Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2 United States of America flag

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.2.1: 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

Example Task: Additional Information Task Example

Page standards status: Informative

Language: en

Profile: PAS Task

identifier: http://example.org/ITEM_TRACE_NUMBER/1122334

status: Requested

intent: order

code: Attach Request Code

for: JESSE SMITH Female, DoB: 1947-01-18 ( http://example.org/MIN#12345678902)

requester: Identifier: United States National Provider Identifier/789312

owner: Identifier: United States National Provider Identifier/789312

reasonCode: Prior Authorization Information Request

reasonReference: Claim: identifier = http://example.org/PATIENT_EVENT_TRACE_NUMBER#111099; status = active; type = Professional; use = preauthorization; created = 2005-05-02 11:01:00+0500; priority = Normal

input

type: Payer URL

value: http://example.org/payerURL

input

Service Line Number: 1

type: Attachments Needed

value: Procedure note