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Page standards status: Informative |
Generated Narrative: Task cdex-task-example19
identifier: Re-Association Tracking Control Number/trackingid123
status: Requested
intent: order
code: Coded Attachment Request
for: Amy Shaw (no stated gender), DoB: 1987-02-20 ( Member Number: Member123 (use: usual, ))
authoredOn: 2022-06-17 16:16:06+0000
lastModified: 2022-06-17 16:16:06+0000
requester: Identifier: http://example.org/cdex/payer/payer-ids
/Payer123
owner: PractitionerRole
reasonCode: claim
reasonReference: Identifier: http://example.org/cdex/payer/claim-ids
/Claim123
Period |
?? --> 2022-06-21 |
input
PALineNumber: 1
type: Attachments Needed
value: Progress note
input
type: Signature Flag
value: true
input
type: Payer URL
input
type: Service Date
value: 2022-06-13
input
type: Purpose Of Use
value: claim attachment
Generated Narrative: Patient #patient
Amy Shaw (no stated gender), DoB: 1987-02-20 ( Member Number: Member123 (use: usual, ))
Generated Narrative: PractitionerRole #practitionerrole
practitioner: Identifier: United States National Provider Identifier/9941339100
organization: Identifier: United States National Provider Identifier/1234567893