PAS Requestor Organization - Da Vinci Prior Authorization Support (PAS) FHIR IG v2.1.0

0..*

PASOrganization

A grouping of people or organizations with a common purpose
This profile also complies with the profiles US Core Organization Profile (3.1.1) and US Core Organization Profile (6.1.0)
org-1: The organization SHALL at least have a name or an identifier, and possibly more than one

id

Σ

0..1

id

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Narrative

Text summary of the resource, for human interpretation

contained

0..*

Resource

Contained, inline Resources

0..*

Additional content defined by implementations

modifierExtension

?!

0..*

Extensions that cannot be ignored

Slices for identifier

SΣC

0..*

Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this

identifier:NPI

SC

0..*

An identifier intended for computation
us-core-16: NPI must be 10 digits
us-core-17: NPI check digit must be valid (Luhn algorithm check)

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..1

usual | official | temp | secondary | old (If known)

0..1

Description of identifier

1..1

The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi

0..1

The value that is unique

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

identifier:CLIA

0..*

An identifier intended for computation
us-core-18: CLIA number must be 10 digits with a letter "D" in third position

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..1

usual | official | temp | secondary | old (If known)

0..1

Description of identifier

1..1

The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7

0..1

The value that is unique

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

identifier:NAIC

0..*

An identifier intended for computation
us-core-19: NAIC must be 5 digits

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..1

usual | official | temp | secondary | old (If known)

0..1

Description of identifier

1..1

The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.6.300

0..1

The value that is unique

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

identifier:TIN

SΣC

0..1

The US Employer Identification Number (EIN) or Tax Identification Number (TIN).

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..1

usual | official | temp | secondary | old (If known)

0..1

Description of identifier

1..1

The namespace for the identifier value
Fixed Value: http://terminology.hl7.org/NamingSystem/USEIN

0..1

The value that is unique

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

identifier:PI

SΣC

0..1

The Payer Identification Number (PI)

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..1

usual | official | temp | secondary | old (If known)

1..1

Description of identifier
Fixed Value: (complex)

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

coding

1..*

Coding

Code defined by a terminology system
Fixed Value: (complex)

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType

version

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: payerid

display

0..1

Representation defined by the system

userSelected

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..1

The namespace for the identifier value

0..1

The value that is unique

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

active

?!SΣ

1..1

Whether the organization's record is still in active use

SΣ

0..*

Kind of organization
Binding: https://valueset.x12.org/x217/005010/response/2010B/NM1/1/01/00/98 (required): Codes identifying an organizational entity, a physical location, property or an individual. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

name

SΣC

1..1

Name used for the organization

alias

0..*

A list of alternate names that the organization is known as, or was known as in the past

telecom

SC

0..*

ContactPoint

A contact detail for the organization
org-3: The telecom of an organization can never be of use 'home'

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

SΣC

0..1

phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

SΣ

0..1

The actual contact point details

use

?!Σ

0..1

home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

rank

Σ

0..1

positiveInt

Specify preferred order of use (1 = highest)

Σ

0..1

Time period when the contact point was/is in use

address

SC

0..*

Address

An address for the organization
org-2: An address of an organization can never be of use 'home'

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.

Example General: home

Σ

0..1

postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).

Example General: both

Σ

0..1

Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132

line

SΣ

0..4

Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
Example General: 49 MEADOW ST

city

SΣ

0..1

Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN

district

Σ

0..1

District name (aka county)
Example General: Madison

state

SΣ

0..1

Sub-unit of country (abbreviations ok)
Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

Example General: OK

postalCode

SΣ

0..1

US Zip Codes
Example General: 9132
Example General: 74047

country

SΣ

0..1

Country (e.g. can be ISO 3166 2 or 3 letter code)

Σ

0..1

Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}

partOf

Σ

0..1

The organization of which this organization forms a part

contact

S

0..*

BackboneElement

Contact for the organization for a certain purpose

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

modifierExtension

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

purpose

0..1

Documentation for this format

The type of contact
Binding: ContactEntityType (extensible): The purpose for which you would contact a contact party.

name

S

0..1

HumanName

A name associated with the contact

telecom

S

0..*

ContactPoint

Contact details (telephone, email, etc.) for a contact

address

0..1

Address

Visiting or postal addresses for the contact

endpoint

0..*

Reference(Endpoint)

Technical endpoints providing access to services operated for the organization

Terminology Bindings

Path Conformance ValueSet URI

Organization.language

preferred

CommonLanguages

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Additional Bindings

Purpose

AllLanguages

Max Binding

Organization.type

https://valueset.x12.org/x217/005010/response/2010B/NM1/1/01/00/98

https://valueset.x12.org/x217/005010/response/2010B/NM1/1/01/00/98

Organization.telecom.system

ContactPointSystem

http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1

from the FHIR Standard

Organization.telecom.use

ContactPointUse

http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1

from the FHIR Standard

Organization.address.use

AddressUse

http://hl7.org/fhir/ValueSet/address-use|4.0.1

from the FHIR Standard

Organization.address.type

Description & Constraints

AddressType

http://hl7.org/fhir/ValueSet/address-type|4.0.1

from the FHIR Standard

Organization.address.state

extensible

UspsTwoLetterAlphabeticCodes (a valid code from https://www.usps.com/)

http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state

Organization.contact.purpose

extensible

ContactEntityType

http://hl7.org/fhir/ValueSet/contactentity-type

from the FHIR Standard

This structure is derived from PASOrganization

Summary

Must-Support: 4 elements

Maturity: 3

Differential View

This structure is derived from PASOrganization

Name	Flags	Card.	Type	Description & Constraints
Organization			PASOrganization	This profile also complies with the profiles US Core Organization Profile (3.1.1) and US Core Organization Profile (6.1.0)
type	S	0..*	CodeableConcept	Kind of organization Binding: https://valueset.x12.org/x217/005010/response/2010B/NM1/1/01/00/98 (required): Codes identifying an organizational entity, a physical location, property or an individual. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.
contact	S	0..*	BackboneElement	Contact for the organization for a certain purpose
name	S	0..1	HumanName	A name associated with the contact
telecom	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Organization.type	required	https://valueset.x12.org/x217/005010/response/2010B/NM1/1/01/00/98 `https://valueset.x12.org/x217/005010/response/2010B/NM1/1/01/00/98`

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Organization	C	0..*	PASOrganization	A grouping of people or organizations with a common purpose This profile also complies with the profiles US Core Organization Profile (3.1.1) and US Core Organization Profile (6.1.0) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management org-1: The organization SHALL at least have a name or an identifier, and possibly more than one
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣC	0..*	PASIdentifier	Identifies this organization across multiple systems Slice: Unordered, Open by pattern:$this ele-1: All FHIR elements must have a @value or children
identifier:NPI	SC	0..*	PASIdentifier	An identifier intended for computation ele-1: All FHIR elements must have a @value or children us-core-16: NPI must be 10 digits us-core-17: NPI check digit must be valid (Luhn algorithm check) Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
identifier:CLIA	C	0..*	PASIdentifier	An identifier intended for computation ele-1: All FHIR elements must have a @value or children us-core-18: CLIA number must be 10 digits with a letter "D" in third position Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.7
identifier:NAIC	C	0..*	PASIdentifier	An identifier intended for computation ele-1: All FHIR elements must have a @value or children us-core-19: NAIC must be 5 digits Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.6.300
identifier:TIN	SΣC	0..1	Identifier	The US Employer Identification Number (EIN) or Tax Identification Number (TIN). ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	The namespace for the identifier value Fixed Value: http://terminology.hl7.org/NamingSystem/USEIN
identifier:PI	SΣC	0..1	Identifier	The Payer Identification Number (PI) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
type		1..1	CodeableConcept	Description of identifier Fixed Value: (complex)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: payerid
active	?!SΣ	1..1	boolean	Whether the organization's record is still in active use ele-1: All FHIR elements must have a @value or children
type	SΣ	0..*	CodeableConcept	Kind of organization Binding: https://valueset.x12.org/x217/005010/response/2010B/NM1/1/01/00/98 (required): Codes identifying an organizational entity, a physical location, property or an individual. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions. ele-1: All FHIR elements must have a @value or children
name	SΣC	1..1	string	Name used for the organization ele-1: All FHIR elements must have a @value or children
telecom	SC	0..*	ContactPoint	A contact detail for the organization ele-1: All FHIR elements must have a @value or children org-3: The telecom of an organization can never be of use 'home'
system	SΣC	0..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children
value	SΣ	0..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	home \| work \| temp \| old \| mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
address	SC	0..*	Address	An address for the organization ele-1: All FHIR elements must have a @value or children org-2: An address of an organization can never be of use 'home'
use	?!Σ	0..1	code	home \| work \| temp \| old \| billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
line	SΣ	0..4	string	Street name, number, direction & P.O. Box etc. ele-1: All FHIR elements must have a @value or children This repeating element order: The order in which lines should appear in an address label Example General: 137 Nowhere Street Example General: 49 MEADOW ST
city	SΣ	0..1	string	Name of city, town etc. ele-1: All FHIR elements must have a @value or children Example General: Erewhon Example General: EVERYTOWN
state	SΣ	0..1	string	Sub-unit of country (abbreviations ok) Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes. ele-1: All FHIR elements must have a @value or children Example General: OK
postalCode	SΣ	0..1	string	US Zip Codes ele-1: All FHIR elements must have a @value or children Example General: 9132 Example General: 74047
country	SΣ	0..1	string	Country (e.g. can be ISO 3166 2 or 3 letter code) ele-1: All FHIR elements must have a @value or children
contact	S	0..*	BackboneElement	Contact for the organization for a certain purpose ele-1: All FHIR elements must have a @value or children
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
name	S	0..1	HumanName	A name associated with the contact ele-1: All FHIR elements must have a @value or children
telecom	S	0..*	ContactPoint	Contact details (telephone, email, etc.) for a contact ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Organization.type	required	https://valueset.x12.org/x217/005010/response/2010B/NM1/1/01/00/98 `https://valueset.x12.org/x217/005010/response/2010B/NM1/1/01/00/98`
Organization.telecom.system	required	ContactPointSystem `http://hl7.org/fhir/ValueSet/contact-point-system\|4.0.1` from the FHIR Standard
Organization.telecom.use	required	ContactPointUse `http://hl7.org/fhir/ValueSet/contact-point-use\|4.0.1` from the FHIR Standard
Organization.address.use	required	AddressUse `http://hl7.org/fhir/ValueSet/address-use\|4.0.1` from the FHIR Standard
Organization.address.state	extensible	UspsTwoLetterAlphabeticCodes (a valid code from `https://www.usps.com/`) `http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state`

Snapshot View

Organization

0..*

PASOrganization

A grouping of people or organizations with a common purpose
This profile also complies with the profiles US Core Organization Profile (3.1.1) and US Core Organization Profile (6.1.0)
org-1: The organization SHALL at least have a name or an identifier, and possibly more than one

id

Σ

0..1

id

Logical id of this artifact

Meta

Metadata about the resource

implicitRules

?!Σ

0..1

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Narrative

Text summary of the resource, for human interpretation

contained

0..*

Resource

Contained, inline Resources

0..*

Additional content defined by implementations

modifierExtension

?!

0..*

Extensions that cannot be ignored

Slices for identifier

SΣC

0..*

Identifies this organization across multiple systems
Slice: Unordered, Open by pattern:$this

identifier:NPI

SC

0..*

An identifier intended for computation
us-core-16: NPI must be 10 digits
us-core-17: NPI check digit must be valid (Luhn algorithm check)

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..1

usual | official | temp | secondary | old (If known)

0..1

Description of identifier

1..1

The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi

0..1

The value that is unique

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

identifier:CLIA

0..*

An identifier intended for computation
us-core-18: CLIA number must be 10 digits with a letter "D" in third position

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..1

usual | official | temp | secondary | old (If known)

0..1

Description of identifier

1..1

The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.7

0..1

The value that is unique

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

identifier:NAIC

0..*

An identifier intended for computation
us-core-19: NAIC must be 5 digits

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..1

usual | official | temp | secondary | old (If known)

0..1

Description of identifier

1..1

The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.6.300

0..1

The value that is unique

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

identifier:TIN

SΣC

0..1

The US Employer Identification Number (EIN) or Tax Identification Number (TIN).

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..1

usual | official | temp | secondary | old (If known)

0..1

Description of identifier

1..1

The namespace for the identifier value
Fixed Value: http://terminology.hl7.org/NamingSystem/USEIN

0..1

The value that is unique

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

identifier:PI

SΣC

0..1

The Payer Identification Number (PI)

Required Pattern: At least the following

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

0..1

usual | official | temp | secondary | old (If known)

1..1

Description of identifier
Fixed Value: (complex)

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

coding

1..*

Coding

Code defined by a terminology system
Fixed Value: (complex)

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType

version

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: payerid

display

0..1

Representation defined by the system

userSelected

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..1

The namespace for the identifier value

0..1

The value that is unique

0..1

Time period when id is/was valid for use

0..1

Organization that issued id (may be just text)

active

?!SΣ

1..1

Whether the organization's record is still in active use

SΣ

0..*

Kind of organization
Binding: https://valueset.x12.org/x217/005010/response/2010B/NM1/1/01/00/98 (required): Codes identifying an organizational entity, a physical location, property or an individual. These codes are listed within an X12 implementation guide (TR3) and maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

name

SΣC

1..1

Name used for the organization

alias

0..*

A list of alternate names that the organization is known as, or was known as in the past

telecom

SC

0..*

ContactPoint

A contact detail for the organization
org-3: The telecom of an organization can never be of use 'home'

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

SΣC

0..1

phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

SΣ

0..1

The actual contact point details

use

?!Σ

0..1

home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

rank

Σ

0..1

positiveInt

Specify preferred order of use (1 = highest)

Σ

0..1

Time period when the contact point was/is in use

address

SC

0..*

Address

An address for the organization
org-2: An address of an organization can never be of use 'home'

id

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

use

?!Σ

0..1

home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.

Example General: home

Σ

0..1

postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).

Example General: both

Σ

0..1

Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132

line

SΣ

0..4

Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
Example General: 49 MEADOW ST

city

SΣ

0..1

Name of city, town etc.
Example General: Erewhon
Example General: EVERYTOWN

district

Σ

0..1