Task-example-fm-reprocess.xml

Example of the cancellation of a preauthorization (id = "fm-example4")

<?xml version="1.0" encoding="UTF-8"?>

<Task xmlns="http://hl7.org/fhir">
  <!--     This is an example to demonstrate using task for actioning a reprocessing of several
   lines on a preauthorization  -->
  <id value="fm-example4"/>  
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> 
        <b>  Generated Narrative with Details</b> 
      </p> 
    </div> 
  </text> 
  <identifier>  
    <use value="official"/>  
    <system value="http:/happyvalley.com/task"/>  
    <value value="20181012-006"/>  
  </identifier>  
  <status value="requested"/>  
  <intent value="order"/>  
  <priority value="stat"/>  <!--   real time request and response required   -->
  <!--     fictive code and description elements populated for this example      -->
  <code>  
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/financialtaskcode"/> 
      <code value="reprocess"/> 
    </coding> 
  </code>  
  <focus>  
    <identifier> 
      <system value="http://happyvalley.com/claim"/> 
      <value value="1501"/> 
    </identifier> 
  </focus>  
  <authoredOn value="2018-10-04T08:25:05+10:00"/>  
  <lastModified value="2018-10-04T08:25:05+10:00"/>  
  <requester>  
    <reference value="Organization/example"/>  
    <display value="Happy Valley Clinic"/>  
  </requester>  
  <owner>  
    <identifier> 
      <system value="http://nationalinsurers.com/identifiers"/> 
      <value value="12345"/> 
    </identifier> 
  </owner>  
  <input> 
    <type> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/financialtaskinputtype"/> 
        <code value="origresponse"/>  <!--   identifier of the insurer's response to the preauthorization   -->
      </coding> 
    </type> 
    <valueReference> 
      <identifier> 
        <system value="http://nationalinsurers.com/claimresponse"/> 
        <value value="CR201810040001234"/> 
      </identifier> 
    </valueReference> 
  </input> 
  <input> 
    <type> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/financialtaskinputtype"/> 
        <code value="reference"/>  <!--   authorization reference   -->
      </coding> 
    </type> 
    <valueString value="BR12345"/>  
  </input> 
  <input> 
    <type> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/financialtaskinputtype"/> 
        <code value="item"/>  <!--   line item sequence number to reprocess   -->
      </coding> 
    </type> 
    <valuePositiveInt value="2"/> 
  </input> 
  <input> 
    <type> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/financialtaskinputtype"/> 
        <code value="item"/>  <!--   line item sequence number to reprocess   -->
      </coding> 
    </type> 
    <valuePositiveInt value="3"/> 
  </input> 
</Task>