This page is part of the Da Vinci Clinical Documentation Exchange (v2.1.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Page standards status: Informative |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Task ;
fhir:nodeRole fhir:treeRoot ;
fhir:contained ( [
a fhir:Patient ;
fhir:id [ fhir:v "patient" ] ;
( fhir:identifier [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MB" ] ;
fhir:display [ fhir:v "Member Number" ] ] ) ;
fhir:text [ fhir:v "Member Number" ] ] ;
fhir:system [ fhir:v "http://example.org/cdex/payer/member-ids"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Member123" ] ] [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pat" ] ;
fhir:display [ fhir:v "Patient Account Number" ] ] ) ;
fhir:text [ fhir:v "Patient Account Number" ] ] ;
fhir:system [ fhir:v "http://example.org/cdex/provider/patient-ids"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PA-123" ] ] ) ;
( fhir:name [
fhir:family [ fhir:v "Shaw" ] ;
( fhir:given [ fhir:v "Amy" ] ) ] ) ;
fhir:birthDate [ fhir:v "1987-02-20"^^xsd:date ]
] [
a fhir:PractitionerRole ;
fhir:id [ fhir:v "practitionerrole" ] ;
fhir:practitioner [
fhir:identifier [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9941339100" ] ] ] ;
fhir:organization [
fhir:identifier [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1234567893" ] ] ]
] ) ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tracking-id" ] ;
fhir:display [ fhir:v "Tracking Id" ] ] ) ;
fhir:text [ fhir:v "Re-Association Tracking Control Number" ] ] ;
fhir:system [ fhir:v "http://example.org/payer"^^xsd:anyURI ] ;
fhir:value [ fhir:v "trackingid1012" ]
] ) ; #
fhir:status [ fhir:v "requested"] ; #
fhir:intent [ fhir:v "order"] ; #
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "attachment-request-questionnaire" ] ] ) ;
fhir:text [ fhir:v "Attachment Request Questionnaire" ]
] ; #
fhir:for [
fhir:reference [ fhir:v "#patient" ]
] ; #
fhir:authoredOn [ fhir:v "2022-06-17T16:16:06Z"^^xsd:dateTime] ; #
fhir:lastModified [ fhir:v "2022-06-17T16:16:06Z"^^xsd:dateTime] ; #
fhir:requester [
fhir:identifier [
fhir:system [ fhir:v "http://example.org/cdex/payer/payer-ids"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Payer123" ] ]
] ; #
fhir:owner [
fhir:reference [ fhir:v "#practitionerrole" ]
] ; #
fhir:reasonCode [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/claim-use"^^xsd:anyURI ] ;
fhir:code [ fhir:v "preauthorization" ] ;
fhir:display [ fhir:v "Preauthorization" ] ] ) ;
fhir:text [ fhir:v "preauthorization" ]
] ; #
fhir:reasonReference [
fhir:identifier [
fhir:system [ fhir:v "http://example.org/cdex/payer/claim-ids"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Preauth123" ] ]
] ; #
fhir:restriction [
fhir:period [
fhir:end [ fhir:v "2022-06-21"^^xsd:date ] ]
] ; #
fhir:input ( [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-paLineNumber"^^xsd:anyURI ] ;
fhir:value [
a fhir:integer ;
fhir:v "1"^^xsd:integer ] ] ) ;
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "questionnaire-context" ] ] ) ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://example.org/cdex-questionnaire-example1"^^xsd:anyURI ;
fhir:link <http://example.org/cdex-questionnaire-example1> ]
] [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "payer-url" ] ] ) ] ;
fhir:value [
a fhir:url ;
fhir:v "http://example.org/cdex/payer/$submit-attachment"^^xsd:anyURI ]
] [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"^^xsd:anyURI ] ;
fhir:code [ fhir:v "purpose-of-use" ] ] ) ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "COVAUTH" ] ;
fhir:display [ fhir:v "coverage authorization" ] ] ) ]
] ) . #
IG © 2024+ HL7 International / Payer/Provider Information Exchange Work Group. Package hl7.fhir.us.davinci-cdex#2.1.0 based on FHIR 4.0.1. Generated 2025-02-11
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change