Da Vinci Clinical Data Exchange (CDex)
2.0.0 - STU2 United States of America flag

This page is part of the Da Vinci Clinical Documentation Exchange (v2.0.0: STU2) based on FHIR 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

: CDex Task Example 26 - XML Representation

Page standards status: Informative

Raw xml | Download



<Task xmlns="http://hl7.org/fhir">
  <id value="cdex-task-example26"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-task-data-request"/>
    <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><b>Generated Narrative: Task</b><a name="cdex-task-example26"> </a></p><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">Resource Task &quot;cdex-task-example26&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-cdex-task-data-request.html">CDex Task Data Request Profile</a></p><p style="margin-bottom: 0px">Tag: <span title="{http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp}">http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp</span></p></div><p><b>status</b>: requested</p><p><b>intent</b>: order</p><p><b>code</b>: Data Request Questionnaire <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-cdex-temp.html">CDex Temporary Code System</a>#data-request-questionnaire)</span></p><p><b>for</b>: <span/></p><p><b>authoredOn</b>: 2022-06-17 16:16:06+0000</p><p><b>lastModified</b>: 2022-06-17 16:16:06+0000</p><p><b>requester</b>: <span/></p><p><b>owner</b>: <span/></p><p><b>reasonReference</b>: <span/></p><blockquote><p><b>input</b></p><p><b>type</b>: Questionnaire <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/uv/sdc/STU3/CodeSystem-temp.html">Temporary SDC Codes</a>#questionnaire)</span></p><p><b>value</b>: <a href="Questionnaire-cdex-questionnaire-example1.html">Home Oxygen Therapy Questionnaire</a></p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: Purpose Of Use <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-cdex-temp.html">CDex Temporary Code System</a>#purpose-of-use)</span></p><p><b>value</b>: coverage under policy or program <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActReason.html">ActReason</a>#COVERAGE)</span></p></blockquote></div>
  </text>
  <status value="requested"/>
  <intent value="order"/>
  <code>
    <coding>
      <system
              value="http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"/>
      <code value="data-request-questionnaire"/>
    </coding>
  </code>
  <for>
    <identifier>
      <type>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp"/>
          <code value="UMB"/>
          <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="2022-06-17T16:16:06Z"/>
  <lastModified value="2022-06-17T16:16:06Z"/>
  <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/uv/sdc/CodeSystem/temp"/>
        <code value="questionnaire"/>
      </coding>
    </type>
    <valueCanonical value="http://example.org/cdex-questionnaire-example1"/>
  </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>
</Task>