.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: PASMetricData.issue.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/fhir/ValueSet/issue-type
    l: issue-type

id:
  v: PASMetricData.issue.details
path:
  v: PASMetricData.issue.details
short:
  v: More detailed error code
definition:
  v: The issue.details value from the OperationOutcome for this issue.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.issue.details
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: example
  value set:
    v: http://hl7.org/fhir/ValueSet/operation-outcome
    l: operation-outcome

id:
  v: PASMetricData.aaaCodes
path:
  v: PASMetricData.aaaCodes
short:
  v: AAA codes returned
definition:
  v: Any AAA codes returned during the exchange.
min:
  v: 0
max:
  v: *
base:
  path:
    v: PASMetricData.aaaCodes
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: PASMetricData.aaaCodes.id
path:
  v: PASMetricData.aaaCodes.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.aaaCodes.extension
path:
  v: PASMetricData.aaaCodes.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.aaaCodes.modifierExtension
path:
  v: PASMetricData.aaaCodes.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: PASMetricData.aaaCodes.loopID
path:
  v: PASMetricData.aaaCodes.loopID
short:
  v: see X12 loop IDs
definition:
  v: X12 loop ID.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: PASMetricData.aaaCodes.loopID
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.aaaCodes.aaaCode
path:
  v: PASMetricData.aaaCodes.aaaCode
short:
  v: approved | modified | denied
definition:
  v: AAA code returned with response.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: PASMetricData.aaaCodes.aaaCode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.itemDetail
path:
  v: PASMetricData.itemDetail
short:
  v: Service level item detail
definition:
  v: Service level detail. One interation of the backbone for each service item in the PA exchange.
min:
  v: 0
max:
  v: *
base:
  path:
    v: PASMetricData.itemDetail
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: PASMetricData.itemDetail.id
path:
  v: PASMetricData.itemDetail.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.itemDetail.extension
path:
  v: PASMetricData.itemDetail.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.itemDetail.modifierExtension
path:
  v: PASMetricData.itemDetail.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: PASMetricData.itemDetail.trn
path:
  v: PASMetricData.itemDetail.trn
short:
  v: Service Level TRN
definition:
  v: Service level TRN assigned by the payer if a questionnaire is required.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.itemDetail.trn
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: integer
    l: integer

id:
  v: PASMetricData.itemDetail.item
path:
  v: PASMetricData.itemDetail.item
short:
  v: eg. ICD10, HCPCS, NDC
definition:
  v: The specific procedure, item, medication, appointment, nutrition that is the subject of the order.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: PASMetricData.itemDetail.item
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: PASMetricData.itemDetail.assertionId
path:
  v: PASMetricData.itemDetail.assertionId
short:
  v: Unique ID for order item
definition:
  v: The unique ID for the order item returned by CRD in the coverage information.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.itemDetail.assertionId
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: PASMetricData.itemDetail.initialSubmissionTime
path:
  v: PASMetricData.itemDetail.initialSubmissionTime
short:
  v: Date/time of the initial submission of the item
definition:
  v: Date/time of the initial submission of the servcie item. This MAY be the time of the initial PA request or the time of an updated that added the service item.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.itemDetail.initialSubmissionTime
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: PASMetricData.itemDetail.finalResponseTime
path:
  v: PASMetricData.itemDetail.finalResponseTime
short:
  v: Date/time of final result
definition:
  v: Date/time that the final result was returned for the specific service item.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.itemDetail.finalResponseTime
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: PASMetricData.itemDetail.responsesRequired
path:
  v: PASMetricData.itemDetail.responsesRequired
short:
  v: Number of responses
definition:
  v: Number of responses (initial and any with result pended) for the service item.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.itemDetail.responsesRequired
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: integer
    l: integer

id:
  v: PASMetricData.itemDetail.aaaCodes
path:
  v: PASMetricData.itemDetail.aaaCodes
short:
  v: AAA codes returned
definition:
  v: Any AAA codes returned during the exchange.
min:
  v: 0
max:
  v: *
base:
  path:
    v: PASMetricData.itemDetail.aaaCodes
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: PASMetricData.itemDetail.aaaCodes.id
path:
  v: PASMetricData.itemDetail.aaaCodes.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.itemDetail.aaaCodes.extension
path:
  v: PASMetricData.itemDetail.aaaCodes.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.itemDetail.aaaCodes.modifierExtension
path:
  v: PASMetricData.itemDetail.aaaCodes.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: PASMetricData.itemDetail.aaaCodes.loopID
path:
  v: PASMetricData.itemDetail.aaaCodes.loopID
short:
  v: see X12 loop IDs
definition:
  v: X12 loop ID.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: PASMetricData.itemDetail.aaaCodes.loopID
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.itemDetail.aaaCodes.aaaCode
path:
  v: PASMetricData.itemDetail.aaaCodes.aaaCode
short:
  v: approved | modified | deined
definition:
  v: AAA error code returned in the response.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: PASMetricData.itemDetail.aaaCodes.aaaCode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.itemDetail.locationType
path:
  v: PASMetricData.itemDetail.locationType
short:
  v: inpatient | outpatient | home
definition:
  v: The site where the service will be performed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.itemDetail.locationType
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.itemDetail.result
path:
  v: PASMetricData.itemDetail.result
short:
  v: approved | modified | denied | pended | cancelled
definition:
  v: Final result of the specific service item.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.itemDetail.result
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.itemDetail.denialReason
path:
  v: PASMetricData.itemDetail.denialReason
short:
  v: Denial Reason
definition:
  v: A code specifying the reason why the item was denied.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.itemDetail.denialReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.supportingDoc
path:
  v: PASMetricData.supportingDoc
short:
  v: Documentation submitted as part of PAS Bundle
definition:
  v: The URL of the questionnaire that was the basis for the questionnaireResponse submitted as part of the PAS bundle for the specific service item.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.supportingDoc
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: url
    l: url

id:
  v: PASMetricData.requestedDoc
path:
  v: PASMetricData.requestedDoc
short:
  v: Documentation requested via 278 response
definition:
  v: Documentation requested via 278 response.
min:
  v: 0
max:
  v: *
base:
  path:
    v: PASMetricData.requestedDoc
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: PASMetricData.requestedDoc.id
path:
  v: PASMetricData.requestedDoc.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.requestedDoc.extension
path:
  v: PASMetricData.requestedDoc.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: PASMetricData.requestedDoc.modifierExtension
path:
  v: PASMetricData.requestedDoc.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: PASMetricData.requestedDoc.docRequest
path:
  v: PASMetricData.requestedDoc.docRequest
short:
  v: Coded requests for additional documentation
definition:
  v: Coded requests for documentation in the 278 response. May be LOINC codes as determined by HIPAA tab or X12 codes from the PWK01 element.
min:
  v: 1
max:
  v: *
base:
  path:
    v: PASMetricData.requestedDoc.docRequest
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: PASMetricData.requestedDoc.timeRequested
path:
  v: PASMetricData.requestedDoc.timeRequested
short:
  v: Date/Time of initial request
definition:
  v: Date/Time of initial request for this item (MAY be part of the initial submission or part an update.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: PASMetricData.requestedDoc.timeRequested
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: PASMetricData.requestedDoc.timeSubmitted
path:
  v: PASMetricData.requestedDoc.timeSubmitted
short:
  v: Date/Time of final result
definition:
  v: Date/Time of final result for this item (MAY be part of the initial submission or part an update.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.requestedDoc.timeSubmitted
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: PASMetricData.requestedDoc.submissionMethod
path:
  v: PASMetricData.requestedDoc.submissionMethod
short:
  v: CDex | portal | fax | x12 | other
definition:
  v: The technical method used to submit the requested additional documentation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.requestedDoc.submissionMethod
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.exceptionSubmission
path:
  v: PASMetricData.exceptionSubmission
short:
  v: True if exchange is based on the exception grant
definition:
  v: Indicator that exchange was performed under an exception grant from the National Standard Group.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.exceptionSubmission
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean

id:
  v: PASMetricData.businessLine
path:
  v: PASMetricData.businessLine
short:
  v: E.g. MedicareAdvantage
definition:
  v: A code that indicates which type of insurance the patient is covered by.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: PASMetricData.businessLine
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

element:
  id:
    v: PASMetricData
  path:
    v: PASMetricData
  short:
    v: PAS Metric Data
  definition:
    v: A logical model describing the information that ought to be captured by PAS implementers about every PAS invocation to support measures evaluating PAS implementation
element:
  id:
    v: PASMetricData.source
  path:
    v: PASMetricData.source
  short:
    v: provider | intermediary | payer
  definition:
    v: A code to indicate which type of system collected the metric data.
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: code
      l: code
  binding:
    strength:
      v: required
    value set:
      v: http://hl7.org/fhir/us/davinci-pas/ValueSet/MetricDataSource|2.2.1
      l: http://hl7.org/fhir/us/davinci-pas/ValueSet/MetricDataSource
element:
  id:
    v: PASMetricData.providerId
  path:
    v: PASMetricData.providerId
  short:
    v: User invoking hook
  definition:
    v: The NPI number of the user who initiated the PAS request.
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Identifier
      l: Identifier
element:
  id:
    v: PASMetricData.providerId.system
  path:
    v: PASMetricData.providerId.system
  pattern: Uri
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
element:
  id:
    v: PASMetricData.providerId.value
  path:
    v: PASMetricData.providerId.value
  min:
    v: 1
element:
  id:
    v: PASMetricData.groupId
  path:
    v: PASMetricData.groupId
  short:
    v: Healthcare org of user
  definition:
    v: The NPI of the hospital/clinic/other organization that initiated the PAS request.
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Identifier
      l: Identifier
element:
  id:
    v: PASMetricData.groupId.system
  path:
    v: PASMetricData.groupId.system
  pattern: Uri
    v: http://hl7.org/fhir/sid/us-npi
    l: us-npi
element:
  id:
    v: PASMetricData.groupId.value
  path:
    v: PASMetricData.groupId.value
  min:
    v: 1
element:
  id:
    v: PASMetricData.payerId
  path:
    v: PASMetricData.payerId
  short:
    v: Payer receiving hook
  definition:
    v: The identifier of the payer organization to whom the PAS call was made.
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Identifier
      l: Identifier
element:
  id:
    v: PASMetricData.payerId.system
  path:
    v: PASMetricData.payerId.system
  min:
    v: 1
element:
  id:
    v: PASMetricData.payerId.value
  path:
    v: PASMetricData.payerId.value
  min:
    v: 1
element:
  id:
    v: PASMetricData.exchange
  path:
    v: PASMetricData.exchange
  short:
    v: Prior Authorization Exchanges
  definition:
    v: Exchanges between providers, intermediares, and payers to support prior authorization.
  min:
    v: 1
  max:
    v: *
  type:
    code:
      v: BackboneElement
      l: BackboneElement
element:
  id:
    v: PASMetricData.exchange.type
  path:
    v: PASMetricData.exchange.type
  short:
    v: initial | subsequent | cancel | update | query | initialDocToPayer
  definition:
    v: A code indicating the type of exchange
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: code
      l: code
element:
  id:
    v: PASMetricData.exchange.with
  path:
    v: PASMetricData.exchange.with
  short:
    v: provider | intermediary | payer
  definition:
    v: The destination for the exchange
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: code
      l: code
element:
  id:
    v: PASMetricData.exchange.method
  path:
    v: PASMetricData.exchange.method
  short:
    v: x12 | restful | ihe | direct | other
  definition:
    v: Exchange standard used for this specific exchange. Note: RESTful is the default for any Provider to Intermediary exchange, X12 is the defalt for any exchange between the intermediary and the payer for the X12 278, the exchange of the PAS bundle between the intermediary and the payer MAY be any of the methods included in the value set.
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: code
      l: code
element:
  id:
    v: PASMetricData.exchange.requestTime
  path:
    v: PASMetricData.exchange.requestTime
  short:
    v: Time exchange initiated

v: For providers, the request was made. For payers, the time the request was received. For intermediaries time the request was received from the provider or time the request was sent to the payer.

v: 1

v: 1

code:
  v: instant
  l: instant

id:
  v: PASMetricData.exchange.responseTime
path:
  v: PASMetricData.exchange.responseTime
short:
  v: Time of exchange response
definition:
  v: For providers, the response was received. For payers, the time the response was sent. For intermediaries time the response was sent to the provider or time the response was received from the payer.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: instant
    l: instant

id:
  v: PASMetricData.exchange.httpResponse
path:
  v: PASMetricData.exchange.httpResponse
short:
  v: e.g. 200
definition:
  v: What HTTP response code was returned for the exchange invocation.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.issue
path:
  v: PASMetricData.issue
short:
  v: OperationOutcome info
definition:
  v: In the event of an HTTP error, if an OperationOutcome was returned, what were the issues.
min:
  v: 0
max:
  v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: PASMetricData.issue.code
path:
  v: PASMetricData.issue.code
short:
  v: Error code
definition:
  v: The issue.code value from the OperationOutcome for this issue.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/fhir/ValueSet/issue-type
    l: issue-type

id:
  v: PASMetricData.issue.details
path:
  v: PASMetricData.issue.details
short:
  v: More detailed error code
definition:
  v: The issue.details value from the OperationOutcome for this issue.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: example
  value set:
    v: http://hl7.org/fhir/ValueSet/operation-outcome
    l: operation-outcome

id:
  v: PASMetricData.aaaCodes
path:
  v: PASMetricData.aaaCodes
short:
  v: AAA codes returned
definition:
  v: Any AAA codes returned during the exchange.
min:
  v: 0
max:
  v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: PASMetricData.aaaCodes.loopID
path:
  v: PASMetricData.aaaCodes.loopID
short:
  v: see X12 loop IDs
definition:
  v: X12 loop ID.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.aaaCodes.aaaCode
path:
  v: PASMetricData.aaaCodes.aaaCode
short:
  v: approved | modified | denied
definition:
  v: AAA code returned with response.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.itemDetail
path:
  v: PASMetricData.itemDetail
short:
  v: Service level item detail
definition:
  v: Service level detail. One interation of the backbone for each service item in the PA exchange.
min:
  v: 0
max:
  v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: PASMetricData.itemDetail.trn
path:
  v: PASMetricData.itemDetail.trn
short:
  v: Service Level TRN
definition:
  v: Service level TRN assigned by the payer if a questionnaire is required.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: integer
    l: integer

id:
  v: PASMetricData.itemDetail.item
path:
  v: PASMetricData.itemDetail.item
short:
  v: eg. ICD10, HCPCS, NDC
definition:
  v: The specific procedure, item, medication, appointment, nutrition that is the subject of the order.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: PASMetricData.itemDetail.assertionId
path:
  v: PASMetricData.itemDetail.assertionId
short:
  v: Unique ID for order item
definition:
  v: The unique ID for the order item returned by CRD in the coverage information.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: PASMetricData.itemDetail.initialSubmissionTime
path:
  v: PASMetricData.itemDetail.initialSubmissionTime
short:
  v: Date/time of the initial submission of the item
definition:
  v: Date/time of the initial submission of the servcie item. This MAY be the time of the initial PA request or the time of an updated that added the service item.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: PASMetricData.itemDetail.finalResponseTime
path:
  v: PASMetricData.itemDetail.finalResponseTime
short:
  v: Date/time of final result
definition:
  v: Date/time that the final result was returned for the specific service item.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: PASMetricData.itemDetail.responsesRequired
path:
  v: PASMetricData.itemDetail.responsesRequired
short:
  v: Number of responses
definition:
  v: Number of responses (initial and any with result pended) for the service item.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: integer
    l: integer

id:
  v: PASMetricData.itemDetail.aaaCodes
path:
  v: PASMetricData.itemDetail.aaaCodes
short:
  v: AAA codes returned
definition:
  v: Any AAA codes returned during the exchange.
min:
  v: 0
max:
  v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: PASMetricData.itemDetail.aaaCodes.loopID
path:
  v: PASMetricData.itemDetail.aaaCodes.loopID
short:
  v: see X12 loop IDs
definition:
  v: X12 loop ID.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.itemDetail.aaaCodes.aaaCode
path:
  v: PASMetricData.itemDetail.aaaCodes.aaaCode
short:
  v: approved | modified | deined
definition:
  v: AAA error code returned in the response.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.itemDetail.locationType
path:
  v: PASMetricData.itemDetail.locationType
short:
  v: inpatient | outpatient | home
definition:
  v: The site where the service will be performed.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.itemDetail.result
path:
  v: PASMetricData.itemDetail.result
short:
  v: approved | modified | denied | pended | cancelled
definition:
  v: Final result of the specific service item.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.itemDetail.denialReason
path:
  v: PASMetricData.itemDetail.denialReason
short:
  v: Denial Reason
definition:
  v: A code specifying the reason why the item was denied.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.supportingDoc
path:
  v: PASMetricData.supportingDoc
short:
  v: Documentation submitted as part of PAS Bundle
definition:
  v: The URL of the questionnaire that was the basis for the questionnaireResponse submitted as part of the PAS bundle for the specific service item.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: url
    l: url

id:
  v: PASMetricData.requestedDoc
path:
  v: PASMetricData.requestedDoc
short:
  v: Documentation requested via 278 response
definition:
  v: Documentation requested via 278 response.
min:
  v: 0
max:
  v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: PASMetricData.requestedDoc.docRequest
path:
  v: PASMetricData.requestedDoc.docRequest
short:
  v: Coded requests for additional documentation
definition:
  v: Coded requests for documentation in the 278 response. May be LOINC codes as determined by HIPAA tab or X12 codes from the PWK01 element.
min:
  v: 1
max:
  v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: PASMetricData.requestedDoc.timeRequested
path:
  v: PASMetricData.requestedDoc.timeRequested
short:
  v: Date/Time of initial request
definition:
  v: Date/Time of initial request for this item (MAY be part of the initial submission or part an update.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: PASMetricData.requestedDoc.timeSubmitted
path:
  v: PASMetricData.requestedDoc.timeSubmitted
short:
  v: Date/Time of final result
definition:
  v: Date/Time of final result for this item (MAY be part of the initial submission or part an update.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: PASMetricData.requestedDoc.submissionMethod
path:
  v: PASMetricData.requestedDoc.submissionMethod
short:
  v: CDex | portal | fax | x12 | other
definition:
  v: The technical method used to submit the requested additional documentation.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: PASMetricData.exceptionSubmission
path:
  v: PASMetricData.exceptionSubmission
short:
  v: True if exchange is based on the exception grant
definition:
  v: Indicator that exchange was performed under an exception grant from the National Standard Group.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: boolean
    l: boolean

id:
  v: PASMetricData.businessLine
path:
  v: PASMetricData.businessLine
short:
  v: E.g. MedicareAdvantage
definition:
  v: A code that indicates which type of insurance the patient is covered by.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept