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: PASClaimInquiryResponse - Mappings

Page standards status: Trial-use Maturity Level: 3

Mappings for the profile-claiminquiryresponse 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
.. ClaimResponse
Event
  • Entity. Role
  • or Act
... id
... meta
... implicitRules
... language
... text
Act.text?
... contained
N/A
... extension
N/A
... modifierExtension
N/A
... identifier
Event.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
Event.status
FiveWs.status
... type
FiveWs.class
... subType
FiveWs.class
... use
FiveWs.class
... patient
FiveWs.subject
... created
Event.occurrence[x]
FiveWs.recorded
... insurer
Event.performer
... requestor
FiveWs.source
... request
Event.basedOn
FiveWs.why[x]
.... id
n/a
.... Slices for extension
n/a
..... extension:DataAbsentReason
ANY.nullFlavor
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... outcome
... disposition
Event.note
... preAuthRef
... preAuthPeriod
... payeeType
... item
.... id
n/a
.... Slices for extension
..... extension:itemTraceNumber
..... extension:preAuthIssueDate
..... extension:preAuthPeriod
..... extension:previousAuthorizationNumber
..... extension:administrationReferenceNumber
..... extension:requestedServiceDate
..... extension:authorizedProvider
..... extension:authorizedItemDetail
..... extension:communicatedDiagnosis
.... modifierExtension
N/A
.... itemSequence
.... noteNumber
.... adjudication
..... id
n/a
..... Slices for extension
...... extension:reviewAction
..... modifierExtension
N/A
..... category
..... reason
..... amount
..... value
.... detail
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... detailSequence
..... noteNumber
..... adjudication
..... subDetail
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... subDetailSequence
...... noteNumber
...... adjudication
... addItem
.... id
n/a
.... Slices for extension
..... extension:itemTraceNumber
..... extension:preAuthIssueDate
..... extension:preAuthPeriod
..... extension:previousAuthorizationNumber
..... extension:administrationReferenceNumber
..... extension:epsdtIndicator
..... extension:nursingHomeResidentialStatus
..... extension:nursingHomeLevelOfCare
..... extension:productOrServiceCodeEnd
..... extension:revenue
..... extension:revenueUnitRateLimit
..... extension:requestedService
.... modifierExtension
N/A
.... itemSequence
.... detailSequence
.... subdetailSequence
.... provider
FiveWs.source
..... id
n/a
..... Slices for extension
n/a
...... extension:providerType
..... reference
N/A
..... type
N/A
..... identifier
.identifier
..... display
N/A
.... productOrService
.... modifier
  • 24.C
  • 24.D mods
.... programCode
24.H
.... serviced[x]
FiveWs.done[x]
24.A
.... location[x]
FiveWs.where[x]
24.B
.... quantity
24.G
.... unitPrice
.... factor
.... net
24.F
.... bodySite
.... subSite
.... noteNumber
.... adjudication
..... id
n/a
..... Slices for extension
...... extension:reviewAction
..... modifierExtension
N/A
..... category
..... reason
..... amount
..... value
.... detail
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... productOrService
..... modifier
  • 24.C
  • 24.D mods
..... quantity
24.G
..... unitPrice
..... factor
..... net
24.F
..... noteNumber
..... adjudication
..... subDetail
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... productOrService
...... modifier
  • 24.C
  • 24.D mods
...... quantity
24.G
...... unitPrice
...... factor
...... net
24.F
...... noteNumber
...... adjudication
... adjudication
.... id
n/a
.... Slices for extension
..... extension:reviewAction
.... modifierExtension
N/A
.... category
.... reason
.... amount
.... value
... total
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... category
.... amount
... payment
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... type
.... adjustment
.... adjustmentReason
.... date
.... amount
.... identifier
... fundsReserve
... formCode
... form
... processNote
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... number
.... type
.... text
.... language
... communicationRequest
... insurance
Coverage
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... focal
.... coverage
.... businessArrangement
.... claimResponse
... error
.... id
n/a
.... Slices for extension
..... extension:followupAction
..... extension:errorElement
..... extension:errorPath
.... modifierExtension
N/A
.... itemSequence
.... detailSequence
.... subDetailSequence
.... code

doco Documentation for this format