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 2.2.0-snapshot 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

• Narrative Content
• XML
• JSON
• TTL

: Submit Claim Beneficiary Example

Raw json | Download

{
  "resourceType" : "Patient",
  "id" : "BeneficiaryExample",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-beneficiary"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Patient BeneficiaryExample</b></p><a name=\"BeneficiaryExample\"> </a><a name=\"hcBeneficiaryExample\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-beneficiary.html\">PAS Beneficiary Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">JESSE SMITH  Female, DoB: 1947-01-18 ( http://example.org/MIN#12345678902)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known multipleBirth status of Patient\">Multiple Birth:</td><td colspan=\"3\">1</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">US </td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "http://example.org/MIN",
      "value" : "12345678902"
    }
  ],
  "name" : [
    {
      "family" : "SMITH",
      "given" : [
        "JESSE"
      ]
    }
  ],
  "gender" : "female",
  "birthDate" : "1947-01-18",
  "address" : [
    {
      "country" : "US"
    }
  ],
  "multipleBirthInteger" : 1
}