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

Example Task: CDex Task Example 29

Page standards status: Informative

This example is based on draft profile elements.

Generated Narrative: Task

Resource Task "cdex-task-example29"

Profile: CDex Task Attachment Request Profile

identifier: Re-Association Tracking Control Number: trackingid1056

status: completed

intent: order

code: Attachment Request Questionnaire (CDex Temporary Code System#attachment-request-questionnaire)

for:

identifier: Member Number: Member123 (use: USUAL), Patient Account Number: PA-123 (use: USUAL)

name: Amy Shaw

birthDate: 1987-02-20

authoredOn: 2022-06-17 16:16:06+0000

lastModified: 2022-06-17 16:16:06+0000

requester:

owner:

practitioner:

organization:

reasonCode: preauthorization (Use#preauthorization "Preauthorization")

reasonReference:

Restrictions

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

input

ServiceLineNumber: 1

type: Questionnaire (Temporary SDC Codes#questionnaire)

value: Home Oxygen Therapy Questionnaire

input

type: Payer URL (CDex Temporary Code System#payer-url)

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

input

type: Purpose Of Use (CDex Temporary Code System#purpose-of-use)

value: coverage authorization (ActReason#COVAUTH)

input

type: Signature Flag (CDex Temporary Code System#signature-flag)

value: true

Outputs

-TypeValue[x]
*Questionnaire Response (Temporary SDC Codes#questionnaire-response)QuestionnaireResponse/cdex-questionnaireresponse-example4

Amy Shaw (no stated gender), DoB: 1987-02-20 ( Member Number: Member123 (use: USUAL))

Other Id:Patient Account Number: PA-123 (use: USUAL)

Generated Narrative: PractitionerRole #practitionerrole

practitioner:

organization: