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Page standards status: Informative |
Resource Task "cdex-task-example19"
Profile: CDex Task Attachment Request Profile
identifier: Re-Association Tracking Control Number: trackingid123
status: requested
intent: order
code: Coded Attachment Request (CDex Temporary Code System#attachment-request-code)
identifier: Member Number: Member123 (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:
practitioner:
organization:
reasonCode: claim (Use#claim "Claim")
reasonReference:
- | Period |
* | ?? --> 2022-06-21 |
input
ServiceLineNumber: 1
type: data code input (HRex Temporary Code System#data-code)
value: Progress note (LOINC#11506-3)
input
type: Signature Flag (CDex Temporary Code System#signature-flag)
value: true
input
type: Payer URL (CDex Temporary Code System#payer-url)
input
type: Service Date (CDex Temporary Code System#service-date)
value: 2022-06-13
input
type: Purpose Of Use (CDex Temporary Code System#purpose-of-use)
value: claim attachment (ActReason#CLMATTCH)
Amy Shaw (no stated gender), DoB: 1987-02-20 ( Member Number: Member123 (use: USUAL))
Generated Narrative: PractitionerRole #practitionerrole
practitioner:
organization: