This page is part of the Da Vinci Payer Coverage Decision Exchange (PCDE) FHIR IG (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
<Task xmlns="http://hl7.org/fhir">
<!-- Note: The id is present for publication reasons, but on an actual create, it would be omitted -->
<id value="requested"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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-hrex/CodeSystem/hrex-temp data-request}">data request task</span></p><p><b>for</b>: <span></span></p><p><b>authoredOn</b>: Jul 31, 2020 2:07:15 AM</p><p><b>requester</b>: <span>New Insurance Co Inc.</span></p><p><b>owner</b>: <span>Original Insurance Co Inc.</span></p><h3>Inputs</h3><table class="grid"><tr><td>-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td><span title="Codes: {http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp data-code}">data code input</span></td><td><span title="Codes: {http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes pcde}">Coverage Transition Document</span></td></tr></table></div>
</text>
<status value="requested"/>
<intent value="order"/>
<code>
<coding>
<system value="http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp"/>
<code value="data-request"/>
</coding>
</code>
<for>
<type value="Patient"/>
<identifier>
<system
value="http://originalinsuranceinc.com/fhir/NamingSystem/client-ids"/>
<value value="444222222"/>
</identifier>
</for>
<authoredOn value="2020-07-30T20:07:15-06:00"/>
<requester>
<!-- Todo: Need to determine identification convention for payer organizations -->
<type value="Organization"/>
<display value="New Insurance Co Inc."/>
</requester>
<owner>
<!-- Todo: Need to determine identification convention for payer organizations -->
<type value="Organization"/>
<display value="Original Insurance Co Inc."/>
</owner>
<input>
<type>
<coding>
<system value="http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp"/>
<code value="data-code"/>
</coding>
</type>
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEtempCodes"/>
<code value="pcde"/>
<display value="Coverage Transition Document"/>
</coding>
</valueCodeableConcept>
</input>
</Task>