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

: Additional Information Task Example - TTL Representation

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Task ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "AdditionalInformationTaskExample"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-task"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-task>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Task AdditionalInformationTaskExample</b></p><a name=\"AdditionalInformationTaskExample\"> </a><a name=\"hcAdditionalInformationTaskExample\"> </a><a name=\"AdditionalInformationTaskExample-en-US\"> </a><p><b>identifier</b>: <code>http://example.org/ITEM_TRACE_NUMBER</code>/1122334</p><p><b>status</b>: Requested</p><p><b>intent</b>: order</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes attachment-request-code}\">Attach Request Code</span></p><p><b>for</b>: <a href=\"Patient-BeneficiaryExample.html\">JESSE SMITH  Female, DoB: 1947-01-18 ( Member Number)</a></p><p><b>requester</b>: Identifier: <a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/789312</p><p><b>owner</b>: Identifier: <a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/789312</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes priorAuthorization}\">Prior Authorization Information Request</span></p><p><b>reasonReference</b>: <a href=\"Claim-MedicalServicesAuthorizationExample.html\">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</a></p><blockquote><p><b>input</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes payer-url}\">Payer URL</span></p><p><b>value</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v311@3.1.1&amp;canonical=http://example.org/payerURL\">http://example.org/payerURL</a></p></blockquote><blockquote><p><b>input</b></p><p><b>PALineNumber</b>: 1</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes attachments-needed}\">Attachments Needed</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org 28570-0}\">Procedure note</span></p></blockquote></div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "http://example.org/ITEM_TRACE_NUMBER"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1122334" ]
  ] ) ; # 
  fhir:status [ fhir:v "requested"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "attachment-request-code" ]     ] )
  ] ; # 
  fhir:for [
fhir:reference [ fhir:v "Patient/BeneficiaryExample" ]
  ] ; # 
  fhir:requester [
fhir:identifier [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "789312" ]     ]
  ] ; # 
  fhir:owner [
fhir:identifier [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "789312" ]     ]
  ] ; # 
  fhir:reasonCode [
    ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "priorAuthorization" ]     ] )
  ] ; # 
  fhir:reasonReference [
fhir:reference [ fhir:v "Claim/MedicalServicesAuthorizationExample" ]
  ] ; # 
  fhir:input ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "payer-url" ]       ] )     ] ;
fhir:value [ fhir:v "http://example.org/payerURL"^^xsd:anyURI ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-paLineNumber"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]     ] ) ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "attachments-needed" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a loinc:28570-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "28570-0" ]       ] )     ]
  ] ) . #