Da Vinci - Coverage Requirements Discovery
2.2.1 - STU 2.2 United States of America flag

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.2.1: STU 2.2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Task: Questionnaire Task example

Page standards status: Informative

Language: en

basedOn: MedicationRequest: identifier = http://example.org/portal/prescriptions#12345689 (use: official, ); status = draft; intent = order; medication[x] = ->Medication Azithromycin 250 mg oral tablet; authoredOn = 2015-01-15; reasonCode = Traveler's Diarrhea (disorder); note = Patient told to take with food

status: Ready

intent: order

code: Complete Questionnaire

for: Amy V. Shaw Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))

encounter: Encounter: identifier = http://example.org/zorgportal/identifiers/visits#v1451 (use: official, ); status = in-progress; class = ambulatory (ActCode#AMB); type = Patient-initiated encounter; priority = Non-urgent cardiological admission; reasonCode = Heart valve replacement

authoredOn: 2018-08-09

requester: http://example.org/fhir/Organization/payer

reasonCode: Helps assess opioid appropriateness

input

type: Questionnaire

value: http://example.org/Questionnaire/XYZ|2

input

type: Response Endpoint

value: http://example.org/somePayer