This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v1.1.0: STU 1.1) 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
<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><b>Generated Narrative</b></p><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">Resource "DeviceRequestExample" </p><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>: E1223 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT®)</a>#E1223)</span></p><p><b>subject</b>: <a href="Patient-BeneficiaryExample.html">Patient/BeneficiaryExample</a> " SMITH"</p><p><b>authoredOn</b>: 2005-06-02</p><p><b>requester</b>: <a href="Practitioner-ReferralPractitionerExample.html">Practitioner/ReferralPractitionerExample</a> " WATSON"</p></div>
</text>
<status value="active"/>
<intent value="order"/>
<codeCodeableConcept>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="E1223"/>
</coding>
</codeCodeableConcept>
<subject>
<reference value="Patient/BeneficiaryExample"/>
</subject>
<authoredOn value="2005-06-02"/>
<requester>
<reference value="Practitioner/ReferralPractitionerExample"/>
</requester>
</DeviceRequest>