Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2 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 2.2.1 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

Resource Profile: PAS Claim - Mappings

Page standards status: Trial-use Maturity Level: 4

Mappings for the profile-claim resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternFiveWs Pattern MappingRIM Mappingdoco
Claim
Request
  • Entity. Role
  • or Act
Claim / id
Claim / meta
Claim / implicitRules
Claim / language
Claim / text
Act.text?
Claim / contained
N/A
Claim / Slices for extension
Claim / Slices for extension / extension:transmissionIdentifiers
Claim / Slices for extension / extension:levelOfServiceType
Claim / Slices for extension / extension:conditionCode
Claim / Slices for extension / extension:homeHealthCareInformation
Claim / Slices for extension / extension:authorizationNumber
Claim / Slices for extension / extension:administrationReferenceNumber
Claim / Slices for extension / extension:encounter
Claim / Slices for extension / extension:encounter / id
n/a
Claim / Slices for extension / extension:encounter / extension
Claim / Slices for extension / extension:encounter / url
N/A
Claim / Slices for extension / extension:encounter / value[x]
N/A
Claim / modifierExtension
N/A
Claim / identifier
Request.identifier
FiveWs.identifier
Claim / identifier / id
n/a
Claim / identifier / Slices for extension
n/a
Claim / identifier / Slices for extension / extension:subDepartment
Claim / identifier / Slices for extension / extension:jurisdiction
Claim / identifier / use
Role.code or implied by context
Claim / identifier / type
Role.code or implied by context
Claim / identifier / system
II.root or Role.id.root
Claim / identifier / value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
Claim / identifier / period
Role.effectiveTime or implied by context
Claim / identifier / assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
Claim / status
Request.status
FiveWs.status
Claim / type
FiveWs.class
Claim / subType
FiveWs.class
Claim / use
FiveWs.class
Claim / patient
Request.subject
FiveWs.subject
Claim / billablePeriod
FiveWs.done[x]
Claim / created
Request.authoredOn
FiveWs.recorded
Claim / enterer
FiveWs.author
Claim / insurer
Request.performer
Claim / provider
Request.requester
FiveWs.source
Claim / priority
Request.priority
Claim / fundsReserve
Claim / related
Claim / prescription
Claim / originalPrescription
Claim / payee
Claim / payee / id
n/a
Claim / payee / extension
n/a
Claim / payee / modifierExtension
N/A
Claim / payee / type
Claim / payee / party
Claim / referral
FiveWs.cause
Claim / facility
FiveWs.where[x]
Claim / Slices for careTeam
Claim / Slices for careTeam / careTeam:All Slices
Claim / Slices for careTeam / careTeam:All Slices / id
n/a
Claim / Slices for careTeam / careTeam:All Slices / Slices for extension
Claim / Slices for careTeam / careTeam:All Slices / Slices for extension / extension:careTeamClaimScope
Claim / Slices for careTeam / careTeam:All Slices / modifierExtension
N/A
Claim / Slices for careTeam / careTeam:All Slices / sequence
Claim / Slices for careTeam / careTeam:All Slices / provider
FiveWs.actor
Claim / Slices for careTeam / careTeam:All Slices / responsible
Claim / Slices for careTeam / careTeam:All Slices / role
Claim / Slices for careTeam / careTeam:All Slices / qualification
Claim / Slices for careTeam / careTeam:OverallClaimMember
Claim / Slices for careTeam / careTeam:OverallClaimMember / id
n/a
Claim / Slices for careTeam / careTeam:OverallClaimMember / Slices for extension
Claim / Slices for careTeam / careTeam:OverallClaimMember / Slices for extension
Claim / Slices for careTeam / careTeam:OverallClaimMember / Slices for extension / extension:careTeamClaimScope
Claim / Slices for careTeam / careTeam:OverallClaimMember / Slices for extension / extension:careTeamClaimScope / id
n/a
Claim / Slices for careTeam / careTeam:OverallClaimMember / Slices for extension / extension:careTeamClaimScope / extension
Claim / Slices for careTeam / careTeam:OverallClaimMember / Slices for extension / extension:careTeamClaimScope / url
N/A
Claim / Slices for careTeam / careTeam:OverallClaimMember / Slices for extension / extension:careTeamClaimScope / value[x]
N/A
Claim / Slices for careTeam / careTeam:OverallClaimMember / modifierExtension
N/A
Claim / Slices for careTeam / careTeam:OverallClaimMember / sequence
Claim / Slices for careTeam / careTeam:OverallClaimMember / provider
FiveWs.actor
Claim / Slices for careTeam / careTeam:OverallClaimMember / responsible
Claim / Slices for careTeam / careTeam:OverallClaimMember / role
Claim / Slices for careTeam / careTeam:OverallClaimMember / qualification
Claim / Slices for careTeam / careTeam:ItemClaimMember
Claim / Slices for careTeam / careTeam:ItemClaimMember / id
n/a
Claim / Slices for careTeam / careTeam:ItemClaimMember / Slices for extension
Claim / Slices for careTeam / careTeam:ItemClaimMember / Slices for extension
Claim / Slices for careTeam / careTeam:ItemClaimMember / Slices for extension / extension:careTeamClaimScope
Claim / Slices for careTeam / careTeam:ItemClaimMember / Slices for extension / extension:careTeamClaimScope / id
n/a
Claim / Slices for careTeam / careTeam:ItemClaimMember / Slices for extension / extension:careTeamClaimScope / extension
Claim / Slices for careTeam / careTeam:ItemClaimMember / Slices for extension / extension:careTeamClaimScope / url
N/A
Claim / Slices for careTeam / careTeam:ItemClaimMember / Slices for extension / extension:careTeamClaimScope / value[x]
N/A
Claim / Slices for careTeam / careTeam:ItemClaimMember / modifierExtension
N/A
Claim / Slices for careTeam / careTeam:ItemClaimMember / sequence
Claim / Slices for careTeam / careTeam:ItemClaimMember / provider
FiveWs.actor
Claim / Slices for careTeam / careTeam:ItemClaimMember / responsible
Claim / Slices for careTeam / careTeam:ItemClaimMember / role
Claim / Slices for careTeam / careTeam:ItemClaimMember / qualification
Claim / Slices for supportingInfo
Request.supportingInfo
Claim / Slices for supportingInfo / supportingInfo:All Slices
Claim / Slices for supportingInfo / supportingInfo:All Slices / id
n/a
Claim / Slices for supportingInfo / supportingInfo:All Slices / extension
n/a
Claim / Slices for supportingInfo / supportingInfo:All Slices / modifierExtension
N/A
Claim / Slices for supportingInfo / supportingInfo:All Slices / sequence
Claim / Slices for supportingInfo / supportingInfo:All Slices / category
Claim / Slices for supportingInfo / supportingInfo:All Slices / code
Claim / Slices for supportingInfo / supportingInfo:All Slices / timing[x]
Claim / Slices for supportingInfo / supportingInfo:All Slices / value[x]
Claim / Slices for supportingInfo / supportingInfo:All Slices / reason
Claim / Slices for supportingInfo / supportingInfo:PatientEvent
Request.supportingInfo
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / id
n/a
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / extension
n/a
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / modifierExtension
N/A
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / sequence
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / category
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / code
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / Slices for timing[x]
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / Slices for timing[x]
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / Slices for timing[x] / timing[x]:timingDate
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / Slices for timing[x] / timing[x]:timingPeriod
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / Slices for timing[x] / timing[x]:timingPeriod / id
n/a
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / Slices for timing[x] / timing[x]:timingPeriod / extension
n/a
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / Slices for timing[x] / timing[x]:timingPeriod / start
./low
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / Slices for timing[x] / timing[x]:timingPeriod / end
./high
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / value[x]
Claim / Slices for supportingInfo / supportingInfo:PatientEvent / reason
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates
Request.supportingInfo
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / id
n/a
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / extension
n/a
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / modifierExtension
N/A
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / sequence
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / category
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / code
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / Slices for timing[x]
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / Slices for timing[x]
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / Slices for timing[x] / timing[x]:timingDate
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / Slices for timing[x] / timing[x]:timingPeriod
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / Slices for timing[x] / timing[x]:timingPeriod / id
n/a
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / Slices for timing[x] / timing[x]:timingPeriod / extension
n/a
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / Slices for timing[x] / timing[x]:timingPeriod / start
./low
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / Slices for timing[x] / timing[x]:timingPeriod / end
./high
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / value[x]
Claim / Slices for supportingInfo / supportingInfo:AdmissionDates / reason
Claim / Slices for supportingInfo / supportingInfo:DischargeDates
Request.supportingInfo
Claim / Slices for supportingInfo / supportingInfo:DischargeDates / id
n/a
Claim / Slices for supportingInfo / supportingInfo:DischargeDates / extension
n/a
Claim / Slices for supportingInfo / supportingInfo:DischargeDates / modifierExtension
N/A
Claim / Slices for supportingInfo / supportingInfo:DischargeDates / sequence
Claim / Slices for supportingInfo / supportingInfo:DischargeDates / category
Claim / Slices for supportingInfo / supportingInfo:DischargeDates / code
Claim / Slices for supportingInfo / supportingInfo:DischargeDates / timing[x]
Claim / Slices for supportingInfo / supportingInfo:DischargeDates / value[x]
Claim / Slices for supportingInfo / supportingInfo:DischargeDates / reason
Claim / Slices for supportingInfo / supportingInfo:AdditionalInformation
Request.supportingInfo
Claim / Slices for supportingInfo / supportingInfo:AdditionalInformation / id
n/a
Claim / Slices for supportingInfo / supportingInfo:AdditionalInformation / Slices for extension
Claim / Slices for supportingInfo / supportingInfo:AdditionalInformation / Slices for extension
Claim / Slices for supportingInfo / supportingInfo:AdditionalInformation / Slices for extension / extension:documentInformation
Claim / Slices for supportingInfo / supportingInfo:AdditionalInformation / modifierExtension
N/A
Claim / Slices for supportingInfo / supportingInfo:AdditionalInformation / sequence
Claim / Slices for supportingInfo / supportingInfo:AdditionalInformation / category
Claim / Slices for supportingInfo / supportingInfo:AdditionalInformation / code
Claim / Slices for supportingInfo / supportingInfo:AdditionalInformation / timing[x]
Claim / Slices for supportingInfo / supportingInfo:AdditionalInformation / value[x]
Claim / Slices for supportingInfo / supportingInfo:AdditionalInformation / reason
Claim / Slices for supportingInfo / supportingInfo:MessageText
Request.supportingInfo
Claim / Slices for supportingInfo / supportingInfo:MessageText / id
n/a
Claim / Slices for supportingInfo / supportingInfo:MessageText / extension
n/a
Claim / Slices for supportingInfo / supportingInfo:MessageText / modifierExtension
N/A
Claim / Slices for supportingInfo / supportingInfo:MessageText / sequence
Claim / Slices for supportingInfo / supportingInfo:MessageText / category
Claim / Slices for supportingInfo / supportingInfo:MessageText / code
Claim / Slices for supportingInfo / supportingInfo:MessageText / timing[x]
Claim / Slices for supportingInfo / supportingInfo:MessageText / value[x]
Claim / Slices for supportingInfo / supportingInfo:MessageText / reason
Claim / diagnosis
Request.reasonReference
Claim / diagnosis / id
n/a
Claim / diagnosis / Slices for extension
Claim / diagnosis / Slices for extension / extension:recordedDate
Claim / diagnosis / modifierExtension
N/A
Claim / diagnosis / sequence
Claim / diagnosis / diagnosis[x]
Claim / diagnosis / type
Claim / diagnosis / onAdmission
Claim / diagnosis / packageCode
Claim / procedure
Claim / procedure / id
n/a
Claim / procedure / extension
n/a
Claim / procedure / modifierExtension
N/A
Claim / procedure / sequence
Claim / procedure / type
Claim / procedure / date
Claim / procedure / procedure[x]
Claim / procedure / udi
Claim / insurance
Coverage
Claim / insurance / id
n/a
Claim / insurance / extension
n/a
Claim / insurance / modifierExtension
N/A
Claim / insurance / sequence
Claim / insurance / focal
Claim / insurance / identifier
Request.identifier
FiveWs.identifier
Claim / insurance / coverage
Claim / insurance / businessArrangement
Claim / insurance / preAuthRef
Claim / insurance / claimResponse
Claim / accident
Claim / accident / id
n/a
Claim / accident / extension
n/a
Claim / accident / modifierExtension
N/A
Claim / accident / date
Claim / accident / type
Claim / accident / location[x]
Claim / item
Claim / item / id
n/a
Claim / item / Slices for extension
Claim / item / Slices for extension / extension:itemTraceNumber
Claim / item / Slices for extension / extension:authorizationNumber
Claim / item / Slices for extension / extension:administrationReferenceNumber
Claim / item / Slices for extension / extension:requestType
Claim / item / Slices for extension / extension:certificationType
Claim / item / Slices for extension / extension:productOrServiceCodeEnd
Claim / item / Slices for extension / extension:epsdtIndicator
Claim / item / Slices for extension / extension:nursingHomeResidentialStatus
Claim / item / Slices for extension / extension:nursingHomeResidentialStatus / id
n/a
Claim / item / Slices for extension / extension:nursingHomeResidentialStatus / extension
Claim / item / Slices for extension / extension:nursingHomeResidentialStatus / url
N/A
Claim / item / Slices for extension / extension:nursingHomeResidentialStatus / value[x]
N/A
Claim / item / Slices for extension / extension:nursingHomeLevelOfCare
Claim / item / Slices for extension / extension:revenueUnitRateLimit
Claim / item / Slices for extension / extension:requestedService
Claim / item / modifierExtension
N/A
Claim / item / sequence
Claim / item / careTeamSequence
Claim / item / diagnosisSequence
Claim / item / procedureSequence
Claim / item / informationSequence
Claim / item / revenue
Claim / item / category
Claim / item / productOrService
Claim / item / modifier
Claim / item / programCode
Claim / item / Slices for serviced[x]
FiveWs.done[x]
Claim / item / Slices for serviced[x] / serviced[x]:servicedDate
FiveWs.done[x]
Claim / item / Slices for serviced[x] / serviced[x]:servicedPeriod
FiveWs.done[x]
Claim / item / Slices for serviced[x] / serviced[x]:servicedPeriod / id
n/a
Claim / item / Slices for serviced[x] / serviced[x]:servicedPeriod / extension
n/a
Claim / item / Slices for serviced[x] / serviced[x]:servicedPeriod / start
./low
Claim / item / Slices for serviced[x] / serviced[x]:servicedPeriod / end
./high
Claim / item / location[x]
FiveWs.where[x]
Claim / item / quantity
Claim / item / unitPrice
Claim / item / factor
Claim / item / net
Claim / item / udi
Claim / item / bodySite
Claim / item / subSite
Claim / item / encounter
Request.context
Claim / item / detail
Claim / item / detail / id
n/a
Claim / item / detail / extension
n/a
Claim / item / detail / modifierExtension
N/A
Claim / item / detail / sequence
Claim / item / detail / revenue
Claim / item / detail / category
Claim / item / detail / productOrService
Claim / item / detail / modifier
Claim / item / detail / programCode
Claim / item / detail / quantity
Claim / item / detail / unitPrice
Claim / item / detail / factor
Claim / item / detail / net
Claim / item / detail / udi
Claim / item / detail / subDetail
Claim / item / detail / subDetail / id
n/a
Claim / item / detail / subDetail / extension
n/a
Claim / item / detail / subDetail / modifierExtension
N/A
Claim / item / detail / subDetail / sequence
Claim / item / detail / subDetail / revenue
Claim / item / detail / subDetail / category
Claim / item / detail / subDetail / productOrService
Claim / item / detail / subDetail / modifier
Claim / item / detail / subDetail / programCode
Claim / item / detail / subDetail / quantity
Claim / item / detail / subDetail / unitPrice
Claim / item / detail / subDetail / factor
Claim / item / detail / subDetail / net
Claim / item / detail / subDetail / udi
Claim / total

doco Documentation for this format