Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-ballot - STU 2.2 - Ballot

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 2.2.0-ballot 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

## : PAS Subscription Notification example - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Bundle ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "PASSubscriptionNotification"] ; #
      fhir:type [ fhir:v "history"] ; #
      fhir:timestamp [ fhir:v "2020-05-29T11:44:33.188-05:00"^^xsd:dateTime] ; #
      fhir:entry ( [
    fhir:fullUrl [ fhir:v "http://example.org/Parameters/SubscriptionNotificationParameters"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/Parameters/SubscriptionNotificationParameters> ) ;
    fhir:request [
    fhir:method [ fhir:v "GET" ] ;
    fhir:url [ fhir:v "https://example.org/Subscription/PAS/$status"^^xsd:anyURI ]     ] ;
    fhir:response [
    fhir:status [ fhir:v "200" ]     ]
      ] [
    fhir:fullUrl [ fhir:v "http://example.org/Bundle/ReferralAuthorizationResponseBundleExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/Bundle/ReferralAuthorizationResponseBundleExample> ) ;
    fhir:request [
    fhir:method [ fhir:v "GET" ] ;
    fhir:url [ fhir:v "https://example.org/Bundle/ReferralAuthorizationResponseBundleExample"^^xsd:anyURI ]     ] ;
    fhir:response [
    fhir:status [ fhir:v "200" ]     ]
      ] ) . #

    <http://example.org/Parameters/SubscriptionNotificationParameters> a fhir:Parameters ;
      fhir:id [ fhir:v "SubscriptionNotificationParameters"] ; #
      fhir:parameter ( [
    fhir:name [ fhir:v "subscription" ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:reference [ fhir:v "StructureDefinition/profile-subscription" ]     ]
      ] [
    fhir:name [ fhir:v "topic" ] ;
    fhir:value [
    a fhir:canonical ;
    fhir:v "http://hl7.org/fhir/us/davinci-pas/SubscriptionTopic/PASSubscriptionTopic|2.1.0"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/davinci-pas/SubscriptionTopic/PASSubscriptionTopic|2.1.0>     ]
      ] [
    fhir:name [ fhir:v "type" ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "event-notification"     ]
      ] [
    fhir:name [ fhir:v "notification-event" ] ;
        ( fhir:part [
    fhir:name [ fhir:v "event-number" ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "2"       ]     ] [
    fhir:name [ fhir:v "timestamp" ] ;
    fhir:value [
    a fhir:instant ;
    fhir:v "2020-05-29T11:44:33.188-05:00"^^xsd:dateTime       ]     ] [
    fhir:name [ fhir:v "focus" ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:link <http://example.org/Bundle/ReferralAuthorizationResponseBundleExample> ;
    fhir:reference [ fhir:v "http://example.org/Bundle/ReferralAuthorizationResponseBundleExample" ]       ]     ] )
      ] ) . #

    <http://example.org/Bundle/ReferralAuthorizationResponseBundleExample> a fhir:Bundle ;
      fhir:id [ fhir:v "ReferralAuthorizationResponseBundleExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-response-bundle"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-response-bundle>     ] )
      ] ; #
      fhir:identifier [
    fhir:system [ fhir:v "http://example.org/SUBMITTER_TRANSACTION_IDENTIFIER"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "A12345" ]
      ] ; #
      fhir:type [ fhir:v "collection"] ; #
      fhir:timestamp [ fhir:v "2005-05-02T11:02:00+05:00"^^xsd:dateTime] ; #
      fhir:entry ( [
    fhir:fullUrl [ fhir:v "http://example.org/fhir/ClaimResponse/PractitionerRequestorResponseExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/ClaimResponse/PractitionerRequestorResponseExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://example.org/fhir/Organization/UMOExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/Organization/UMOExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://example.org/fhir/Organization/InsurerExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/Organization/InsurerExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://example.org/fhir/Patient/SubscriberExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/Patient/SubscriberExample> )
      ] [
    fhir:fullUrl [ fhir:v "http://example.org/fhir/Practitioner/ReferralPractitionerExample"^^xsd:anyURI ] ;
        ( fhir:resource <http://example.org/fhir/Practitioner/ReferralPractitionerExample> )
      ] ) . #

    <http://example.org/fhir/ClaimResponse/PractitionerRequestorResponseExample> a fhir:ClaimResponse ;
      fhir:id [ fhir:v "PractitionerRequestorResponseExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claimresponse"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claimresponse>     ] )
      ] ; #
      fhir:identifier ( [
    fhir:system [ fhir:v "http://example.org/PATIENT_EVENT_TRACE_NUMBER"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "111099" ] ;
    fhir:assigner [
    fhir:identifier [
    fhir:system [ fhir:v "http://example.org/USER_ASSIGNED"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "9012345678" ]       ]     ]
      ] ) ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:type [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "professional" ]     ] )
      ] ; #
      fhir:use [ fhir:v "preauthorization"] ; #
      fhir:patient [
    fhir:reference [ fhir:v "Patient/SubscriberExample" ]
      ] ; #
      fhir:created [ fhir:v "2005-05-02T11:02:00+05:00"^^xsd:dateTime] ; #
      fhir:insurer [
    fhir:reference [ fhir:v "Organization/InsurerExample" ]
      ] ; #
      fhir:requestor [
    fhir:reference [ fhir:v "PractitionerRole/ReferralPractitionerRoleExample" ]
      ] ; #
      fhir:request [
    fhir:reference [ fhir:v "Claim/ReferralAuthorizationExample" ]
      ] ; #
      fhir:outcome [ fhir:v "complete"] ; #
      fhir:item ( [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemRequestedServiceDate"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Period ;
    fhir:start [ fhir:v "2005-05-02"^^xsd:date ] ;
    fhir:end [ fhir:v "2005-06-02"^^xsd:date ]       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemPreAuthIssueDate"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:date ;
    fhir:v "2005-05-02"^^xsd:date       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemPreAuthPeriod"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Period ;
    fhir:start [ fhir:v "2005-05-02"^^xsd:date ] ;
    fhir:end [ fhir:v "2005-06-02"^^xsd:date ]       ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "provider"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:reference [ fhir:v "Practitioner/ReferralPractitionerExample" ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedProvider"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "productOrServiceCode"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "https://codesystem.x12.org/005010/1365"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "3" ] ;
    fhir:display [ fhir:v "Consultation" ]           ] )         ]       ] [
    fhir:url [ fhir:v "unitPrice"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Money ;
    fhir:value [ fhir:v "100"^^xsd:decimal ] ;
    fhir:currency [ fhir:v "USD" ]         ]       ] [
    fhir:url [ fhir:v "quantity"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "1"^^xsd:decimal ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemAuthorizedDetail"^^xsd:anyURI ]     ] ) ;
    fhir:itemSequence [ fhir:v "1"^^xsd:positiveInteger ] ;
        ( fhir:adjudication [
          ( fhir:extension [
            ( fhir:extension [
    fhir:url [ fhir:v "number"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "AUTH0001"           ]         ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
                ( fhir:coding [
    fhir:system [ fhir:v "https://codesystem.x12.org/005010/306"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "A1" ] ;
    fhir:display [ fhir:v "Certified in total" ]             ] )           ]         ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewAction"^^xsd:anyURI ]       ] ) ;
    fhir:category [
            ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/adjudication"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "submitted" ]         ] )       ]     ] )
      ] ) . #

    <http://example.org/fhir/Organization/UMOExample> a fhir:Organization ;
      fhir:id [ fhir:v "UMOExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor>     ] )
      ] ; #
      fhir:identifier ( [
    fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "8189991234" ]
      ] ) ; #
      fhir:active [ fhir:v true] ; #
      fhir:type ( [
        ( fhir:coding [
    fhir:system [ fhir:v "https://codesystem.x12.org/005010/98"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "X3" ]     ] )
      ] ) ; #
      fhir:name [ fhir:v "DR. JOE SMITH CORPORATION"] ; #
      fhir:address ( [
        ( fhir:line [ fhir:v "111 1ST STREET" ] ) ;
    fhir:city [ fhir:v "SAN DIEGO" ] ;
    fhir:state [ fhir:v "CA" ] ;
    fhir:postalCode [ fhir:v "92101" ] ;
    fhir:country [ fhir:v "US" ]
      ] ) . #

    <http://example.org/fhir/Organization/InsurerExample> a fhir:Organization ;
      fhir:id [ fhir:v "InsurerExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer>     ] )
      ] ; #
      fhir:identifier ( [
    fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "1234567893" ]
      ] ) ; #
      fhir:active [ fhir:v true] ; #
      fhir:type ( [
        ( fhir:coding [
    fhir:system [ fhir:v "https://codesystem.x12.org/005010/98"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "PR" ]     ] )
      ] ) ; #
      fhir:name [ fhir:v "MARYLAND CAPITAL INSURANCE COMPANY"] . #

    <http://example.org/fhir/Patient/SubscriberExample> a fhir:Patient ;
      fhir:id [ fhir:v "SubscriberExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber>     ] )
      ] ; #
      fhir:extension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-militaryStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [ fhir:v "https://codesystem.x12.org/005010/584"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "RU" ]       ] )     ]
      ] ) ; #
      fhir:identifier ( [
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "MB" ]       ] )     ] ;
    fhir:system [ fhir:v "http://example.org/MIN"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "12345678901" ]
      ] ) ; #
      fhir:name ( [
    fhir:family [ fhir:v "SMITH" ] ;
        ( fhir:given [ fhir:v "JOE" ] )
      ] ) ; #
      fhir:gender [ fhir:v "male"] . #

    <http://example.org/fhir/Practitioner/ReferralPractitionerExample> a fhir:Practitioner ;
      fhir:id [ fhir:v "ReferralPractitionerExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitioner"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitioner>     ] )
      ] ; #
      fhir:identifier ( [
    fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "1234567893" ]
      ] ) ; #
      fhir:name ( [
    fhir:family [ fhir:v "WATSON" ] ;
        ( fhir:given [ fhir:v "SUSAN" ] )
      ] ) . #