MHK Interoperability Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Questionnaire: Eylea Injection Workflow Questionnaire
| Official URL: http://example.org/fhir/MHK-Interop-IG/Questionnaire/EyleaInjectionQuestionnaire | Version: 0.1.0 | |||
| Active as of 2025-06-13 | Computable Name: EyleaInjectionWorkflow | |||
Structured representation of the Eylea injection workflow steps for clinical workflow documentation
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  EyleaInjectionWorkflow | Structured representation of the Eylea injection workflow steps for clinical workflow documentation | Questionnaire | http://example.org/fhir/MHK-Interop-IG/Questionnaire/EyleaInjectionQuestionnaire#0.1.0 | |
  1 | Referral Received | 0..1 | boolean | |
| 2 | Benefits Verified | 0..1 | boolean | |
| 3 | Prior Authorization Required and Submitted | 0..1 | boolean | |
| 4 | Appointment Scheduled | 0..1 | boolean | |
| 5 | Provider Clinical Review Completed | 0..1 | boolean | |
| 6 | Injection Administered | 0..1 | boolean | |
| 7 | Charge Entered and Coded | 0..1 | boolean | |
| 8 | Claim Submitted | 0..1 | boolean | |
 9 | Denial Follow-up and Next Visit Scheduled | 0..1 | boolean | |
| Documentation for this format | ||||