Da Vinci Prior Authorization Support (PAS) FHIR IG
1.0.0 - STU 1

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Resource Profile: PASBeneficiary - Mappings

Mappings for the profile-beneficiary resource profile.

Mappings for Argonaut-DQ-DSTU2 (http://unknown.org/Argonaut-DQ-DSTU2)

PASBeneficiary
PatientPatient
   extension (race)Patient.extension
   extension (ethnicity)Patient.extension
   extension (birthsex)Patient.extension
   identifierPatient.identifier
      systemPatient.identifier.system
      valuePatient.identifier.value
   namePatient.name
      familyPatient.name.family
      givenPatient.name.given
   telecomNA
      systemNA
      valueNA
      useNA
   genderPatient.gender
   birthDatePatient.birthDate
   addressPatient.birthDate
      lineNA
      cityNA
      stateNA
      postalCodeNA
      periodNA
   communicationPatient.communication
      languagePatient.communication.language

Mappings for RIM Mapping (http://hl7.org/v3)

PASBeneficiary
PatientEntity. Role, or Act, Patient[classCode=PAT]
   textAct.text?
   containedN/A
   extension (birthsex)player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
   modifierExtensionN/A
   identifierid
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   activestatusCode
   namename
      idn/a
      extensionn/a
      useunique(./use)
      text./formatted
      family./part[partType = FAM]
      given./part[partType = GIV]
      prefix./part[partType = PFX]
      suffix./part[partType = SFX]
      period./usablePeriod[type="IVL<TS>"]
   telecomtelecom
      idn/a
      extensionn/a
      system./scheme
      value./url
      useunique(./use)
      rankn/a
      period./usablePeriod[type="IVL<TS>"]
   genderplayer[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
   birthDateplayer[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime
   deceased[x]player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime
   addressaddr
      idn/a
      extensionn/a
      useunique(./use)
      typeunique(./use)
      text./formatted
      lineAD.part[parttype = AL]
      cityAD.part[parttype = CTY]
      districtAD.part[parttype = CNT | CPA]
      stateAD.part[parttype = STA]
      postalCodeAD.part[parttype = ZIP]
      countryAD.part[parttype = CNT]
      period./usablePeriod[type="IVL<TS>"]
   maritalStatusplayer[classCode=PSN]/maritalStatusCode
   multipleBirth[x]player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber
   multipleBirth[x] (multipleBirthInteger)player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber
   photoplayer[classCode=PSN|ANM and determinerCode=INSTANCE]/desc
   contactplayer[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]
      idn/a
      extensionn/a
      modifierExtensionN/A
      relationshipcode
      namename
      telecomtelecom
      addressaddr
      genderplayer[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
      organizationscoper
      periodeffectiveTime
   communicationLanguageCommunication
      idn/a
      extensionn/a
      modifierExtensionN/A
      languageplayer[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code
      preferredpreferenceInd
   generalPractitionersubjectOf.CareEvent.performer.AssignedEntity
   managingOrganizationscoper
   linkoutboundLink
      idn/a
      extensionn/a
      modifierExtensionN/A
      otherid
      typetypeCode

Mappings for CDA (R2) (http://hl7.org/v3/cda)

PASBeneficiary
PatientClinicalDocument.recordTarget.patientRole
   identifier.id
   activen/a
   name.patient.name
   telecom.telecom
   gender.patient.administrativeGenderCode
   birthDate.patient.birthTime
   deceased[x]n/a
   address.addr
   maritalStatus.patient.maritalStatusCode
   multipleBirth[x]n/a
   multipleBirth[x] (multipleBirthInteger)n/a
   photon/a
   contactn/a
      relationshipn/a
      namen/a
      telecomn/a
      addressn/a
      gendern/a
      organizationn/a
      periodn/a
   communicationpatient.languageCommunication
      language.languageCode
      preferred.preferenceInd
   generalPractitionern/a
   managingOrganization.providerOrganization
   linkn/a
      othern/a
      typen/a

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

PASBeneficiary
Patient
   identifierFiveWs.identifier
   activeFiveWs.status

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

PASBeneficiary
Patient
   identifierPID-3
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   namePID-5, PID-9
      useXPN.7, but often indicated by which field contains the name
      textimplied by XPN.11
      familyXPN.1/FN.1
      givenXPN.2 + XPN.3
      prefixXPN.5
      suffixXPN/4
      periodXPN.13 + XPN.14
   telecomPID-13, PID-14, PID-40
      systemXTN.3
      valueXTN.1 (or XTN.12)
      useXTN.2 - but often indicated by field
      rankn/a
      periodN/A
   genderPID-8
   birthDatePID-7
   deceased[x]PID-30 (bool) and PID-29 (datetime)
   addressPID-11
      useXAD.7
      typeXAD.18
      textXAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
      lineXAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
      cityXAD.3
      districtXAD.9
      stateXAD.4
      postalCodeXAD.5
      countryXAD.6
      periodXAD.12 / XAD.13 + XAD.14
   maritalStatusPID-16
   multipleBirth[x]PID-24 (bool), PID-25 (integer)
   multipleBirth[x] (multipleBirthInteger)PID-24 (bool), PID-25 (integer)
   photoOBX-5 - needs a profile
   contact
      relationshipNK1-7, NK1-3
      nameNK1-2
      telecomNK1-5, NK1-6, NK1-40
      addressNK1-4
      genderNK1-15
      organizationNK1-13, NK1-30, NK1-31, NK1-32, NK1-41
   communication
      languagePID-15, LAN-2
      preferredPID-15
   generalPractitionerPD1-4
   link
      otherPID-3, MRG-1

Mappings for LOINC code for the element (http://loinc.org)

PASBeneficiary
Patient
   birthDate21112-8