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 Coverage - Mappings

Page standards status: Trial-use Maturity Level: 4

Mappings for the profile-coverage resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternRIM MappingFiveWs Pattern MappingCanadian Dental Association eclaims standardHL7 v2 MappingCanadian Pharmacy Associaiton eclaims standarddoco
Coverage
Event
Coverage
Coverage / id
Coverage / meta
Coverage / implicitRules
Coverage / language
Coverage / text
Act.text?
Coverage / contained
N/A
Coverage / extension
N/A
Coverage / modifierExtension
N/A
Coverage / Slices for identifier
Event.identifier
.id
FiveWs.identifier
C02
IN1-2
  • C.32
  • C.33
  • C.39
Coverage / Slices for identifier / identifier:memberid
Event.identifier
.id
FiveWs.identifier
C02
IN1-2
  • C.32
  • C.33
  • C.39
Coverage / Slices for identifier / identifier:memberid / id
n/a
Coverage / Slices for identifier / identifier:memberid / extension
n/a
Coverage / Slices for identifier / identifier:memberid / use
Role.code or implied by context
N/A
Coverage / Slices for identifier / identifier:memberid / type
Role.code or implied by context
CX.5
Coverage / Slices for identifier / identifier:memberid / system
II.root or Role.id.root
CX.4 / EI-2-4
Coverage / Slices for identifier / identifier:memberid / value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
CX.1 / EI.1
Coverage / Slices for identifier / identifier:memberid / period
Role.effectiveTime or implied by context
CX.7 + CX.8
Coverage / Slices for identifier / identifier:memberid / assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • CX.4 / (CX.4
  • CX.9
  • CX.10)
Coverage / status
Event.status
Act.status
FiveWs.status
Coverage / type
FiveWs.class
IN1-15
Coverage / policyHolder
FiveWs.subject
D01 through D09
  • IN1-16
  • 18
  • 19-name of insured
  • address
  • date of birth
C.35
Coverage / subscriber
FiveWs.subject
D01 through D09
  • IN1-16
  • 18
  • 19-name of insured
  • address
  • date of birth
C.35
Coverage / subscriberId
FiveWs.subject
D01 through D09
  • IN1-16
  • 18
  • 19-name of insured
  • address
  • date of birth
C.35
Coverage / beneficiary
Event.subject
FiveWs.subject
D01 through D09
  • IN1-16
  • 18
  • 19-name of insured
  • address
  • date of birth
C.35
Coverage / dependent
C17
- No exact HL7 v2 equivalent concept seems to exist;
Coverage / relationship
C03
Coverage / relationship / id
n/a
Coverage / relationship / extension
n/a
Coverage / relationship / Slices for coding
  • union(.
  • ./translation)
  • C*E.1-8
  • C*E.10-22
Coverage / relationship / Slices for coding / coding:X12Code
  • union(.
  • ./translation)
  • C*E.1-8
  • C*E.10-22
Coverage / relationship / text
./originalText[mediaType/code="text/plain"]/data
C*E.9. But note many systems use C*E.2 for this
Coverage / period
Event.occurrence[x]
Act.effectiveTime
FiveWs.done[x]
IN1-12 / IN1-13
Coverage / payor
FiveWs.author
A05
IN1-3
C.30
Coverage / Slices for class
Coverage / Slices for class / class:All Slices
Coverage / Slices for class / class:All Slices / id
n/a
Coverage / Slices for class / class:All Slices / extension
n/a
Coverage / Slices for class / class:All Slices / modifierExtension
N/A
Coverage / Slices for class / class:All Slices / type
Coverage / Slices for class / class:All Slices / value
  • C11 (Division
  • Section)
IN1-8
C.31
Coverage / Slices for class / class:All Slices / name
  • C11 (Division
  • Section)
IN1-8
C.31
Coverage / Slices for class / class:group
Coverage / Slices for class / class:group / id
n/a
Coverage / Slices for class / class:group / extension
n/a
Coverage / Slices for class / class:group / modifierExtension
N/A
Coverage / Slices for class / class:group / type
Coverage / Slices for class / class:group / value
  • C11 (Division
  • Section)
IN1-8
C.31
Coverage / Slices for class / class:group / name
  • C11 (Division
  • Section)
IN1-8
C.31
Coverage / Slices for class / class:plan
Coverage / Slices for class / class:plan / id
n/a
Coverage / Slices for class / class:plan / extension
n/a
Coverage / Slices for class / class:plan / modifierExtension
N/A
Coverage / Slices for class / class:plan / type
Coverage / Slices for class / class:plan / value
  • C11 (Division
  • Section)
IN1-8
C.31
Coverage / Slices for class / class:plan / name
  • C11 (Division
  • Section)
IN1-8
C.31
Coverage / order
- No exact HL7 v2 equivalent concept seems to exist;
Coverage / network
D10
Coverage / costToBeneficiary
Coverage / costToBeneficiary / id
n/a
Coverage / costToBeneficiary / extension
n/a
Coverage / costToBeneficiary / modifierExtension
N/A
Coverage / costToBeneficiary / type
Coverage / costToBeneficiary / value[x]
  • C11 (Division
  • Section)
IN1-8
C.31
Coverage / costToBeneficiary / exception
Coverage / costToBeneficiary / exception / id
n/a
Coverage / costToBeneficiary / exception / extension
n/a
Coverage / costToBeneficiary / exception / modifierExtension
N/A
Coverage / costToBeneficiary / exception / type
Coverage / costToBeneficiary / exception / period
Coverage / subrogation
Coverage / contract
n/a
D01 through D09
  • IN1-16
  • 18
  • 19
C.35

doco Documentation for this format