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

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.2.0-ballot: STU 2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 2.1.0. For a full list of available versions, see the Directory of published versions

Resource Profile: PASClaim - Mappings

Page standards status: Trial-use Maturity Level: 3

Mappings for the profile-claim resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternFiveWs Pattern MappingRIM Mappingdoco
.. Claim
Request
  • Entity. Role
  • or Act
... id
... meta
... implicitRules
... language
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:levelOfServiceType
.... extension:conditionCode
.... extension:homeHealthCareInformation
.... extension:encounter
N/A
..... id
n/a
..... extension
..... url
N/A
..... value[x]
N/A
... modifierExtension
N/A
... identifier
Request.identifier
FiveWs.identifier
.... id
n/a
.... Slices for extension
n/a
..... extension:subDepartment
..... extension:jurisdiction
.... 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
... status
Request.status
FiveWs.status
... type
FiveWs.class
... subType
FiveWs.class
... use
FiveWs.class
... patient
Request.subject
FiveWs.subject
... billablePeriod
FiveWs.done[x]
... created
Request.authoredOn
FiveWs.recorded
... enterer
FiveWs.author
... insurer
Request.performer
... provider
Request.requester
FiveWs.source
... priority
Request.priority
... fundsReserve
... related
... prescription
... originalPrescription
... payee
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... type
.... party
... referral
FiveWs.cause
... facility
FiveWs.where[x]
... Slices for careTeam
.... careTeam:All Slices
..... id
n/a
..... Slices for extension
...... extension:careTeamClaimScope
..... modifierExtension
N/A
..... sequence
..... provider
FiveWs.actor
..... responsible
..... role
..... qualification
.... careTeam:OverallClaimMember
..... id
n/a
..... Slices for extension
...... extension:careTeamClaimScope
....... id
n/a
....... extension
....... url
N/A
....... value[x]
N/A
..... modifierExtension
N/A
..... sequence
..... provider
FiveWs.actor
..... responsible
..... role
..... qualification
.... careTeam:ItemClaimMember
..... id
n/a
..... Slices for extension
...... extension:careTeamClaimScope
....... id
n/a
....... extension
....... url
N/A
....... value[x]
N/A
..... modifierExtension
N/A
..... sequence
..... provider
FiveWs.actor
..... responsible
..... role
..... qualification
... Slices for supportingInfo
Request.supportingInfo
.... supportingInfo:All Slices
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... category
..... code
..... timing[x]
..... value[x]
..... reason
.... supportingInfo:PatientEvent
Request.supportingInfo
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... category
..... code
..... Slices for timing[x]
...... timing[x]:timingDate
...... timing[x]:timingPeriod
....... id
n/a
....... extension
n/a
....... start
./low
....... end
./high
..... value[x]
..... reason
.... supportingInfo:AdmissionDates
Request.supportingInfo
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... category
..... code
..... Slices for timing[x]
...... timing[x]:timingDate
...... timing[x]:timingPeriod
....... id
n/a
....... extension
n/a
....... start
./low
....... end
./high
..... value[x]
..... reason
.... supportingInfo:DischargeDates
Request.supportingInfo
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... category
..... code
..... timing[x]
..... value[x]
..... reason
.... supportingInfo:AdditionalInformation
Request.supportingInfo
..... id
n/a
..... Slices for extension
...... extension:documentInformation
..... modifierExtension
N/A
..... sequence
..... category
..... code
..... timing[x]
..... value[x]
..... reason
.... supportingInfo:MessageText
Request.supportingInfo
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... category
..... code
..... timing[x]
..... value[x]
..... reason
... diagnosis
Request.reasonReference
.... id
n/a
.... Slices for extension
..... extension:recordedDate
.... modifierExtension
N/A
.... sequence
.... diagnosis[x]
.... type
.... onAdmission
.... packageCode
... procedure
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... type
.... date
.... procedure[x]
.... udi
... insurance
Coverage
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... focal
.... identifier
Request.identifier
FiveWs.identifier
.... coverage
.... businessArrangement
.... preAuthRef
.... claimResponse
... accident
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... date
.... type
.... location[x]
... item
.... id
n/a
.... Slices for extension
..... extension:itemTraceNumber
..... extension:authorizationNumber
..... extension:administrationReferenceNumber
..... extension:requestType
..... extension:certificationType
..... extension:productOrServiceCodeEnd
..... extension:epsdtIndicator
..... extension:nursingHomeResidentialStatus
...... id
n/a
...... extension
...... url
N/A
...... value[x]
N/A
..... extension:nursingHomeLevelOfCare
..... extension:revenueUnitRateLimit
..... extension:requestedService
.... modifierExtension
N/A
.... sequence
.... careTeamSequence
.... diagnosisSequence
.... procedureSequence
.... informationSequence
.... revenue
.... category
.... productOrService
.... modifier
.... programCode
.... Slices for serviced[x]
FiveWs.done[x]
..... serviced[x]:servicedDate
FiveWs.done[x]
..... serviced[x]:servicedPeriod
FiveWs.done[x]
...... id
n/a
...... extension
n/a
...... start
./low
...... end
./high
.... location[x]
FiveWs.where[x]
.... quantity
.... unitPrice
.... factor
.... net
.... udi
.... bodySite
.... subSite
.... encounter
Request.context
.... detail
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... revenue
..... category
..... productOrService
..... modifier
..... programCode
..... quantity
..... unitPrice
..... factor
..... net
..... udi
..... subDetail
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... sequence
...... revenue
...... category
...... productOrService
...... modifier
...... programCode
...... quantity
...... unitPrice
...... factor
...... net
...... udi
... total

doco Documentation for this format