Da Vinci Prior Authorization Support (PAS) FHIR IG
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This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.1.0-preview: QA Preview) 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

: Communication Request Example - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "CommunicationRequest",
  "id" : "CommunicationRequestExample",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-communicationrequest"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CommunicationRequest CommunicationRequestExample</b></p><a name=\"CommunicationRequestExample\"> </a><a name=\"hcCommunicationRequestExample\"> </a><a name=\"CommunicationRequestExample-en-US\"> </a><p><b>status</b>: Active</p><p><b>category</b>: <span title=\"Codes:{https://codesystem.x12.org/005010/755 15}\">Justification for Admissions</span></p><blockquote><p><b>payload</b></p><p><b>ServiceLineNumber</b>: 1</p><p><b>CommunicatedDiagnosis</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm G89.4}\">Chronic pain syndrome</span></p><p><b>ContentModifier</b>: <span title=\"Codes:{http://loinc.org 18804-5}\">Include all data of the selected type that represents observations made 3 months or fewer before the starting date of service</span></p><p><b>content</b>: 18657-7</p></blockquote></div>"
  },
  "status" : "active",
  "category" : [
    {
      "coding" : [
        {
          "system" : "https://codesystem.x12.org/005010/755",
          "code" : "15",
          "display" : "Justification for Admissions"
        }
      ]
    }
  ],
  "payload" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber",
          "valuePositiveInt" : 1
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                "code" : "G89.4"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "18804-5"
              }
            ]
          }
        }
      ],
      "contentString" : "18657-7"
    }
  ]
}