description: PAS constraints on Claim resource when submitting an inquiry for existing authorizations.
package_name: hl7.fhir.us.davinci-pas
derivation: constraint
name: PASClaimInquiry
type: Claim
elements:
  extension:
    type: Extension
    short: A code representing the type of certification being requested (UM02)
    mustSupport: true
    url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType
    index: 0
    slicing:
      slices:
        certificationType:
          match: {}
          schema: {type: Extension, short: A code representing the type of certification being requested (UM02), mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType', index: 0}
          min: 0
          max: 1
  identifier: {index: 1}
  billablePeriod: {mustSupport: true, index: 2}
  provider: {short: This is the submitter of the inquiry., index: 3}
  diagnosis: {index: 4}
  item:
    extensions:
      certIssueDate: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationIssueDate', min: 0, max: 1, type: Extension, short: The specific date or period within when which item's preauthorization was issued., mustSupport: true, index: 5}
      certExpirationDate: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationExpirationDate', min: 0, max: 1, type: Extension, short: The specific date or period within which this item's preauthorization expires., mustSupport: true, index: 6}
      certEffectiveDate: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationEffectiveDate', min: 0, max: 1, type: Extension, short: The specific date or period within which this item's preauthorization became effective., mustSupport: true, index: 7}
      reviewActionCode: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode', min: 0, max: 1, type: Extension, short: The code describing the result of the review., mustSupport: true, index: 8}
    elements:
      extension:
        type: Extension
        short: The specific date or period within when which item's preauthorization was issued.
        mustSupport: true
        url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationIssueDate
        index: 5
        slicing:
          slices:
            certIssueDate:
              match: {}
              schema: {type: Extension, short: The specific date or period within when which item's preauthorization was issued., mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationIssueDate', index: 5}
              min: 0
              max: 1
            certExpirationDate:
              match: {}
              schema: {type: Extension, short: The specific date or period within which this item's preauthorization expires., mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationExpirationDate', index: 6}
              min: 0
              max: 1
            certEffectiveDate:
              match: {}
              schema: {type: Extension, short: The specific date or period within which this item's preauthorization became effective., mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemCertificationEffectiveDate', index: 7}
              min: 0
              max: 1
            reviewActionCode:
              match: {}
              schema: {type: Extension, short: The code describing the result of the review., mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-reviewActionCode', index: 8}
              min: 0
              max: 1
package_version: 2.1.0
extensions:
  certificationType: {url: 'http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType', min: 0, max: 1, type: Extension, short: A code representing the type of certification being requested (UM02), mustSupport: true, index: 0}
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-inquiry
base: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-base
version: 2.1.0
required: [identifier]