This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions 
Mappings for the Profile.
| PASClaim |
| Claim | Request |
| identifier | Request.identifier |
| status | Request.status |
| patient | Request.subject |
| created | Request.authoredOn |
| insurer | Request.performer |
| provider | Request.requester |
| priority | Request.priority |
| related | |
| claim | Request.replaces |
| supportingInfo | Request.supportingInfo |
| supportingInfo (RelatedCauses) | Request.supportingInfo |
| supportingInfo (CurrentHealthCondition) | Request.supportingInfo |
| supportingInfo (PatientPrognosis) | Request.supportingInfo |
| supportingInfo (ReleaseOfInformation) | Request.supportingInfo |
| supportingInfo (DelayReason) | Request.supportingInfo |
| supportingInfo (LastMenstrualPeriod) | Request.supportingInfo |
| supportingInfo (EstimatedBirthDate) | Request.supportingInfo |
| supportingInfo (OnsetOfSymptoms) | Request.supportingInfo |
| supportingInfo (PatientEvent) | Request.supportingInfo |
| supportingInfo (AdmissionReview) | Request.supportingInfo |
| supportingInfo (AdditionalInformation) | Request.supportingInfo |
| supportingInfo (FreeFormMessage) | Request.supportingInfo |
| diagnosis | Request.reasonReference |
| insurance | |
| identifier | Request.identifier |
| item | |
| encounter | Request.context |
| PASClaim |
| Claim | Entity. Role, or Act |
| text | Act.text? |
| contained | N/A |
| modifierExtension | N/A |
| related | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| prescription | |
| id | n/a |
| extension | n/a |
| extension (RequestedService) | |
| id | n/a |
| extension | n/a |
| url | N/A |
| value[x] | N/A |
| value[x] (valueReference) | N/A |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| payee | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| careTeam | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (RelatedCauses) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (CurrentHealthCondition) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (PatientPrognosis) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (ReleaseOfInformation) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (DelayReason) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (LastMenstrualPeriod) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (EstimatedBirthDate) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (OnsetOfSymptoms) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (PatientEvent) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (AdmissionReview) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (AdditionalInformation) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| supportingInfo (FreeFormMessage) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| diagnosis | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| procedure | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| insurance | Coverage |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| accident | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| item | |
| id | n/a |
| modifierExtension | N/A |
| detail | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| subDetail | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |