EyleaInjectionQuestionnaire
type: Questionnaire
node role: treeRoot
id:
  v: EyleaInjectionQuestionnaire
text:
  status:
    v: extensions
  div: Generated Narrative: Questionnaire EyleaInjectionQuestionnaire 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
url:
  v: http://example.org/fhir/MHK-Interop-IG/Questionnaire/EyleaInjectionQuestionnaire
version:
  v: 0.1.0
name:
  v: EyleaInjectionWorkflow
title:
  v: Eylea Injection Workflow Questionnaire
status:
  v: active
date:
  v: 2025-06-13T19:25:26+00:00
description:
  v: Structured representation of the Eylea injection workflow steps for clinical workflow documentation
item:
  link id:
    v: 1
  text:
    v: Referral Received
  type:
    v: boolean
item:
  link id:
    v: 2
  text:
    v: Benefits Verified
  type:
    v: boolean
item:
  link id:
    v: 3
  text:
    v: Prior Authorization Required and Submitted
  type:
    v: boolean
item:
  link id:
    v: 4
  text:
    v: Appointment Scheduled
  type:
    v: boolean
item:
  link id:
    v: 5
  text:
    v: Provider Clinical Review Completed
  type:
    v: boolean
item:
  link id:
    v: 6
  text:
    v: Injection Administered
  type:
    v: boolean
item:
  link id:
    v: 7
  text:
    v: Charge Entered and Coded
  type:
    v: boolean
item:
  link id:
    v: 8
  text:
    v: Claim Submitted
  type:
    v: boolean
item:
  link id:
    v: 9
  text:
    v: Denial Follow-up and Next Visit Scheduled
  type:
    v: boolean