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PDex IG Observation: Prior Authorization Resource Naming Inconsistency (PSS-2765)

Basics

PDex IG Observation: Prior Authorization Resource Naming Inconsistency (PSS-2765)

1974




Details

I wanted to share an observation regarding the Da Vinci Payer Data Exchange (PDex) Implementation Guide, specifically the Data Retrieval Methods section ([https://hl7.org/fhir/us/davinci-pdex/PayerToPayerExchange.html#data-retrieval-methods]).

The [PDex Prior Authorization Profile|https://hl7.org/fhir/us/davinci-pdex/StructureDefinition-pdex-priorauthorization.html] is correctly defined as being {}based on the [ExplanationOfBenefit|https://hl7.org/fhir/R4/explanationofbenefit.html] resource{}. However, in the corresponding table, the Resource column refers to the resource as “Prior Authorization.” Since [FHIR R4|https://hl7.org/fhir/R4/resourcelist.html] does not define a resource named “Prior Authorization,” this appears to be an inconsistency within the IG.

To avoid potential confusion for implementers, it may be more accurate and consistent to explicitly reference ExplanationOfBenefit as the applicable FHIR resource, rather than using “Prior Authorization” as a resource name.

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Organization & Realm


People




Arden Syntax Work Group


Status & Dates

Active

Active Project (Resources assigned to pjt)

09/29/2026





Approvals



Not Needed


Not Needed


Not Needed


System Info

278092

PSS-2765

09/29/2026

Jira Project Service