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

Resource Profile: PAS Beneficiary Patient

Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-beneficiary Version: 2.1.0
Standards status: Trial-use Maturity Level: 3 Computable Name: PASBeneficiary
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.45

A patient who is the beneficiary of an insurance plan.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from USCorePatientProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Patient 0..* USCorePatientProfile(7.0.0) Information about an individual or animal receiving health care services
... Slices for identifier 1..* Identifier An identifier for this patient
Slice: Unordered, Open by value:type
.... identifier:memberIdentifier S 0..1 Identifier An identifier for this patient
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MB
... name
.... prefix S 0..* string Parts that come before the name
.... suffix S 0..* string 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Parts that come after the name
... birthDate C 0..1 date The date of birth for the individual
FullDateRule: Dates need to be a full date - YYYY-MM-DD
.... district S 0..1 string District name (aka county)
.... country S 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
... Slices for multipleBirth[x] 0..1 boolean, integer Whether patient is part of a multiple birth
Slice: Unordered, Open by type:$this
.... multipleBirth[x]:multipleBirthInteger S 0..1 integer Whether patient is part of a multiple birth

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
FullDateRuleerrorPatient.birthDateDates need to be a full date - YYYY-MM-DD
: $this.toString().length() = 10

 

Other representations of profile: CSV, Excel, Schematron