Da Vinci Prior Authorization Support (PAS) FHIR IG
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This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.2.0-ballot: STU 2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 2.1.0. For a full list of available versions, see the Directory of published versions

: Device Request Example - XML Representation

Page standards status: Informative

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<DeviceRequest xmlns="http://hl7.org/fhir">
  <id value="DeviceRequestExample"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-devicerequest"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DeviceRequest DeviceRequestExample</b></p><a name="DeviceRequestExample"> </a><a name="hcDeviceRequestExample"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-profile-devicerequest.html">PAS Device Request</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets E1223}">E1223</span></p><p><b>subject</b>: <a href="Patient-BeneficiaryExample.html">JESSE SMITH  Female, DoB: 1947-01-18 ( Member Number)</a></p><p><b>authoredOn</b>: 2005-06-02</p><p><b>requester</b>: <a href="Practitioner-ReferralPractitionerExample.html">Practitioner SUSAN WATSON </a></p></div>
  </text>
  <status value="active"/>
  <intent value="order"/>
  <codeCodeableConcept>
    <coding>
      <system
              value="http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"/>
      <code value="E1223"/>
    </coding>
  </codeCodeableConcept>
  <subject>🔗 
    <reference value="Patient/BeneficiaryExample"/>
  </subject>
  <authoredOn value="2005-06-02"/>
  <requester>🔗 
    <reference value="Practitioner/ReferralPractitionerExample"/>
  </requester>
</DeviceRequest>