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: PASClaimInquiry - Mappings

Mappings for the profile-claim-inquiry resource profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

PASClaimInquiry
ClaimRequest
   identifierRequest.identifier
   statusRequest.status
   patientRequest.subject
   createdRequest.authoredOn
   insurerRequest.performer
   providerRequest.requester
   priorityRequest.priority
   related
      claimRequest.replaces
   supportingInfoRequest.supportingInfo
   supportingInfo (PatientEvent)Request.supportingInfo
   supportingInfo (AdmissionReview)Request.supportingInfo
   diagnosisRequest.reasonReference
   insurance
      identifierRequest.identifier
   item
      encounterRequest.context

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

PASClaimInquiry
Claim
   identifierFiveWs.identifier
   statusFiveWs.status
   typeFiveWs.class
   subTypeFiveWs.class
   useFiveWs.class
   patientFiveWs.subject[x], FiveWs.subject
   billablePeriodFiveWs.done[x]
   createdFiveWs.recorded
   entererFiveWs.author
   providerFiveWs.source
   referralFiveWs.cause
   facilityFiveWs.where[x]
   careTeam
      providerFiveWs.actor
   insurance
      identifierFiveWs.identifier
   item
      serviced[x]FiveWs.done[x]
      location[x]FiveWs.where[x]
      location[x] (locationCodeableConcept)FiveWs.where[x]

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

PASClaimInquiry
ClaimEntity. Role, or Act
   textAct.text?
   containedN/A
   extension (certificationType)n/a, N/A
   extension (levelOfServiceType)n/a, N/A
   modifierExtensionN/A
   related
      idn/a
      extensionn/a
      modifierExtensionN/A
   payee
      idn/a
      extensionn/a
      modifierExtensionN/A
   careTeam
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (PatientEvent)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (AdmissionReview)
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis
      idn/a
      extensionn/a
      modifierExtensionN/A
   procedure
      idn/a
      extensionn/a
      modifierExtensionN/A
   insuranceCoverage
      idn/a
      extensionn/a
      modifierExtensionN/A
   accident
      idn/a
      extensionn/a
      modifierExtensionN/A
   item
      idn/a
      extension (itemTraceNumber)n/a, N/A
      extension (authorizationNumber)n/a, N/A
      extension (administrationReferenceNumber)n/a, N/A
      extension (preAuthIssueDate)n/a, N/A
      extension (preAuthPeriod)n/a, N/A
      extension (requestType)n/a, N/A
      extension (certificationType)n/a, N/A
      extension (reviewActionCode)n/a, N/A
      extension (productOrServiceCodeEnd)n/a, N/A
      modifierExtensionN/A
      detail
         idn/a
         extensionn/a
         modifierExtensionN/A
         subDetail
            idn/a
            extensionn/a
            modifierExtensionN/A