Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0 - STU 2.1 United States of America flag

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 2.1.0 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

: Referral Authorization Bundle Example - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="ReferralAuthorizationBundleExample"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle"/>
  </meta>
  <identifier>
    <system value="http://example.org/SUBMITTER_TRANSACTION_IDENTIFIER"/>
    <value value="A12345"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2005-05-02T11:01:00+05:00"/>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Claim/ReferralAuthorizationExample"/>
    <resource>
      <Claim>
        <id value="ReferralAuthorizationExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Claim_ReferralAuthorizationExample"> </a><p class="res-header-id"><b>Generated Narrative: Claim ReferralAuthorizationExample</b></p><a name="ReferralAuthorizationExample"> </a><a name="hcReferralAuthorizationExample"> </a><a name="ReferralAuthorizationExample-en-US"> </a><p><b>LevelOfServiceCode</b>: <span title="Codes:{https://codesystem.x12.org/005010/1338 U}">Urgent</span></p><p><b>identifier</b>: <code>http://example.org/PATIENT_EVENT_TRACE_NUMBER</code>/111099</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}">Professional</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href="Patient-SubscriberExample.html">JOE SMITH  Male, DoB Unknown ( Member Number)</a></p><p><b>created</b>: 2005-05-02 11:01:00+0500</p><p><b>insurer</b>: <a href="Organization-InsurerExample.html">Organization MARYLAND CAPITAL INSURANCE COMPANY</a></p><p><b>provider</b>: <a href="Organization-UMOExample.html">Organization DR. JOE SMITH CORPORATION</a></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}">Normal</span></p><h3>CareTeams</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>Provider</b></td></tr><tr><td style="display: none">*</td><td/><td>1</td><td><a href="PractitionerRole-ReferralPractitionerRoleExample.html">PractitionerRole</a></td></tr></table><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style="display: none">*</td><td/><td>1</td><td><span title="Codes:{http://hl7.org/fhir/sid/icd-10-cm G89.4}">Chronic pain syndrome</span></td></tr></table><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="Coverage-InsuranceExample.html">Coverage: status = active; subscriberId = 1122334455; relationship = Self</a></td></tr></table><blockquote><p><b>item</b></p><p><b>ServiceItemRequestType</b>: <span title="Codes:{https://codesystem.x12.org/005010/1525 SC}">Specialty Care Review</span></p><p><b>CertificationType</b>: <span title="Codes:{https://codesystem.x12.org/005010/1322 I}">Initial</span></p><p><b>ItemTraceNumber</b>: <code>http://example.org/ITEM_TRACE_NUMBER</code>/1122334</p><p><b>AuthorizationNumber</b>: 1122445</p><p><b>AdministrationReferenceNumber</b>: 9988311</p><p><b>RequestedService</b>: <a href="ServiceRequest-ReferralRequestExample.html">ServiceRequest Consultation</a></p><p><b>EPSDTIndicator</b>: false</p><p><b>NursingHomeResidentialStatus</b>: <span title="Codes:{https://codesystem.x12.org/005010/1345 2}">Newly Admitted</span></p><p><b>NursingHomeLevelOfCare</b>: <span title="Codes:{https://codesystem.x12.org/005010/1337 2}">Intermediate Care Facility (ICF)</span></p><p><b>RevenueUnitRateLimit</b>: 100</p><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1</p><p><b>diagnosisSequence</b>: 1</p><p><b>category</b>: <span title="Codes:{https://codesystem.x12.org/005010/1365 3}">Consultation</span></p><p><b>productOrService</b>: <span title="Codes:{https://codesystem.x12.org/005010/1365 3}">Consultation</span></p><p><b>location</b>: <span title="Codes:{https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set 11}">11</span></p></blockquote></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode">
          <valueCodeableConcept>
            <coding>
              <system value="https://codesystem.x12.org/005010/1338"/>
              <code value="U"/>
              <display value="Urgent"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <identifier>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierJurisdiction">
            <valueCodeableConcept>
              <coding>
                <system value="https://www.usps.com/"/>
                <code value="MA"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-identifierSubDepartment">
            <valueString value="223412"/>
          </extension>
          <system value="http://example.org/PATIENT_EVENT_TRACE_NUMBER"/>
          <value value="111099"/>
          <assigner>
            <identifier>
              <system value="http://example.org/USER_ASSIGNED"/>
              <value value="9012345678"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="active"/>
        <type>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
            <code value="professional"/>
          </coding>
        </type>
        <use value="preauthorization"/>
        <patient>🔗 
          <reference value="Patient/SubscriberExample"/>
        </patient>
        <created value="2005-05-02T11:01:00+05:00"/>
        <insurer>🔗 
          <reference value="Organization/InsurerExample"/>
        </insurer>
        <provider>🔗 
          <reference value="Organization/UMOExample"/>
        </provider>
        <priority>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/processpriority"/>
            <code value="normal"/>
          </coding>
        </priority>
        <careTeam>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope">
            <valueBoolean value="true"/>
          </extension>
          <sequence value="1"/>
          <provider>🔗 
            <reference
                       value="PractitionerRole/ReferralPractitionerRoleExample"/>
          </provider>
        </careTeam>
        <diagnosis>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate">
            <valueDate value="2021-05-10"/>
          </extension>
          <sequence value="1"/>
          <diagnosisCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
              <code value="G89.4"/>
            </coding>
          </diagnosisCodeableConcept>
        </diagnosis>
        <insurance>
          <sequence value="1"/>
          <focal value="true"/>
          <coverage>🔗 
            <reference value="Coverage/InsuranceExample"/>
          </coverage>
        </insurance>
        <item>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType">
            <valueCodeableConcept>
              <coding>
                <system value="https://codesystem.x12.org/005010/1525"/>
                <code value="SC"/>
                <display value="Specialty Care Review"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType">
            <valueCodeableConcept>
              <coding>
                <system value="https://codesystem.x12.org/005010/1322"/>
                <code value="I"/>
                <display value="Initial"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemTraceNumber">
            <valueIdentifier>
              <system value="http://example.org/ITEM_TRACE_NUMBER"/>
              <value value="1122334"/>
            </valueIdentifier>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber">
            <valueString value="1122445"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber">
            <valueString value="9988311"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-requestedService">
            <valueReference>🔗 
              <reference value="ServiceRequest/ReferralRequestExample"/>
            </valueReference>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-epsdtIndicator">
            <valueBoolean value="false"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeResidentialStatus">
            <valueCodeableConcept>
              <coding>
                <system value="https://codesystem.x12.org/005010/1345"/>
                <code value="2"/>
                <display value="Newly Admitted"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-nursingHomeLevelOfCare">
            <valueCodeableConcept>
              <coding>
                <system value="https://codesystem.x12.org/005010/1337"/>
                <code value="2"/>
                <display value="Intermediate Care Facility (ICF)"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-revenueUnitRateLimit">
            <valueDecimal value="100"/>
          </extension>
          <sequence value="1"/>
          <careTeamSequence value="1"/>
          <diagnosisSequence value="1"/>
          <category>
            <coding>
              <system value="https://codesystem.x12.org/005010/1365"/>
              <code value="3"/>
              <display value="Consultation"/>
            </coding>
          </category>
          <productOrService>
            <coding>
              <system value="https://codesystem.x12.org/005010/1365"/>
              <code value="3"/>
              <display value="Consultation"/>
            </coding>
          </productOrService>
          <locationCodeableConcept>
            <coding>
              <system
                      value="https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set"/>
              <code value="11"/>
            </coding>
          </locationCodeableConcept>
        </item>
      </Claim>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Organization/UMOExample"/>
    <resource>
      <Organization>
        <id value="UMOExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_UMOExample"> </a><p class="res-header-id"><b>Generated Narrative: Organization UMOExample</b></p><a name="UMOExample"> </a><a name="hcUMOExample"> </a><a name="UMOExample-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.0.2/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/8189991234</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{https://codesystem.x12.org/005010/98 X3}">X3</span></p><p><b>name</b>: DR. JOE SMITH CORPORATION</p><p><b>address</b>: 111 1ST STREET SAN DIEGO CA 92101 US </p></div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="8189991234"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system value="https://codesystem.x12.org/005010/98"/>
            <code value="X3"/>
          </coding>
        </type>
        <name value="DR. JOE SMITH CORPORATION"/>
        <address>
          <line value="111 1ST STREET"/>
          <city value="SAN DIEGO"/>
          <state value="CA"/>
          <postalCode value="92101"/>
          <country value="US"/>
        </address>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Organization/InsurerExample"/>
    <resource>
      <Organization>
        <id value="InsurerExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_InsurerExample"> </a><p class="res-header-id"><b>Generated Narrative: Organization InsurerExample</b></p><a name="InsurerExample"> </a><a name="hcInsurerExample"> </a><a name="InsurerExample-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.0.2/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/1234567893</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{https://codesystem.x12.org/005010/98 PR}">PR</span></p><p><b>name</b>: MARYLAND CAPITAL INSURANCE COMPANY</p></div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="1234567893"/>
        </identifier>
        <active value="true"/>
        <type>
          <coding>
            <system value="https://codesystem.x12.org/005010/98"/>
            <code value="PR"/>
          </coding>
        </type>
        <name value="MARYLAND CAPITAL INSURANCE COMPANY"/>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Coverage/InsuranceExample"/>
    <resource>
      <Coverage>
        <id value="InsuranceExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Coverage_InsuranceExample"> </a><p class="res-header-id"><b>Generated Narrative: Coverage InsuranceExample</b></p><a name="InsuranceExample"> </a><a name="hcInsuranceExample"> </a><a name="InsuranceExample-en-US"> </a><p><b>status</b>: Active</p><p><b>subscriberId</b>: 1122334455</p><p><b>beneficiary</b>: <a href="Patient-SubscriberExample.html">JOE SMITH  Male, DoB Unknown ( Member Number)</a></p><p><b>relationship</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/subscriber-relationship self}, {https://codesystem.x12.org/005010/1069 18}">Self</span></p><p><b>payor</b>: <a href="Organization-InsurerExample.html">Organization MARYLAND CAPITAL INSURANCE COMPANY</a></p></div>
        </text>
        <status value="active"/>
        <subscriberId value="1122334455"/>
        <beneficiary>🔗 
          <reference value="Patient/SubscriberExample"/>
        </beneficiary>
        <relationship>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
            <code value="self"/>
          </coding>
          <coding>
            <system value="https://codesystem.x12.org/005010/1069"/>
            <code value="18"/>
          </coding>
        </relationship>
        <payor>🔗 
          <reference value="Organization/InsurerExample"/>
        </payor>
      </Coverage>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Patient/SubscriberExample"/>
    <resource>
      <Patient>
        <id value="SubscriberExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_SubscriberExample"> </a><p class="res-header-id"><b>Generated Narrative: Patient SubscriberExample</b></p><a name="SubscriberExample"> </a><a name="hcSubscriberExample"> </a><a name="SubscriberExample-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">JOE SMITH  Male, DoB Unknown ( Member Number)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="A patient's military status."><a href="StructureDefinition-extension-militaryStatus.html"/></td><td colspan="3"><span title="Codes:{https://codesystem.x12.org/005010/584 RU}">RU</span></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-militaryStatus">
          <valueCodeableConcept>
            <coding>
              <system value="https://codesystem.x12.org/005010/584"/>
              <code value="RU"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MB"/>
            </coding>
          </type>
          <system value="http://example.org/MIN"/>
          <value value="12345678901"/>
        </identifier>
        <name>
          <family value="SMITH"/>
          <given value="JOE"/>
        </name>
        <gender value="male"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/ServiceRequest/ReferralRequestExample"/>
    <resource>
      <ServiceRequest>
        <id value="ReferralRequestExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-servicerequest"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_ReferralRequestExample"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest ReferralRequestExample</b></p><a name="ReferralRequestExample"> </a><a name="hcReferralRequestExample"> </a><a name="ReferralRequestExample-en-US"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{https://codesystem.x12.org/005010/1365 3}">Consultation</span></p><p><b>quantity</b>: 1 visit<span style="background: LightGoldenRodYellow"> (Details: UCUM  code1 = '1')</span></p><p><b>subject</b>: <a href="Patient-SubscriberExample.html">JOE SMITH  Male, DoB Unknown ( Member Number)</a></p></div>
        </text>
        <status value="active"/>
        <intent value="order"/>
        <code>
          <coding>
            <system value="https://codesystem.x12.org/005010/1365"/>
            <code value="3"/>
            <display value="Consultation"/>
          </coding>
        </code>
        <quantityQuantity>
          <value value="1"/>
          <unit value="visit"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="1"/>
        </quantityQuantity>
        <subject>🔗 
          <reference value="Patient/SubscriberExample"/>
        </subject>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/PractitionerRole/ReferralPractitionerRoleExample"/>
    <resource>
      <PractitionerRole>
        <id value="ReferralPractitionerRoleExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitionerrole"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_ReferralPractitionerRoleExample"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole ReferralPractitionerRoleExample</b></p><a name="ReferralPractitionerRoleExample"> </a><a name="hcReferralPractitionerRoleExample"> </a><a name="ReferralPractitionerRoleExample-en-US"> </a><p><b>practitioner</b>: <a href="Practitioner-ReferralPractitionerExample.html">Practitioner SUSAN WATSON </a></p><p><b>location</b>: <a href="Location-ReferralLocationExample.html">Location REFERRAL CLINIC</a></p></div>
        </text>
        <practitioner>🔗 
          <reference value="Practitioner/ReferralPractitionerExample"/>
        </practitioner>
        <location>🔗 
          <reference value="Location/ReferralLocationExample"/>
        </location>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Practitioner/ReferralPractitionerExample"/>
    <resource>
      <Practitioner>
        <id value="ReferralPractitionerExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitioner"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_ReferralPractitionerExample"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner ReferralPractitionerExample</b></p><a name="ReferralPractitionerExample"> </a><a name="hcReferralPractitionerExample"> </a><a name="ReferralPractitionerExample-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.0.2/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/1234567893</p><p><b>name</b>: SUSAN WATSON </p><p><b>telecom</b>: ph: 4029993456</p></div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="1234567893"/>
        </identifier>
        <name>
          <family value="WATSON"/>
          <given value="SUSAN"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="4029993456"/>
        </telecom>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Location/ReferralLocationExample"/>
    <resource>
      <Location>
        <id value="ReferralLocationExample"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-location"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_ReferralLocationExample"> </a><p class="res-header-id"><b>Generated Narrative: Location ReferralLocationExample</b></p><a name="ReferralLocationExample"> </a><a name="hcReferralLocationExample"> </a><a name="ReferralLocationExample-en-US"> </a><p><b>name</b>: REFERRAL CLINIC</p><p><b>address</b>: 111 1ST STREET SAN DIEGO CA 92101 US </p></div>
        </text>
        <name value="REFERRAL CLINIC"/>
        <address>
          <line value="111 1ST STREET"/>
          <city value="SAN DIEGO"/>
          <state value="CA"/>
          <postalCode value="92101"/>
          <country value="US"/>
        </address>
      </Location>
    </resource>
  </entry>
</Bundle>