Da Vinci - Prior Authorization Support
0.1.0 - STU Ballot

Da Vinci - Prior Authorization Support, HL7 International - Financial Management Work Group - CI build for vesion 0.1.0). This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions

FHIR Artifacts

Complying with this implementation guide means complying with a number of profiles, extensions, value sets and custom search parameters. This page provides an overview of where this information can be found.

The FHIR artifacts used by PAS are organized according to whether the content developed as part of the US Core implementation guides or is Da Vinci-specific.

Artifact Lists

FHIR PAS-specific Artifacts
US Core (2.1.0 - R4 based)

Additional information about the use of these artifacts can be found in the main specification.

These FHIR artifacts define the clinical data that can be submitted as part of a prior authorization submission and/or included as part of a prior authorization response using the Claim submit operation.

The artifacts are of four types:

  • Profiles constrain FHIR resources to reflect PAS requirements
  • Extensions define additional data elements that can be conveyed as part of a resource
  • Code Systems define PAS-specific terminologies to be used in one or more of those profiles
  • Value Sets define the specific subsets of both PAS-defined and other code systems that can be (or are recommended to be) used within one or more profile elements
  • Operations of which there is only one which defines the PAS-specific constraints on the Claim submit operation.