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

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

Example ServiceRequest: Submit Claim Referral Request Example

Page standards status: Informative

Generated Narrative: ServiceRequest

Resource ServiceRequest "ReferralRequestExample"

Profile: PAS Service Request

status: active

intent: order

code: Consultation (1365#3)

quantity: 1 visit (Details: UCUM code 1 = '1')

subject: Patient/SubscriberExample " SMITH"