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

## : Additional Information Task Example

Page standards status: Informative

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Task ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "AdditionalInformationTaskExample"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-task"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-task>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Task AdditionalInformationTaskExample</b></p><a name=\"AdditionalInformationTaskExample\"> </a><a name=\"hcAdditionalInformationTaskExample\"> </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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-profile-task.html\">PAS Task</a></p></div><p><b>identifier</b>: <code>http://example.org/ITEM_TRACE_NUMBER</code>/1122334</p><p><b>status</b>: Requested</p><p><b>intent</b>: order</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes attachment-request-code}\">Attach Request Code</span></p><p><b>for</b>: <a href=\"Patient-BeneficiaryExample.html\">JESSE SMITH  Female, DoB: 1947-01-18 ( Member Number)</a></p><p><b>requester</b>: Identifier: <a href=\"http://terminology.hl7.org/6.2.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/789312</p><p><b>owner</b>: Identifier: <a href=\"http://terminology.hl7.org/6.2.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/789312</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes priorAuthorization}\">Prior Authorization Information Request</span></p><p><b>reasonReference</b>: <a href=\"Claim-MedicalServicesAuthorizationExample.html\">Claim: identifier = http://example.org/PATIENT_EVENT_TRACE_NUMBER#111099; status = active; type = Professional; use = preauthorization; created = 2005-05-02 11:01:00+0500; priority = Normal</a></p><blockquote><p><b>input</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes payer-url}\">Payer URL</span></p><p><b>value</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.carin-bb@2.1.0&amp;canonical=http://example.org/payerURL\">http://example.org/payerURL</a></p></blockquote><blockquote><p><b>input</b></p><p><b>ServiceLineNumber</b>: 1</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes attachments-needed}\">Attachments Needed</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org 28570-0}\">Procedure note</span></p></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:identifier ( [
    fhir:system [
    fhir:v "http://example.org/ITEM_TRACE_NUMBER"^^xsd:anyURI ;
    fhir:l <http://example.org/ITEM_TRACE_NUMBER>     ] ;
    fhir:value [ fhir:v "1122334" ]
      ] ) ; #
      fhir:status [ fhir:v "requested"] ; #
      fhir:intent [ fhir:v "order"] ; #
      fhir:code [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes>       ] ;
    fhir:code [ fhir:v "attachment-request-code" ]     ] )
      ] ; #
      fhir:for [
    fhir:l fhir:Patient/BeneficiaryExample ;
    fhir:reference [ fhir:v "Patient/BeneficiaryExample" ]
      ] ; #
      fhir:requester [
    fhir:identifier [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/us-npi>       ] ;
    fhir:value [ fhir:v "789312" ]     ]
      ] ; #
      fhir:owner [
    fhir:identifier [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/us-npi>       ] ;
    fhir:value [ fhir:v "789312" ]     ]
      ] ; #
      fhir:reasonCode [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes>       ] ;
    fhir:code [ fhir:v "priorAuthorization" ]     ] )
      ] ; #
      fhir:reasonReference [
    fhir:l fhir:Claim/MedicalServicesAuthorizationExample ;
    fhir:reference [ fhir:v "Claim/MedicalServicesAuthorizationExample" ]
      ] ; #
      fhir:input ( [
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes>         ] ;
    fhir:code [ fhir:v "payer-url" ]       ] )     ] ;
    fhir:value [
    a fhir:Url ;
    fhir:v "http://example.org/payerURL"^^xsd:anyURI ;
    fhir:l <http://example.org/payerURL>     ]
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber>       ] ;
    fhir:value [
    a fhir:PositiveInt ;
    fhir:v "1"^^xsd:positiveInteger       ]     ] ) ;
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes>         ] ;
    fhir:code [ fhir:v "attachments-needed" ]       ] )     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    a loinc:28570-0 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "28570-0" ]       ] )     ]
      ] ) . #