Da Vinci Clinical Data Exchange (CDex)
2.1.0-snapshot - CI Build United States of America flag

This page is part of the Da Vinci Clinical Documentation Exchange (v2.1.0-snapshot: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Example Task: CDex Task Example 26

Page standards status: Informative

Generated Narrative: Task cdex-task-example26

status: In Progress

intent: order

code: Data Request Questionnaire

for: Identifier: Member Number/Member123

authoredOn: 2022-06-17 16:16:06+0000

lastModified: 2022-06-17 16:16:06+0000

requester: Identifier: http://example.org/cdex/payer/payer-ids/Payer123

owner: Identifier: United States National Provider Identifier/9941339108

reasonReference: Identifier: Payer Claim ID/Claim123

input

type: Questionnaire

value: Home Oxygen Therapy Questionnaire

input

type: Purpose Of Use

value: coverage under policy or program