Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0 - STU 2.1
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0 - STU 2.1
This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.1.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Generated Narrative: Bundle HomecareAuthorizationUpdateBundleExample
Bundle HomecareAuthorizationUpdateBundleExample of type collection
Entry 1 - fullUrl = http://example.org/fhir/Claim/HomecareAuthorizationUpdateExample
Resource Claim:
Generated Narrative: Claim HomecareAuthorizationUpdateExample
identifier:
http://example.org/PATIENT_EVENT_TRACE_NUMBER/111099-UPDATEstatus: Active
type: Professional
use: Preauthorization
patient: JOE SMITH Male, DoB Unknown ( Member Number)
created: 2019-07-20 11:01:00+0500
insurer: Organization MARYLAND CAPITAL INSURANCE COMPANY
provider: Organization DR. JOE SMITH CORPORATION
priority: Normal
Relateds
Insurances
Sequence Focal Coverage 1 true Coverage: status = active; subscriberId = 1122334455; relationship = Self item
ServiceItemRequestType: Health Services Review
CertificationType: Initial
sequence: 1
category: Home Health Care
productOrService: G0154
location: 11
item
ServiceItemRequestType: Health Services Review
CertificationType: Cancel
InfoCancelledFlag: true
sequence: 2
category: Home Health Care
productOrService: B4184
location: 11
item
ServiceItemRequestType: Health Services Review
CertificationType: Initial
InfoChanged: added
sequence: 3
category: Home Health Care
productOrService: B4185
location: 11
Entry 2 - fullUrl = http://example.org/fhir/Organization/UMOExample
Resource Organization:
Generated Narrative: Organization UMOExample
identifier: United States National Provider Identifier/8189991234
active: true
type: X3
name: DR. JOE SMITH CORPORATION
Contacts
Address 111 1ST STREET SAN DIEGO CA 92101 US
Entry 3 - fullUrl = http://example.org/fhir/Organization/InsurerExample
Resource Organization:
Generated Narrative: Organization InsurerExample
identifier: United States National Provider Identifier/1234567893
active: true
type: PR
name: MARYLAND CAPITAL INSURANCE COMPANY
Entry 4 - fullUrl = http://example.org/fhir/Coverage/InsuranceExample
Resource Coverage:
Generated Narrative: Coverage InsuranceExample
status: Active
subscriberId: 1122334455
beneficiary: JOE SMITH Male, DoB Unknown ( Member Number)
relationship: Self
Entry 5 - fullUrl = http://example.org/fhir/Patient/SubscriberExample
Resource Patient:
Generated Narrative: Patient SubscriberExample
JOE SMITH Male, DoB Unknown ( Member Number)
RU
Entry 6 - fullUrl = http://example.org/fhir/Claim/HomecareAuthorizationExample
Resource Claim:
Generated Narrative: Claim HomecareAuthorizationExample
HomeHealthCareInformation
- prognosis: 1
- date: 2005-05-02
identifier:
http://example.org/PATIENT_EVENT_TRACE_NUMBER/111099status: Active
type: Professional
use: Preauthorization
patient: JOE SMITH Male, DoB Unknown ( Member Number)
created: 2019-07-20 11:01:00+0500
insurer: Organization MARYLAND CAPITAL INSURANCE COMPANY
provider: Organization DR. JOE SMITH CORPORATION
priority: Normal
Insurances
Sequence Focal Coverage 1 true Coverage: status = active; subscriberId = 1122334455; relationship = Self item
ServiceItemRequestType: Health Services Review
CertificationType: Initial
sequence: 1
category: Home Health Care
productOrService: G0154
location: 11
item
ServiceItemRequestType: Health Services Review
CertificationType: Initial
sequence: 2
category: Home Health Care
productOrService: B4184
location: 11
IG © 2020+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pas#2.1.0 based on FHIR 4.0.1. Generated 2024-12-20
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