Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0 - STU 2.1 United States of America flag

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

Table of Contents

Page standards status: Informative
.. 0 Table of Contents
... 1 Prior Authorization Implementation Guide Home Page
... 2 Use Cases and Overview
... 3 Request for Additional Information
... 4 Technical Background
... 5 HIPAA Regulations
... 6 Formal Specification
... 7 Privacy & Security
... 8 PAS ePA Coordinator Information
... 9 PAS Metrics
... 10 Downloads
... 11 Credits
... 12 Artifacts Overview
... 13 Change Log
... 14 Conformance
... 15 Artifacts Summary
.... 15.1 EHR PAS Capabilities
.... 15.2 Intermediary PAS Capabilities
.... 15.3 Search for a Prior Authorization Response by example
.... 15.4 Submit a Prior Authorization Request for adjudication
.... 15.5 PAS Metric Data
.... 15.6 PAS Claim Base
.... 15.7 PAS Claim Response Base
.... 15.8 PAS Organization Base Profile
.... 15.9 PAS Beneficiary Patient
.... 15.10 PAS Claim
.... 15.11 PAS Claim Inquiry
.... 15.12 PAS Claim Inquiry Response
.... 15.13 PAS Claim Response
.... 15.14 PAS Claim Update
.... 15.15 PAS CommunicationRequest
.... 15.16 PAS Coverage
.... 15.17 PAS Device Request
.... 15.18 PAS Encounter
.... 15.19 PAS Inquiry Request Bundle
.... 15.20 PAS Inquiry Response Bundle
.... 15.21 PAS Insurer Organization
.... 15.22 PAS Location Profile
.... 15.23 PAS Medication Request
.... 15.24 PAS Nutrition Order
.... 15.25 PAS Practitioner
.... 15.26 PAS PractitionerRole
.... 15.27 PAS Request Bundle
.... 15.28 PAS Requestor Organization
.... 15.29 PAS Response Bundle
.... 15.30 PAS Service Request
.... 15.31 PAS Subscriber Patient
.... 15.32 PAS Subscription
.... 15.33 PAS Task
.... 15.34 PAS Identifier
.... 15.35 PAS Quantity
.... 15.36 PAS Timing
.... 15.37 AdministrationReferenceNumber
.... 15.38 AuthorizationNumber
.... 15.39 AuthorizedProviderType
.... 15.40 CalendarPattern
.... 15.41 CareTeamClaimScope
.... 15.42 CertificationEffectiveDate
.... 15.43 CertificationExpirationDate
.... 15.44 CertificationIssueDate
.... 15.45 CertificationType
.... 15.46 CommunicatedDiagnosis
.... 15.47 ConditionCode
.... 15.48 ContentModifier
.... 15.49 DeliveryPattern
.... 15.50 DiagnosisRecordedDate
.... 15.51 EPSDTIndicator
.... 15.52 ErrorElement
.... 15.53 ErrorFollowupAction
.... 15.54 ErrorPath
.... 15.55 HomeHealthCareInformation
.... 15.56 IdentifierJurisdiction
.... 15.57 IdentifierSubDepartment
.... 15.58 InfoCancelledFlag
.... 15.59 InfoChanged
.... 15.60 ItemAuthorizedDetail
.... 15.61 ItemAuthorizedProvider
.... 15.62 ItemPreAuthIssueDate
.... 15.63 ItemPreAuthPeriod
.... 15.64 ItemRequestedServiceDate
.... 15.65 ItemTraceNumber
.... 15.66 LevelOfServiceCode
.... 15.67 MilitaryStatus
.... 15.68 NursingHomeLevelOfCare
.... 15.69 NursingHomeResidentialStatus
.... 15.70 PALineNumber
.... 15.71 PatientStatus
.... 15.72 ProductOrServiceCodeEnd
.... 15.73 RequestedService
.... 15.74 RevenueCode
.... 15.75 RevenueUnitRateLimit
.... 15.76 ReviewAction
.... 15.77 ReviewActionCode
.... 15.78 ServiceItemRequestType
.... 15.79 ServiceLineNumber
.... 15.80 AHA NUBC Revenue Value Set
.... 15.81 Metric Data Source
.... 15.82 PAS Communication Medium Value Set
.... 15.83 PAS Information Change Mode Value Set
.... 15.84 PAS LOINC Attachment Codes Value Set
.... 15.85 PAS PWK01 Attachment Report Type Code Value Set
.... 15.86 PAS Supporting Info Type Value Set
.... 15.87 PAS Task Codes
.... 15.88 X12 278 CRC Condition Category
.... 15.89 X12 278 CRC Condition Code
.... 15.90 X12 278 Diagnosis Code Value Set
.... 15.91 X12 278 Diagnosis Information Type
.... 15.92 X12 278 Diagnosis Type Value Set
.... 15.93 X12 278 Follow Up Action Value Set
.... 15.94 X12 278 Health Care Service Location Type Value Set
.... 15.95 X12 278 Nutrition Enteral Formula Type
.... 15.96 X12 278 Nutrition Oral Diet Type
.... 15.97 X12 278 Reject Reason Value Set
.... 15.98 X12 278 Requested Service Modifier Type
.... 15.99 X12 278 Requested Service Type
.... 15.100 X12 278 Review Decision Reason Codes
.... 15.101 PAS Temporary Codes
.... 15.102 Additional Information Task Example
.... 15.103 Authorization Response with Practitioner Requestor and Additional Content Example
.... 15.104 Authorization Response with Practitioner Requestor Example
.... 15.105 Communication Request Example
.... 15.106 Device Request Example
.... 15.107 Encounter Example
.... 15.108 Error Response Bundle Example
.... 15.109 Error Response Example
.... 15.110 Homecare Authorization Bundle Example
.... 15.111 Homecare Authorization Differential Update Bundle Example
.... 15.112 Homecare Authorization Differential Update Example
.... 15.113 Homecare Authorization Example
.... 15.114 Homecare Authorization Update Bundle Example
.... 15.115 Homecare Authorization Update Example
.... 15.116 Medical Services Authorization Bundle Example
.... 15.117 Medical Services Authorization Example
.... 15.118 Medication Request Example
.... 15.119 Nutrition Order Example
.... 15.120 PAS Claim Inquiry Example
.... 15.121 PAS Claim Inquiry ResponseExample
.... 15.122 PAS Inquiry Request Bundle Example
.... 15.123 PAS Inquiry Response Bundle Example
.... 15.124 PAS Subscription example for a specific provider
.... 15.125 PAS Subscription Notification example
.... 15.126 PAS Subscription Notification Parameters
.... 15.127 Pending Authorization Response with Practitioner Requestor Example
.... 15.128 Referral Authorization Bundle Example
.... 15.129 Referral Authorization Example
.... 15.130 Referral Authorization Response Bundle Example
.... 15.131 Referral Pending Authorization Response Bundle Example
.... 15.132 Rejection Response Bundle Example
.... 15.133 Rejection Response Example
.... 15.134 Submit Claim Beneficiary Example
.... 15.135 Submit Claim Insurance Example
.... 15.136 Submit Claim Insurer Example
.... 15.137 Submit Claim Referral Location Example
.... 15.138 Submit Claim Referral Practitioner Example
.... 15.139 Submit Claim Referral Practitioner Role Example
.... 15.140 Submit Claim Referral Request Example
.... 15.141 Submit Claim Requestor Example
.... 15.142 Submit Claim Subscriber Example
.... 15.143 Submit Claim Surgical Location Example
.... 15.144 Submit Claim Surgical Practitioner Example
.... 15.145 Submit Claim Surgical Practitioner Role Example
.... 15.146 Surgical Admission Request Bundle Example
.... 15.147 Surgical Request Authorization Example
.... 15.148 PAS Subscription Topic