StructureDefinition-CRDMetricData

Sourcehl7.fhir.us.davinci-crd#current:Da Vinci - Coverage Requirements Discovery (v4.0.1)
resourceTypeStructureDefinition
idCRDMetricData
canonicalhttp://hl7.org/fhir/us/davinci-crd/StructureDefinition/CRDMetricData
version1.1.0
statusactive
publisherHL7 International - Financial Management Work Group
nameCRDMetricData
titleCRD Metric Data
date2023-08-27T15:39:24+00:00
experimentalfalse
descriptionA logical model describing the information that should be captured by CRD implementers about every CRD invocation to support measures evaluating CRD implementation
jurisdictionsus
fhirVersion4.0.1
kindlogical
abstractfalse
sdTtypehttp://hl7.org/fhir/us/davinci-crd/StructureDefinition/CRDMetricData
derivationspecialization
basehttp://hl7.org/fhir/StructureDefinition/Base
Usages(none)
Name Flags Card. Type Description & Constraints doco
. . CRDMetricData Base CRD Metric Data
This logical model cannot 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 Required Pattern: http://hl7.org/fhir/sid/us-npi
. . . . value 1..
. . . groupId 1..1 Identifier Healthcare org of user
. . . . system Required Pattern: http://hl7.org/fhir/sid/us-npi
. . . . value 1..
. . . payerId 1..1 Identifier Payer receiving hook
. . . . system 1..
. . . . value 1..
. . . 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: Issue Type ( required )
. . . . details 0..1 CodeableConcept More detailed error code
Binding: Operation Outcome Codes ( 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: Resource Types ( 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

Produced 08 Sep 2023