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Packagehl7.fhir.us.cql
Resource TypeLibrary
IdLibrary-PriorAuthManifestExample.json
FHIR VersionR4

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Narrative

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Metadata
Title Prior Authorization Example Version Manifest
Version 2.0.0
Identifier urn:oid:2.16.840.1.113883.4.642.40.86.28.9
Effective Period 2026-07-26 through 2027-07-25
Approval Date 2026-07-26
Last Review Date 2026-07-26
Experimental true
Use Context task from http://terminology.hl7.org/CodeSystem/usage-context-type = Prior Authorization
Jurisdiction United States of America
Steward (Publisher) HL7 International / Clinical Decision Support
Description

Example CRMI version manifest and dependency declaration for the prior-authorization example questionnaires defined in this implementation guide. It declares the exact versions of the US Core implementation guide, CQL libraries, value sets, terminology (code systems), and ConceptMap/map packages that the example questionnaires depend on, along with the publisher, stewardship model, and update cadence for those dependencies. It is intended as a template that downstream implementation guides can adapt to declare their own dependency versions.

Purpose

Provide a single, machine-readable declaration of the specific dependency versions used to author, test, and evaluate the prior-authorization example questionnaires, so that consumers can reproduce identical evaluation behavior.

Type asset-collection from http://terminology.hl7.org/CodeSystem/library-type
Component Description: Example Patient and Coverage Questionnaire
Resource: Example Patient and Coverage Questionnaire version: 2.0.0
Canonical URL: http://hl7.org/fhir/us/cql/Questionnaire/ExamplePatientAndCoverageQuestionnaire|2.0.0
Component Description: Example Genetic/Molecular Testing Preauthorization Questionnaire
Resource: Example Genetic/Molecular Testing Preauthorization Questionnaire version: 2.0.0
Canonical URL: http://hl7.org/fhir/us/cql/Questionnaire/GMTPQuestionnaire|2.0.0
Component Description: Example Medical Benefit Outpatient Drug Authorization Questionnaire
Resource: Example Medical Benefit Outpatient Drug Authorization Questionnaire version: 2.0.0
Canonical URL: http://hl7.org/fhir/us/cql/Questionnaire/MBODAQuestionnaire|2.0.0
Component Description: Example Medical Necessity For Authorization Of Catheters Questionnaire
Resource: Example Medical Necessity For Authorization Of Catheters Questionnaire version: 2.0.0
Canonical URL: http://hl7.org/fhir/us/cql/Questionnaire/MNACQuestionnaire|2.0.0
Dependency Description: US Core Implementation Guide, version 6.1.0 (publisher: HL7 International / Cross-Group Projects)
Resource: US Core Implementation Guide version: 6.1.0
Canonical URL: http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core|6.1.0
Dependency Description: US Core Common CQL library, version 2.0.0
Resource: US Core Common version: 2.0.0
Canonical URL: http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0
Dependency Description: US Core Elements CQL library, version 2.0.0
Resource: US Core Elements version: 2.0.0
Canonical URL: http://hl7.org/fhir/us/cql/Library/USCoreElements|2.0.0
Dependency Description: Cumulative Medication Duration CQL library, version 2.0.0
Resource: Cumulative Medication Duration version: 2.0.0
Canonical URL: http://hl7.org/fhir/us/cql/Library/CumulativeMedicationDuration|2.0.0
Dependency Description: FHIRCommon CQL library, version 2.0.0 (from hl7.fhir.uv.cql)
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0
Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0
Dependency Description: FHIRHelpers CQL library, version 4.0.1 (from hl7.fhir.uv.cql)
Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
Dependency Description: ICD-10 value set, version 4.0.1
Resource: ICD-10 Codes version: 4.0.1
Canonical URL: http://hl7.org/fhir/ValueSet/icd-10|4.0.1
Dependency Description: SNOMED CT, US Edition 2025-09-01 (publisher: National Library of Medicine, US Edition)
Resource: SCT US version: http://snomed.info/sct/731000124108/version/20250901
Canonical URL: http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250901
Dependency Description: LOINC, version 2.80 (publisher: Regenstrief Institute)
Resource: http://loinc.org|2.80
Canonical URL: http://loinc.org|2.80
Dependency Description: RxNorm, 2025-05-05 monthly release (publisher: National Library of Medicine)
Resource: http://www.nlm.nih.gov/research/umls/rxnorm|20250505
Canonical URL: http://www.nlm.nih.gov/research/umls/rxnorm|20250505
Dependency Description: ICD-10-CM, 2025 (publisher: US Centers for Medicare & Medicaid Services / CDC NCHS)
Resource: http://hl7.org/fhir/sid/icd-10-cm|2025
Canonical URL: http://hl7.org/fhir/sid/icd-10-cm|2025
Dependency Description: CPT, 2025 (publisher: American Medical Association)
Resource: http://www.ama-assn.org/go/cpt|2025
Canonical URL: http://www.ama-assn.org/go/cpt|2025
Dependency Description: Prior Authorization code mapping (ConceptMap), map package version 1.2.0
Resource: http://example.org/fhir/ConceptMap/prior-auth-code-map|1.2.0
Canonical URL: http://example.org/fhir/ConceptMap/prior-auth-code-map|1.2.0
Guidance (Usage) Use the pinned dependency versions in this manifest when packaging or evaluating the prior-authorization example questionnaires to ensure reproducible results. When adapting for a downstream deployment, update each pinned version to the version approved for that deployment.
Parameters
Parameter None
Expansion Parameters
Name Value
system-version SCT US version: http://snomed.info/sct/731000124108/version/20250901
system-version http://loinc.org|2.80
system-version http://www.nlm.nih.gov/research/umls/rxnorm|20250505
system-version http://hl7.org/fhir/sid/icd-10-cm|2025
system-version http://www.ama-assn.org/go/cpt|2025
Generated using version 0.5.6-cibuild of the sample-content-ig Liquid templates

Source1

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    "status": "extensions",
    "div": "<!-- snip (see above) -->"
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  "contained": [
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      "extension": [
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          "url": "type",
          "valueCode": "documentation"
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          "valueMarkdown": "This manifest pins the exact versions of every dependency used by the prior-authorization example questionnaires in this implementation guide. Downstream IGs that reuse these questionnaires should copy this pattern, updating the pinned versions for their deployment. Stewardship model: this manifest is owned and maintained by the publisher of this implementation guide (HL7 Clinical Decision Support Work Group); the dependency versions it references are stewarded by their respective publishers as noted on each dependency. Update cadence: this manifest is reviewed and re-pinned on each release of this implementation guide, and out-of-cycle when a referenced terminology or map package publishes a version that materially changes evaluation results. See the effectivePeriod for the window during which these pinned versions are considered current."
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-artifactComment"
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      "valueCode": "cds"
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  "url": "http://hl7.org/fhir/us/cql/Library/PriorAuthManifestExample",
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  "useContext": [
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  "approvalDate": "2026-07-26",
  "lastReviewDate": "2026-07-26",
  "effectivePeriod": {
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    "end": "2027-07-25"
  },
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      "_resource": {
        "extension": [
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            "valueCode": "Questionnaire"
          }
        ]
      }
    },
    {
      "type": "composed-of",
      "display": "Example Genetic/Molecular Testing Preauthorization Questionnaire",
      "resource": "http://hl7.org/fhir/us/cql/Questionnaire/GMTPQuestionnaire|2.0.0",
      "_resource": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/cqf-resourceType",
            "valueCode": "Questionnaire"
          }
        ]
      }
    },
    {
      "type": "composed-of",
      "display": "Example Medical Benefit Outpatient Drug Authorization Questionnaire",
      "resource": "http://hl7.org/fhir/us/cql/Questionnaire/MBODAQuestionnaire|2.0.0",
      "_resource": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/cqf-resourceType",
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          }
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    },
    {
      "type": "composed-of",
      "display": "Example Medical Necessity For Authorization Of Catheters Questionnaire",
      "resource": "http://hl7.org/fhir/us/cql/Questionnaire/MNACQuestionnaire|2.0.0",
      "_resource": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/cqf-resourceType",
            "valueCode": "Questionnaire"
          }
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      }
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      "type": "depends-on",
      "display": "US Core Implementation Guide, version 6.1.0 (publisher: HL7 International / Cross-Group Projects)",
      "resource": "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core|6.1.0"
    },
    {
      "type": "depends-on",
      "display": "US Core Common CQL library, version 2.0.0",
      "resource": "http://hl7.org/fhir/us/cql/Library/USCoreCommon|2.0.0",
      "_resource": {
        "extension": [
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            "url": "http://hl7.org/fhir/StructureDefinition/cqf-resourceType",
            "valueCode": "Library"
          }
        ]
      }
    },
    {
      "type": "depends-on",
      "display": "US Core Elements CQL library, version 2.0.0",
      "resource": "http://hl7.org/fhir/us/cql/Library/USCoreElements|2.0.0",
      "_resource": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/cqf-resourceType",
            "valueCode": "Library"
          }
        ]
      }
    },
    {
      "type": "depends-on",
      "display": "Cumulative Medication Duration CQL library, version 2.0.0",
      "resource": "http://hl7.org/fhir/us/cql/Library/CumulativeMedicationDuration|2.0.0",
      "_resource": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/cqf-resourceType",
            "valueCode": "Library"
          }
        ]
      }
    },
    {
      "type": "depends-on",
      "display": "FHIRCommon CQL library, version 2.0.0 (from hl7.fhir.uv.cql)",
      "resource": "http://hl7.org/fhir/uv/cql/Library/FHIRCommon|2.0.0",
      "_resource": {
        "extension": [
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    },
    {
      "type": "depends-on",
      "display": "FHIRHelpers CQL library, version 4.0.1 (from hl7.fhir.uv.cql)",
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      "_resource": {
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            "valueCode": "Library"
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    {
      "type": "depends-on",
      "display": "ICD-10 value set, version 4.0.1",
      "resource": "http://hl7.org/fhir/ValueSet/icd-10|4.0.1",
      "_resource": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/cqf-resourceType",
            "valueCode": "ValueSet"
          }
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    },
    {
      "type": "depends-on",
      "display": "SNOMED CT, US Edition 2025-09-01 (publisher: National Library of Medicine, US Edition)",
      "resource": "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250901"
    },
    {
      "type": "depends-on",
      "display": "LOINC, version 2.80 (publisher: Regenstrief Institute)",
      "resource": "http://loinc.org|2.80"
    },
    {
      "type": "depends-on",
      "display": "RxNorm, 2025-05-05 monthly release (publisher: National Library of Medicine)",
      "resource": "http://www.nlm.nih.gov/research/umls/rxnorm|20250505"
    },
    {
      "type": "depends-on",
      "display": "ICD-10-CM, 2025 (publisher: US Centers for Medicare & Medicaid Services / CDC NCHS)",
      "resource": "http://hl7.org/fhir/sid/icd-10-cm|2025"
    },
    {
      "type": "depends-on",
      "display": "CPT, 2025 (publisher: American Medical Association)",
      "resource": "http://www.ama-assn.org/go/cpt|2025"
    },
    {
      "extension": [
        {
          "extension": [
            {
              "url": "type",
              "valueCode": "documentation"
            },
            {
              "url": "text",
              "valueMarkdown": "ConceptMap/map package dependency. Map publisher: (example) a payer or terminology steward responsible for the mapping. Stewardship model: the map is maintained externally to this implementation guide by the map publisher, who is responsible for versioning and errata; this manifest only pins the version that consumers should use. Update cadence: quarterly, aligned to the referenced code system releases; consumers should re-pin when a new map package version is published."
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-artifactComment"
        }
      ],
      "type": "depends-on",
      "display": "Prior Authorization code mapping (ConceptMap), map package version 1.2.0",
      "resource": "http://example.org/fhir/ConceptMap/prior-auth-code-map|1.2.0",
      "_resource": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/cqf-resourceType",
            "valueCode": "ConceptMap"
          }
        ]
      }
    }
  ]
}