This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.2.0-ballot: STU 2.2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 2.1.0. For a full list of available versions, see the Directory of published versions
Page standards status: Informative |
status: Ready
intent: order
code: Complete Questionnaire
for: Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))
authoredOn: 2018-08-09
requester: http://example.org/fhir/Organization/payer
reasonCode: Helps assess opioid appropriateness
input
type: Questionnaire
value:
http://example.org/Questionnaire/XYZ|2
input
type: Response Endpoint
value: http://example.org/somePayer