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Packagehl7.fhir.us.davinci-pas.r4
Resource TypeTask
IdTask-AdditionalInformationTaskExample.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Task AdditionalInformationTaskExample

Profile: PAS Task

identifier: http://example.org/ITEM_TRACE_NUMBER/1122334

status: Requested

intent: order

code: Attach Request Code

for: JESSE SMITH Female, DoB: 1947-01-18 ( Member Number)

requester: Identifier: United States National Provider Identifier/789312

owner: Identifier: United States National Provider Identifier/789312

reasonCode: Prior Authorization Information Request

reasonReference: 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

input

type: Payer URL

value: http://example.org/payerURL

input

ServiceLineNumber: 1

type: Attachments Needed

value: Procedure note

Source1

{
  "resourceType": "Task",
  "id": "AdditionalInformationTaskExample",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-task"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "http://example.org/ITEM_TRACE_NUMBER",
      "value": "1122334"
    }
  ],
  "status": "requested",
  "intent": "order",
  "code": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
        "code": "attachment-request-code"
      }
    ]
  },
  "for": {
    "reference": "Patient/BeneficiaryExample"
  },
  "requester": {
    "identifier": {
      "system": "http://hl7.org/fhir/sid/us-npi",
      "value": "789312"
    }
  },
  "owner": {
    "identifier": {
      "system": "http://hl7.org/fhir/sid/us-npi",
      "value": "789312"
    }
  },
  "reasonCode": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
        "code": "priorAuthorization"
      }
    ]
  },
  "reasonReference": {
    "reference": "Claim/MedicalServicesAuthorizationExample"
  },
  "input": [
    {
      "type": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
            "code": "payer-url"
          }
        ]
      },
      "valueUrl": "http://example.org/payerURL"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-serviceLineNumber",
          "valuePositiveInt": 1
        }
      ],
      "type": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
            "code": "attachments-needed"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "28570-0"
          }
        ]
      }
    }
  ]
}