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 (v2.0.1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Surgical Admission Request Bundle Example - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "SurgicalRequestBundleExample",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-request-bundle"
    ]
  },
  "identifier" : {
    "system" : "http://example.org/SUBMITTER_TRANSACTION_IDENTIFIER",
    "value" : "16139462398"
  },
  "type" : "collection",
  "timestamp" : "2020-06-24T07:34:00+05:00",
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/Claim/SurgicalAuthorizationRequestExample",
      "resource" : {
        "resourceType" : "Claim",
        "id" : "SurgicalAuthorizationRequestExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Claim</b><a name=\"SurgicalAuthorizationRequestExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Claim &quot;SurgicalAuthorizationRequestExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-claim.html\">PAS Claim</a></p></div><p><b>LevelOfServiceCode</b>: Elective <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (1338#E)</span></p><p><b>Extension Definition for Claim.encounter for Version 5.0</b>: <a href=\"#Encounter_SurgicalEncounterExample\">See above (Encounter/SurgicalEncounterExample)</a></p><blockquote><p><b>ConditionCode</b></p><blockquote><p><b>url</b></p><code>category</code></blockquote><p><b>value</b>: 07 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (1136#07)</span></p><blockquote><p><b>url</b></p><code>indicator</code></blockquote><p><b>value</b>: true</p><blockquote><p><b>url</b></p><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></blockquote><p><b>value</b>: 09 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (1321#09)</span></p></blockquote><p><b>identifier</b>: id:\u00a016139462398</p><p><b>status</b>: active</p><p><b>type</b>: Institutional <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html\">Claim Type Codes</a>#institutional)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: <a href=\"#Patient_SubscriberExample\">See above (Patient/SubscriberExample)</a></p><p><b>created</b>: 2020-06-24 07:34:00+0500</p><p><b>insurer</b>: <a href=\"#Organization_InsurerExample\">See above (Organization/InsurerExample)</a></p><p><b>provider</b>: <a href=\"#Organization_UMOExample\">See above (Organization/UMOExample)</a></p><p><b>priority</b>: Normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-processpriority.html\">Process Priority Codes</a>#normal)</span></p><h3>CareTeams</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>Provider</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>1</td><td><a href=\"#PractitionerRole_SurgicalPractitionerRoleExample\">See above (PractitionerRole/SurgicalPractitionerRoleExample)</a></td></tr></table><h3>SupportingInfos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Timing[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>Admission Dates <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-PASTempCodes.html\">PAS Temporary Codes</a>#admissionDates)</span></td><td>2020-07-02 --&gt; 2020-07-09</td></tr></table><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>1</td><td>C18.9 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#C18.9)</span></td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td><a href=\"#Coverage_InsuranceExample\">See above (Coverage/InsuranceExample)</a></td></tr></table><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Sequence</b></td><td><b>CareTeamSequence</b></td><td><b>DiagnosisSequence</b></td><td><b>Category</b></td><td><b>ProductOrService</b></td><td><b>Location[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>, , , , </td><td>1</td><td>1</td><td>1</td><td>Surgical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (1365#2)</span></td><td>Under Venous Grafting Only for Coronary Artery Bypass <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (HCPCSReleaseCodeSets#33510)</span></td><td>21 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CMSPlaceofServiceCodes.html\">CMS Place of Service Codes (POS)</a>#21)</span></td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-levelOfServiceCode",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "https://codesystem.x12.org/005010/1338",
                  "code" : "E",
                  "display" : "Elective"
                }
              ]
            }
          },
          {
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Claim.encounter",
            "valueReference" : {
              🔗 "reference" : "Encounter/SurgicalEncounterExample"
            }
          },
          {
            "extension" : [
              {
                "url" : "category",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "https://codesystem.x12.org/005010/1136",
                      "code" : "07"
                    }
                  ]
                }
              },
              {
                "url" : "indicator",
                "valueBoolean" : true
              },
              {
                "url" : "code",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "https://codesystem.x12.org/005010/1321",
                      "code" : "09"
                    }
                  ]
                }
              }
            ],
            "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-conditionCode"
          }
        ],
        "identifier" : [
          {
            "system" : "http://example.org/PATIENT_EVENT_TRACE_NUMBER",
            "value" : "16139462398",
            "assigner" : {
              "identifier" : {
                "system" : "http://example.org/USER_ASSIGNED",
                "value" : "3030240928"
              }
            }
          }
        ],
        "status" : "active",
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
              "code" : "institutional"
            }
          ]
        },
        "use" : "preauthorization",
        "patient" : {
          🔗 "reference" : "Patient/SubscriberExample"
        },
        "created" : "2020-06-24T07:34:00+05:00",
        "insurer" : {
          🔗 "reference" : "Organization/InsurerExample"
        },
        "provider" : {
          🔗 "reference" : "Organization/UMOExample"
        },
        "priority" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
              "code" : "normal"
            }
          ]
        },
        "careTeam" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-careTeamClaimScope",
                "valueBoolean" : true
              }
            ],
            "sequence" : 1,
            "provider" : {
              🔗 "reference" : "PractitionerRole/SurgicalPractitionerRoleExample"
            }
          }
        ],
        "supportingInfo" : [
          {
            "sequence" : 1,
            "category" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
                  "code" : "admissionDates"
                }
              ]
            },
            "timingPeriod" : {
              "start" : "2020-07-02",
              "end" : "2020-07-09"
            }
          }
        ],
        "diagnosis" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-diagnosisRecordedDate",
                "valueDate" : "2020-06-24"
              }
            ],
            "sequence" : 1,
            "diagnosisCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                  "code" : "C18.9"
                }
              ]
            }
          }
        ],
        "insurance" : [
          {
            "sequence" : 1,
            "focal" : true,
            "coverage" : {
              🔗 "reference" : "Coverage/InsuranceExample"
            }
          }
        ],
        "item" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-itemTraceNumber",
                "valueIdentifier" : {
                  "system" : "http://example.org/ITEM_TRACE_NUMBER",
                  "value" : "1122334"
                }
              },
              {
                "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-authorizationNumber",
                "valueString" : "1122445"
              },
              {
                "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-administrationReferenceNumber",
                "valueString" : "9988311"
              },
              {
                "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceItemRequestType",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "https://codesystem.x12.org/005010/1525",
                      "code" : "AR",
                      "display" : "Admission Review"
                    }
                  ]
                }
              },
              {
                "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-certificationType",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "https://codesystem.x12.org/005010/1322",
                      "code" : "I",
                      "display" : "Initial"
                    }
                  ]
                }
              }
            ],
            "sequence" : 1,
            "careTeamSequence" : [
              1
            ],
            "diagnosisSequence" : [
              1
            ],
            "category" : {
              "coding" : [
                {
                  "system" : "https://codesystem.x12.org/005010/1365",
                  "code" : "2",
                  "display" : "Surgical"
                }
              ]
            },
            "productOrService" : {
              "coding" : [
                {
                  "system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
                  "code" : "33510",
                  "display" : "Under Venous Grafting Only for Coronary Artery Bypass"
                }
              ]
            },
            "locationCodeableConcept" : {
              "coding" : [
                {
                  "system" : "https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set",
                  "code" : "21"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Organization/UMOExample",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "UMOExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-requestor"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"UMOExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization &quot;UMOExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-requestor.html\">PAS Requestor Organization</a></p></div><p><b>identifier</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\">#</a>8189991234</p><p><b>active</b>: true</p><p><b>type</b>: X3 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (98#X3)</span></p><p><b>name</b>: DR. JOE SMITH CORPORATION</p><p><b>address</b>: 111 1ST STREET SAN DIEGO CA 92101 US </p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "8189991234"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "https://codesystem.x12.org/005010/98",
                "code" : "X3"
              }
            ]
          }
        ],
        "name" : "DR. JOE SMITH CORPORATION",
        "address" : [
          {
            "line" : [
              "111 1ST STREET"
            ],
            "city" : "SAN DIEGO",
            "state" : "CA",
            "postalCode" : "92101",
            "country" : "US"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Organization/InsurerExample",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "InsurerExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-insurer"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"InsurerExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization &quot;InsurerExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-insurer.html\">PAS Insurer Organization</a></p></div><p><b>identifier</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\">#</a>789312</p><p><b>active</b>: true</p><p><b>type</b>: PR <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (98#PR)</span></p><p><b>name</b>: MARYLAND CAPITAL INSURANCE COMPANY</p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "789312"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "https://codesystem.x12.org/005010/98",
                "code" : "PR"
              }
            ]
          }
        ],
        "name" : "MARYLAND CAPITAL INSURANCE COMPANY"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Coverage/InsuranceExample",
      "resource" : {
        "resourceType" : "Coverage",
        "id" : "InsuranceExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-coverage"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Coverage</b><a name=\"InsuranceExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Coverage &quot;InsuranceExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-coverage.html\">PAS Coverage</a></p></div><p><b>status</b>: active</p><p><b>beneficiary</b>: <a href=\"#Patient_SubscriberExample\">See above (Patient/SubscriberExample)</a></p><p><b>payor</b>: <a href=\"#Organization_InsurerExample\">See above (Organization/InsurerExample)</a></p></div>"
        },
        "status" : "active",
        "beneficiary" : {
          🔗 "reference" : "Patient/SubscriberExample"
        },
        "payor" : [
          {
            🔗 "reference" : "Organization/InsurerExample"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Patient/SubscriberExample",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "SubscriberExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-subscriber"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"SubscriberExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient &quot;SubscriberExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-subscriber.html\">PAS Subscriber Patient</a></p></div><p><b>MilitaryStatus</b>: RU <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (584#RU)</span></p><p><b>identifier</b>: id:\u00a012345678901</p><p><b>name</b>: JOE SMITH </p><p><b>gender</b>: male</p></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-militaryStatus",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "https://codesystem.x12.org/005010/584",
                  "code" : "RU"
                }
              ]
            }
          }
        ],
        "identifier" : [
          {
            "system" : "http://example.org/MIN",
            "value" : "12345678901"
          }
        ],
        "name" : [
          {
            "family" : "SMITH",
            "given" : [
              "JOE"
            ]
          }
        ],
        "gender" : "male"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Encounter/SurgicalEncounterExample",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "SurgicalEncounterExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-encounter"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"SurgicalEncounterExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Encounter &quot;SurgicalEncounterExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-encounter.html\">PAS Encounter</a></p></div><p><b>PatientStatus</b>: Still a patient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-AHANUBCPatientDischargeStatus.html\">AHA NUBC Patient Discharge Status Codes</a>#30)</span></p><p><b>status</b>: planned</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')</p><p><b>type</b>: 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-AHANUBCPriorityTypeOfAdmitOrVisit.html\">AHA NUBC Priority (Type) of Admission or Visit</a>#2)</span></p><p><b>subject</b>: <a href=\"#Patient_SubscriberExample\">See above (Patient/SubscriberExample)</a></p><p><b>period</b>: 2020-07-02 --&gt; 2020-07-09</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>AdmitSource</b></td></tr><tr><td style=\"display: none\">*</td><td>5 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-AHANUBCPointOfOriginNonnewborn.html\">AHA NUBC Point of Origin for Non-newborn</a>#5)</span></td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-patientStatus",
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "https://www.nubc.org/CodeSystem/PatDischargeStatus",
                  "code" : "30",
                  "display" : "Still a patient"
                }
              ]
            }
          }
        ],
        "status" : "planned",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "AMB"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit",
                "code" : "2"
              }
            ]
          }
        ],
        "subject" : {
          🔗 "reference" : "Patient/SubscriberExample"
        },
        "period" : {
          "start" : "2020-07-02",
          "end" : "2020-07-09"
        },
        "hospitalization" : {
          "admitSource" : {
            "coding" : [
              {
                "system" : "https://www.nubc.org/CodeSystem/PointOfOrigin",
                "code" : "5"
              }
            ]
          }
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/PractitionerRole/SurgicalPractitionerRoleExample",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "SurgicalPractitionerRoleExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitionerrole"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: PractitionerRole</b><a name=\"SurgicalPractitionerRoleExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource PractitionerRole &quot;SurgicalPractitionerRoleExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-practitionerrole.html\">PAS PractitionerRole</a></p></div><p><b>practitioner</b>: <a href=\"Practitioner-ReferralPractitionerExample.html\">Practitioner/ReferralPractitionerExample</a> &quot; WATSON&quot;</p><p><b>location</b>: <a href=\"Location-ReferralLocationExample.html\">Location/ReferralLocationExample</a> &quot;REFERRAL CLINIC&quot;</p></div>"
        },
        "practitioner" : {
          🔗 "reference" : "Practitioner/ReferralPractitionerExample"
        },
        "location" : [
          {
            🔗 "reference" : "Location/ReferralLocationExample"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Practitioner/SurgicalPractitionerExample",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "SurgicalPractitionerExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"SurgicalPractitionerExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner &quot;SurgicalPractitionerExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-practitioner.html\">PAS Practitioner</a></p></div><p><b>identifier</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\">#</a>987654321</p><p><b>name</b>: SUSAN WATSON </p><p><b>telecom</b>: ph: 4029993456</p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "987654321"
          }
        ],
        "name" : [
          {
            "family" : "WATSON",
            "given" : [
              "SUSAN"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "4029993456"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Location/SurgicalLocationExample",
      "resource" : {
        "resourceType" : "Location",
        "id" : "SurgicalLocationExample",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-location"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Location</b><a name=\"SurgicalLocationExample\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Location &quot;SurgicalLocationExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-location.html\">PAS Location Profile</a></p></div><p><b>name</b>: REFERRAL CLINIC</p><p><b>address</b>: 111 1ST STREET SAN DIEGO CA 92101 US </p></div>"
        },
        "name" : "REFERRAL CLINIC",
        "address" : {
          "line" : [
            "111 1ST STREET"
          ],
          "city" : "SAN DIEGO",
          "state" : "CA",
          "postalCode" : "92101",
          "country" : "US"
        }
      }
    }
  ]
}