Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-ballot - STU 2.2 - Ballot

Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions

## : Communication Request Example - XML Representation

Page standards status: Informative

Raw xml | Download

    <CommunicationRequest xmlns="http://hl7.org/fhir">
      <id value="CommunicationRequestExample"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-communicationrequest"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CommunicationRequest CommunicationRequestExample</b></p><a name="CommunicationRequestExample"> </a><a name="hcCommunicationRequestExample"> </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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-profile-communicationrequest.html">PAS CommunicationRequest</a></p></div><p><b>status</b>: Active</p><p><b>category</b>: <span title="Codes:{https://codesystem.x12.org/005010/755 15}">Justification for Admissions</span></p><blockquote><p><b>payload</b></p><p><b>ServiceLineNumber</b>: 1</p><p><b>CommunicatedDiagnosis</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10-cm G89.4}">Chronic pain syndrome</span></p><p><b>ContentModifier</b>: <span title="Codes:{http://loinc.org 18804-5}">Include all data of the selected type that represents observations made 3 months or fewer before the starting date of service</span></p><p><b>content</b>: http://loinc.org#18776-5</p></blockquote></div>
      </text>
      <status value="active"/>
      <category>
        <coding>
          <system value="https://codesystem.x12.org/005010/755"/>
          <code value="15"/>
          <display value="Justification for Admissions"/>
        </coding>
      </category>
      <payload>
        <extension
                   url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber">
          <valuePositiveInt value="1"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
              <code value="G89.4"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier">
          <valueCodeableConcept>
            <coding>
              <system value="http://loinc.org"/>
              <code value="18804-5"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <contentString value="http://loinc.org#18776-5"/>
      </payload>
    </CommunicationRequest>