PAS Encounter - Da Vinci Prior Authorization Support (PAS) FHIR IG v2.2.1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

versionId

0..1

Version specific identifier

lastUpdated

0..1

instant

When the resource last changed

source

0..1

canonical(StructureDefinition)

Identifies where the resource comes from

profile

0..*

Profiles this resource claims to conform to

security

0..*

Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

tag

0..*

Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

implicitRules

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

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
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:patientStatus

0..1

extension:nursingHomeResidentialStatus

Patient Status
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-patientStatus
Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/03/00/1352 (required): Codes indicating patient status as of the 'statement covers through date'. 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.

0..1

(Complex)

Nursing Home Residential Status
URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus

0..1

Unique id for inter-element referencing

0..0

Extension
Slice: Unordered, Open by value:url

url

1..1

"http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus"

value[x]

0..1

Value of extension
Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/04/00/1345 (required): Codes specifying the status of a nursing home resident at the time of service. 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.

0..*

Extensions that cannot be ignored

identifier

0..*

Identifier

Identifier(s) by which this encounter is known

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

0..1

usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

type

0..1

Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

system

1..1

The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient

value

1..1

The value that is unique
Example General: 123456

0..1

Time period when id is/was valid for use

assigner

0..1

Reference(Organization)

Organization that issued id (may be just text)

status

1..1

statusHistory

0..*

List of past encounter statuses

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

status

1..1

1..1

The time that the episode was in the specified status

class

1..1

Classification of patient encounter
Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.

classHistory

0..*

List of past encounter classes

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

class

1..1

inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (3.0.0) (extensible): Classification of the encounter.

1..1

The time that the episode was in the specified class

type

1..*

Specific type of encounter
Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/01/00/1315 (required): Codes indicating the priority of this admission. 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.

serviceType

0..1

Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.

priority

0..1

Reference(PAS Beneficiary Patient(2.2.1))

Indicates the urgency of the encounter
Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter.

subject

1..1

The patient or group present at the encounter

episodeOfCare

0..*

Reference(EpisodeOfCare)

Episode(s) of care that this encounter should be recorded against

basedOn

0..*

Reference(ServiceRequest)

The ServiceRequest that initiated this encounter

participant

0..*

List of participants involved in the encounter

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

type

0..*

Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.

0..1

Reference(US Core Practitioner Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0))

Period of time during the encounter that the participant participated

individual

0..1

Persons involved in the encounter other than the patient

appointment

0..*

Reference(Appointment)

The appointment that scheduled this encounter

0..1

The start and end time of the encounter

length

0..1

Duration

Quantity of time the encounter lasted (less time absent)

reasonCode

0..*

Reference(US Core Condition Problems and Health Concerns Profile(7.0.0) | US Core Condition Encounter Diagnosis Profile(7.0.0) | US Core Procedure Profile(7.0.0) | Observation | ImmunizationRecommendation)

Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.

reasonReference

0..*

Reason the encounter takes place (reference)

diagnosis

0..*

The list of diagnosis relevant to this encounter

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

condition

1..1

Reference(Condition | Procedure)

The diagnosis or procedure relevant to the encounter

use

0..1

Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

rank

0..1

positiveInt

Ranking of the diagnosis (for each role type)

account

0..*

Reference(Account)

The set of accounts that may be used for billing for this Encounter

hospitalization

0..1

Details about the admission to a healthcare service

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Extensions that cannot be ignored even if unrecognized

preAdmissionIdentifier

0..1

Identifier

Pre-admission identifier

origin

0..1

Reference(Location | Organization)

The location/organization from which the patient came before admission

admitSource

0..1

From where patient was admitted (physician referral, transfer)
Binding: https://valueset.x12.org/x217/005010/request/2000E/CL1/1/02/00/1314 (required): Codes indicating the source of this admission. 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.

reAdmission

0..1

The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: Hl7VSReAdmissionIndicator (3.0.0) (example): The reason for re-admission of this hospitalization encounter.

dietPreference

0..*

Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.

specialCourtesy

0..*

Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.

specialArrangement

0..*

Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.

destination

0..1

Reference(Location | Organization)

Location/organization to which the patient is discharged

dischargeDisposition

0..1

Category or kind of location after discharge
Binding: USCoreDischargeDisposition (7.0.0) (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17

location

0..*

List of locations where the patient has been

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..*

Reference(US Core Location Profile(7.0.0))

Extensions that cannot be ignored even if unrecognized

location

1..1

Location the encounter takes place

status

0..1

planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

physicalType

0..1

The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.

0..1