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
Bundle ErrorResponseBundleExample of type collection
Entry 1 - fullUrl = http://example.org/fhir/ClaimResponse/ReferralAuthorizationResponseExample
Resource ClaimResponse:
Generated Narrative: ClaimResponse
ResourceClaimResponse "ReferralAuthorizationResponseExample"
Profile: PAS Claim Response
identifier:
http://example.org/PATIENT_EVENT_TRACE_NUMBER
/111099status: ACTIVE
type: Professional (Claim Type Codes#professional)
use: PREAUTHORIZATION
patient: See on this page: Patient/SubscriberExample
created: 2005-05-02 11:02:00+0500
insurer: See on this page: Organization/InsurerExample
requestor: See on this page: Organization/UMOExample
outcome: COMPLETE
item
ItemRequestedServiceDate: 2005-05-02 --> 2005-06-02
ItemPreAuthIssueDate: 2005-05-02
ItemPreAuthPeriod: 2005-05-02 --> 2005-06-02
ItemAuthorizedProvider
url
provider
value: Practitioner/ReferralPractitionerExample " WATSON"
ItemAuthorizedDetail
url
productOrServiceCode
value: Consultation (1365#3)
url
unitPrice
value: US$100.00 (USD)
url
quantity
value: 1
itemSequence: 1
Adjudications
Extension Category Submitted Amount (Adjudication Value Codes#submitted)
Entry 2 - fullUrl = http://example.org/fhir/Organization/UMOExample
Resource Organization:
Generated Narrative: Organization
ResourceOrganization "UMOExample"
Profile: PAS Requestor Organization
identifier: NPI/8189991234
active: true
type: X3 (98#X3)
name: DR. JOE SMITH CORPORATION
Contacts
Address 111 1ST STREET SAN DIEGO CA 92101 US
Entry 3 - fullUrl = http://example.org/fhir/Organization/InsurerExample
Resource Organization:
Generated Narrative: Organization
ResourceOrganization "InsurerExample"
Profile: PAS Insurer Organization
identifier: NPI/789312
active: true
type: PR (98#PR)
name: MARYLAND CAPITAL INSURANCE COMPANY
Entry 4 - fullUrl = http://example.org/fhir/Patient/SubscriberExample
Resource Patient:
Anonymous Patient Male, DoB: ( http://example.org/MIN#12345678901)