Clinical Quality Framework Common FHIR Assets (US-Based)
0.1.0 - CI Build United States of America (USA)

Clinical Quality Framework Common FHIR Assets (US-Based), published by Clinical Quality Framework. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/cqf-us/ and changes regularly. See the Directory of published versions

Questionnaire: Example Patient and Coverage Questionnaire (Experimental)

Official URL: http://fhir.org/guides/cqf/us/common/Questionnaire/ExamplePatientAndCoverageQuestionnaire Version: 0.1.0
Active as of 2024-09-16 Computable Name: ExamplePatientAndCoverageQuestionnaire

For the Prior Authorization Questionnaire Use Case, this type of in-context information is expected to be known already so it wouldn’t typically be in a Questionnaire. This example illustrates how to get this information if it is needed.

Generated Narrative: Questionnaire ExamplePatientAndCoverageQuestionnaire

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ExamplePatientAndCoverageQuestionnaireFor the Prior Authorization Questionnaire Use Case, this type of in-context information is expected to be known already so it wouldn't typically be in a Questionnaire. This example illustrates how to get this information if it is needed.Questionnairehttp://fhir.org/guides/cqf/us/common/Questionnaire/ExamplePatientAndCoverageQuestionnaire#0.1.0
... patient-infoPatient Information0..1group
.... patient-info|patient-nameName0..1string
.... patient-info|date-of-birthDate of Birth0..1date
.... patient-info|birth-sexBirth Sex0..1choiceValue Set: Birth Sex
.... patient-info|medical-record-numberMedical Record Number0..1string
.... patient-info|phone-numberPhone Number0..1string
.... patient-info|email-addressEmail Address0..1string
.... patient-info|addressAddress0..1string
.... patient-info|cityCity0..1string
.... patient-info|stateState0..1string
.... patient-info|postal-codePostal Code0..1string
... coverage-infoCoverage Information0..1group
.... coverage-info|member-idMember ID0..1string
.... completing-form|patient-info|policy-numberPolicy Number0..1string

doco Documentation for this format