Da Vinci Prior Authorization Support (PAS) FHIR IG
1.0.0 - STU 1

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v1.0.0: STU 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

: Submit Claim Referral Practitioner Example - JSON Representation

Raw json | Download


{
  "resourceType" : "Practitioner",
  "id" : "ReferralPractitionerExample",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-practitioner"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 987654321</p><p><b>name</b>: SUSAN WATSON </p><p><b>telecom</b>: ph: 4029993456</p></div>"
  },
  "identifier" : [
    {
      "system" : "http://hl7.org/fhir/sid/us-npi",
      "value" : "987654321"
    }
  ],
  "name" : [
    {
      "family" : "WATSON",
      "given" : [
        "SUSAN"
      ]
    }
  ],
  "telecom" : [
    {
      "system" : "phone",
      "value" : "4029993456"
    }
  ]
}