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: PASInsurer - Mappings

Page standards status: Trial-use Maturity Level: 3

Mappings for the profile-insurer resource profile.

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 (NAIC)CX / EI (occasionally, more often EI maps to a resource id or a URL)
   identifier (TIN)XON.10 / XON.3
   identifier (PI)XON.10 / XON.3
   activeNo equivalent in HL7 v2
   typeNo equivalent in v2
   nameXON.1
   telecomORC-22?
      systemXTN.3
      valueXTN.1 (or XTN.12)
      useXTN.2 - but often indicated by field
      rankn/a
      periodN/A
   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 (NAIC)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)
   identifier (PI).scopes[Role](classCode=IDENT)
   active.status
   type.code
   name.name
   alias.name
   telecom.telecom
      idn/a
      extensionn/a
      system./scheme
      value./url
      useunique(./use)
      rankn/a
      period./usablePeriod[type="IVL<TS>"]
   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 ServD (http://www.omg.org/spec/ServD/1.0/)

PASInsurer
OrganizationOrganization
   identifier./Identifiers
   identifier (NPI)Identifier
   identifier (CLIA)Identifier
   identifier (NAIC)Identifier
   identifier (TIN)./Identifiers
   identifier (PI)./Identifiers
   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
   telecom./ContactPoints
      system./ContactPointType
      value./Value
      use./ContactPointPurpose
      period./StartDate and ./EndDate
   address./PrimaryAddress and ./OtherAddresses
      use./AddressPurpose
      line./StreetAddress (newline delimitted)
      city./Jurisdiction
      state./Region
      postalCode./PostalIdentificationCode
      country./Country
      period./StartDate and ./EndDate
   partOfn/a

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

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