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 Request Example - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ServiceRequest;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "ReferralRequestExample"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-servicerequest";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-servicerequest>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>code</b>: <span title=\"Codes: {http://codesystem.x12.org/005010/1365 3}\">Consultation</span></p><p><b>quantity</b>: 1 {visit}</p><p><b>subject</b>: <a href=\"Patient-SubscriberExample.html\">Generated Summary: id: 12345678901; JOE SMITH ; gender: male</a></p></div>"
  ];
  fhir:ServiceRequest.status [ fhir:value "active"];
  fhir:ServiceRequest.intent [ fhir:value "order"];
  fhir:ServiceRequest.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://codesystem.x12.org/005010/1365" ];
       fhir:Coding.code [ fhir:value "3" ];
       fhir:Coding.display [ fhir:value "Consultation" ]     ]
  ];
  fhir:ServiceRequest.quantityQuantity [
     fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "{visit}" ]
  ];
  fhir:ServiceRequest.subject [
     fhir:Reference.reference [ fhir:value "Patient/SubscriberExample" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.