Da Vinci Prior Authorization Support (PAS) FHIR IG
2.0.1 - STU 2 United States of America flag

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.0.1: STU 2) based on FHIR (HL7® FHIR® Standard) 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

: Communication Request Example - XML Representation

Page standards status: Informative

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<CommunicationRequest xmlns="http://hl7.org/fhir">
  <id value="CommunicationRequestExample"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-communicationrequest"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: CommunicationRequest</b><a name="CommunicationRequestExample"> </a></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 CommunicationRequest &quot;CommunicationRequestExample&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-profile-communicationrequest.html">PAS CommunicationRequest</a></p></div><p><b>status</b>: active</p><p><b>category</b>: Justification for Admissions <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (755#15)</span></p><h3>Payloads</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Content[x]</b></td></tr><tr><td style="display: none">*</td><td>, , </td><td>Please provide further justification as interested.</td></tr></table></div>
  </text>
  <status value="active"/>
  <category>
    <coding>
      <system value="https://codesystem.x12.org/005010/755"/>
      <code value="15"/>
      <display value="Justification for Admissions"/>
    </coding>
  </category>
  <payload>
    <extension
               url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber">
      <valuePositiveInt value="1"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
          <code value="G89.4"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier">
      <valueCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="18804-5"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <contentString
                   value="Please provide further justification as interested."/>
  </payload>
</CommunicationRequest>