Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2
Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 3 |
Mappings for the profile-claim-update resource profile.
| PASClaimUpdate | ||
| Claim | Request | |
| status | Request.status | |
| patient | Request.subject | |
| created | Request.authoredOn | |
| insurer | Request.performer | |
| provider | Request.requester | |
| priority | Request.priority | |
| related | ||
| claim | Request.replaces | |
| supportingInfo | Request.supportingInfo | |
| supportingInfo (PatientEvent) | Request.supportingInfo | |
| supportingInfo (AdmissionDates) | Request.supportingInfo | |
| supportingInfo (DischargeDates) | Request.supportingInfo | |
| supportingInfo (AdditionalInformation) | Request.supportingInfo | |
| supportingInfo (MessageText) | Request.supportingInfo | |
| diagnosis | Request.reasonReference | |
| insurance | ||
| identifier | Request.identifier | |
| item | ||
| encounter | Request.context | |
| PASClaimUpdate | ||
| Claim | ||
| status | FiveWs.status | |
| type | FiveWs.class | |
| subType | FiveWs.class | |
| use | FiveWs.class | |
| patient | FiveWs.subject[x], FiveWs.subject | |
| billablePeriod | FiveWs.done[x] | |
| created | FiveWs.recorded | |
| enterer | FiveWs.author | |
| provider | FiveWs.source | |
| referral | FiveWs.cause | |
| facility | FiveWs.where[x] | |
| careTeam | ||
| provider | FiveWs.actor | |
| careTeam (OverallClaimMember) | ||
| provider | FiveWs.actor | |
| careTeam (ItemClaimMember) | ||
| provider | FiveWs.actor | |
| insurance | ||
| identifier | FiveWs.identifier | |
| item | ||
| serviced[x] | FiveWs.done[x] | |
| location[x] | FiveWs.where[x] | |
| PASClaimUpdate | ||
| Claim | Entity. Role, or Act | |
| text | Act.text? | |
| contained | N/A | |
| extension | ||
| extension (levelOfServiceType) | ||
| extension (conditionCode) | ||
| extension (homeHealthCareInformation) | ||
| extension (encounter) | n/a, N/A | |
| id | n/a | |
| url | N/A | |
| value[x] | N/A | |
| modifierExtension | N/A | |
| identifier | n/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] | |
| related | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| payee | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| careTeam | ||
| id | n/a | |
| extension | ||
| extension (careTeamClaimScope) | ||
| modifierExtension | N/A | |
| careTeam (OverallClaimMember) | ||
| id | n/a | |
| extension | ||
| extension (careTeamClaimScope) | ||
| id | n/a | |
| url | N/A | |
| value[x] | N/A | |
| modifierExtension | N/A | |
| careTeam (ItemClaimMember) | ||
| id | n/a | |
| extension | ||
| extension (careTeamClaimScope) | ||
| id | n/a | |
| url | N/A | |
| value[x] | N/A | |
| modifierExtension | N/A | |
| supportingInfo | ||
| id | n/a | |
| timing[x] | ||
| supportingInfo (PatientEvent) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| timing[x] | ||
| timing[x] (timingDate) | ||
| timing[x] (timingPeriod) | ||
| id | n/a | |
| extension | n/a | |
| start | ./low | |
| end | ./high | |
| supportingInfo (AdmissionDates) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| timing[x] | ||
| timing[x] (timingDate) | ||
| timing[x] (timingPeriod) | ||
| id | n/a | |
| extension | n/a | |
| start | ./low | |
| end | ./high | |
| supportingInfo (DischargeDates) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| timing[x] | ||
| timing[x] (timingDate) | ||
| timing[x] (timingPeriod) | ||
| id | n/a | |
| extension | n/a | |
| start | ./low | |
| end | ./high | |
| supportingInfo (AdditionalInformation) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| supportingInfo (MessageText) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| diagnosis | ||
| id | n/a | |
| modifierExtension | N/A | |
| procedure | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| insurance | Coverage | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| accident | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| item | ||
| id | n/a | |
| extension | ||
| extension (itemTraceNumber) | ||
| extension (authorizationNumber) | ||
| extension (administrationReferenceNumber) | ||
| extension (requestType) | ||
| extension (certificationType) | ||
| extension (productOrServiceCodeEnd) | ||
| extension (epsdtIndicator) | ||
| extension (nursingHomeResidentialStatus) | ||
| id | n/a | |
| url | N/A | |
| value[x] | N/A | |
| detail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| subDetail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
IG © 2020+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pas#2.0.1 based on FHIR 4.0.1. Generated 2024-01-08
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