Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0-preview - STU 2 United States of America flag

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

Example Task: Additional Information Task Example

Page standards status: Informative

Generated Narrative: Task AdditionalInformationTaskExample

identifier: http://example.org/ITEM_TRACE_NUMBER/1122334

status: Requested

intent: order

code: Attach Request Code

for: JESSE SMITH Female, DoB: 1947-01-18 ( http://example.org/MIN#12345678902)

requester: Identifier: United States National Provider Identifier/789312

owner: Identifier: United States National Provider Identifier/789312

reasonCode: Prior Authorization Information Request

reasonReference: Claim: identifier = http://example.org/PATIENT_EVENT_TRACE_NUMBER#111099; status = active; type = Professional; use = preauthorization; created = 2005-05-02 11:01:00+0500; priority = Normal

input

type: Payer URL

value: http://example.org/payerURL

input

PALineNumber: 1

type: Attachments Needed

value: Procedure note