This page is part of the Da Vinci Clinical Documentation Exchange (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions
This example is based on draft profile elements.
| TrackingId | id: trackingid1012 | ||||||||
| AttachTo | preauthorization | ||||||||
| PayerId | id: payer123 | ||||||||
| OrganizationId | id: 1234567893 | ||||||||
| ProviderId | id: 9941339100 | ||||||||
| MemberId | id: Member123 | ||||||||
| Attachment | |||||||||
| LineItem | 1 | ||||||||
| Content | QuestionnaireResponse/cdex-questionnaireresponse-example1 Generated Narrative: QuestionnaireResponse Resource QuestionnaireResponse "cdex-questionnaireresponse-example1" questionnaire: Home Oxygen Therapy Questionnaire status: completed subject: : Amy Shaw authored: 2022-06-17 author:
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