Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2
Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-devicerequest | Version: 2.2.1 | ||||
| Standards status: Trial-use | Maturity Level: 4 | Computable Name: PASDeviceRequest | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.56 | |||||
PAS constraints on DeviceRequest resource mandating support for elements relevant to the devices being requested on a prior authorization request
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  DeviceRequest |
0..* | DeviceRequest | Medical device request | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  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 | |
   extension:coverage |
C | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8, crd-ci-q9 |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. | |
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Fixed Value: order | |
 code[x] |
1..1 | CodeableConcept | Device requested Binding: X12278RequestedServiceType (2.2.1) (required) | |
 subject |
1..1 | Reference(PAS Beneficiary Patient(2.2.1)) | Focus of request | |
 occurrence[x] |
0..1 | PASTiming(2.2.1) | Desired time or schedule for use | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| DeviceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| DeviceRequest.code[x] | Base | required | X12 278 Requested Service Type | 📍2.2.1 | This IG |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from DeviceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DeviceRequest |
0..* | DeviceRequest | Medical device request | |
| 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 | |
| extension:coverage |
0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information | |
 intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order | |
| code[x] |
1..1 | CodeableConcept | Device requested Binding: X12278RequestedServiceType (2.2.1) (required) | |
| subject |
1..1 | Reference(PAS Beneficiary Patient(2.2.1)) | Focus of request | |
| occurrence[x] |
0..1 | PASTiming(2.2.1) | Desired time or schedule for use | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.code[x] | Base | required | X12 278 Requested Service Type | 📍2.2.1 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DeviceRequest |
0..* | DeviceRequest | Medical device request | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| 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 | |||||
| extension:coverage |
C | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8, crd-ci-q9 | ||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External Request identifier | |||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(Resource) | What request fulfills | |||||
| priorRequest |
0..* | Reference(Resource) | What request replaces | |||||
| groupIdentifier |
0..1 | Identifier | Identifier of composite request | |||||
| status |
0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. | |||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Fixed Value: order | |||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| code[x] |
1..1 | CodeableConcept | Device requested Binding: X12278RequestedServiceType (2.2.1) (required) | |||||
| parameter |
0..* | BackboneElement | Device details | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
0..1 | CodeableConcept | Device detail Binding Description: (example): A code that identifies the device detail. | |||||
  value[x] |
0..1 | Value of detail | ||||||
 valueCodeableConcept |
CodeableConcept | |||||||
| valueQuantity |
Quantity | |||||||
| valueRange |
Range | |||||||
| valueBoolean |
boolean | |||||||
| subject |
1..1 | Reference(PAS Beneficiary Patient(2.2.1)) | Focus of request | |||||
| encounter |
0..1 | Reference(Encounter) | Encounter motivating request | |||||
| occurrence[x] |
0..1 | PASTiming(2.2.1) | Desired time or schedule for use | |||||
| authoredOn |
0..1 | dateTime | When recorded | |||||
| requester |
0..1 | Reference(Device | Practitioner | PractitionerRole | Organization) | Who/what is requesting diagnostics | |||||
| performerType |
0..1 | CodeableConcept | Filler role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | |||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested Filler | |||||
| reasonCode |
0..* | CodeableConcept | Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Linked Reason for request | |||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
0..* | Reference(Resource) | Additional clinical information | |||||
| note |
0..* | Annotation | Notes or comments | |||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DeviceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| DeviceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| DeviceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| DeviceRequest.code[x] | Base | required | X12 278 Requested Service Type | 📍2.2.1 | This IG |
| DeviceRequest.parameter.code | Base | example | Not State | Unknown | |
| DeviceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| DeviceRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from DeviceRequest
Summary
Must-Support: 5 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 4
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DeviceRequest |
0..* | DeviceRequest | Medical device request | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| 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 | |
| extension:coverage |
C | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8, crd-ci-q9 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. | |
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Fixed Value: order | |
| code[x] |
1..1 | CodeableConcept | Device requested Binding: X12278RequestedServiceType (2.2.1) (required) | |
| subject |
1..1 | Reference(PAS Beneficiary Patient(2.2.1)) | Focus of request | |
| occurrence[x] |
0..1 | PASTiming(2.2.1) | Desired time or schedule for use | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| DeviceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| DeviceRequest.code[x] | Base | required | X12 278 Requested Service Type | 📍2.2.1 | This IG |
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from DeviceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DeviceRequest |
0..* | DeviceRequest | Medical device request | |
| 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 | |
| extension:coverage |
0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information | |
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order | |
| code[x] |
1..1 | CodeableConcept | Device requested Binding: X12278RequestedServiceType (2.2.1) (required) | |
| subject |
1..1 | Reference(PAS Beneficiary Patient(2.2.1)) | Focus of request | |
| occurrence[x] |
0..1 | PASTiming(2.2.1) | Desired time or schedule for use | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.code[x] | Base | required | X12 278 Requested Service Type | 📍2.2.1 | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DeviceRequest |
0..* | DeviceRequest | Medical device request | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| 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 | |||||
| extension:coverage |
C | 0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8, crd-ci-q9 | ||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External Request identifier | |||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(Resource) | What request fulfills | |||||
| priorRequest |
0..* | Reference(Resource) | What request replaces | |||||
| groupIdentifier |
0..1 | Identifier | Identifier of composite request | |||||
| status |
0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. | |||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Fixed Value: order | |||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| code[x] |
1..1 | CodeableConcept | Device requested Binding: X12278RequestedServiceType (2.2.1) (required) | |||||
| parameter |
0..* | BackboneElement | Device details | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
0..1 | CodeableConcept | Device detail Binding Description: (example): A code that identifies the device detail. | |||||
| value[x] |
0..1 | Value of detail | ||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueQuantity |
Quantity | |||||||
| valueRange |
Range | |||||||
| valueBoolean |
boolean | |||||||
| subject |
1..1 | Reference(PAS Beneficiary Patient(2.2.1)) | Focus of request | |||||
| encounter |
0..1 | Reference(Encounter) | Encounter motivating request | |||||
| occurrence[x] |
0..1 | PASTiming(2.2.1) | Desired time or schedule for use | |||||
| authoredOn |
0..1 | dateTime | When recorded | |||||
| requester |
0..1 | Reference(Device | Practitioner | PractitionerRole | Organization) | Who/what is requesting diagnostics | |||||
| performerType |
0..1 | CodeableConcept | Filler role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | |||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested Filler | |||||
| reasonCode |
0..* | CodeableConcept | Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Linked Reason for request | |||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
0..* | Reference(Resource) | Additional clinical information | |||||
| note |
0..* | Annotation | Notes or comments | |||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DeviceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| DeviceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| DeviceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| DeviceRequest.code[x] | Base | required | X12 278 Requested Service Type | 📍2.2.1 | This IG |
| DeviceRequest.parameter.code | Base | example | Not State | Unknown | |
| DeviceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| DeviceRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from DeviceRequest
Summary
Must-Support: 5 elements
Fixed: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 4
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Financial Management.
Package hl7.fhir.us.davinci-pas#2.2.1 based on FHIR 4.0.1.
Generated
2026-10-09
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