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. For a full list of available versions, see the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 3 |
Mappings for the profile-claimresponse-base resource profile.
| PASClaimResponseBase | ||
| ClaimResponse | Event | |
| status | Event.status | |
| created | Event.occurrence[x] | |
| insurer | Event.performer | |
| request | Event.basedOn | |
| disposition | Event.note | |
| PASClaimResponseBase | ||
| ClaimResponse | ||
| status | FiveWs.status | |
| type | FiveWs.class | |
| subType | FiveWs.class | |
| use | FiveWs.class | |
| patient | FiveWs.subject[x], FiveWs.subject | |
| created | FiveWs.recorded | |
| requestor | FiveWs.source | |
| request | FiveWs.why[x] | |
| addItem | ||
| provider | FiveWs.source | |
| serviced[x] | FiveWs.done[x] | |
| location[x] | FiveWs.where[x] | |
| PASClaimResponseBase | ||
| ClaimResponse | Entity. Role, or Act | |
| text | Act.text? | |
| contained | N/A | |
| extension | N/A | |
| modifierExtension | N/A | |
| identifier | n/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] | |
| id | n/a | |
| extension | n/a | |
| use | Role.code or implied by context | |
| type | Role.code or implied by context | |
| system | II.root or Role.id.root | |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) | |
| period | Role.effectiveTime or implied by context | |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper | |
| item | ||
| id | n/a | |
| modifierExtension | N/A | |
| adjudication | ||
| 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 | |
| addItem | ||
| id | n/a | |
| modifierExtension | N/A | |
| provider | ||
| id | n/a | |
| extension | n/a | |
| reference | N/A | |
| type | N/A | |
| identifier | .identifier | |
| display | N/A | |
| modifier | 24.C, 24.D mods | |
| programCode | 24.H | |
| serviced[x] | 24.A | |
| location[x] | 24.B | |
| quantity | n/a, PQ, IVL<PQ>, MO, CO, depending on the values | |
| net | 24.F | |
| adjudication | ||
| id | n/a | |
| modifierExtension | N/A | |
| detail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| modifier | 24.C, 24.D mods | |
| quantity | 24.G | |
| net | 24.F | |
| subDetail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| modifier | 24.C, 24.D mods | |
| quantity | 24.G | |
| net | 24.F | |
| adjudication | ||
| id | n/a | |
| modifierExtension | N/A | |
| total | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| payment | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| processNote | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| insurance | Coverage | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| error | ||
| id | n/a | |
| modifierExtension | N/A | |
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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