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 - XML Representation

Page standards status: Informative

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<CommunicationRequest xmlns="http://hl7.org/fhir">
  <id value="CommunicationRequestExample"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-communicationrequest"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <status value="active"/>
  <category>
    <coding>
      <system value="https://codesystem.x12.org/005010/755"/>
      <code value="15"/>
      <display value="Justification for Admissions"/>
    </coding>
  </category>
  <payload>
    <extension
               url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber">
      <valuePositiveInt value="1"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
          <code value="G89.4"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier">
      <valueCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="18804-5"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <contentString value="18657-7"/>
  </payload>
</CommunicationRequest>