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 HomecareAuthorizationDifferentialBundleExample of type collection
Entry 1 - fullUrl = http://example.org/fhir/Claim/HomecareAuthorizationDifferentialExample
Resource Claim:
ResourceClaim "HomecareAuthorizationDifferentialExample"
Profile: PAS Claim Update
Security Labels: http://terminology.hl7.org/CodeSystem/v3-ObservationValue
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: 2019-07-20 11:01:00+0500
insurer: See on this page: Organization/InsurerExample
provider: See on this page: Organization/UMOExample
priority: Normal (Process Priority Codes#normal)
Insurances
Sequence Focal Coverage 1 true See on this page: Coverage/InsuranceExample item
ServiceItemRequestType: Health Services Review (1525#HS)
CertificationType: Initial (1322#I)
modifierExtension[http://hl7.org/fhir/us/davinci-pas/StructureDefinition/modifierextension-infoCancelled]
sequence: 2
category: Home Health Care (1365#42)
productOrService: B4184 (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#B4184)
item
InfoChanged: added
ServiceItemRequestType: Health Services Review (1525#HS)
CertificationType: Initial (1322#I)
sequence: 3
category: Home Health Care (1365#42)
productOrService: B4185 (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes#B4185)
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/Coverage/InsuranceExample
Resource Coverage:
ResourceCoverage "InsuranceExample"
Profile: PAS Coverage
status: ACTIVE
beneficiary: See on this page: Patient/SubscriberExample
Entry 5 - fullUrl = http://example.org/fhir/Patient/SubscriberExample
Resource Patient:
Anonymous Patient Male, DoB: ( http://example.org/MIN#12345678901)