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
Page standards status: Informative |
Generated Narrative: Claim MedicalServicesAuthorizationExample
identifier: http://example.org/PATIENT_EVENT_TRACE_NUMBER
/111099
status: Active
type: Professional
use: Preauthorization
patient: JOE SMITH Male, DoB Unknown ( http://example.org/MIN#12345678901)
created: 2005-05-02 11:01:00+0500
insurer: Organization MARYLAND CAPITAL INSURANCE COMPANY
provider: Organization DR. JOE SMITH CORPORATION
priority: Normal
Sequence | Focal | Coverage |
1 | true | Coverage: status = active; subscriberId = 1122334455; relationship = Self |
item
ServiceItemRequestType: Initial Medical Services Reservation
CertificationType: Initial
AuthorizationNumber: 1122344
AdministrationReferenceNumber: 33441122
sequence: 1
category: Medical Care
productOrService: Established Office Visit
serviced: 2005-05-10
location: 11