# entry[].resource.entry[].resource.title
Resumen Digital de Atencion en Salud - RDA de antecedentes manifestados por el paciente

# entry[].resource.entry[].resource.section[].code.coding[].display
Allergies and adverse reactions Document

# entry[].resource.entry[].resource.section[].code.coding[].display
History of family member diseases Narrative

# entry[].resource.entry[].resource.condition[].code.coding[].display
OBSERVACION POR SOSPECHA DE INFARTO DE MIOCARDIO

# entry[].resource.entry[].resource.title
Resumen Digital de Atencion en Salud - RDA de antecedentes manifestados por el paciente

# entry[].resource.entry[].resource.section[].code.coding[].display
Allergies and adverse reactions Document

# entry[].resource.entry[].resource.section[].code.coding[].display
History of family member diseases Narrative

# entry[].resource.entry[].resource.condition[].code.coding[].display
OBSERVACION POR SOSPECHA DE INFARTO DE MIOCARDIO

# entry[].resource.entry[].resource.title
Resumen Digital de Atencion en Salud - RDA de antecedentes manifestados por el paciente

# entry[].resource.entry[].resource.section[].code.coding[].display
Allergies and adverse reactions Document

# entry[].resource.entry[].resource.section[].code.coding[].display
History of family member diseases Narrative

# entry[].resource.entry[].resource.condition[].code.coding[].display
OBSERVACION POR SOSPECHA DE INFARTO DE MIOCARDIO

# entry[].resource.entry[].resource.section[].title
Entidad(es) responsable(s) por el plan de beneficios en salud (Hospitalización / Internación)

# entry[].resource.entry[].resource.section[].code.coding[].display
Demographic information + History of occupation Document

# entry[].resource.entry[].resource.section[].title
Datos incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Economicas)

# entry[].resource.entry[].resource.section[].title
Historial de diagnósticos de problemas de salud

# entry[].resource.entry[].resource.section[].title
Historial de alergias, intolerancias y reacciones adversas

# entry[].resource.entry[].resource.section[].code.coding[].display
Allergies and adverse reactions Document

# entry[].resource.entry[].resource.section[].title
Resultados del uso de las tecnologías en salud

# entry[].resource.entry[].resource.section[].code.coding[].display
Relevant diagnostic tests/laboratory data note

# entry[].resource.entry[].resource.section[].title
Órdenes, prescripciones o solicitudes de servicio

# entry[].resource.entry[].resource.identifier[].type.coding[].display
Código de habilitación de prestador de servicios de salud

# entry[].resource.entry[].resource.identifier[].type.coding[].display
Código de habilitación de prestador de servicios de salud

# entry[].resource.entry[].resource.medicationCodeableConcept.coding[].display
PARACETAMOL 500mg/1 U TABLETAS DE LIBERACION NO MODIFICADA ORAL (FIREXIFEN) TABLETA 1 U/CAJA X 250

# entry[].resource.entry[].resource.code.coding[].display
COLOCACION DE ANCLAJE TEMPORAL ESQUELETICO

# entry[].resource.entry[].resource.code.text
Datos incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Economicas)

# entry[].resource.entry[].resource.code.text
Ocupación del paciente en el momento de la atención

# entry[].resource.entry[].resource.name
CAJA DE COMPENSACIÓN FAMILIAR DE SUCRE -CM

# entry[].resource.entry[].resource.medicationCodeableConcept.coding[].display
PARACETAMOL 500mg/1 U TABLETAS DE LIBERACION NO MODIFICADA ORAL (FIREXIFEN) TABLETA 1 U/CAJA X 250

# entry[].resource.entry[].resource.code.text
Infusión intravenosa de solución salina normal

# entry[].resource.entry[].resource.text.div
Document Reference

# entry[].resource.entry[].resource.description
Epicrisis del encuentro de atención en salud - RDA

# entry[].resource.entry[].resource.contained[].text.div
Operation Outcome

ERROR | [] |

# entry[].resource.entry[].resource.processNote[].text
2000E - Administrator's Reference Number - 260207278016. REVIEW RESPONSE MESSAGE FOR ALL SERVICES BELOW AS THERE MAY BE REFERRAL(S) TO OTHER SERVICE PARTNERS. FOR SERVICES IN PENDED STATUS ADDITIONAL INFORMATION MAY BE NEEDED

# entry[].resource.entry[].resource.text.div
Generated Narrative: Claim

Resource Claim "SurgicalAuthorizationRequestExample"

Profile: PAS Claim

LevelOfServiceCode: Elective (1338#E)

Extension Definition for Claim.encounter for Version 5.0: See above (Encounter/SurgicalEncounterExample)

ConditionCode

url
category

value: 07 (1136#07)

url
indicator

value: true

url
code

value: 09 (1321#09)

identifier: id: 16139462398

status: active

type: Institutional (Claim Type Codes#institutional)

use: preauthorization

patient: See above (Patient/SubscriberExample)

created: 2020-06-24 07:34:00+0500

insurer: See above (Organization/InsurerExample)

provider: See above (Organization/UMOExample)

priority: Normal (Process Priority Codes#normal)

CareTeams

- | Extension | Sequence | Provider
* | | 1 | See above (PractitionerRole/SurgicalPractitionerRoleExample)

SupportingInfos

- | Sequence | Category | Timing[x]
* | 1 | Admission Dates (PAS Temporary Codes#admissionDates) | 2020-07-02 --> 2020-07-09

Diagnoses

- | Extension | Sequence | Diagnosis[x]
* | | 1 | C18.9 (International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)#C18.9)

Insurances

- | Sequence | Focal | Coverage
* | 1 | true | See above (Coverage/InsuranceExample)

Items

- | Extension | Sequence | CareTeamSequence | DiagnosisSequence | Category | ProductOrService | Location[x]
* | , , , , | 1 | 1 | 1 | Surgical (1365#2) | Under Venous Grafting Only for Coronary Artery Bypass (HCPCSReleaseCodeSets#33510) | 21 (CMS Place of Service Codes (POS)#21)

# entry[].resource.entry[].resource.item[].productOrService.coding[].display
Under Venous Grafting Only for Coronary Artery Bypass

# entry[].resource.entry[].resource.text.div
Generated Narrative: Organization

Resource Organization "UMOExample"

Profile: PAS Requestor Organization

identifier: id: #8189991234

active: true

type: X3 (98#X3)

name: DR. JOE SMITH CORPORATION

address: 111 1ST STREET SAN DIEGO CA 92101 US

# entry[].resource.entry[].resource.text.div
Generated Narrative: Organization

Resource Organization "InsurerExample"

Profile: PAS Insurer Organization

identifier: id: #789312

active: true

type: PR (98#PR)

name: MARYLAND CAPITAL INSURANCE COMPANY

# entry[].resource.entry[].resource.text.div
Generated Narrative: Coverage

Resource Coverage "InsuranceExample"

Profile: PAS Coverage

status: active

beneficiary: See above (Patient/SubscriberExample)

payor: See above (Organization/InsurerExample)

# entry[].resource.entry[].resource.text.div
Generated Narrative: Patient

Resource Patient "SubscriberExample"

Profile: PAS Subscriber Patient

MilitaryStatus: RU (584#RU)

identifier: id: 12345678901

name: JOE SMITH

gender: male

# entry[].resource.entry[].resource.text.div
Generated Narrative: Encounter

Resource Encounter "SurgicalEncounterExample"

Profile: PAS Encounter

PatientStatus: Still a patient (AHA NUBC Patient Discharge Status Codes#30)

status: planned

class: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'null')

type: 2 (AHA NUBC Priority (Type) of Admission or Visit#2)

subject: See above (Patient/SubscriberExample)

period: 2020-07-02 --> 2020-07-09

Hospitalizations

- | AdmitSource
* | 5 (AHA NUBC Point of Origin for Non-newborn#5)

# entry[].resource.entry[].resource.text.div
Generated Narrative: PractitionerRole

Resource PractitionerRole "SurgicalPractitionerRoleExample"

Profile: PAS PractitionerRole

practitioner: Practitioner/ReferralPractitionerExample " WATSON"

location: Location/ReferralLocationExample "REFERRAL CLINIC"

# entry[].resource.entry[].resource.text.div
Generated Narrative: Practitioner

Resource Practitioner "SurgicalPractitionerExample"

Profile: PAS Practitioner

identifier: id: #987654321

name: SUSAN WATSON

telecom: ph: 4029993456

# entry[].resource.entry[].resource.text.div
Generated Narrative: Location

Resource Location "SurgicalLocationExample"

Profile: PAS Location Profile

name: REFERRAL CLINIC

address: 111 1ST STREET SAN DIEGO CA 92101 US

# entry[].resource.entry[].resource.item[].text
Are you requesting authorization for initial therapy or continuation of therapy? 

# entry[].resource.entry[].resource.item[].item[].text
Does the patient have a diagnosis of migraine consistent with the International Classification of Headache Disorders?

# entry[].resource.entry[].resource.item[].item[].answer[].valueCoding.display
Greater than or equal to 8 migraine days per month 

# entry[].resource.entry[].resource.item[].item[].text
Has the patient experienced a trial and failure (after at least two months), contraindication, or intolerance to two standard prophylactic therapies (e.g., amitriptyline, beta-blockers, topiramate, etc.)? 

# entry[].resource.entry[].resource.item[].item[].text
Alternatively, has the patient experienced a trial and failure (after at least three months), contraindication, or intolerance to two preventive therapies (e.g., Aimovig, Ajovy, Emgality, or an oral CGRP receptor antagonist)?

# entry[].resource.entry[].resource.item[].item[].text
Will the medication be used in combination with another biologic CGRP antagonist or inhibitor used for the preventive treatment of migraines?

# entry[].resource.entry[].resource.item[].item[].text
Is the dosing in accordance with the U.S. Food and Drug Administration (FDA) approved labeling?

# entry[].resource.entry[].resource.item[].item[].answer[].valueCoding.display
Migraine without aura, intractable, with status migrainosus 

# entry[].resource.entry[].resource.text.div
kevin DONAS

Identifier | 1194276360

Address

Hyderabad
Hyderabad Telangana India

Date of birth | 06 May 1994

# entry[].resource.entry[].resource.text.div
Robert Tobias SCHNEIDER

Identifier | T042884164

Address

Hauptstraße 42
Berlin

Date of birth | 12 April 1978

# entry[].resource.entry[].resource.code.coding[].display
Verdacht auf Psoriasis-Arthritis mit Daktylitis

# entry[].resource.entry[].resource.code.text
Verdacht auf Psoriasis-Arthritis mit Daktylitis

# entry[].resource.entry[].resource.dosageInstruction[].text
3x täglich 1 Tablette nach den Mahlzeiten zur Schmerzlinderung

# entry[].resource.entry[].resource.dosageInstruction[].text
1x täglich dünn auf die betroffenen Hautstellen auftragen

# entry[].resource.entry[].resource.reasonCode[].text
Schwellung Fingergelenke und Morgensteifigkeit seit mehreren Wochen

# entry[].resource.entry[].resource.reasonCode[].text
Zunehmende Rötung und Schuppung an Ellenbogen und Knien

# entry[].resource.entry[].resource.text.div
Patient patient

# entry[].resource.entry[].resource.text.div
Organization Caire

# entry[].resource.entry[].resource.text.div
Heart rate: 68.9 beats/minute

# entry[].resource.entry[].resource.text.div
Respiratory rate: 16.1 breaths/minute

# entry[].resource.entry[].resource.text.div
Patient patient

# entry[].resource.entry[].resource.text.div
Organization Caire

# entry[].resource.entry[].resource.text.div
Heart rate: 69.6 beats/minute

# entry[].resource.entry[].resource.text.div
Respiratory rate: 20.1 breaths/minute

# entry[].resource.entry[].resource.text.div
Patient patient

# entry[].resource.entry[].resource.text.div
Organization Caire

# entry[].resource.entry[].resource.text.div
Heart rate: 65.1 beats/minute

# entry[].resource.entry[].resource.text.div
Respiratory rate: 15.5 breaths/minute