Da Vinci - Prior Authorization Support
0.1.0 - STU Ballot

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

PA Referral Request example

Format(s):

Narrative view

Bundle pa-request-example-referral of type collection

Entry 1 - Full URL = http://example.org/fhir/Claim/1

Resource Claim:

Entry 2 - Full URL = http://example.org/fhir/Organization/1

Resource Organization:

Entry 3 - Full URL = http://example.org/fhir/PractitionerRole/1

Resource PractitionerRole:

Entry 4 - Full URL = http://example.org/fhir/Practitioner/1

Resource Practitioner:

Entry 5 - Full URL = http://example.org/fhir/Coverage/1

Resource Coverage:

Entry 6 - Full URL = http://example.org/fhir/Patient/1

Resource Patient:

Entry 7 - Full URL = http://example.org/fhir/Organization/3

Resource Organization:

Entry 8 - Full URL = http://example.org/fhir/ServiceRequest/1

Resource ServiceRequest:

Entry 9 - Full URL = http://example.org/fhir/Location/1

Resource Location:

Entry 10 - Full URL = http://example.org/fhir/Condition/1

Resource Condition:

Entry 11 - Full URL = http://example.org/fhir/PractitionerRole/2

Resource PractitionerRole:

Entry 12 - Full URL = http://example.org/fhir/Practitioner/2

Resource Practitioner: