This model is NOT a FHIR data structure for information exchange. Instead, it is a logical model of the information that SHOULD be collected and maintained for each CRD transaction. While implementers may choose any internal storage format that is appropriate for their system, the information collected should ultimately be mapped to the information model below.

Mapping implementation data to these elements will allow metrics (see the table on the metrics page) to be represented in a way that provides consistent responses to requirements from various interested parties (providers, payers, regulators, quality organizations, certification agencies, states, etc.) by each of the participants in the CRD exchanges.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Base

Name	Flags	Card.	Type	Description & Constraints
CRDMetricData		0..*	Base	CRD Metric Data Instances of this logical model are not marked to be the target of a Reference
source		1..1	code	provider-src | payer-src Binding: CRD Metric Data Source Value Set (required)
hookInstance		1..1	string	Unique hook invocation id
hookType		1..1	code	order-select | order-sign + Binding: CDS Hook Types Value Set (extensible)
providerId		1..1	Identifier	User invoking hook
system		0..1	uri	The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi
value		1..1	string	The value that is unique
groupId		1..1	Identifier	Healthcare org of user
system		0..1	uri	The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi
value		1..1	string	The value that is unique
payerId		1..1	Identifier	Payer receiving hook
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
requestTime		1..1	instant	Time hook initiated
responseTime		0..1	instant	Time of hook response
httpResponse		1..1	positiveInt	e.g. 200
issue		0..*	BackboneElement	OperationOutcome info
code		1..1	code	Error code Binding: IssueType (required)
details		0..1	CodeableConcept	More detailed error code Binding: OperationOutcomeCodes (example)
tokenUse		0..1	code	used | not-used | rejected Binding: CRD Metric Token Use (example)
orderDetail		0..*	CodeableConcept	Service or product code(s) Binding: CRD Order Detail Codes Value Set (extensible)
resources		0..*	BackboneElement	Resource types accessed
type		1..1	code	Kind of resource Binding: ResourceType (required)
profile		0..1	canonical(StructureDefinition)	Solicited profile
count		1..1	positiveInt	Number retrieved
prefetch		0..1	boolean	Retrieved by prefetch?
response		0..*	BackboneElement	Returned card/system action
type		0..1	code	Type of CRD card Binding: CRD Card Types Value Set (required)
focus		0..*	code	Resource tied to card
engagement		0..1	code	ignore | accept | override
coverageInfo		0..*	BackboneElement	Coverage information
covered		0..1	code	covered | not-covered | conditional Binding: CRD Coverage Information Covered Value Set (required)
paNeeded		0..1	code	auth-needed | no-auth | satisfied + Binding: CRD Coverage Information Prior Authorization Value Set (required)
docNeeded		0..1	code	no-doc | clinical | admin | both + Binding: CRD Coverage Information Additional Documentation Value Set (required)
infoNeeded		0..1	code	performer | location | timeframe Binding: CRD Information Needed Value Set (required)
questionnaire		0..*	BackboneElement	Questionnaire(s) returned
reference		1..1	canonical(Questionnaire)	Questionnaire url & version
adaptive		1..1	boolean	Is questionnaire adaptive?
response		1..1	boolean	Pre-pop response provided?
assertionId		1..1	string	Id for coverage assertion
satisfiedId		0..1	string	Id if PA is satisfied
businessLine		0..1	CodeableConcept	E.g. MedicareAdvantage
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CRDMetricData.source	required	MetricDataSource http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource from this IG
CRDMetricData.hookType	extensible	CDSHookType http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType from this IG
CRDMetricData.issue.code	required	IssueType http://hl7.org/fhir/ValueSet/issue-type from the FHIR Standard
CRDMetricData.issue.details	example	OperationOutcomeCodes http://hl7.org/fhir/ValueSet/operation-outcome from the FHIR Standard
CRDMetricData.tokenUse	example	MetricTokenUse http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse from this IG
CRDMetricData.orderDetail	extensible	MetricOrderDetail http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail from this IG
CRDMetricData.resources.type	required	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CRDMetricData.response.type	required	CRDCardType http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType from this IG
CRDMetricData.response.coverageInfo.covered	required	CRDCoveredInfo http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo from this IG
CRDMetricData.response.coverageInfo.paNeeded	required	CRDCoveragePaDetail http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail from this IG
CRDMetricData.response.coverageInfo.docNeeded	required	CRDAdditionalDoc http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation from this IG
CRDMetricData.response.coverageInfo.infoNeeded	required	CRDInformationNeeded http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded from this IG

Name	Flags	Card.	Type	Description & Constraints
CRDMetricData		0..*	Base	CRD Metric Data Instances of this logical model are not marked to be the target of a Reference
source		1..1	code	provider-src | payer-src Binding: CRD Metric Data Source Value Set (required)
hookInstance		1..1	string	Unique hook invocation id
hookType		1..1	code	order-select | order-sign + Binding: CDS Hook Types Value Set (extensible)
providerId		1..1	Identifier	User invoking hook
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi
value	Σ	1..1	string	The value that is unique Example General: 123456
groupId		1..1	Identifier	Healthcare org of user
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi
value	Σ	1..1	string	The value that is unique Example General: 123456
payerId		1..1	Identifier	Payer receiving hook
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
requestTime		1..1	instant	Time hook initiated
responseTime		0..1	instant	Time of hook response
httpResponse		1..1	positiveInt	e.g. 200
issue		0..*	BackboneElement	OperationOutcome info
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	Error code Binding: IssueType (required)
details		0..1	CodeableConcept	More detailed error code Binding: OperationOutcomeCodes (example)
tokenUse		0..1	code	used | not-used | rejected Binding: CRD Metric Token Use (example)
orderDetail		0..*	CodeableConcept	Service or product code(s) Binding: CRD Order Detail Codes Value Set (extensible)
resources		0..*	BackboneElement	Resource types accessed
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	Kind of resource Binding: ResourceType (required)
profile		0..1	canonical(StructureDefinition)	Solicited profile
count		1..1	positiveInt	Number retrieved
prefetch		0..1	boolean	Retrieved by prefetch?
response		0..*	BackboneElement	Returned card/system action
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	code	Type of CRD card Binding: CRD Card Types Value Set (required)
focus		0..*	code	Resource tied to card
engagement		0..1	code	ignore | accept | override
coverageInfo		0..*	BackboneElement	Coverage information
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
covered		0..1	code	covered | not-covered | conditional Binding: CRD Coverage Information Covered Value Set (required)
paNeeded		0..1	code	auth-needed | no-auth | satisfied + Binding: CRD Coverage Information Prior Authorization Value Set (required)
docNeeded		0..1	code	no-doc | clinical | admin | both + Binding: CRD Coverage Information Additional Documentation Value Set (required)
infoNeeded		0..1	code	performer | location | timeframe Binding: CRD Information Needed Value Set (required)
questionnaire		0..*	BackboneElement	Questionnaire(s) returned
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
reference		1..1	canonical(Questionnaire)	Questionnaire url & version
adaptive		1..1	boolean	Is questionnaire adaptive?
response		1..1	boolean	Pre-pop response provided?
assertionId		1..1	string	Id for coverage assertion
satisfiedId		0..1	string	Id if PA is satisfied
businessLine		0..1	CodeableConcept	E.g. MedicareAdvantage
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CRDMetricData.source	required	MetricDataSource http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource from this IG
CRDMetricData.hookType	extensible	CDSHookType http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType from this IG
CRDMetricData.providerId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CRDMetricData.groupId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CRDMetricData.payerId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CRDMetricData.issue.code	required	IssueType http://hl7.org/fhir/ValueSet/issue-type from the FHIR Standard
CRDMetricData.issue.details	example	OperationOutcomeCodes http://hl7.org/fhir/ValueSet/operation-outcome from the FHIR Standard
CRDMetricData.tokenUse	example	MetricTokenUse http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse from this IG
CRDMetricData.orderDetail	extensible	MetricOrderDetail http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail from this IG
CRDMetricData.resources.type	required	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CRDMetricData.response.type	required	CRDCardType http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType from this IG
CRDMetricData.response.coverageInfo.covered	required	CRDCoveredInfo http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo from this IG
CRDMetricData.response.coverageInfo.paNeeded	required	CRDCoveragePaDetail http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail from this IG
CRDMetricData.response.coverageInfo.docNeeded	required	CRDAdditionalDoc http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation from this IG
CRDMetricData.response.coverageInfo.infoNeeded	required	CRDInformationNeeded http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
CRDMetricData		0..*	Base	CRD Metric Data Instances of this logical model are not marked to be the target of a Reference
source		1..1	code	provider-src | payer-src Binding: CRD Metric Data Source Value Set (required)
hookInstance		1..1	string	Unique hook invocation id
hookType		1..1	code	order-select | order-sign + Binding: CDS Hook Types Value Set (extensible)
providerId		1..1	Identifier	User invoking hook
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	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	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
groupId		1..1	Identifier	Healthcare org of user
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	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	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
payerId		1..1	Identifier	Payer receiving hook
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	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	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
requestTime		1..1	instant	Time hook initiated
responseTime		0..1	instant	Time of hook response
httpResponse		1..1	positiveInt	e.g. 200
issue		0..*	BackboneElement	OperationOutcome info
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	Error code Binding: IssueType (required)
details		0..1	CodeableConcept	More detailed error code Binding: OperationOutcomeCodes (example)
tokenUse		0..1	code	used | not-used | rejected Binding: CRD Metric Token Use (example)
orderDetail		0..*	CodeableConcept	Service or product code(s) Binding: CRD Order Detail Codes Value Set (extensible)
resources		0..*	BackboneElement	Resource types accessed
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	Kind of resource Binding: ResourceType (required)
profile		0..1	canonical(StructureDefinition)	Solicited profile
count		1..1	positiveInt	Number retrieved
prefetch		0..1	boolean	Retrieved by prefetch?
response		0..*	BackboneElement	Returned card/system action
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	code	Type of CRD card Binding: CRD Card Types Value Set (required)
focus		0..*	code	Resource tied to card
engagement		0..1	code	ignore | accept | override
coverageInfo		0..*	BackboneElement	Coverage information
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
covered		0..1	code	covered | not-covered | conditional Binding: CRD Coverage Information Covered Value Set (required)
paNeeded		0..1	code	auth-needed | no-auth | satisfied + Binding: CRD Coverage Information Prior Authorization Value Set (required)
docNeeded		0..1	code	no-doc | clinical | admin | both + Binding: CRD Coverage Information Additional Documentation Value Set (required)
infoNeeded		0..1	code	performer | location | timeframe Binding: CRD Information Needed Value Set (required)
questionnaire		0..*	BackboneElement	Questionnaire(s) returned
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
reference		1..1	canonical(Questionnaire)	Questionnaire url & version
adaptive		1..1	boolean	Is questionnaire adaptive?
response		1..1	boolean	Pre-pop response provided?
assertionId		1..1	string	Id for coverage assertion
satisfiedId		0..1	string	Id if PA is satisfied
businessLine		0..1	CodeableConcept	E.g. MedicareAdvantage
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CRDMetricData.source	required	MetricDataSource http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource from this IG
CRDMetricData.hookType	extensible	CDSHookType http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType from this IG
CRDMetricData.providerId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CRDMetricData.providerId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
CRDMetricData.groupId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CRDMetricData.groupId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
CRDMetricData.payerId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CRDMetricData.payerId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
CRDMetricData.issue.code	required	IssueType http://hl7.org/fhir/ValueSet/issue-type from the FHIR Standard
CRDMetricData.issue.details	example	OperationOutcomeCodes http://hl7.org/fhir/ValueSet/operation-outcome from the FHIR Standard
CRDMetricData.tokenUse	example	MetricTokenUse http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse from this IG
CRDMetricData.orderDetail	extensible	MetricOrderDetail http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail from this IG
CRDMetricData.resources.type	required	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CRDMetricData.response.type	required	CRDCardType http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType from this IG
CRDMetricData.response.coverageInfo.covered	required	CRDCoveredInfo http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo from this IG
CRDMetricData.response.coverageInfo.paNeeded	required	CRDCoveragePaDetail http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail from this IG
CRDMetricData.response.coverageInfo.docNeeded	required	CRDAdditionalDoc http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation from this IG
CRDMetricData.response.coverageInfo.infoNeeded	required	CRDInformationNeeded http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from Base

Name	Flags	Card.	Type	Description & Constraints
CRDMetricData		0..*	Base	CRD Metric Data Instances of this logical model are not marked to be the target of a Reference
source		1..1	code	provider-src | payer-src Binding: CRD Metric Data Source Value Set (required)
hookInstance		1..1	string	Unique hook invocation id
hookType		1..1	code	order-select | order-sign + Binding: CDS Hook Types Value Set (extensible)
providerId		1..1	Identifier	User invoking hook
system		0..1	uri	The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi
value		1..1	string	The value that is unique
groupId		1..1	Identifier	Healthcare org of user
system		0..1	uri	The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi
value		1..1	string	The value that is unique
payerId		1..1	Identifier	Payer receiving hook
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
requestTime		1..1	instant	Time hook initiated
responseTime		0..1	instant	Time of hook response
httpResponse		1..1	positiveInt	e.g. 200
issue		0..*	BackboneElement	OperationOutcome info
code		1..1	code	Error code Binding: IssueType (required)
details		0..1	CodeableConcept	More detailed error code Binding: OperationOutcomeCodes (example)
tokenUse		0..1	code	used | not-used | rejected Binding: CRD Metric Token Use (example)
orderDetail		0..*	CodeableConcept	Service or product code(s) Binding: CRD Order Detail Codes Value Set (extensible)
resources		0..*	BackboneElement	Resource types accessed
type		1..1	code	Kind of resource Binding: ResourceType (required)
profile		0..1	canonical(StructureDefinition)	Solicited profile
count		1..1	positiveInt	Number retrieved
prefetch		0..1	boolean	Retrieved by prefetch?
response		0..*	BackboneElement	Returned card/system action
type		0..1	code	Type of CRD card Binding: CRD Card Types Value Set (required)
focus		0..*	code	Resource tied to card
engagement		0..1	code	ignore | accept | override
coverageInfo		0..*	BackboneElement	Coverage information
covered		0..1	code	covered | not-covered | conditional Binding: CRD Coverage Information Covered Value Set (required)
paNeeded		0..1	code	auth-needed | no-auth | satisfied + Binding: CRD Coverage Information Prior Authorization Value Set (required)
docNeeded		0..1	code	no-doc | clinical | admin | both + Binding: CRD Coverage Information Additional Documentation Value Set (required)
infoNeeded		0..1	code	performer | location | timeframe Binding: CRD Information Needed Value Set (required)
questionnaire		0..*	BackboneElement	Questionnaire(s) returned
reference		1..1	canonical(Questionnaire)	Questionnaire url & version
adaptive		1..1	boolean	Is questionnaire adaptive?
response		1..1	boolean	Pre-pop response provided?
assertionId		1..1	string	Id for coverage assertion
satisfiedId		0..1	string	Id if PA is satisfied
businessLine		0..1	CodeableConcept	E.g. MedicareAdvantage
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
CRDMetricData.source	required	MetricDataSource http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource from this IG
CRDMetricData.hookType	extensible	CDSHookType http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType from this IG
CRDMetricData.issue.code	required	IssueType http://hl7.org/fhir/ValueSet/issue-type from the FHIR Standard
CRDMetricData.issue.details	example	OperationOutcomeCodes http://hl7.org/fhir/ValueSet/operation-outcome from the FHIR Standard
CRDMetricData.tokenUse	example	MetricTokenUse http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse from this IG
CRDMetricData.orderDetail	extensible	MetricOrderDetail http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail from this IG
CRDMetricData.resources.type	required	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CRDMetricData.response.type	required	CRDCardType http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType from this IG
CRDMetricData.response.coverageInfo.covered	required	CRDCoveredInfo http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo from this IG
CRDMetricData.response.coverageInfo.paNeeded	required	CRDCoveragePaDetail http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail from this IG
CRDMetricData.response.coverageInfo.docNeeded	required	CRDAdditionalDoc http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation from this IG
CRDMetricData.response.coverageInfo.infoNeeded	required	CRDInformationNeeded http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
CRDMetricData		0..*	Base	CRD Metric Data Instances of this logical model are not marked to be the target of a Reference
source		1..1	code	provider-src | payer-src Binding: CRD Metric Data Source Value Set (required)
hookInstance		1..1	string	Unique hook invocation id
hookType		1..1	code	order-select | order-sign + Binding: CDS Hook Types Value Set (extensible)
providerId		1..1	Identifier	User invoking hook
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi
value	Σ	1..1	string	The value that is unique Example General: 123456
groupId		1..1	Identifier	Healthcare org of user
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi
value	Σ	1..1	string	The value that is unique Example General: 123456
payerId		1..1	Identifier	Payer receiving hook
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
requestTime		1..1	instant	Time hook initiated
responseTime		0..1	instant	Time of hook response
httpResponse		1..1	positiveInt	e.g. 200
issue		0..*	BackboneElement	OperationOutcome info
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	Error code Binding: IssueType (required)
details		0..1	CodeableConcept	More detailed error code Binding: OperationOutcomeCodes (example)
tokenUse		0..1	code	used | not-used | rejected Binding: CRD Metric Token Use (example)
orderDetail		0..*	CodeableConcept	Service or product code(s) Binding: CRD Order Detail Codes Value Set (extensible)
resources		0..*	BackboneElement	Resource types accessed
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	Kind of resource Binding: ResourceType (required)
profile		0..1	canonical(StructureDefinition)	Solicited profile
count		1..1	positiveInt	Number retrieved
prefetch		0..1	boolean	Retrieved by prefetch?
response		0..*	BackboneElement	Returned card/system action
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	code	Type of CRD card Binding: CRD Card Types Value Set (required)
focus		0..*	code	Resource tied to card
engagement		0..1	code	ignore | accept | override
coverageInfo		0..*	BackboneElement	Coverage information
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
covered		0..1	code	covered | not-covered | conditional Binding: CRD Coverage Information Covered Value Set (required)
paNeeded		0..1	code	auth-needed | no-auth | satisfied + Binding: CRD Coverage Information Prior Authorization Value Set (required)
docNeeded		0..1	code	no-doc | clinical | admin | both + Binding: CRD Coverage Information Additional Documentation Value Set (required)
infoNeeded		0..1	code	performer | location | timeframe Binding: CRD Information Needed Value Set (required)
questionnaire		0..*	BackboneElement	Questionnaire(s) returned
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
reference		1..1	canonical(Questionnaire)	Questionnaire url & version
adaptive		1..1	boolean	Is questionnaire adaptive?
response		1..1	boolean	Pre-pop response provided?
assertionId		1..1	string	Id for coverage assertion
satisfiedId		0..1	string	Id if PA is satisfied
businessLine		0..1	CodeableConcept	E.g. MedicareAdvantage
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CRDMetricData.source	required	MetricDataSource http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource from this IG
CRDMetricData.hookType	extensible	CDSHookType http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType from this IG
CRDMetricData.providerId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CRDMetricData.groupId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CRDMetricData.payerId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CRDMetricData.issue.code	required	IssueType http://hl7.org/fhir/ValueSet/issue-type from the FHIR Standard
CRDMetricData.issue.details	example	OperationOutcomeCodes http://hl7.org/fhir/ValueSet/operation-outcome from the FHIR Standard
CRDMetricData.tokenUse	example	MetricTokenUse http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse from this IG
CRDMetricData.orderDetail	extensible	MetricOrderDetail http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail from this IG
CRDMetricData.resources.type	required	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CRDMetricData.response.type	required	CRDCardType http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType from this IG
CRDMetricData.response.coverageInfo.covered	required	CRDCoveredInfo http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo from this IG
CRDMetricData.response.coverageInfo.paNeeded	required	CRDCoveragePaDetail http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail from this IG
CRDMetricData.response.coverageInfo.docNeeded	required	CRDAdditionalDoc http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation from this IG
CRDMetricData.response.coverageInfo.infoNeeded	required	CRDInformationNeeded http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
CRDMetricData		0..*	Base	CRD Metric Data Instances of this logical model are not marked to be the target of a Reference
source		1..1	code	provider-src | payer-src Binding: CRD Metric Data Source Value Set (required)
hookInstance		1..1	string	Unique hook invocation id
hookType		1..1	code	order-select | order-sign + Binding: CDS Hook Types Value Set (extensible)
providerId		1..1	Identifier	User invoking hook
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	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	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
groupId		1..1	Identifier	Healthcare org of user
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	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	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://hl7.org/fhir/sid/us-npi
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
payerId		1..1	Identifier	Payer receiving hook
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	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	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
requestTime		1..1	instant	Time hook initiated
responseTime		0..1	instant	Time of hook response
httpResponse		1..1	positiveInt	e.g. 200
issue		0..*	BackboneElement	OperationOutcome info
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	Error code Binding: IssueType (required)
details		0..1	CodeableConcept	More detailed error code Binding: OperationOutcomeCodes (example)
tokenUse		0..1	code	used | not-used | rejected Binding: CRD Metric Token Use (example)
orderDetail		0..*	CodeableConcept	Service or product code(s) Binding: CRD Order Detail Codes Value Set (extensible)
resources		0..*	BackboneElement	Resource types accessed
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	code	Kind of resource Binding: ResourceType (required)
profile		0..1	canonical(StructureDefinition)	Solicited profile
count		1..1	positiveInt	Number retrieved
prefetch		0..1	boolean	Retrieved by prefetch?
response		0..*	BackboneElement	Returned card/system action
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		0..1	code	Type of CRD card Binding: CRD Card Types Value Set (required)
focus		0..*	code	Resource tied to card
engagement		0..1	code	ignore | accept | override
coverageInfo		0..*	BackboneElement	Coverage information
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
covered		0..1	code	covered | not-covered | conditional Binding: CRD Coverage Information Covered Value Set (required)
paNeeded		0..1	code	auth-needed | no-auth | satisfied + Binding: CRD Coverage Information Prior Authorization Value Set (required)
docNeeded		0..1	code	no-doc | clinical | admin | both + Binding: CRD Coverage Information Additional Documentation Value Set (required)
infoNeeded		0..1	code	performer | location | timeframe Binding: CRD Information Needed Value Set (required)
questionnaire		0..*	BackboneElement	Questionnaire(s) returned
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
reference		1..1	canonical(Questionnaire)	Questionnaire url & version
adaptive		1..1	boolean	Is questionnaire adaptive?
response		1..1	boolean	Pre-pop response provided?
assertionId		1..1	string	Id for coverage assertion
satisfiedId		0..1	string	Id if PA is satisfied
businessLine		0..1	CodeableConcept	E.g. MedicareAdvantage
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CRDMetricData.source	required	MetricDataSource http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource from this IG
CRDMetricData.hookType	extensible	CDSHookType http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType from this IG
CRDMetricData.providerId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CRDMetricData.providerId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
CRDMetricData.groupId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CRDMetricData.groupId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
CRDMetricData.payerId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CRDMetricData.payerId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
CRDMetricData.issue.code	required	IssueType http://hl7.org/fhir/ValueSet/issue-type from the FHIR Standard
CRDMetricData.issue.details	example	OperationOutcomeCodes http://hl7.org/fhir/ValueSet/operation-outcome from the FHIR Standard
CRDMetricData.tokenUse	example	MetricTokenUse http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse from this IG
CRDMetricData.orderDetail	extensible	MetricOrderDetail http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail from this IG
CRDMetricData.resources.type	required	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
CRDMetricData.response.type	required	CRDCardType http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType from this IG
CRDMetricData.response.coverageInfo.covered	required	CRDCoveredInfo http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo from this IG
CRDMetricData.response.coverageInfo.paNeeded	required	CRDCoveragePaDetail http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail from this IG
CRDMetricData.response.coverageInfo.docNeeded	required	CRDAdditionalDoc http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation from this IG
CRDMetricData.response.coverageInfo.infoNeeded	required	CRDInformationNeeded http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Base

Summary

Mandatory: 4 elements(15 nested mandatory elements)

Maturity: 1