Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2 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 2.0.1 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

Resource Profile: PASInsurer - Mappings

Page standards status: Trial-use Maturity Level: 3

Mappings for the profile-insurer resource profile.

Mappings for ServD (http://www.omg.org/spec/ServD/1.0/)

PASInsurer
OrganizationOrganization
   identifier./Identifiers, n/a
   identifier (NPI)Identifier
   identifier (CLIA)Identifier
   identifier (TIN)./Identifiers, n/a
      system./IdentifierType
      value./Value
      period./StartDate and ./EndDate
      assigner./IdentifierIssuingAuthority
   active./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date.
   typen/a
   name.PreferredName/Name, ./PrimaryAddress and ./OtherAddresses
   telecom./ContactPoints
   address./PrimaryAddress and ./OtherAddresses, n/a
      use./AddressPurpose
      line./StreetAddress (newline delimitted)
      city./Jurisdiction
      state./Region, ./Sites
      postalCode./PostalIdentificationCode
      country./Country
      period./StartDate and ./EndDate
   partOfn/a

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

PASInsurer
Organization(also see master files messages)
   identifierXON.10 / XON.3
   identifier (NPI)CX / EI (occasionally, more often EI maps to a resource id or a URL)
   identifier (CLIA)CX / EI (occasionally, more often EI maps to a resource id or a URL)
   identifier (TIN)XON.10 / XON.3
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   activeNo equivalent in HL7 v2
   typeNo equivalent in v2
   nameXON.1
   telecomORC-22?
   addressORC-23?
      useXAD.7
      typeXAD.18
      textXAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
      lineXAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
      cityXAD.3
      districtXAD.9
      stateXAD.4
      postalCodeXAD.5
      countryXAD.6
      periodXAD.12 / XAD.13 + XAD.14
   partOfNo equivalent in HL7 v2
   contact
      namePID-5, PID-9
      telecomPID-13, PID-14
      addressPID-11

Mappings for RIM Mapping (http://hl7.org/v3)

PASInsurer
OrganizationEntity. Role, or Act, Organization(classCode=ORG, determinerCode=INST)
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.scopes[Role](classCode=IDENT)
   identifier (NPI)n/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
   identifier (CLIA)n/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
   identifier (TIN).scopes[Role](classCode=IDENT)
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   active.status
   type.code
   name.name
   alias.name
   telecom.telecom
   address.address
      idn/a
      extensionn/a
      useunique(./use)
      typeunique(./use)
      text./formatted
      lineAD.part[parttype = AL]
      cityAD.part[parttype = CTY]
      districtAD.part[parttype = CNT | CPA]
      stateAD.part[parttype = STA]
      postalCodeAD.part[parttype = ZIP]
      countryAD.part[parttype = CNT]
      period./usablePeriod[type="IVL<TS>"]
   partOf.playedBy[classCode=Part].scoper
   contact.contactParty
      idn/a
      extensionn/a
      modifierExtensionN/A
      purpose./type
      name./name
      telecom./telecom
      address./addr
   endpointn/a

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

PASInsurer
Organization
   identifierFiveWs.identifier
   identifier (TIN)FiveWs.identifier
   activeFiveWs.status
   typeFiveWs.class