Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0 - STU 2.2
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0 - STU 2.2
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 2.2.0 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: Informative |
Language: en
Profile: PAS Claim Update
identifier: http://example.org/PATIENT_EVENT_TRACE_NUMBER/111099-UPDATE
status: Active
type: Professional
use: Preauthorization
patient: JOE SMITH Male, DoB Unknown ( http://example.org/MIN#12345678901)
created: 2019-07-20 11:01:00+0500
insurer: Organization MARYLAND CAPITAL INSURANCE COMPANY
provider: Organization DR. JOE SMITH CORPORATION
priority: Normal
| Sequence | Focal | Coverage |
| 1 | true | Coverage: identifier = Member Number; status = active; subscriberId = 1122334455; relationship = Self |
item
Service Item Request Type: Health Services Review
Certification Type: Initial
sequence: 1
category: Home Health Care
productOrService: health or hospice setting, each 15 minutes
location: Office
item
Service Item Request Type: Health Services Review
Certification Type: Cancel
Information Change Mode: changed
Information Cancelled Flag: true
sequence: 2
category: Home Health Care
productOrService: B4184
location: Office
item
Service Item Request Type: Health Services Review
Certification Type: Initial
Information Change Mode: added
sequence: 3
category: Home Health Care
productOrService: Pn soln nos 10 grams lipids
location: Office
IG © 2020+ HL7 International / Financial Management.
Package hl7.fhir.us.davinci-pas#2.2.0 based on FHIR 4.0.1.
Generated
2026-03-02
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