Da Vinci - Prior Authorization Support
0.1.0 - STU Ballot

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

StructureDefinition: PASClaim - Mappings

Mappings for the Profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

PASClaim
ClaimRequest
   identifierRequest.identifier
   statusRequest.status
   patientRequest.subject
   createdRequest.authoredOn
   insurerRequest.performer
   providerRequest.requester
   priorityRequest.priority
   related
      claimRequest.replaces
   supportingInfoRequest.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
   diagnosisRequest.reasonReference
   insurance
      identifierRequest.identifier
   item
      encounterRequest.context

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

PASClaim
Claim
   identifierFiveWs.identifier
   statusFiveWs.status
   typeFiveWs.class
   subTypeFiveWs.class
   useFiveWs.class
   patientFiveWs.subject[x]
   billablePeriodFiveWs.done[x]
   createdFiveWs.recorded
   entererFiveWs.author
   providerFiveWs.source
   referralFiveWs.cause
   facilityFiveWs.where[x]
   careTeam
      providerFiveWs.actor
   insurance
      identifierFiveWs.identifier
   item
      serviced[x]FiveWs.done[x]
      location[x]FiveWs.where[x]
      location[x] (locationReference)FiveWs.where[x]

Mappings for RIM Mapping (http://hl7.org/v3)

PASClaim
ClaimEntity. Role, or Act
   textAct.text?
   containedN/A
   modifierExtensionN/A
   related
      idn/a
      extensionn/a
      modifierExtensionN/A
   prescription
      idn/a
      extensionn/a
      extension (RequestedService)
         idn/a
         extensionn/a
         urlN/A
         value[x]N/A
         value[x] (valueReference)N/A
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   payee
      idn/a
      extensionn/a
      modifierExtensionN/A
   careTeam
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (RelatedCauses)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (CurrentHealthCondition)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (PatientPrognosis)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (ReleaseOfInformation)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (DelayReason)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (LastMenstrualPeriod)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (EstimatedBirthDate)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (OnsetOfSymptoms)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (PatientEvent)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (AdmissionReview)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (AdditionalInformation)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (FreeFormMessage)
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis
      idn/a
      extensionn/a
      modifierExtensionN/A
   procedure
      idn/a
      extensionn/a
      modifierExtensionN/A
   insuranceCoverage
      idn/a
      extensionn/a
      modifierExtensionN/A
   accident
      idn/a
      extensionn/a
      modifierExtensionN/A
   item
      idn/a
      modifierExtensionN/A
      detail
         idn/a
         extensionn/a
         modifierExtensionN/A
         subDetail
            idn/a
            extensionn/a
            modifierExtensionN/A