Da Vinci Clinical Data Exchange (CDex), published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ecdx/ and changes regularly. See the Directory of published versions
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<Task xmlns="http://hl7.org/fhir">
<id value="cdex-task-example18"/>
<meta>
<versionId value="3"/>
<lastUpdated value="2020-10-26T04:04:52.000+00:00"/>
<source value="#tgH2FoPFuCq0yjw5"/>
<tag>
<system
value="http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"/>
<code value="claims-processing"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Task cdex-task-example18</b></p><a name="cdex-task-example18"> </a><a name="hccdex-task-example18"> </a><a name="cdex-task-example18-en-US"> </a><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">version: 3; Last updated: 2020-10-26 04:04:52+0000; </p><p style="margin-bottom: 0px">Information Source: #tgH2FoPFuCq0yjw5</p><p style="margin-bottom: 0px">Tag: Claim Processing (Details: CDex Temporary Code System code claims-processing = 'Claim Processing')</p></div><p><b>status</b>: Completed</p><p><b>businessStatus</b>: <span title="Codes:">Results reviewed for release</span></p><p><b>intent</b>: order</p><p><b>code</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp data-request-query}">Data Request Query</span></p><p><b>for</b>: Identifier: Member Number/Member123</p><p><b>authoredOn</b>: 2020-10-26 02:58:55+0000</p><p><b>lastModified</b>: 2020-10-26 04:04:52+0000</p><p><b>requester</b>: Identifier: <code>http://example.org/cdex/payer/payer-ids</code>/Payer123</p><p><b>owner</b>: Identifier: <a href="http://terminology.hl7.org/6.0.2/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/9941339108</p><p><b>reasonReference</b>: Identifier: Payer Claim ID/Claim123</p><blockquote><p><b>input</b></p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp data-query}">data query input</span></p><p><b>value</b>: Condition?patient=cdex-example-patient&clinical-status=Active</p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp purpose-of-use}">Purpose Of Use</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason COVERAGE}">coverage under policy or program</span></p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: <span title="Codes:{http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp signature-flag}">Signature Flag</span></p><p><b>value</b>: true</p></blockquote><h3>Outputs</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp data-value}">data values output</span></td><td><a href="Bundle-cdex-document-digital-sig-example.html">Bundle: identifier = UUID:c173535e-135e-48e3-ab64-38bacc68dba8; type = document; timestamp = 2021-10-25 20:16:29-0700</a></td></tr></table></div>
</text>
<status value="completed"/>
<businessStatus>
<text value="Results reviewed for release"/>
</businessStatus>
<intent value="order"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"/>
<code value="data-request-query"/>
</coding>
</code>
<for>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MB"/>
<display value="Member Number"/>
</coding>
<text value="Member Number"/>
</type>
<system value="http://example.org/cdex/payer/member-ids"/>
<value value="Member123"/>
</identifier>
</for>
<authoredOn value="2020-10-26T02:58:55.179Z"/>
<lastModified value="2020-10-26T04:04:52.019Z"/>
<requester>
<identifier>
<system value="http://example.org/cdex/payer/payer-ids"/>
<value value="Payer123"/>
</identifier>
</requester>
<owner>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339108"/>
</identifier>
</owner>
<reasonReference>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
<display value="Filler Identifier"/>
</coding>
<text value="Payer Claim ID"/>
</type>
<system value="http://example.org/cdex/payer/claim-ids"/>
<value value="Claim123"/>
</identifier>
</reasonReference>
<input>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp"/>
<code value="data-query"/>
</coding>
</type>
<valueString
value="Condition?patient=cdex-example-patient&clinical-status=Active"/>
</input>
<input>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"/>
<code value="purpose-of-use"/>
</coding>
</type>
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="COVERAGE"/>
</coding>
</valueCodeableConcept>
</input>
<input>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"/>
<code value="signature-flag"/>
</coding>
</type>
<valueBoolean value="true"/>
</input>
<output>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp"/>
<code value="data-value"/>
</coding>
</type>
<valueReference>🔗
<reference value="Bundle/cdex-document-digital-sig-example"/>
</valueReference>
</output>
</Task>