This page is part of the Da Vinci Payer Data Exchange (v2.0.0: STU2) 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
Resource Profile: PdexPriorAuthorization - Mappings
Mappings for the pdex-priorauthorization resource profile.
PdexPriorAuthorization |
ExplanationOfBenefit | Event |
identifier | Event.identifier |
status | Event.status |
type | Event.code |
patient | Event.subject |
created | Event.occurrence[x] |
enterer | Event.performer.agent |
insurer | Event.performer.agent |
facility | Event.performer.location |
Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)
PdexPriorAuthorization |
ExplanationOfBenefit | |
identifier | FiveWs.identifier |
status | FiveWs.status |
type | FiveWs.class |
subType | FiveWs.class |
use | FiveWs.class |
patient | FiveWs.subject[x], FiveWs.subject |
billablePeriod | FiveWs.done[x] |
created | FiveWs.recorded |
enterer | FiveWs.author |
insurer | FiveWs.author |
provider | FiveWs.source |
referral | FiveWs.cause |
facility | FiveWs.where[x] |
claim | FiveWs.why[x] |
careTeam | |
provider | FiveWs.actor |
item | |
serviced[x] | FiveWs.done[x] |
location[x] | FiveWs.where[x] |
addItem | |
provider | FiveWs.source |
serviced[x] | FiveWs.done[x] |
location[x] | FiveWs.where[x] |
PdexPriorAuthorization |
ExplanationOfBenefit | |
priority | Request.priority |
insurance | Coverage |
PdexPriorAuthorization |
ExplanationOfBenefit | Entity. Role, or Act |
meta | |
id | n/a |
extension | n/a |
text | Act.text? |
contained | N/A |
modifierExtension | N/A |
related | |
id | n/a |
extension | n/a |
modifierExtension | 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 |
diagnosis | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
procedure | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
insurance | |
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 |
adjudication | |
id | n/a |
modifierExtension | N/A |
adjudication (adjudicationamounttype) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
adjudication (allowedunits) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
adjudication (denialreason) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
adjudication (consumedunits) | |
id | n/a |
extension | 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 |
extension | 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 |
adjudication | |
id | n/a |
modifierExtension | N/A |
adjudication (adjudicationamounttype) | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
total | |
id | 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 |
benefitBalance | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
financial | |
id | n/a |
extension | n/a |
modifierExtension | N/A |