Da Vinci Clinical Data Exchange (CDex)
2.1.0-snapshot - CI Build United States of America flag

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

Example Task: CDex Task Example 28

Page standards status: Informative

Generated Narrative: Task cdex-task-example28

identifier: Re-Association Tracking Control Number/trackingid1056

status: Requested

intent: order

code: Attachment Request Questionnaire

for: Amy Shaw (no stated gender), DoB: 1987-02-20 ( Patient Account Number: PA-123 (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: preauthorization

reasonReference: Identifier: http://example.org/cdex/payer/claim-ids/Preauth123

Restrictions

-Period
*?? --> 2022-06-21

input

PALineNumber: 1

type: Questionnaires Needed

value: Home Oxygen Therapy Questionnaire

input

type: Payer URL

value: http://example.org/cdex/payer/$submit-attachment

input

type: Purpose Of Use

value: coverage authorization

input

type: Signature Flag

value: true

Generated Narrative: Patient #patient

Amy Shaw (no stated gender), DoB: 1987-02-20 ( Patient Account Number: PA-123 (use: usual, ))

Other Id: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