Source | hl7.fhir.us.davinci-crd#current:Da Vinci - Coverage Requirements Discovery (v4.0.1) |
resourceType | StructureDefinition |
id | CRDMetricData |
canonical | http://hl7.org/fhir/us/davinci-crd/StructureDefinition/CRDMetricData |
version | 1.1.0 |
status | active |
publisher | HL7 International - Financial Management Work Group |
name | CRDMetricData |
title | CRD Metric Data |
date | 2023-08-27T15:39:24+00:00 |
experimental | false |
description | A logical model describing the information that should be captured by CRD implementers about every CRD invocation to support measures evaluating CRD implementation |
jurisdictions | us |
fhirVersion | 4.0.1 |
kind | logical |
abstract | false |
sdTtype | http://hl7.org/fhir/us/davinci-crd/StructureDefinition/CRDMetricData |
derivation | specialization |
base | http://hl7.org/fhir/StructureDefinition/Base |
Usages | (none) |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 | |
Documentation for this format |
Produced 08 Sep 2023