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

## : EHR PAS Capabilities

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

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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:CapabilityStatement ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "EHRCapabilities"] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CapabilityStatement EHRCapabilities</b></p><a name=\"EHRCapabilities\"> </a><a name=\"hcEHRCapabilities\"> </a><h2 id=\"title\">EHR PAS Capabilities</h2><ul><li>Implementation Guide Version: 2.2.0-ballot </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <code>json</code>, <code>xml</code></li><li>Published on: 2023-08-08 </li><li>Published by: HL7 International / Financial Management </li></ul><blockquote class=\"impl-note\"><p><strong>Note to Implementers: FHIR Capabilities</strong></p><p>Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.</p></blockquote><h2 id=\"rest\">FHIR RESTful Capabilities</h2><div class=\"panel panel-default\"><div class=\"panel-heading\"><h3 id=\"mode1\" class=\"panel-title\">Mode: <code>client</code></h3></div><div class=\"panel-body\"/></div><h3 id=\"resourcesCap1\">Capabilities by Resource/Profile</h3><h4 id=\"resourcesSummary1\">Summary</h4><p>The summary table lists the resources that are part of this configuration, and for each resource it lists:</p><ul><li>The relevant profiles (if any)</li><li>The interactions supported by each resource (<b><span class=\"bg-info\">R</span></b>ead, <b><span class=\"bg-info\">S</span></b>earch, <b><span class=\"bg-info\">U</span></b>pdate, and <b><span class=\"bg-info\">C</span></b>reate, are always shown, while <b><span class=\"bg-info\">VR</span></b>ead, <b><span class=\"bg-info\">P</span></b>atch, <b><span class=\"bg-info\">D</span></b>elete, <b><span class=\"bg-info\">H</span></b>istory on <b><span class=\"bg-info\">I</span></b>nstance, or <b><span class=\"bg-info\">H</span></b>istory on <b><span class=\"bg-info\">T</span></b>ype are only present if at least one of the resources has support for them.</li><li><span>The required, recommended, and some optional search parameters (if any). </span></li><li>The linked resources enabled for <code>_include</code></li><li>The other resources enabled for <code>_revinclude</code></li><li>The operations on the resource (if any)</li></ul><div class=\"table-responsive\"><table class=\"table table-condensed table-hover\"><thead><tr><th><b>Resource Type</b></th><th><b>Profile</b></th><th class=\"text-center\"><b title=\"GET a resource (read interaction)\">R</b></th><th class=\"text-center\"><b title=\"GET all set of resources of the type (search interaction)\">S</b></th><th class=\"text-center\"><b title=\"PUT a new resource version (update interaction)\">U</b></th><th class=\"text-center\"><b title=\"POST a new resource (create interaction)\">C</b></th><th class=\"text-center\"><b title=\"DELETE a resource (delete interaction)\">D</b></th><th><b title=\"Required and recommended search parameters\">Searches</b></th><th><code><b>_include</b></code></th><th><code><b>_revinclude</b></code></th><th><b>Operations</b></th></tr></thead><tbody><tr><td><a href=\"#Claim1-1\">Claim</a></td><td> </td><td class=\"text-center\"/><td class=\"text-center\"/><td class=\"text-center\"/><td class=\"text-center\"/><td class=\"text-center\"/><td/><td/><td/><td><code>$PAS Claim Request</code>, <code>$PAS Claim Inquiry</code></td></tr><tr><td><a href=\"#Subscription1-2\">Subscription</a></td><td> </td><td class=\"text-center\"/><td class=\"text-center\"/><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td/><td/><td/><td/></tr></tbody></table></div><hr/><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Claim1-1\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: supported </span>Claim</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/claim.html\">Claim</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul/></div></div><p/><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Extended Operations</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Operation</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href=\"OperationDefinition-Claim-submit.html\">$PAS Claim Request</a></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"OperationDefinition-Claim-inquiry.html\">$PAS Claim Inquiry</a></td><td><div/></td></tr></tbody></table></div></div></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Subscription1-2\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: supported </span>Subscription</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/subscription.html\">Subscription</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li>Supports <code>create</code>, <code>update</code>, <code>delete</code>.</li></ul></div></div><p/><p/></div></div></div></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>     ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "fm"     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm>     ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 3 ;
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>         ] ;
    fhir:value [
    a fhir:Canonical ;
    fhir:v "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas>         ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>     ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "trial-use" ;
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>         ] ;
    fhir:value [
    a fhir:Canonical ;
    fhir:v "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas>         ]       ] )     ]
      ] ) ; #
      fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/CapabilityStatement/EHRCapabilities"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pas/CapabilityStatement/EHRCapabilities>
      ] ; #
      fhir:version [ fhir:v "2.2.0-ballot"] ; #
      fhir:name [ fhir:v "PASEHR"] ; #
      fhir:title [ fhir:v "EHR PAS Capabilities"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:experimental [ fhir:v false] ; #
      fhir:date [ fhir:v "2023-08-08"^^xsd:date] ; #
      fhir:publisher [ fhir:v "HL7 International / Financial Management"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "HL7 International / Financial Management" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "http://hl7.org/Special/committees/fm" ]     ] [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "fmlists@lists.hl7.org" ]     ] )
      ] [
    fhir:name [ fhir:v "Jean Duteau" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "mailto:jean@duteaudesign.com" ]     ] )
      ] [
    fhir:name [ fhir:v "HL7 International / Financial Management" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fm" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "Capabilities required for an EHR participating in a PAS Exchange."] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
    fhir:l <urn:iso:std:iso:3166>       ] ;
    fhir:code [ fhir:v "US" ] ;
    fhir:display [ fhir:v "United States of America" ]     ] )
      ] ) ; #
      fhir:kind [ fhir:v "requirements"] ; #
      fhir:fhirVersion [ fhir:v "4.0.1"] ; #
      fhir:format ( [ fhir:v "json"] [ fhir:v "xml"] ) ; #
      fhir:rest ( [
    fhir:mode [ fhir:v "client" ] ;
        ( fhir:resource [
    fhir:type [ fhir:v "Claim" ] ;
          ( fhir:operation [
    fhir:name [ fhir:v "PAS Claim Request" ] ;
    fhir:definition [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-submit|2.2.0-ballot"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-submit?version=2.2.0-ballot>         ]       ] [
    fhir:name [ fhir:v "PAS Claim Inquiry" ] ;
    fhir:definition [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-inquiry|2.2.0-ballot"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-inquiry?version=2.2.0-ballot>         ]       ] )     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/capabilitystatement-subscriptiontopic-canonical"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/capabilitystatement-subscriptiontopic-canonical>         ] ;
    fhir:value [
    a fhir:Canonical ;
    fhir:v "http://hl7.org/fhir/us/davinci-pas/SubscriptionTopic/PASSubscriptionTopic"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pas/SubscriptionTopic/PASSubscriptionTopic>         ]       ] ) ;
    fhir:type [ fhir:v "Subscription" ] ;
          ( fhir:interaction [
    fhir:code [ fhir:v "create" ]       ] [
    fhir:code [ fhir:v "update" ]       ] [
    fhir:code [ fhir:v "delete" ]       ] )     ] )
      ] ) . #