EHI Export Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Authorization

This is a PointClickCare specific implementation of Patient Prior Authorization information.

Usage:

• This Resource 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.

• Key Elements Table
• Differential Table
• Snapshot Table
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Name	Flags	Card.	Type	Description & Constraints
Authorization		0..*	DomainResource	Authorization 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
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
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	?!	0..*	Extension	Extensions that cannot be ignored 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
identifier	Σ	1..1	Identifier	Identification key
payer	Σ	1..1	Reference(Location | Organization)	Payer party
insurance	Σ	1..1	Reference(Location | Organization)	Insuring party
startDate	Σ	1..1	dateTime	The effective start date for prior authorization
endDate	Σ	0..1	dateTime	The effective end date for prior authorization
nextReviewDate	Σ	0..1	dateTime	The next review date
requestStatus	Σ	1..1	string	Status of the review
requestType	Σ	1..1	string	Type of request
exclusions	Σ	0..1	string	Exclusion remarks
comments	Σ	0..1	string	Additional comments if available
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Authorization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Authorization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Authorization	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Authorization	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Authorization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Authorization	A resource should have narrative for robust management : text.`div`.exists()
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 DomainResource

Name	Flags	Card.	Type	Description & Constraints
Authorization		0..*	DomainResource	Authorization
identifier	Σ	1..1	Identifier	Identification key
payer	Σ	1..1	Reference(Location | Organization)	Payer party
insurance	Σ	1..1	Reference(Location | Organization)	Insuring party
startDate	Σ	1..1	dateTime	The effective start date for prior authorization
endDate	Σ	0..1	dateTime	The effective end date for prior authorization
nextReviewDate	Σ	0..1	dateTime	The next review date
requestStatus	Σ	1..1	string	Status of the review
requestType	Σ	1..1	string	Type of request
exclusions	Σ	0..1	string	Exclusion remarks
comments	Σ	0..1	string	Additional comments if available
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Authorization		0..*	DomainResource	Authorization
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	1..1	Identifier	Identification key
payer	Σ	1..1	Reference(Location | Organization)	Payer party
insurance	Σ	1..1	Reference(Location | Organization)	Insuring party
startDate	Σ	1..1	dateTime	The effective start date for prior authorization
endDate	Σ	0..1	dateTime	The effective end date for prior authorization
nextReviewDate	Σ	0..1	dateTime	The next review date
requestStatus	Σ	1..1	string	Status of the review
requestType	Σ	1..1	string	Type of request
exclusions	Σ	0..1	string	Exclusion remarks
comments	Σ	0..1	string	Additional comments if available
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Authorization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Authorization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Authorization	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Authorization	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Authorization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Authorization	A resource should have narrative for robust management : text.`div`.exists()
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 DomainResource

Summary

Mandatory: 0 element(6 nested mandatory elements)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Authorization		0..*	DomainResource	Authorization 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
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
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	?!	0..*	Extension	Extensions that cannot be ignored 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
identifier	Σ	1..1	Identifier	Identification key
payer	Σ	1..1	Reference(Location | Organization)	Payer party
insurance	Σ	1..1	Reference(Location | Organization)	Insuring party
startDate	Σ	1..1	dateTime	The effective start date for prior authorization
endDate	Σ	0..1	dateTime	The effective end date for prior authorization
nextReviewDate	Σ	0..1	dateTime	The next review date
requestStatus	Σ	1..1	string	Status of the review
requestType	Σ	1..1	string	Type of request
exclusions	Σ	0..1	string	Exclusion remarks
comments	Σ	0..1	string	Additional comments if available
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Authorization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Authorization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Authorization	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Authorization	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Authorization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Authorization	A resource should have narrative for robust management : text.`div`.exists()
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 DomainResource

Name	Flags	Card.	Type	Description & Constraints
Authorization		0..*	DomainResource	Authorization
identifier	Σ	1..1	Identifier	Identification key
payer	Σ	1..1	Reference(Location | Organization)	Payer party
insurance	Σ	1..1	Reference(Location | Organization)	Insuring party
startDate	Σ	1..1	dateTime	The effective start date for prior authorization
endDate	Σ	0..1	dateTime	The effective end date for prior authorization
nextReviewDate	Σ	0..1	dateTime	The next review date
requestStatus	Σ	1..1	string	Status of the review
requestType	Σ	1..1	string	Type of request
exclusions	Σ	0..1	string	Exclusion remarks
comments	Σ	0..1	string	Additional comments if available
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Authorization		0..*	DomainResource	Authorization
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	1..1	Identifier	Identification key
payer	Σ	1..1	Reference(Location | Organization)	Payer party
insurance	Σ	1..1	Reference(Location | Organization)	Insuring party
startDate	Σ	1..1	dateTime	The effective start date for prior authorization
endDate	Σ	0..1	dateTime	The effective end date for prior authorization
nextReviewDate	Σ	0..1	dateTime	The next review date
requestStatus	Σ	1..1	string	Status of the review
requestType	Σ	1..1	string	Type of request
exclusions	Σ	0..1	string	Exclusion remarks
comments	Σ	0..1	string	Additional comments if available
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Authorization.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Authorization	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Authorization	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Authorization	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Authorization	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Authorization	A resource should have narrative for robust management : text.`div`.exists()
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 DomainResource

Summary

Mandatory: 0 element(6 nested mandatory elements)

Other representations of profile: CSV, Excel, Schematron