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 (v2.0.1: 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

: Submit Claim Referral Practitioner Example - JSON Representation

Page standards status: Informative

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{
  "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: Practitioner</b><a name=\"ReferralPractitionerExample\"> </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 Practitioner &quot;ReferralPractitionerExample&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-practitioner.html\">PAS Practitioner</a></p></div><p><b>identifier</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\">#</a>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"
    }
  ]
}