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
Page standards status: Informative |
Generated Narrative: Task cdex-task-example25
identifier: Re-Association Tracking Control Number/trackingid1034
status: Completed
intent: order
code: Attachment Request Questionnaire
for: Amy Shaw (no stated gender), DoB: 1987-02-20 ( Patient Account Number: PA-123 (use: usual, ))
authoredOn: 2022-06-17 16:16:06+0000
lastModified: 2022-06-18 16:46:06+0000
requester: Identifier: http://example.org/cdex/payer/payer-ids
/Payer123
owner: PractitionerRole
reasonCode: preauthorization
reasonReference: Identifier: http://example.org/cdex/payer/claim-ids
/Preauth123
Period |
?? --> 2022-06-21 |
input
PALineNumber: 1
type: Questionnaires Needed
input
type: Signature Flag
value: true
input
type: Payer URL
input
type: Purpose Of Use
value: coverage authorization
Generated Narrative: Patient #patient
Amy Shaw (no stated gender), DoB: 1987-02-20 ( Patient Account Number: PA-123 (use: usual, ))
Other Id: Member Number/Member123 (use: usual, )
Generated Narrative: PractitionerRole #practitionerrole
practitioner: Identifier: United States National Provider Identifier/9941339100
organization: Identifier: United States National Provider Identifier/1234567893