Da Vinci - Payer Coverage Decision Exchange
0.1.0 - STU Ballot

This page is part of the Da Vinci Payer Coverage Decision Exchange (PCDE) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

PCDE CommunicationRequest example - JSON Representation

(back to narrative)

Raw json

{
  "resourceType" : "Bundle",
  "id" : "pcde-communicationrequest-example",
  "meta" : {
    "lastUpdated" : "2019-07-21T11:01:00+05:00"
  },
  "type" : "collection",
  "timestamp" : "2019-07-21T11:01:00+05:00",
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/CommunicationRequest/1",
      "resource" : {
        "resourceType" : "CommunicationRequest",
        "id" : "1",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 1</p><p><b>status</b>: active</p><p><b>subject</b>: <a href=\"Patient/1\">Patient/1</a></p><h3>Payloads</h3><table class=\"grid\"><tr><td>-</td><td><b>Extension</b></td><td><b>Content[x]</b></td></tr><tr><td>*</td><td/><td>Please send previous coverage information.</td></tr></table><p><b>requester</b>: <a href=\"Organization/1\">Organization/1</a></p><p><b>recipient</b>: <a href=\"Organization/1\">Organization/1</a></p><p><b>sender</b>: <a href=\"Organization/2\">Organization/2</a></p></div>"
        },
        "status" : "active",
        "subject" : {
          "reference" : "Patient/1"
        },
        "payload" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-payload-clinical-note-type",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/davinci-pcde/CodeSystem/PCDEDocumentCode",
                      "code" : "pcde"
                    }
                  ]
                }
              }
            ],
            "contentString" : "Please send previous coverage information."
          }
        ],
        "requester" : {
          "reference" : "Organization/1"
        },
        "recipient" : [
          {
            "reference" : "Organization/1"
          }
        ],
        "sender" : {
          "reference" : "Organization/2"
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Patient/1",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "1",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 1</p><p><b>identifier</b>: 12345678901</p><p><b>name</b>: JOE SMITH </p></div>"
        },
        "identifier" : [
          {
            "system" : "http://example.org/MIN",
            "value" : "12345678901"
          }
        ],
        "name" : [
          {
            "family" : "SMITH",
            "given" : [
              "JOE"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Organization/1",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "1",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 1</p><p><b>identifier</b>: 789312</p><p><b>name</b>: MARYLAND CAPITAL INSURANCE COMPANY</p></div>"
        },
        "identifier" : [
          {
            "system" : "http://example.org/ETIN",
            "value" : "789312"
          }
        ],
        "name" : "MARYLAND CAPITAL INSURANCE COMPANY"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Organization/2",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "1",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 1</p><p><b>identifier</b>: 897456</p><p><b>name</b>: MARYLAND GLOBAL INSURANCE COMPANY</p></div>"
        },
        "identifier" : [
          {
            "system" : "http://example.org/ETIN",
            "value" : "897456"
          }
        ],
        "name" : "MARYLAND GLOBAL INSURANCE COMPANY"
      }
    }
  ]
}