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 Temporary Codes - XML Representation

Page standards status: Trial-use | Maturity Level: 3

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    <CodeSystem xmlns="http://hl7.org/fhir">
      <id value="PASTempCodes"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem PASTempCodes</b></p><a name="PASTempCodes"> </a><a name="hcPASTempCodes"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes</code> defines the following codes in a Is-A hierarchy:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">provider-src<a name="PASTempCodes-provider-src"> </a></td><td>Provider-sourced</td><td>The metric information was captured from the provider system's perspective</td></tr><tr><td style="white-space:nowrap">payer-src<a name="PASTempCodes-payer-src"> </a></td><td>Payer-sourced</td><td>The metric information was captured from the payer system's perspective</td></tr><tr><td style="white-space:nowrap">intermediary-src<a name="PASTempCodes-intermediary-src"> </a></td><td>Intermediary-sourced</td><td>The metric information was captured from the intermediary system's perspective</td></tr><tr><td style="white-space:nowrap">changed<a name="PASTempCodes-changed"> </a></td><td>Changed</td><td>Previously sent information has been changed.</td></tr><tr><td style="white-space:nowrap">added<a name="PASTempCodes-added"> </a></td><td>Added</td><td>New information that was not sent previously.</td></tr><tr><td style="white-space:nowrap">patientEvent<a name="PASTempCodes-patientEvent"> </a></td><td>Patient Event</td><td>Information about the dates of the event that are being requested.</td></tr><tr><td style="white-space:nowrap">admissionDates<a name="PASTempCodes-admissionDates"> </a></td><td>Admission Dates</td><td>Information about the admission dates of a hospital admission being requested.</td></tr><tr><td style="white-space:nowrap">dischargeDates<a name="PASTempCodes-dischargeDates"> </a></td><td>Discharge Dates</td><td>Information about discharge dates of a hospital admission being requested.</td></tr><tr><td style="white-space:nowrap">additionalInformation<a name="PASTempCodes-additionalInformation"> </a></td><td>Additional Information</td><td>Send additional paperwork or supporting information for the request.</td></tr><tr><td style="white-space:nowrap">freeFormMessage<a name="PASTempCodes-freeFormMessage"> </a></td><td>Free Form Message</td><td>Send text messages to the UMO.</td></tr><tr><td style="white-space:nowrap">institutionalEncounter<a name="PASTempCodes-institutionalEncounter"> </a></td><td>Institutional Encounter</td><td>Information about a hospital claim being requested.</td></tr><tr><td style="white-space:nowrap">result-available<a name="PASTempCodes-result-available"> </a></td><td>Result Available</td><td>A new result for a PAS submission is now available.</td></tr><tr><td style="white-space:nowrap">admitting<a name="PASTempCodes-admitting"> </a></td><td>Admitting</td><td>The diagnosis given as the reason why the patient was admitted to the hospital.</td></tr><tr><td style="white-space:nowrap">principal<a name="PASTempCodes-principal"> </a></td><td>Principal</td><td>The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment.</td></tr><tr><td style="white-space:nowrap">patientreasonforvisit<a name="PASTempCodes-patientreasonforvisit"> </a></td><td>Patient Reason For Visit</td><td>The diagnosis given as why the patient came to the hospital.</td></tr><tr><td style="white-space:nowrap">CDEX<a name="PASTempCodes-CDEX"> </a></td><td>CDex Submit-Attachment</td><td>Via a CDex Submitt-Attachment operation</td></tr><tr><td style="white-space:nowrap">attachment-request-code<a name="PASTempCodes-attachment-request-code"> </a></td><td>Attach Request Code</td><td>Attachments are identified by LOINC or PWK01 codes</td></tr><tr><td style="white-space:nowrap">attachment-request-questionnaire<a name="PASTempCodes-attachment-request-questionnaire"> </a></td><td>Attachment Request Questionnaire</td><td>Attachments are identified by a questionnaire</td></tr><tr><td style="white-space:nowrap">priorAuthorization<a name="PASTempCodes-priorAuthorization"> </a></td><td>Prior Authorization Information Request</td><td>Additional information is needed to determine response for a prior authorization</td></tr><tr><td style="white-space:nowrap">payer-url<a name="PASTempCodes-payer-url"> </a></td><td>Payer URL</td><td>The Payer Endpoint URL needed to submit attachments</td></tr><tr><td style="white-space:nowrap">attachments-needed<a name="PASTempCodes-attachments-needed"> </a></td><td>Attachments Needed</td><td>Communicates what attachments are needed</td></tr><tr><td style="white-space:nowrap">questionnaire-context<a name="PASTempCodes-questionnaire-context"> </a></td><td>Questionnaire Context</td><td>Communicates the context of questionnaires that are needed</td></tr></table></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="fm"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="3">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"/>
          </extension>
        </valueInteger>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"/>
          </extension>
        </valueCode>
      </extension>
      <url value="http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.16.840.1.113883.4.642.40.24.16.1"/>
      </identifier>
      <version value="2.2.0-ballot"/>
      <name value="PASTempCodes"/>
      <title value="PAS Temporary Codes"/>
      <status value="draft"/>
      <experimental value="false"/>
      <date value="2025-07-29T17:39:14+00:00"/>
      <publisher value="HL7 International / Financial Management"/>
      <contact>
        <name value="HL7 International / Financial Management"/>
        <telecom>
          <system value="url"/>
          <value value="http://hl7.org/Special/committees/fm"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="fmlists@lists.hl7.org"/>
        </telecom>
      </contact>
      <contact>
        <name value="Jean Duteau"/>
        <telecom>
          <system value="email"/>
          <value value="mailto:jean@duteaudesign.com"/>
        </telecom>
      </contact>
      <contact>
        <name value="HL7 International / Financial Management"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/fm"/>
        </telecom>
      </contact>
      <description
                   value="Codes temporarily defined as part of the PAS implementation guide.  These will eventually migrate into an officially maintained terminology (likely either SNOMED CT or HL7's UTG code systems)."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
          <display value="United States of America"/>
        </coding>
      </jurisdiction>
      <caseSensitive value="true"/>
      <hierarchyMeaning value="is-a"/>
      <content value="complete"/>
      <count value="22"/>
      <concept>
        <code value="provider-src"/>
        <display value="Provider-sourced"/>
        <definition
                    value="The metric information was captured from the provider system's perspective"/>
      </concept>
      <concept>
        <code value="payer-src"/>
        <display value="Payer-sourced"/>
        <definition
                    value="The metric information was captured from the payer system's perspective"/>
      </concept>
      <concept>
        <code value="intermediary-src"/>
        <display value="Intermediary-sourced"/>
        <definition
                    value="The metric information was captured from the intermediary system's perspective"/>
      </concept>
      <concept>
        <code value="changed"/>
        <display value="Changed"/>
        <definition value="Previously sent information has been changed."/>
      </concept>
      <concept>
        <code value="added"/>
        <display value="Added"/>
        <definition value="New information that was not sent previously."/>
      </concept>
      <concept>
        <code value="patientEvent"/>
        <display value="Patient Event"/>
        <definition
                    value="Information about the dates of the event that are being requested."/>
      </concept>
      <concept>
        <code value="admissionDates"/>
        <display value="Admission Dates"/>
        <definition
                    value="Information about the admission dates of a hospital admission being requested."/>
      </concept>
      <concept>
        <code value="dischargeDates"/>
        <display value="Discharge Dates"/>
        <definition
                    value="Information about discharge dates of a hospital admission being requested."/>
      </concept>
      <concept>
        <code value="additionalInformation"/>
        <display value="Additional Information"/>
        <definition
                    value="Send additional paperwork or supporting information for the request."/>
      </concept>
      <concept>
        <code value="freeFormMessage"/>
        <display value="Free Form Message"/>
        <definition value="Send text messages to the UMO."/>
      </concept>
      <concept>
        <code value="institutionalEncounter"/>
        <display value="Institutional Encounter"/>
        <definition value="Information about a hospital claim being requested."/>
      </concept>
      <concept>
        <code value="result-available"/>
        <display value="Result Available"/>
        <definition value="A new result for a PAS submission is now available."/>
      </concept>
      <concept>
        <code value="admitting"/>
        <display value="Admitting"/>
        <definition
                    value="The diagnosis given as the reason why the patient was admitted to the hospital."/>
      </concept>
      <concept>
        <code value="principal"/>
        <display value="Principal"/>
        <definition
                    value="The single medical diagnosis that is most relevant to the patient's chief complaint or need for treatment."/>
      </concept>
      <concept>
        <code value="patientreasonforvisit"/>
        <display value="Patient Reason For Visit"/>
        <definition
                    value="The diagnosis given as why the patient came to the hospital."/>
      </concept>
      <concept>
        <code value="CDEX"/>
        <display value="CDex Submit-Attachment"/>
        <definition value="Via a CDex Submitt-Attachment operation"/>
      </concept>
      <concept>
        <code value="attachment-request-code"/>
        <display value="Attach Request Code"/>
        <definition value="Attachments are identified by LOINC or PWK01 codes"/>
      </concept>
      <concept>
        <code value="attachment-request-questionnaire"/>
        <display value="Attachment Request Questionnaire"/>
        <definition value="Attachments are identified by a questionnaire"/>
      </concept>
      <concept>
        <code value="priorAuthorization"/>
        <display value="Prior Authorization Information Request"/>
        <definition
                    value="Additional information is needed to determine response for a prior authorization"/>
      </concept>
      <concept>
        <code value="payer-url"/>
        <display value="Payer URL"/>
        <definition value="The Payer Endpoint URL needed to submit attachments"/>
      </concept>
      <concept>
        <code value="attachments-needed"/>
        <display value="Attachments Needed"/>
        <definition value="Communicates what attachments are needed"/>
      </concept>
      <concept>
        <code value="questionnaire-context"/>
        <display value="Questionnaire Context"/>
        <definition
                    value="Communicates the context of questionnaires that are needed"/>
      </concept>
    </CodeSystem>