Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1 United States of America flag

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.1.0: STU 2.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Logical Model: CRD Metric Data

Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/CRDMetricData Version: 2.1.0
Standards status: Informative Maturity Level: 1 Computable Name: CRDMetricData
Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.42.1

A logical model describing the information that should be captured by CRD implementers about every CRD invocation to support measures evaluating CRD implementation

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.

Usage:

  • This Logical Model Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
.... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CRDMetricData.sourcerequiredMetricDataSource
http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource
from this IG
CRDMetricData.hookTypeextensibleCDSHookType
http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType
from this IG
CRDMetricData.issue.coderequiredIssueType
http://hl7.org/fhir/ValueSet/issue-type
from the FHIR Standard
CRDMetricData.issue.detailsexampleOperationOutcomeCodes
http://hl7.org/fhir/ValueSet/operation-outcome
from the FHIR Standard
CRDMetricData.tokenUseexampleMetricTokenUse
http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse
from this IG
CRDMetricData.orderDetailextensibleMetricOrderDetail
http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail
from this IG
CRDMetricData.resources.typerequiredResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CRDMetricData.response.typerequiredCRDCardType
http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType
from this IG
CRDMetricData.response.coverageInfo.coveredrequiredCRDCoveredInfo
http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo
from this IG
CRDMetricData.response.coverageInfo.paNeededrequiredCRDCoveragePaDetail
http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail
from this IG
CRDMetricData.response.coverageInfo.docNeededrequiredCRDAdditionalDoc
http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation
from this IG
CRDMetricData.response.coverageInfo.infoNeededrequiredCRDInformationNeeded
http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
.... 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.


ele-1: All FHIR elements must have a @value or children
.... system Σ 0..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Required Pattern: http://hl7.org/fhir/sid/us-npi
.... value Σ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
ele-1: All FHIR elements must have a @value or children
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
ele-1: All FHIR elements must have a @value or children
... groupId 1..1 Identifier Healthcare org of user
ele-1: All FHIR elements must have a @value or children
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
.... 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.


ele-1: All FHIR elements must have a @value or children
.... system Σ 0..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Required Pattern: http://hl7.org/fhir/sid/us-npi
.... value Σ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
ele-1: All FHIR elements must have a @value or children
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
ele-1: All FHIR elements must have a @value or children
... payerId 1..1 Identifier Payer receiving hook
ele-1: All FHIR elements must have a @value or children
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
.... 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.


ele-1: All FHIR elements must have a @value or children
.... system Σ 1..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
ele-1: All FHIR elements must have a @value or children
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
ele-1: All FHIR elements must have a @value or children
... 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
ele-1: All FHIR elements must have a @value or children
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
..... @id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... 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
ele-1: All FHIR elements must have a @value or children
...... @id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CRDMetricData.sourcerequiredMetricDataSource
http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource
from this IG
CRDMetricData.hookTypeextensibleCDSHookType
http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType
from this IG
CRDMetricData.providerId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CRDMetricData.providerId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CRDMetricData.groupId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CRDMetricData.groupId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CRDMetricData.payerId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CRDMetricData.payerId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CRDMetricData.issue.coderequiredIssueType
http://hl7.org/fhir/ValueSet/issue-type
from the FHIR Standard
CRDMetricData.issue.detailsexampleOperationOutcomeCodes
http://hl7.org/fhir/ValueSet/operation-outcome
from the FHIR Standard
CRDMetricData.tokenUseexampleMetricTokenUse
http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse
from this IG
CRDMetricData.orderDetailextensibleMetricOrderDetail
http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail
from this IG
CRDMetricData.resources.typerequiredResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CRDMetricData.response.typerequiredCRDCardType
http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType
from this IG
CRDMetricData.response.coverageInfo.coveredrequiredCRDCoveredInfo
http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo
from this IG
CRDMetricData.response.coverageInfo.paNeededrequiredCRDCoveragePaDetail
http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail
from this IG
CRDMetricData.response.coverageInfo.docNeededrequiredCRDAdditionalDoc
http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation
from this IG
CRDMetricData.response.coverageInfo.infoNeededrequiredCRDInformationNeeded
http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded
from this IG

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
.... @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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CRDMetricData.sourcerequiredMetricDataSource
http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource
from this IG
CRDMetricData.hookTypeextensibleCDSHookType
http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType
from this IG
CRDMetricData.providerId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CRDMetricData.providerId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CRDMetricData.groupId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CRDMetricData.groupId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CRDMetricData.payerId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CRDMetricData.payerId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CRDMetricData.issue.coderequiredIssueType
http://hl7.org/fhir/ValueSet/issue-type
from the FHIR Standard
CRDMetricData.issue.detailsexampleOperationOutcomeCodes
http://hl7.org/fhir/ValueSet/operation-outcome
from the FHIR Standard
CRDMetricData.tokenUseexampleMetricTokenUse
http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse
from this IG
CRDMetricData.orderDetailextensibleMetricOrderDetail
http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail
from this IG
CRDMetricData.resources.typerequiredResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CRDMetricData.response.typerequiredCRDCardType
http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType
from this IG
CRDMetricData.response.coverageInfo.coveredrequiredCRDCoveredInfo
http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo
from this IG
CRDMetricData.response.coverageInfo.paNeededrequiredCRDCoveragePaDetail
http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail
from this IG
CRDMetricData.response.coverageInfo.docNeededrequiredCRDAdditionalDoc
http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation
from this IG
CRDMetricData.response.coverageInfo.infoNeededrequiredCRDInformationNeeded
http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded
from this IG

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust 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

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
.... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CRDMetricData.sourcerequiredMetricDataSource
http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource
from this IG
CRDMetricData.hookTypeextensibleCDSHookType
http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType
from this IG
CRDMetricData.issue.coderequiredIssueType
http://hl7.org/fhir/ValueSet/issue-type
from the FHIR Standard
CRDMetricData.issue.detailsexampleOperationOutcomeCodes
http://hl7.org/fhir/ValueSet/operation-outcome
from the FHIR Standard
CRDMetricData.tokenUseexampleMetricTokenUse
http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse
from this IG
CRDMetricData.orderDetailextensibleMetricOrderDetail
http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail
from this IG
CRDMetricData.resources.typerequiredResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CRDMetricData.response.typerequiredCRDCardType
http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType
from this IG
CRDMetricData.response.coverageInfo.coveredrequiredCRDCoveredInfo
http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo
from this IG
CRDMetricData.response.coverageInfo.paNeededrequiredCRDCoveragePaDetail
http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail
from this IG
CRDMetricData.response.coverageInfo.docNeededrequiredCRDAdditionalDoc
http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation
from this IG
CRDMetricData.response.coverageInfo.infoNeededrequiredCRDInformationNeeded
http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
.... 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.


ele-1: All FHIR elements must have a @value or children
.... system Σ 0..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Required Pattern: http://hl7.org/fhir/sid/us-npi
.... value Σ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
ele-1: All FHIR elements must have a @value or children
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
ele-1: All FHIR elements must have a @value or children
... groupId 1..1 Identifier Healthcare org of user
ele-1: All FHIR elements must have a @value or children
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
.... 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.


ele-1: All FHIR elements must have a @value or children
.... system Σ 0..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Required Pattern: http://hl7.org/fhir/sid/us-npi
.... value Σ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
ele-1: All FHIR elements must have a @value or children
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
ele-1: All FHIR elements must have a @value or children
... payerId 1..1 Identifier Payer receiving hook
ele-1: All FHIR elements must have a @value or children
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
.... 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.


ele-1: All FHIR elements must have a @value or children
.... system Σ 1..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
ele-1: All FHIR elements must have a @value or children
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
ele-1: All FHIR elements must have a @value or children
... 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
ele-1: All FHIR elements must have a @value or children
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
.... @id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
ele-1: All FHIR elements must have a @value or children
..... @id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... 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
ele-1: All FHIR elements must have a @value or children
...... @id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CRDMetricData.sourcerequiredMetricDataSource
http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource
from this IG
CRDMetricData.hookTypeextensibleCDSHookType
http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType
from this IG
CRDMetricData.providerId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CRDMetricData.providerId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CRDMetricData.groupId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CRDMetricData.groupId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CRDMetricData.payerId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CRDMetricData.payerId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CRDMetricData.issue.coderequiredIssueType
http://hl7.org/fhir/ValueSet/issue-type
from the FHIR Standard
CRDMetricData.issue.detailsexampleOperationOutcomeCodes
http://hl7.org/fhir/ValueSet/operation-outcome
from the FHIR Standard
CRDMetricData.tokenUseexampleMetricTokenUse
http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse
from this IG
CRDMetricData.orderDetailextensibleMetricOrderDetail
http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail
from this IG
CRDMetricData.resources.typerequiredResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CRDMetricData.response.typerequiredCRDCardType
http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType
from this IG
CRDMetricData.response.coverageInfo.coveredrequiredCRDCoveredInfo
http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo
from this IG
CRDMetricData.response.coverageInfo.paNeededrequiredCRDCoveragePaDetail
http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail
from this IG
CRDMetricData.response.coverageInfo.docNeededrequiredCRDAdditionalDoc
http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation
from this IG
CRDMetricData.response.coverageInfo.infoNeededrequiredCRDInformationNeeded
http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded
from this IG

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
.... @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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CRDMetricData.sourcerequiredMetricDataSource
http://hl7.org/fhir/us/davinci-crd/ValueSet/metricDataSource
from this IG
CRDMetricData.hookTypeextensibleCDSHookType
http://hl7.org/fhir/us/davinci-crd/ValueSet/cdsHookType
from this IG
CRDMetricData.providerId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CRDMetricData.providerId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CRDMetricData.groupId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CRDMetricData.groupId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CRDMetricData.payerId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
CRDMetricData.payerId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
CRDMetricData.issue.coderequiredIssueType
http://hl7.org/fhir/ValueSet/issue-type
from the FHIR Standard
CRDMetricData.issue.detailsexampleOperationOutcomeCodes
http://hl7.org/fhir/ValueSet/operation-outcome
from the FHIR Standard
CRDMetricData.tokenUseexampleMetricTokenUse
http://hl7.org/fhir/us/davinci-crd/ValueSet/metricTokenUse
from this IG
CRDMetricData.orderDetailextensibleMetricOrderDetail
http://hl7.org/fhir/us/davinci-crd/ValueSet/orderDetail
from this IG
CRDMetricData.resources.typerequiredResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
CRDMetricData.response.typerequiredCRDCardType
http://hl7.org/fhir/us/davinci-crd/ValueSet/cardType
from this IG
CRDMetricData.response.coverageInfo.coveredrequiredCRDCoveredInfo
http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageInfo
from this IG
CRDMetricData.response.coverageInfo.paNeededrequiredCRDCoveragePaDetail
http://hl7.org/fhir/us/davinci-crd/ValueSet/coveragePaDetail
from this IG
CRDMetricData.response.coverageInfo.docNeededrequiredCRDAdditionalDoc
http://hl7.org/fhir/us/davinci-crd/ValueSet/AdditionalDocumentation
from this IG
CRDMetricData.response.coverageInfo.infoNeededrequiredCRDInformationNeeded
http://hl7.org/fhir/us/davinci-crd/ValueSet/informationNeeded
from this IG

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust 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

 

Other representations of profile: CSV, Excel