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: PASInsurer - Mappings

Mappings for the profile-insurer resource profile.

Mappings for ServD (http://www.omg.org/spec/ServD/1.0/)

PASInsurer
OrganizationOrganization
   identifier./Identifiers, n/a
      system./IdentifierType
      value./Value
      period./StartDate and ./EndDate
      assigner./IdentifierIssuingAuthority
   identifier (NPI)./Identifiers, n/a
   identifier (CLIA)./Identifiers, n/a
   active./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date.
   typen/a
   name.PreferredName/Name, ./PrimaryAddress and ./OtherAddresses
   telecom./ContactPoints
   address./PrimaryAddress and ./OtherAddresses, n/a
      use./AddressPurpose
      line./StreetAddress (newline delimitted)
      city./Jurisdiction
      state./Region, ./Sites
      postalCode./PostalIdentificationCode
      country./Country
      period./StartDate and ./EndDate
   partOfn/a

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

PASInsurer
Organization(also see master files messages)
   identifierXON.10 / XON.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)
   identifier (NPI)XON.10 / XON.3
   identifier (CLIA)XON.10 / XON.3
   activeNo equivalent in HL7 v2
   typeNo equivalent in v2
   nameXON.1
   telecomORC-22?
   addressORC-23?
      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
   partOfNo equivalent in HL7 v2
   contact
      namePID-5, PID-9
      telecomPID-13, PID-14
      addressPID-11

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

PASInsurer
OrganizationEntity. Role, or Act, Organization(classCode=ORG, determinerCode=INST)
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.scopes[Role](classCode=IDENT)
      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
   identifier (NPI).scopes[Role](classCode=IDENT)
   identifier (CLIA).scopes[Role](classCode=IDENT)
   active.status
   type.code
   name.name
   alias.name
   telecom.telecom
   address.address
      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>"]
   partOf.playedBy[classCode=Part].scoper
   contact.contactParty
      idn/a
      extensionn/a
      modifierExtensionN/A
      purpose./type
      name./name
      telecom./telecom
      address./addr
   endpointn/a

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

PASInsurer
Organization
   identifierFiveWs.identifier
   identifier (NPI)FiveWs.identifier
   identifier (CLIA)FiveWs.identifier
   activeFiveWs.status
   typeFiveWs.class