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
Page standards status: Informative |
Resource Task "AdditionalInformationTaskExample"
Profile: PAS Task
identifier: id: 1122334
status: requested
intent: order
code: Attach Request Code (PAS Temporary Codes#attachment-request-code)
for: Patient/BeneficiaryExample " SMITH"
requester: id: #789312
owner: id: #789312
reasonCode: Prior Authorization Information Request (PAS Temporary Codes#priorAuthorization)
reasonReference: Claim/MedicalServicesAuthorizationExample
input
type: Payer URL (PAS Temporary Codes#payer-url)
value: http://example.org/payerURL
input
PALineNumber: 1
type: Attachments Needed (PAS Temporary Codes#attachments-needed)
value: 26443-2 (LOINC#26443-2)