This page is part of the Da Vinci Clinical Documentation Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

• Content
• XML
• JSON

XML Format: CommunicationRequest-cdex-example-attachment-request

Raw xml

<CommunicationRequest xmlns="http://hl7.org/fhir">
  <id value="cdex-example-attachment-request"/>
  <meta>
    <versionId value="4"/>
    <lastUpdated value="2019-04-19T13:08:24.000-04:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Request for Discharge Summary
        
        </div>
  </text>
  <identifier>
    <system value="http://www.jurisdiction.com/insurer/123456"/>
    <value value="ABC123"/>
  </identifier>
  <groupIdentifier>
    <value value="12345"/>
  </groupIdentifier>
  <status value="active"/>
  <category>
    <coding>
      <system value="http://acme.org/messagetypes"/>
      <code value="SolicitedAttachmentRequest"/>
    </coding>
  </category>
  <priority value="routine"/>
  <medium>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationMode"/>
      <code value="WRITTEN"/>
      <display value="written"/>
    </coding>
    <text value="written"/>
  </medium>
  <subject>
    <reference value="Patient/cdex-example-patient"/>
  </subject>
  <about>
    <reference value="Claim/cdex-example-claim"/>
  </about>
  <encounter>
    <reference value="Encounter/cdex-example-encounter"/>
  </encounter>
  <payload>
    <extension
               url="http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-payload-clinical-note-type">
      <valueCodeableConcept>
        <coding>
          <system value="http://loinc.org"/>
          <code value="18842-5"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <contentString
                   value="Please provide the discharge summary to support your Claim# 8612345."/>
  </payload>
  <occurrenceDateTime value="2016-06-10T11:01:10-08:00"/>
  <authoredOn value="2016-06-10T11:01:10-08:00"/>
  <requester>
    <reference value="Practitioner/cdex-example-practitioner"/>
  </requester>
  <recipient>
    <reference value="Organization/cdex-example-provider"/>
  </recipient>
  <sender>
    <reference value="Organization/cdex-example-payer"/>
  </sender>
</CommunicationRequest>