FHIR IG analytics| Package | hl7.fhir.us.cql |
| Resource Type | Library |
| Id | Library-PriorAuthManifestExample.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
| 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. |
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| 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. |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| Dependency |
Description: LOINC, version 2.80 (publisher: Regenstrief Institute)
Resource: http://loinc.org|2.80
Canonical URL: http://loinc.org|2.80 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 | |||||||||||||
|
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| Generated using version 0.5.6-cibuild of the sample-content-ig Liquid templates | |||||||||||||
{
"resourceType": "Library",
"id": "PriorAuthManifestExample",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-manifestlibrary"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"contained": [
{
"resourceType": "Parameters",
"id": "exp-params",
"parameter": [
{
"name": "system-version",
"valueCanonical": "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/20250901"
},
{
"name": "system-version",
"valueCanonical": "http://loinc.org|2.80"
},
{
"name": "system-version",
"valueCanonical": "http://www.nlm.nih.gov/research/umls/rxnorm|20250505"
},
{
"name": "system-version",
"valueCanonical": "http://hl7.org/fhir/sid/icd-10-cm|2025"
},
{
"name": "system-version",
"valueCanonical": "http://www.ama-assn.org/go/cpt|2025"
}
]
}
],
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expansionParameters",
"valueReference": {
"reference": "#exp-params"
}
},
{
"extension": [
{
"url": "type",
"valueCode": "documentation"
},
{
"url": "text",
"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"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "cds"
}
],
"url": "http://hl7.org/fhir/us/cql/Library/PriorAuthManifestExample",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.40.86.28.9"
}
],
"version": "2.0.0",
"name": "PriorAuthManifestExample",
"title": "Prior Authorization Example Version Manifest",
"status": "active",
"experimental": true,
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/library-type",
"code": "asset-collection"
}
]
},
"date": "2026-07-26",
"publisher": "HL7 International / Clinical Decision Support",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/dss"
}
]
}
],
"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.",
"useContext": [
{
"code": {
"system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code": "task"
},
"valueCodeableConcept": {
"text": "Prior Authorization"
}
}
],
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US",
"display": "United States of America"
}
]
}
],
"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.",
"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.",
"approvalDate": "2026-07-26",
"lastReviewDate": "2026-07-26",
"effectivePeriod": {
"start": "2026-07-26",
"end": "2027-07-25"
},
"relatedArtifact": [
{
"type": "composed-of",
"display": "Example Patient and Coverage Questionnaire",
"resource": "http://hl7.org/fhir/us/cql/Questionnaire/ExamplePatientAndCoverageQuestionnaire|2.0.0",
"_resource": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-resourceType",
"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",
"valueCode": "Questionnaire"
}
]
}
},
{
"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"
}
]
}
},
{
"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": [
{
"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": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-resourceType",
"valueCode": "Library"
}
]
}
},
{
"type": "depends-on",
"display": "FHIRHelpers CQL library, version 4.0.1 (from hl7.fhir.uv.cql)",
"resource": "http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1",
"_resource": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-resourceType",
"valueCode": "Library"
}
]
}
},
{
"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"
}
]
}
},
{
"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"
}
]
}
}
]
}