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

Example Task: Questionnaire Task example

Page standards status: Informative

Generated Narrative: Task questionnaire-example

basedOn: MedicationRequest: identifier = http://www.bmc.nl/portal/prescriptions#12345689 (use: official, ); status = draft; intent = order; medication[x] = ->Medication Azithromycin 250 mg oral tablet; authoredOn = 2015-01-15; reasonCode = Traveler's Diarrhea (disorder); note = Patient told to take with food

status: Ready

intent: order

code: Complete Questionnaire

for: Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))

encounter: Encounter: identifier = http://www.amc.nl/zorgportal/identifiers/visits#v1451 (use: official, ); status = in-progress; class = ambulatory (ActCode#AMB); type = Patient-initiated encounter; priority = Non-urgent cardiological admission; reasonCode = Heart valve replacement

authoredOn: 2018-08-09

requester: ??

reasonCode: Needed for prior authorization

input

type: Questionnaire

value: http://example.org/Questionnaire/XYZ|2

input

type: Response Endpoint

value: http://example.org/somePayer

input

type: After-completion action

value: Include in prior authorization