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 2.2.1 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

• Narrative Content
• XML
• JSON
• TTL

: Submit Claim Requestor Example

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{
  "resourceType" : "Organization",
  "id" : "UMOExample",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Organization UMOExample</b></p><a name=\"UMOExample\"> </a><a name=\"hcUMOExample\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-requestor.html\">PAS Requestor Organization</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">DR. JOE SMITH CORPORATION (X3) (http://hl7.org/fhir/sid/us-npi#United States National Provider Identifier#8189991234)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The kind(s) of organization that this is\">Type:</td><td colspan=\"3\"><span title=\"Codes:{https://codesystem.x12.org/005010/98 X3}\">X3</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the organization\">Contact Detail</td><td colspan=\"3\">111 1ST STREET SAN DIEGO CA 92101 US </td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "http://hl7.org/fhir/sid/us-npi",
      "value" : "8189991234"
    }
  ],
  "active" : true,
  "type" : [
    {
      "coding" : [
        {
          "system" : "https://codesystem.x12.org/005010/98",
          "code" : "X3"
        }
      ]
    }
  ],
  "name" : "DR. JOE SMITH CORPORATION",
  "address" : [
    {
      "line" : [
        "111 1ST STREET"
      ],
      "city" : "SAN DIEGO",
      "state" : "CA",
      "postalCode" : "92101",
      "country" : "US"
    }
  ]
}