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 Device Request

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

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... implicitRules ?!Σ 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
.... extension:coverage SC 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
... intent ?!SΣ 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] SΣ 1..1 CodeableConcept Device requested
Binding: X12278RequestedServiceType (2.2.1) (required)
... subject SΣ 1..1 Reference(PAS Beneficiary Patient(2.2.1)) Focus of request
... occurrence[x] SΣ 0..1 PASTiming(2.2.1) Desired time or schedule for use

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:coverage S 0..1 (Complex) CoverageInfo
URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
... intent S 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: order
... code[x] S 1..1 CodeableConcept Device requested
Binding: X12278RequestedServiceType (2.2.1) (required)
... occurrence[x] S 0..1 PASTiming(2.2.1) Desired time or schedule for use

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DeviceRequest.code[x] Base required X12 278 Requested Service Type 📍2.2.1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
.... extension:coverage SC 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 Σ 0..* Identifier External Request identifier
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(Resource) What request fulfills
... priorRequest Σ 0..* Reference(Resource) What request replaces
... groupIdentifier Σ 0..1 Identifier Identifier of composite request
... status ?!Σ 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.
... intent ?!SΣ 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 Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... code[x] SΣ 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 ?!Σ 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 SΣ 1..1 Reference(PAS Beneficiary Patient(2.2.1)) Focus of request
... encounter Σ 0..1 Reference(Encounter) Encounter motivating request
... occurrence[x] SΣ 0..1 PASTiming(2.2.1) Desired time or schedule for use
... authoredOn Σ 0..1 dateTime When recorded
... requester Σ 0..1 Reference(Device | Practitioner | PractitionerRole | Organization) Who/what is requesting diagnostics
... performerType Σ 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 Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested Filler
... reasonCode Σ 0..* CodeableConcept Coded Reason for request
Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
... reasonReference Σ 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

doco Documentation for this format

Terminology Bindings

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.

Constraints

Id Grade Path(s) Description Expression

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... implicitRules ?!Σ 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
.... extension:coverage SC 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
... intent ?!SΣ 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] SΣ 1..1 CodeableConcept Device requested
Binding: X12278RequestedServiceType (2.2.1) (required)
... subject SΣ 1..1 Reference(PAS Beneficiary Patient(2.2.1)) Focus of request
... occurrence[x] SΣ 0..1 PASTiming(2.2.1) Desired time or schedule for use

doco Documentation for this format

Terminology Bindings

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

Constraints

Id Grade Path(s) Description Expression

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:coverage S 0..1 (Complex) CoverageInfo
URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
... intent S 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: order
... code[x] S 1..1 CodeableConcept Device requested
Binding: X12278RequestedServiceType (2.2.1) (required)
... occurrence[x] S 0..1 PASTiming(2.2.1) Desired time or schedule for use

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DeviceRequest.code[x] Base required X12 278 Requested Service Type 📍2.2.1 This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 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.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
.... extension:coverage SC 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 Σ 0..* Identifier External Request identifier
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(Resource) What request fulfills
... priorRequest Σ 0..* Reference(Resource) What request replaces
... groupIdentifier Σ 0..1 Identifier Identifier of composite request
... status ?!Σ 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): Codes representing the status of the request.
... intent ?!SΣ 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 Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... code[x] SΣ 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 ?!Σ 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 SΣ 1..1 Reference(PAS Beneficiary Patient(2.2.1)) Focus of request
... encounter Σ 0..1 Reference(Encounter) Encounter motivating request
... occurrence[x] SΣ 0..1 PASTiming(2.2.1) Desired time or schedule for use
... authoredOn Σ 0..1 dateTime When recorded
... requester Σ 0..1 Reference(Device | Practitioner | PractitionerRole | Organization) Who/what is requesting diagnostics
... performerType Σ 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 Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested Filler
... reasonCode Σ 0..* CodeableConcept Coded Reason for request
Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
... reasonReference Σ 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

doco Documentation for this format

Terminology Bindings

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.

Constraints

Id Grade Path(s) Description Expression

 

Other representations of profile: CSV, Excel, Schematron