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

: 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><b>Generated Narrative: Task</b><a name=\"AdditionalInformationTaskExample\"> </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 Task &quot;AdditionalInformationTaskExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-task.html\">PAS Task</a></p></div><p><b>identifier</b>: id: 1122334</p><p><b>status</b>: requested</p><p><b>intent</b>: order</p><p><b>code</b>: Attach Request Code <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-PASTempCodes.html\">PAS Temporary Codes</a>#attachment-request-code)</span></p><p><b>for</b>: <a href=\"Patient-BeneficiaryExample.html\">Patient/BeneficiaryExample</a> &quot; SMITH&quot;</p><p><b>requester</b>: <span>id: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\">#</a>789312</span></p><p><b>owner</b>: <span>id: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\">#</a>789312</span></p><p><b>reasonCode</b>: Prior Authorization Information Request <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-PASTempCodes.html\">PAS Temporary Codes</a>#priorAuthorization)</span></p><p><b>reasonReference</b>: <a href=\"Claim-MedicalServicesAuthorizationExample.html\">Claim/MedicalServicesAuthorizationExample</a></p><blockquote><p><b>input</b></p><p><b>type</b>: Payer URL <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-PASTempCodes.html\">PAS Temporary Codes</a>#payer-url)</span></p><p><b>value</b>: <a href=\"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>: Attachments Needed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-PASTempCodes.html\">PAS Temporary Codes</a>#attachments-needed)</span></p><p><b>value</b>: 26443-2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#26443-2)</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:26443-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "26443-2" ]       ] )     ]
  ] ) . #