Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2 United States of America flag

Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions

Resource Profile: PAS CommunicationRequest

Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-communicationrequest Version: 2.2.1
Standards status: Trial-use Maturity Level: 4 Computable Name: PASCommunicationRequest
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.53

PAS constraints on CommunicationRequest resource mandating support for elements relevant to the prior authorization response. For DTR submit-attachment use, the identifer will always be present since the medium will not be VOICE and thus the identifiers can be used as the tracking control number.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
CommunicationRequest C 0..* CommunicationRequest A request for information to be sent to a receiver
Constraints: IdentifierUnlessVO
CommunicationRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
CommunicationRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CommunicationRequest.Slices for extension.extension:serviceLineNumber This element must be supported. 0..1 positiveInt Service Line Number
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber
CommunicationRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
CommunicationRequest.identifier This element must be supported. This element is included in summaries. 0..1 Identifier Unique Identifier used in linking the Communication Request to the response (X12's Attachment Control Number).
CommunicationRequest.status This element is a modifier element. This element is included in summaries. 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.
Fixed Value: active
CommunicationRequest.category This element must be supported. 0..1 CodeableConcept Message category
Binding: https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 (required): Codes indicating the title or contents of a document, report or supporting item. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
CommunicationRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if request is prohibiting action
CommunicationRequest.medium This element must be supported. 0..1 CodeableConcept A channel of communication
Binding: PASCommunicationRequestMedium (2.2.1) (extensible)
CommunicationRequest.payload This element must be supported. 0..1 BackboneElement Message payload
CommunicationRequest.payload.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CommunicationRequest.payload.Slices for extension.extension:communicatedDiagnosis This element must be supported. 0..* CodeableConcept Communicated Diagnosis
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis
Binding: X12278DiagnosisCodes (2.2.1) (required)
CommunicationRequest.payload.Slices for extension.extension:contentModifier This element must be supported. 0..* CodeableConcept Content Modifier
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier
Binding: X12278DiagnosisInformationType (2.2.1) (required)
CommunicationRequest.payload.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
CommunicationRequest.payload.content[x] This element must be supported. 1..1 string Message part content
Binding: LOINC valid-hl7-attachment-requests (required)
CommunicationRequest.requester This element must be supported. This element is included in summaries. 0..1 Reference(PAS Insurer Organization(2.2.1)) Who/what is requesting service
CommunicationRequest.recipient This element must be supported. 0..* Reference(PAS Practitioner(2.2.1) | PAS Organization Base Profile(2.2.1)) Message recipient
CommunicationRequest.sender This element must be supported. This element is included in summaries. 0..1 Reference(PAS Requestor Organization(2.2.1)) Message sender

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CommunicationRequest.​status Base required RequestStatus 📍4.0.1 FHIR Std.
CommunicationRequest.​category Base required https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 Not State Unknown
CommunicationRequest.​medium Base extensible PAS Communication Medium Value Set 📍2.2.1 This IG
CommunicationRequest.​payload.content[x] Base required HL7 Attachment Requests ∅ unknown?

Constraints

Id Grade Path(s) Description Expression
IdentifierUnlessVO error CommunicationRequest CommunicationRequest.identifier is required unless CommunicationRequest.medium is 'VO'. $this.medium.coding.where(code='VO').count() = 0 implies $this.identifier.count() > 0

This structure is derived from CommunicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: doco
CommunicationRequest C 0..* CommunicationRequest A request for information to be sent to a receiver
CommunicationRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CommunicationRequest.Slices for extension.extension:serviceLineNumber This element must be supported. 0..1 positiveInt Service Line Number
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber
CommunicationRequest.identifier This element must be supported. 0..1 Identifier Unique Identifier used in linking the Communication Request to the response (X12's Attachment Control Number).
CommunicationRequest.status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Fixed Value: active
CommunicationRequest.medium This element must be supported. 0..1 CodeableConcept A channel of communication
Binding: PASCommunicationRequestMedium (2.2.1) (extensible)
CommunicationRequest.payload This element must be supported. 0..1 BackboneElement Message payload
CommunicationRequest.payload.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CommunicationRequest.payload.Slices for extension.extension:communicatedDiagnosis This element must be supported. 0..* CodeableConcept Communicated Diagnosis
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis
Binding: X12278DiagnosisCodes (2.2.1) (required)
CommunicationRequest.payload.Slices for extension.extension:contentModifier This element must be supported. 0..* CodeableConcept Content Modifier
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier
Binding: X12278DiagnosisInformationType (2.2.1) (required)
CommunicationRequest.payload.content[x] This element must be supported. 1..1 string Message part content
Binding: LOINC valid-hl7-attachment-requests (required)
CommunicationRequest.requester This element must be supported. 0..1 Reference(PAS Insurer Organization(2.2.1)) Who/what is requesting service
CommunicationRequest.recipient This element must be supported. 0..* Reference(PAS Practitioner(2.2.1) | PAS Organization Base Profile(2.2.1)) Message recipient
CommunicationRequest.sender This element must be supported. 0..1 Reference(PAS Requestor Organization(2.2.1)) Message sender

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
CommunicationRequest.​category Base required https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 Not State Unknown
CommunicationRequest.​medium Base extensible PAS Communication Medium Value Set 📍2.2.1 This IG
CommunicationRequest.​payload.content[x] Base required HL7 Attachment Requests ∅ unknown?

Constraints

Id Grade Path(s) Description Expression
IdentifierUnlessVO error CommunicationRequest CommunicationRequest.identifier is required unless CommunicationRequest.medium is 'VO'. $this.medium.coding.where(code='VO').count() = 0 implies $this.identifier.count() > 0
NameFlagsCard.TypeDescription & Constraints    Filter: doco
CommunicationRequest C 0..* CommunicationRequest A request for information to be sent to a receiver
Constraints: IdentifierUnlessVO
CommunicationRequest.id This element is included in summaries. 0..1 id Logical id of this artifact
CommunicationRequest.meta This element is included in summaries. 0..1 Meta Metadata about the resource
CommunicationRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
CommunicationRequest.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
CommunicationRequest.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
CommunicationRequest.contained 0..* Resource Contained, inline Resources
CommunicationRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CommunicationRequest.Slices for extension.extension:serviceLineNumber This element must be supported. 0..1 positiveInt Service Line Number
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber
CommunicationRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
CommunicationRequest.identifier This element must be supported. This element is included in summaries. 0..1 Identifier Unique Identifier used in linking the Communication Request to the response (X12's Attachment Control Number).
CommunicationRequest.basedOn This element is included in summaries. 0..* Reference(Resource) Fulfills plan or proposal
CommunicationRequest.replaces This element is included in summaries. 0..* Reference(CommunicationRequest) Request(s) replaced by this request
CommunicationRequest.groupIdentifier This element is included in summaries. 0..1 Identifier Composite request this is part of
CommunicationRequest.status This element is a modifier element. This element is included in summaries. 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.
Fixed Value: active
CommunicationRequest.statusReason 0..1 CodeableConcept Reason for current status
Binding Description: (example): Codes identifying the reason for the current state of a request.
CommunicationRequest.category This element must be supported. 0..1 CodeableConcept Message category
Binding: https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 (required): Codes indicating the title or contents of a document, report or supporting item. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
CommunicationRequest.priority This element is included in summaries. 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
CommunicationRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if request is prohibiting action
CommunicationRequest.medium This element must be supported. 0..1 CodeableConcept A channel of communication
Binding: PASCommunicationRequestMedium (2.2.1) (extensible)
CommunicationRequest.subject 0..1 Reference(Patient | Group) Focus of message
CommunicationRequest.about 0..* Reference(Resource) Resources that pertain to this communication request
CommunicationRequest.encounter This element is included in summaries. 0..1 Reference(Encounter) Encounter created as part of
CommunicationRequest.payload This element must be supported. 0..1 BackboneElement Message payload
CommunicationRequest.payload.id 0..1 string Unique id for inter-element referencing
CommunicationRequest.payload.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CommunicationRequest.payload.Slices for extension.extension:communicatedDiagnosis This element must be supported. 0..* CodeableConcept Communicated Diagnosis
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis
Binding: X12278DiagnosisCodes (2.2.1) (required)
CommunicationRequest.payload.Slices for extension.extension:contentModifier This element must be supported. 0..* CodeableConcept Content Modifier
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier
Binding: X12278DiagnosisInformationType (2.2.1) (required)
CommunicationRequest.payload.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
CommunicationRequest.payload.content[x] This element must be supported. 1..1 string Message part content
Binding: LOINC valid-hl7-attachment-requests (required)
CommunicationRequest.occurrence[x] This element is included in summaries. 0..1 When scheduled
CommunicationRequest.occurrence[x].occurrenceDateTime dateTime
CommunicationRequest.occurrence[x].occurrencePeriod Period
CommunicationRequest.authoredOn This element is included in summaries. 0..1 dateTime When request transitioned to being actionable
CommunicationRequest.requester This element must be supported. This element is included in summaries. 0..1 Reference(PAS Insurer Organization(2.2.1)) Who/what is requesting service
CommunicationRequest.recipient This element must be supported. 0..* Reference(PAS Practitioner(2.2.1) | PAS Organization Base Profile(2.2.1)) Message recipient
CommunicationRequest.sender This element must be supported. This element is included in summaries. 0..1 Reference(PAS Requestor Organization(2.2.1)) Message sender
CommunicationRequest.reasonCode This element is included in summaries. 0..* CodeableConcept Why is communication needed?
Binding: ActReason (3.0.0) (example): Codes for describing reasons for the occurrence of a communication.
CommunicationRequest.reasonReference This element is included in summaries. 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why is communication needed?
CommunicationRequest.note 0..* Annotation Comments made about communication request

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CommunicationRequest.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
CommunicationRequest.​status Base required RequestStatus 📍4.0.1 FHIR Std.
CommunicationRequest.​statusReason Base example Not State Unknown
CommunicationRequest.​category Base required https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 Not State Unknown
CommunicationRequest.​priority Base required Request priority 📍4.0.1 FHIR Std.
CommunicationRequest.​medium Base extensible PAS Communication Medium Value Set 📍2.2.1 This IG
CommunicationRequest.​payload.content[x] Base required HL7 Attachment Requests ∅ unknown?
CommunicationRequest.​reasonCode Base example v3 Code System ActReason 📍3.0.0 THO v7.4

Constraints

Id Grade Path(s) Description Expression
IdentifierUnlessVO error CommunicationRequest CommunicationRequest.identifier is required unless CommunicationRequest.medium is 'VO'. $this.medium.coding.where(code='VO').count() = 0 implies $this.identifier.count() > 0

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
CommunicationRequest C 0..* CommunicationRequest A request for information to be sent to a receiver
Constraints: IdentifierUnlessVO
CommunicationRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
CommunicationRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CommunicationRequest.Slices for extension.extension:serviceLineNumber This element must be supported. 0..1 positiveInt Service Line Number
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber
CommunicationRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
CommunicationRequest.identifier This element must be supported. This element is included in summaries. 0..1 Identifier Unique Identifier used in linking the Communication Request to the response (X12's Attachment Control Number).
CommunicationRequest.status This element is a modifier element. This element is included in summaries. 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.
Fixed Value: active
CommunicationRequest.category This element must be supported. 0..1 CodeableConcept Message category
Binding: https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 (required): Codes indicating the title or contents of a document, report or supporting item. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
CommunicationRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if request is prohibiting action
CommunicationRequest.medium This element must be supported. 0..1 CodeableConcept A channel of communication
Binding: PASCommunicationRequestMedium (2.2.1) (extensible)
CommunicationRequest.payload This element must be supported. 0..1 BackboneElement Message payload
CommunicationRequest.payload.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CommunicationRequest.payload.Slices for extension.extension:communicatedDiagnosis This element must be supported. 0..* CodeableConcept Communicated Diagnosis
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis
Binding: X12278DiagnosisCodes (2.2.1) (required)
CommunicationRequest.payload.Slices for extension.extension:contentModifier This element must be supported. 0..* CodeableConcept Content Modifier
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier
Binding: X12278DiagnosisInformationType (2.2.1) (required)
CommunicationRequest.payload.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
CommunicationRequest.payload.content[x] This element must be supported. 1..1 string Message part content
Binding: LOINC valid-hl7-attachment-requests (required)
CommunicationRequest.requester This element must be supported. This element is included in summaries. 0..1 Reference(PAS Insurer Organization(2.2.1)) Who/what is requesting service
CommunicationRequest.recipient This element must be supported. 0..* Reference(PAS Practitioner(2.2.1) | PAS Organization Base Profile(2.2.1)) Message recipient
CommunicationRequest.sender This element must be supported. This element is included in summaries. 0..1 Reference(PAS Requestor Organization(2.2.1)) Message sender

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CommunicationRequest.​status Base required RequestStatus 📍4.0.1 FHIR Std.
CommunicationRequest.​category Base required https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 Not State Unknown
CommunicationRequest.​medium Base extensible PAS Communication Medium Value Set 📍2.2.1 This IG
CommunicationRequest.​payload.content[x] Base required HL7 Attachment Requests ∅ unknown?

Constraints

Id Grade Path(s) Description Expression
IdentifierUnlessVO error CommunicationRequest CommunicationRequest.identifier is required unless CommunicationRequest.medium is 'VO'. $this.medium.coding.where(code='VO').count() = 0 implies $this.identifier.count() > 0

Differential View

This structure is derived from CommunicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: doco
CommunicationRequest C 0..* CommunicationRequest A request for information to be sent to a receiver
CommunicationRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CommunicationRequest.Slices for extension.extension:serviceLineNumber This element must be supported. 0..1 positiveInt Service Line Number
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber
CommunicationRequest.identifier This element must be supported. 0..1 Identifier Unique Identifier used in linking the Communication Request to the response (X12's Attachment Control Number).
CommunicationRequest.status 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Fixed Value: active
CommunicationRequest.category This element must be supported. 0..1 CodeableConcept Message category
Binding: https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 (required): Codes indicating the title or contents of a document, report or supporting item. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
CommunicationRequest.medium This element must be supported. 0..1 CodeableConcept A channel of communication
Binding: PASCommunicationRequestMedium (2.2.1) (extensible)
CommunicationRequest.payload This element must be supported. 0..1 BackboneElement Message payload
CommunicationRequest.payload.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CommunicationRequest.payload.Slices for extension.extension:communicatedDiagnosis This element must be supported. 0..* CodeableConcept Communicated Diagnosis
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis
Binding: X12278DiagnosisCodes (2.2.1) (required)
CommunicationRequest.payload.Slices for extension.extension:contentModifier This element must be supported. 0..* CodeableConcept Content Modifier
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier
Binding: X12278DiagnosisInformationType (2.2.1) (required)
CommunicationRequest.payload.content[x] This element must be supported. 1..1 string Message part content
Binding: LOINC valid-hl7-attachment-requests (required)
CommunicationRequest.requester This element must be supported. 0..1 Reference(PAS Insurer Organization(2.2.1)) Who/what is requesting service
CommunicationRequest.recipient This element must be supported. 0..* Reference(PAS Practitioner(2.2.1) | PAS Organization Base Profile(2.2.1)) Message recipient
CommunicationRequest.sender This element must be supported. 0..1 Reference(PAS Requestor Organization(2.2.1)) Message sender

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
CommunicationRequest.​category Base required https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 Not State Unknown
CommunicationRequest.​medium Base extensible PAS Communication Medium Value Set 📍2.2.1 This IG
CommunicationRequest.​payload.content[x] Base required HL7 Attachment Requests ∅ unknown?

Constraints

Id Grade Path(s) Description Expression
IdentifierUnlessVO error CommunicationRequest CommunicationRequest.identifier is required unless CommunicationRequest.medium is 'VO'. $this.medium.coding.where(code='VO').count() = 0 implies $this.identifier.count() > 0

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
CommunicationRequest C 0..* CommunicationRequest A request for information to be sent to a receiver
Constraints: IdentifierUnlessVO
CommunicationRequest.id This element is included in summaries. 0..1 id Logical id of this artifact
CommunicationRequest.meta This element is included in summaries. 0..1 Meta Metadata about the resource
CommunicationRequest.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
CommunicationRequest.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
CommunicationRequest.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
CommunicationRequest.contained 0..* Resource Contained, inline Resources
CommunicationRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CommunicationRequest.Slices for extension.extension:serviceLineNumber This element must be supported. 0..1 positiveInt Service Line Number
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber
CommunicationRequest.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
CommunicationRequest.identifier This element must be supported. This element is included in summaries. 0..1 Identifier Unique Identifier used in linking the Communication Request to the response (X12's Attachment Control Number).
CommunicationRequest.basedOn This element is included in summaries. 0..* Reference(Resource) Fulfills plan or proposal
CommunicationRequest.replaces This element is included in summaries. 0..* Reference(CommunicationRequest) Request(s) replaced by this request
CommunicationRequest.groupIdentifier This element is included in summaries. 0..1 Identifier Composite request this is part of
CommunicationRequest.status This element is a modifier element. This element is included in summaries. 1..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of the communication request.
Fixed Value: active
CommunicationRequest.statusReason 0..1 CodeableConcept Reason for current status
Binding Description: (example): Codes identifying the reason for the current state of a request.
CommunicationRequest.category This element must be supported. 0..1 CodeableConcept Message category
Binding: https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 (required): Codes indicating the title or contents of a document, report or supporting item. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
CommunicationRequest.priority This element is included in summaries. 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Codes indicating the relative importance of a communication request.
CommunicationRequest.doNotPerform This element is a modifier element. This element is included in summaries. 0..1 boolean True if request is prohibiting action
CommunicationRequest.medium This element must be supported. 0..1 CodeableConcept A channel of communication
Binding: PASCommunicationRequestMedium (2.2.1) (extensible)
CommunicationRequest.subject 0..1 Reference(Patient | Group) Focus of message
CommunicationRequest.about 0..* Reference(Resource) Resources that pertain to this communication request
CommunicationRequest.encounter This element is included in summaries. 0..1 Reference(Encounter) Encounter created as part of
CommunicationRequest.payload This element must be supported. 0..1 BackboneElement Message payload
CommunicationRequest.payload.id 0..1 string Unique id for inter-element referencing
CommunicationRequest.payload.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
CommunicationRequest.payload.Slices for extension.extension:communicatedDiagnosis This element must be supported. 0..* CodeableConcept Communicated Diagnosis
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis
Binding: X12278DiagnosisCodes (2.2.1) (required)
CommunicationRequest.payload.Slices for extension.extension:contentModifier This element must be supported. 0..* CodeableConcept Content Modifier
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier
Binding: X12278DiagnosisInformationType (2.2.1) (required)
CommunicationRequest.payload.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
CommunicationRequest.payload.content[x] This element must be supported. 1..1 string Message part content
Binding: LOINC valid-hl7-attachment-requests (required)
CommunicationRequest.occurrence[x] This element is included in summaries. 0..1 When scheduled
CommunicationRequest.occurrence[x].occurrenceDateTime dateTime
CommunicationRequest.occurrence[x].occurrencePeriod Period
CommunicationRequest.authoredOn This element is included in summaries. 0..1 dateTime When request transitioned to being actionable
CommunicationRequest.requester This element must be supported. This element is included in summaries. 0..1 Reference(PAS Insurer Organization(2.2.1)) Who/what is requesting service
CommunicationRequest.recipient This element must be supported. 0..* Reference(PAS Practitioner(2.2.1) | PAS Organization Base Profile(2.2.1)) Message recipient
CommunicationRequest.sender This element must be supported. This element is included in summaries. 0..1 Reference(PAS Requestor Organization(2.2.1)) Message sender
CommunicationRequest.reasonCode This element is included in summaries. 0..* CodeableConcept Why is communication needed?
Binding: ActReason (3.0.0) (example): Codes for describing reasons for the occurrence of a communication.
CommunicationRequest.reasonReference This element is included in summaries. 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Why is communication needed?
CommunicationRequest.note 0..* Annotation Comments made about communication request

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CommunicationRequest.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
CommunicationRequest.​status Base required RequestStatus 📍4.0.1 FHIR Std.
CommunicationRequest.​statusReason Base example Not State Unknown
CommunicationRequest.​category Base required https://valueset.x12.org/x217/005010/response/2000D/PWK/1/01/00/755 Not State Unknown
CommunicationRequest.​priority Base required Request priority 📍4.0.1 FHIR Std.
CommunicationRequest.​medium Base extensible PAS Communication Medium Value Set 📍2.2.1 This IG
CommunicationRequest.​payload.content[x] Base required HL7 Attachment Requests ∅ unknown?
CommunicationRequest.​reasonCode Base example v3 Code System ActReason 📍3.0.0 THO v7.4

Constraints

Id Grade Path(s) Description Expression
IdentifierUnlessVO error CommunicationRequest CommunicationRequest.identifier is required unless CommunicationRequest.medium is 'VO'. $this.medium.coding.where(code='VO').count() = 0 implies $this.identifier.count() > 0

 

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