This page is part of the Da Vinci Clinical Documentation Exchange (v2.1.0-snapshot: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
Page standards status: Informative |
<Task xmlns="http://hl7.org/fhir">
<id value="cdex-task-example14"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2020-10-26T04:04:52.000+00:00"/>
<source value="#tgH2FoPFuCq0yjw5"/>
<tag>
<system
value="http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"/>
<code value="claims-processing"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Task cdex-task-example14</b></p><a name="cdex-task-example14"> </a><a name="hccdex-task-example14"> </a><a name="cdex-task-example14-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 3; Last updated: 2020-10-26 04:04:52+0000; </p><p style="margin-bottom: 0px">Information Source: #tgH2FoPFuCq0yjw5</p><p style="margin-bottom: 0px">Tag: Claim Processing (Details: CDex Temporary Code System code claims-processing = 'Claim Processing')</p></div><p><b>status</b>: Completed</p><p><b>businessStatus</b>: <span title="Codes:">Results reviewed for release</span></p><p><b>intent</b>: order</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp data-request-code}">Data Request Code</span></p><p><b>for</b>: Identifier: Member Number/Member123</p><p><b>authoredOn</b>: 2020-10-26 02:58:55+0000</p><p><b>lastModified</b>: 2020-10-26 04:04:52+0000</p><p><b>requester</b>: Identifier: <code>http://example.org/cdex/payer/payer-ids</code>/Payer123</p><p><b>owner</b>: Identifier: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/9941339108</p><p><b>reasonReference</b>: Identifier: Payer Claim ID/Claim123</p><blockquote><p><b>input</b></p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp data-code}">data code input</span></p><p><b>value</b>: <span title="Codes:">request for patient's active conditions and their provenance</span></p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp purpose-of-use}">Purpose Of Use</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason COVERAGE}">coverage under policy or program</span></p></blockquote><blockquote><p><b>output</b></p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp data-value}">data values output</span></p><p><b>value</b>: <a href="https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&canonical=http://example.org/fhir/Condition/858">??</a></p></blockquote><blockquote><p><b>output</b></p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp data-value}">data values output</span></p><p><b>value</b>: <a href="https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&canonical=http://example.org/fhir/Provenance/858">??</a></p></blockquote></div>
</text>
<status value="completed"/>
<businessStatus>
<text value="Results reviewed for release"/>
</businessStatus>
<intent value="order"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"/>
<code value="data-request-code"/>
</coding>
</code>
<for>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MB"/>
<display value="Member Number"/>
</coding>
<text value="Member Number"/>
</type>
<system value="http://example.org/cdex/payer/member-ids"/>
<value value="Member123"/>
</identifier>
</for>
<authoredOn value="2020-10-26T02:58:55.179Z"/>
<lastModified value="2020-10-26T04:04:52.019Z"/>
<requester>
<identifier>
<system value="http://example.org/cdex/payer/payer-ids"/>
<value value="Payer123"/>
</identifier>
</requester>
<owner>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339108"/>
</identifier>
</owner>
<reasonReference>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
<display value="Filler Identifier"/>
</coding>
<text value="Payer Claim ID"/>
</type>
<system value="http://example.org/cdex/payer/claim-ids"/>
<value value="Claim123"/>
</identifier>
</reasonReference>
<input>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp"/>
<code value="data-code"/>
</coding>
</type>
<valueCodeableConcept>
<text
value="request for patient's active conditions and their provenance"/>
</valueCodeableConcept>
</input>
<input>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"/>
<code value="purpose-of-use"/>
</coding>
</type>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="COVERAGE"/>
</coding>
</valueCodeableConcept>
</input>
<output>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp"/>
<code value="data-value"/>
</coding>
</type>
<valueReference>
<reference value="http://example.org/fhir/Condition/858"/>
</valueReference>
</output>
<output>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp"/>
<code value="data-value"/>
</coding>
</type>
<valueReference>
<reference value="http://example.org/fhir/Provenance/858"/>
</valueReference>
</output>
</Task>