Da Vinci - Coverage Requirements Discovery
2.1.0-preview - STU 2 United States of America flag

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.1.0-preview: STU 2.1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.1. For a full list of available versions, see the Directory of published versions

Binary: Example CRD Service Request with ServiceRequests

    
{
  "hookInstance": "1372e258-5ae2-4dd3-b716-dd0b1e7a8728",
  "fhirServer": "http://example.org/some-payer/fhir/crd",
  "hook": "order-sign",
  "fhirAuthorization": {
    "access_token": "some-opaque-fhir-access-token",
    "token_type": "Bearer",
    "expires_in": 300,
    "scope": "user/Patient.read user/Observation.read",
    "subject": "cds-service4"
  },
  "context": {
    "userId": "Practitioner/ABC",
    "patientId": "123",
    "encounterId": "987",
    "draftOrders": {
      "resourceType": "Bundle",
      "type": "collection",
      "entry": [
        {
          "fullUrl": "http://example.org/someEHR/fhir/MedicationRequest/1111",
          "resource": {
            "resourceType": "MedicationRequest",
            "id": "1111",
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Diclofenac potassium 50 MG Oral Tablet prescription for Amy V. Baxter by Dr. Jones, Feb 15, 2019<br/>1 50mg tablet, 3 times per day<br/>Dispense 90 tablets, 5 refills</div>"
            },
            "status": "draft",
            "intent": "order",
            "medicationReference": {
              "reference": "http://example.org/someEHR/fhir/Patient/MED1"
            },
            "subject": {
              "reference": "http://example.org/someEHR/fhir/Patient/123"
            },
            "encounter": {
              "reference": "http://example.org/someEHR/fhir/Encounter/987"
            },
            "authoredOn": "2015-11-01",
            "requester": {
              "reference": "http://example.org/someEHR/fhir/PractitionerRole/123"
            },
            "dosageInstruction": [
              {
                "text": "1 50mg tablet, 3 times per day",
                "timing": {
                  "repeat": {
                    "boundsPeriod": {
                      "start": "2015-11-01",
                      "end": "2016-05-01"
                    },
                    "frequency": 3,
                    "period": 1,
                    "periodUnit": "d"
                  }
                },
                "doseAndRate": [
                  {
                    "doseQuantity": {
                      "value": 1,
                      "unit": "Tablet",
                      "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                      "code": "TAB"
                    }
                  }
                ]
              }
            ],
            "dispenseRequest": {
              "numberOfRepeatsAllowed": 5,
              "quantity": {
                "value": 90,
                "unit": "Tablet",
                "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                "code": "TAB"
              }
            }
          }
        },
        {
          "fullUrl": "http://example.org/someEHR/fhir/MedicationRequest/2222",
          "resource": {
            "resourceType": "MedicationRequest",
            "id": "2222",
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Abuse-Deterrent 12 HR oxycodone hydrochloride 10 MG Extended Release Oral Tablet [Oxycontin] prescription for Amy V. Baxter by Dr. Jones, Feb 15, 2019<br/>1 10mg tablet, every 12 hours<br/>Dispense 28 tablets, 0 refills</div>"
            },
            "status": "draft",
            "intent": "order",
            "medicationReference": {
              "reference": "http://example.org/someEHR/fhir/Patient/MED2"
            },
            "subject": {
              "reference": "http://example.org/someEHR/fhir/Patient/123"
            },
            "encounter": {
              "reference": "http://example.org/someEHR/fhir/Encounter/987"
            },
            "authoredOn": "2015-11-01",
            "requester": {
              "reference": "http://example.org/someEHR/fhir/PractitionerRole/123"
            },
            "dosageInstruction": [
              {
                "text": "1 10mg tablet, every 12 hours",
                "timing": {
                  "repeat": {
                    "boundsPeriod": {
                      "start": "2015-11-01",
                      "end": "2015-11-15"
                    },
                    "frequency": 1,
                    "period": 12,
                    "periodUnit": "h"
                  }
                },
                "doseAndRate": [
                  {
                    "doseQuantity": {
                      "value": 1,
                      "unit": "Tablet",
                      "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                      "code": "TAB"
                    }
                  }
                ]
              }
            ],
            "dispenseRequest": {
              "numberOfRepeatsAllowed": 0,
              "quantity": {
                "value": 28,
                "unit": "Tablet",
                "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
                "code": "TAB"
              }
            }
          }
        }
      ]
    }
  },
  "prefetch": {
    "patientToGreet": {
      "resourceType": "Patient",
      "gender": "male",
      "birthDate": "1925-12-23",
      "id": "1288992",
      "active": true
    }
  },
  "extension": {
    "davinci-crd.configuration": {
      "coverage-info": false,
      "cost": false,
      "claim": false,
      "appropriate-use": false,
      "max-cards": 5
    }
  }
}