This page is part of the Da Vinci Clinical Documentation Exchange (v2.1.0: STU2) 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 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@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 "cdex-task-example22"] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Task cdex-task-example22</b></p><a name=\"cdex-task-example22\"> </a><a name=\"hccdex-task-example22\"> </a><a name=\"cdex-task-example22-en-US\"> </a><p><b>identifier</b>: Re-Association Tracking Control Number/trackingid1012</p><p><b>status</b>: In Progress</p><p><b>intent</b>: order</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes attachment-request-questionnaire}\">Attachment Request Questionnaire</span></p><p><b>for</b>: <a href=\"#hccdex-task-example22/patient\">Amy Shaw (no stated gender), DoB: 1987-02-20 ( Patient Account Number: PA-123 (use: usual, ))</a></p><p><b>authoredOn</b>: 2022-06-17 16:16:06+0000</p><p><b>lastModified</b>: 2022-06-17 16:16:06+0000</p><p><b>requester</b>: Identifier: <code>http://example.org/cdex/payer/payer-ids</code>/Payer123</p><p><b>owner</b>: <a href=\"#hccdex-task-example22/practitionerrole\">PractitionerRole</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/claim-use preauthorization}\">preauthorization</span></p><p><b>reasonReference</b>: Identifier: <code>http://example.org/cdex/payer/claim-ids</code>/Preauth123</p><h3>Restrictions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td>?? --> 2022-06-21</td></tr></table><blockquote><p><b>input</b></p><p><b>PALineNumber</b>: 1</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes questionnaire-context}\">Questionnaire Context</span></p><p><b>value</b>: <a href=\"Questionnaire-cdex-questionnaire-example1.html\">Home Oxygen Therapy Questionnaire</a></p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes payer-url}\">Payer URL</span></p><p><b>value</b>: <a href=\"http://example.org/cdex/payer/$submit-attachment\">http://example.org/cdex/payer/$submit-attachment</a></p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp purpose-of-use}\">Purpose Of Use</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason COVAUTH}\">coverage authorization</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Patient #patient</b></p><a name=\"cdex-task-example22/patient\"> </a><a name=\"hccdex-task-example22/patient\"> </a><a name=\"cdex-task-example22/patient-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Amy Shaw (no stated gender), DoB: 1987-02-20 ( Patient Account Number: PA-123 (use: usual, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Member Number/Member123 (use: usual, )</td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole #practitionerrole</b></p><a name=\"cdex-task-example22/practitionerrole\"> </a><a name=\"hccdex-task-example22/practitionerrole\"> </a><a name=\"cdex-task-example22/practitionerrole-en-US\"> </a><p><b>practitioner</b>: Identifier: <a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/9941339100</p><p><b>organization</b>: Identifier: <a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/1234567893</p></blockquote></div>"^^rdf:XMLLiteral
] ; #
fhir:contained ( [
a fhir:Patient ;
fhir:id [ fhir:v "patient" ] ;
( fhir:identifier [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MB" ] ;
fhir:display [ fhir:v "Member Number" ] ] ) ;
fhir:text [ fhir:v "Member Number" ] ] ;
fhir:system [ fhir:v "http://example.org/cdex/payer/member-ids"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Member123" ] ] [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pat" ] ;
fhir:display [ fhir:v "Patient Account Number" ] ] ) ;
fhir:text [ fhir:v "Patient Account Number" ] ] ;
fhir:system [ fhir:v "http://example.org/cdex/provider/patient-ids"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PA-123" ] ] ) ;
( fhir:name [
fhir:family [ fhir:v "Shaw" ] ;
( fhir:given [ fhir:v "Amy" ] ) ] ) ;
fhir:birthDate [ fhir:v "1987-02-20"^^xsd:date ]
] [
a fhir:PractitionerRole ;
fhir:id [ fhir:v "practitionerrole" ] ;
fhir:practitioner [
fhir:identifier [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "9941339100" ] ] ] ;
fhir:organization [
fhir:identifier [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1234567893" ] ] ]
] ) ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"^^xsd:anyURI ] ;
fhir:code [ fhir:v "tracking-id" ] ;
fhir:display [ fhir:v "Tracking Id" ] ] ) ;
fhir:text [ fhir:v "Re-Association Tracking Control Number" ] ] ;
fhir:system [ fhir:v "http://example.org/payer"^^xsd:anyURI ] ;
fhir:value [ fhir:v "trackingid1012" ]
] ) ; #
fhir:status [ fhir:v "in-progress"] ; #
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-questionnaire" ] ] ) ;
fhir:text [ fhir:v "Attachment Request Questionnaire" ]
] ; #
fhir:for [
fhir:reference [ fhir:v "#patient" ]
] ; #
fhir:authoredOn [ fhir:v "2022-06-17T16:16:06Z"^^xsd:dateTime] ; #
fhir:lastModified [ fhir:v "2022-06-17T16:16:06Z"^^xsd:dateTime] ; #
fhir:requester [
fhir:identifier [
fhir:system [ fhir:v "http://example.org/cdex/payer/payer-ids"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Payer123" ] ]
] ; #
fhir:owner [
fhir:reference [ fhir:v "#practitionerrole" ]
] ; #
fhir:reasonCode [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/claim-use"^^xsd:anyURI ] ;
fhir:code [ fhir:v "preauthorization" ] ;
fhir:display [ fhir:v "Preauthorization" ] ] ) ;
fhir:text [ fhir:v "preauthorization" ]
] ; #
fhir:reasonReference [
fhir:identifier [
fhir:system [ fhir:v "http://example.org/cdex/payer/claim-ids"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Preauth123" ] ]
] ; #
fhir:restriction [
fhir:period [
fhir:end [ fhir:v "2022-06-21"^^xsd:date ] ]
] ; #
fhir:input ( [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-paLineNumber"^^xsd:anyURI ] ;
fhir:value [
a fhir:integer ;
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 "questionnaire-context" ] ] ) ] ;
fhir:value [
a fhir:canonical ;
fhir:v "http://example.org/cdex-questionnaire-example1"^^xsd:anyURI ;
fhir:link <http://example.org/cdex-questionnaire-example1> ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Home Oxygen Therapy Questionnaire" ] ] ) ]
] [
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 [
a fhir:url ;
fhir:v "http://example.org/cdex/payer/$submit-attachment"^^xsd:anyURI ]
] [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"^^xsd:anyURI ] ;
fhir:code [ fhir:v "purpose-of-use" ] ] ) ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "COVAUTH" ] ;
fhir:display [ fhir:v "coverage authorization" ] ] ) ]
] ) . #
IG © 2024+ HL7 International / Payer/Provider Information Exchange Work Group. Package hl7.fhir.us.davinci-cdex#2.1.0 based on FHIR 4.0.1. Generated 2025-02-11
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