Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0 - STU 2.1 United States of America flag

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.1.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Submit Claim Referral Practitioner Example - XML Representation

Page standards status: Informative

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<Practitioner xmlns="http://hl7.org/fhir">
  <id value="ReferralPractitionerExample"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitioner"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Practitioner ReferralPractitionerExample</b></p><a name="ReferralPractitionerExample"> </a><a name="hcReferralPractitionerExample"> </a><a name="ReferralPractitionerExample-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.3.0/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/1234567893</p><p><b>name</b>: SUSAN WATSON </p><p><b>telecom</b>: ph: 4029993456</p></div>
  </text>
  <identifier>
    <system value="http://hl7.org/fhir/sid/us-npi"/>
    <value value="1234567893"/>
  </identifier>
  <name>
    <family value="WATSON"/>
    <given value="SUSAN"/>
  </name>
  <telecom>
    <system value="phone"/>
    <value value="4029993456"/>
  </telecom>
</Practitioner>