# Device Request Example - Da Vinci Prior Authorization Support (PAS) FHIR IG v2.2.0-ballot

## Example DeviceRequest: Device Request Example

Language: en

Profile: [PAS Device Request](StructureDefinition-profile-devicerequest.md)

**status**: Active

**intent**: Order

**code**: E1223

**subject**: [JESSE SMITH Female, DoB: 1947-01-18 ( Member Number)](Patient-BeneficiaryExample.md)

**authoredOn**: 2005-06-02

**requester**: [Practitioner SUSAN WATSON ](Practitioner-ReferralPractitionerExample.md)



## Resource Content

```json
{
  "resourceType" : "DeviceRequest",
  "id" : "DeviceRequestExample",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-devicerequest"
    ]
  },
  "language" : "en",
  "status" : "active",
  "intent" : "order",
  "codeCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "code" : "E1223"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/BeneficiaryExample"
  },
  "authoredOn" : "2005-06-02",
  "requester" : {
    "reference" : "Practitioner/ReferralPractitionerExample"
  }
}

```
