This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v1.0.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
{
"resourceType" : "DeviceRequest",
"id" : "example",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Insurance Extension</b>: <a href=\"Coverage-example.html\">Generated Summary: id: 12345; status: active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-ActCode EHCPOL}\">extended healthcare</span>; dependent: 0; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/subscriber-relationship self}\">Self</span>; period: 2011-05-23 --> 2012-05-23</a></p><p><b>basedOn</b>: <a href=\"http://example.org/fhir/ServiceRequest/someReferral\">http://example.org/fhir/ServiceRequest/someReferral</a></p><p><b>status</b>: draft</p><p><b>intent</b>: original-order</p><p><b>code</b>: <a href=\"Device-example.html\">Generated Summary: id: 345675</a></p><p><b>subject</b>: <a href=\"Patient-example.html\">Generated Summary: Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; Phone: 555-555-5555, amy.shaw@example.com; gender: female; birthDate: 1987-02-20</a></p><p><b>authoredOn</b>: Jun 10, 2016 7:01:10 PM</p><p><b>requester</b>: <a href=\"Practitioner-example.html\">Generated Summary: id: 9941339108, id: 25456; Adam Careful </a></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-insurance",
"valueReference" : {
"reference" : "Coverage/example"
}
}
],
"basedOn" : [
{
"reference" : "http://example.org/fhir/ServiceRequest/someReferral"
}
],
"status" : "draft",
"intent" : "original-order",
"codeReference" : {
"reference" : "Device/example"
},
"subject" : {
"reference" : "Patient/example"
},
"authoredOn" : "2016-06-10T11:01:10-08:00",
"requester" : {
"reference" : "Practitioner/example"
}
}