Da Vinci Clinical Data Exchange (CDex)
2.0.0 - STU2 United States of America flag

This page is part of the Da Vinci Clinical Documentation Exchange (v2.0.0: STU2) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: CDex Parameters Example 5 - JSON Representation

Raw json | Download


{
  "resourceType" : "Parameters",
  "id" : "cdex-parameters-example5",
  "parameter" : [
    {
      "name" : "TrackingId",
      "valueIdentifier" : {
        "system" : "http://example.org/payer",
        "value" : "trackingid1012"
      }
    },
    {
      "name" : "AttachTo",
      "valueCode" : "preauthorization"
    },
    {
      "name" : "PayerId",
      "valueIdentifier" : {
        "system" : "http://example.org/cdex/payer/payer-ids",
        "value" : "payer123"
      }
    },
    {
      "name" : "OrganizationId",
      "valueIdentifier" : {
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "1234567893"
      }
    },
    {
      "name" : "ProviderId",
      "valueIdentifier" : {
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "9941339100"
      }
    },
    {
      "name" : "MemberId",
      "valueIdentifier" : {
        "system" : "http://example.org/cdex/payer/member-ids",
        "value" : "Member123"
      }
    },
    {
      "name" : "Attachment",
      "part" : [
        {
          "name" : "LineItem",
          "valueString" : "1"
        },
        {
          "name" : "Content",
          "resource" : {
            "resourceType" : "QuestionnaireResponse",
            "id" : "cdex-questionnaireresponse-example1",
            "questionnaire" : "http://example.org/cdex-questionnaire-example1",
            "status" : "completed",
            "subject" : {
              "identifier" : {
                "use" : "usual",
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://hl7.org/fhir/us/davinci-hrex/CodeSystem/hrex-temp",
                      "code" : "UMB",
                      "display" : "Member Number"
                    }
                  ],
                  "text" : "Member Number"
                },
                "system" : "http://example.org/cdex/payer/member-ids",
                "value" : "Member123"
              },
              "display" : "Amy Shaw"
            },
            "authored" : "2022-06-17",
            "author" : {
              "identifier" : {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "9941339100"
              }
            },
            "item" : [
              {
                "linkId" : "1",
                "text" : "Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)",
                "answer" : [
                  {
                    "valueString" : "Examplitis"
                  }
                ]
              },
              {
                "linkId" : "2",
                "text" : "Order Reason",
                "answer" : [
                  {
                    "valueCoding" : {
                      "system" : "http://example.org",
                      "code" : "4",
                      "display" : "Replacement"
                    }
                  }
                ]
              }
            ]
          }
        }
      ]
    }
  ]
}