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

## Example CommunicationRequest: Communication Request Example

Language: en

Profile: [PAS CommunicationRequest](StructureDefinition-profile-communicationrequest.md)

**status**: Active

**category**: Justification for Admissions

> **payload****ServiceLineNumber**: 1**CommunicatedDiagnosis**: Chronic pain syndrome**ContentModifier**: Include all data of the selected type that represents observations made 3 months or fewer before the starting date of service**content**: 18776-5



## Resource Content

```json
{
  "resourceType" : "CommunicationRequest",
  "id" : "CommunicationRequestExample",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-communicationrequest"
    ]
  },
  "language" : "en",
  "status" : "active",
  "category" : [
    {
      "coding" : [
        {
          "system" : "https://codesystem.x12.org/005010/755",
          "code" : "15",
          "display" : "Justification for Admissions"
        }
      ]
    }
  ],
  "payload" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber",
          "valuePositiveInt" : 1
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-communicatedDiagnosis",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                "code" : "G89.4"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-contentModifier",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "18804-5"
              }
            ]
          }
        }
      ],
      "contentString" : "18776-5"
    }
  ]
}

```
