Da Vinci Health Record Exchange (HRex)
1.1.0 - STU 1.1 United States of America flag

Da Vinci Health Record Exchange (HRex), published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ehrx/ and changes regularly. See the Directory of published versions

Example ClaimResponse: Unsolicited Prior Authorization example

Page standards status: Informative

Generated Narrative: ClaimResponse UnsolicitedReferralAuthorizationResponseExample

identifier: http://example.org/PATIENT_EVENT_TRACE_NUMBER/111099

status: Active

type: Professional

use: Preauthorization

patient: ??

created: 2005-05-02 11:02:00+0500

insurer: Organization New Health Plan

requestor: ??

outcome: Processing Complete

preAuthRef: A1B2C3D4

addItem

Authorized Date: 2005-05-02 --> 2005-06-02

Pre Authorized Issue Date: 2005-05-02

Authorized Provider: ??

Item Trace Number: http://example.org/new-payer/fhir/NamingSystem/auth-numbers/A1B2C3D4

itemSequence: 1

productOrService: Consultation

location: 11

Adjudications

-Category
*Submitted Amount