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-preview 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
Generated Narrative: Bundle SurgicalRequestBundleExample
Bundle SurgicalRequestBundleExample of type collection
Entry 1 - fullUrl = http://example.org/fhir/Claim/SurgicalAuthorizationRequestExample
Resource Claim:
Generated Narrative: Claim SurgicalAuthorizationRequestExample
LevelOfServiceCode: Elective
Extension Definition for Claim.encounter for Version 5.0: Encounter: extension = Still a patient; status = planned; class = ambulatory (ActCode#AMB); type = 2; period = 2020-07-02 --> 2020-07-09
ConditionCode
- category: 07
- indicator: true
- code: 09
identifier:
http://example.org/PATIENT_EVENT_TRACE_NUMBER
/16139462398status: Active
type: Institutional
use: Preauthorization
patient: JOE SMITH Male, DoB Unknown ( http://example.org/MIN#12345678901)
created: 2020-06-24 07:34:00+0500
insurer: Organization MARYLAND CAPITAL INSURANCE COMPANY
provider: Organization DR. JOE SMITH CORPORATION
priority: Normal
CareTeams
Extension Sequence Provider 1 PractitionerRole SupportingInfos
Sequence Category Timing[x] 1 Admission Dates 2020-07-02 --> 2020-07-09 Diagnoses
Extension Sequence Diagnosis[x] 1 Malignant neoplasm of colon, unspecified Insurances
Sequence Focal Coverage 1 true Coverage: status = active; subscriberId = 1122334455; relationship = Self item
ServiceItemRequestType: Admission Review
CertificationType: Initial
ItemTraceNumber:
http://example.org/ITEM_TRACE_NUMBER
/1122334AuthorizationNumber: 1122445
AdministrationReferenceNumber: 9988311
sequence: 1
careTeamSequence: 1
diagnosisSequence: 1
category: Surgical
productOrService: Under Venous Grafting Only for Coronary Artery Bypass
location: 21
Entry 2 - fullUrl = http://example.org/fhir/Organization/UMOExample
Resource Organization:
Generated Narrative: Organization UMOExample
identifier: United States National Provider Identifier/8189991234
active: true
type: 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 InsurerExample
identifier: United States National Provider Identifier/1234567893
active: true
type: PR
name: MARYLAND CAPITAL INSURANCE COMPANY
Entry 4 - fullUrl = http://example.org/fhir/Coverage/InsuranceExample
Resource Coverage:
Generated Narrative: Coverage InsuranceExample
status: Active
subscriberId: 1122334455
beneficiary: JOE SMITH Male, DoB Unknown ( http://example.org/MIN#12345678901)
relationship: Self
Entry 5 - fullUrl = http://example.org/fhir/Patient/SubscriberExample
Resource Patient:
Generated Narrative: Patient SubscriberExample
JOE SMITH Male, DoB Unknown ( http://example.org/MIN#12345678901)
RU
Entry 6 - fullUrl = http://example.org/fhir/Encounter/SurgicalEncounterExample
Resource Encounter:
Generated Narrative: Encounter SurgicalEncounterExample
Not done yet
Entry 7 - fullUrl = http://example.org/fhir/PractitionerRole/SurgicalPractitionerRoleExample
Resource PractitionerRole:
Generated Narrative: PractitionerRole SurgicalPractitionerRoleExample
practitioner: Practitioner SUSAN WATSON
location: Location REFERRAL CLINIC
Entry 8 - fullUrl = http://example.org/fhir/Practitioner/SurgicalPractitionerExample
Resource Practitioner:
Generated Narrative: Practitioner SurgicalPractitionerExample
identifier: United States National Provider Identifier/1234567893
name: SUSAN WATSON
telecom: ph: 4029993456
Entry 9 - fullUrl = http://example.org/fhir/Location/SurgicalLocationExample
Resource Location:
Generated Narrative: Location SurgicalLocationExample
name: REFERRAL CLINIC
address: 111 1ST STREET SAN DIEGO CA 92101 US