Da Vinci Clinical Data Exchange (CDex)
1.1.0 - STU1.1
US
Da Vinci Clinical Data Exchange (CDex)
1.1.0 - STU1.1
US
This page is part of the Da Vinci Clinical Documentation Exchange (v1.1.0: STU1.1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Bundle",
"id" : "cdex-document-digital-sig-example",
"meta" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
"valueString" : "CDEX Document with Digital Signature Example"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
"valueMarkdown" : "Digital signature example showing how it is used to sign a FHIR Document. The CDEX use case would be the target resource in response to a Task-based request where a digital signature was required. If no signature was required, the response would typically be in the form of an individual resource."
}
],
"profile" : [
"http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-signature-bundle"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:c173535e-135e-48e3-ab64-38bacc68dba8"
},
"type" : "document",
"timestamp" : "2021-10-25T20:16:29-07:00",
"entry" : [
{
"fullUrl" : "urn:uuid:17a80a8d-4cf1-4deb-a1fd-2db1130e5f76",
"resource" : {
"resourceType" : "Composition",
"id" : "17a80a8d-4cf1-4deb-a1fd-2db1130e5f76",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Composition \"17a80a8d-4cf1-4deb-a1fd-2db1130e5f76\" </p></div><p><b>status</b>: final</p><p><b>type</b>: Medical records <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11503-0)</span></p><p><b>encounter</b>: <a href=\"#Encounter_5ce5c83a-000f-47d2-941c-039358cc9112\">See above (urn:uuid:5ce5c83a-000f-47d2-941c-039358cc9112: Example Encounter)</a></p><p><b>date</b>: 2021-10-25 08:16:29-0700</p><p><b>author</b>: <a href=\"#Practitioner_0820c16d-91de-4dfa-a3a6-f140a516a9bc\">See above (urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc: Example Practitioner)</a></p><p><b>title</b>: Active Conditions</p><h3>Attesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>legal</td><td>2021-10-25 08:16:29-0700</td><td><a href=\"#Practitioner_0820c16d-91de-4dfa-a3a6-f140a516a9bc\">See above (urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc: Example Practitioner)</a></td></tr></table></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11503-0"
}
],
"text" : "Medical records"
},
"subject" : {
"reference" : "urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece",
"display" : "Example Patient"
},
"encounter" : {
"reference" : "urn:uuid:5ce5c83a-000f-47d2-941c-039358cc9112",
"display" : "Example Encounter"
},
"date" : "2021-10-25T20:16:29-07:00",
"author" : [
{
"reference" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc",
"display" : "Example Practitioner"
}
],
"title" : "Active Conditions",
"attester" : [
{
"mode" : "legal",
"time" : "2021-10-25T20:16:29-07:00",
"party" : {
"reference" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc",
"display" : "Example Practitioner"
}
}
],
"section" : [
{
"title" : "Active Condition 1",
"entry" : [
{
"reference" : "urn:uuid:014a68ec-d691-49e0-b980-91b0d924e570"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc",
"resource" : {
"resourceType" : "Practitioner",
"id" : "0820c16d-91de-4dfa-a3a6-f140a516a9bc",
"meta" : {
"lastUpdated" : "2013-05-05T16:13:03Z"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner \"0820c16d-91de-4dfa-a3a6-f140a516a9bc\" Updated \"2013-05-05 04:13:03+0000\" </p></div><p><b>name</b>: John Hancock </p></div>"
},
"name" : [
{
"family" : "Hancock",
"given" : [
"John"
]
}
]
}
},
{
"fullUrl" : "urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece",
"resource" : {
"resourceType" : "Patient",
"id" : "970af6c9-5bbd-4067-b6c1-d9b2c823aece",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient \"970af6c9-5bbd-4067-b6c1-d9b2c823aece\" </p></div><p><b>active</b>: true</p><p><b>name</b>: CDEX Example Patient</p></div>"
},
"active" : true,
"name" : [
{
"text" : "CDEX Example Patient",
"family" : "Patient",
"given" : [
"CDEX Example"
]
}
]
}
},
{
"fullUrl" : "urn:uuid:014a68ec-d691-49e0-b980-91b0d924e570",
"resource" : {
"resourceType" : "Condition",
"id" : "014a68ec-d691-49e0-b980-91b0d924e570",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Condition \"014a68ec-d691-49e0-b980-91b0d924e570\" </p></div><p><b>identifier</b>: id: 1</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#55607006; <a href=\"https://loinc.org/\">LOINC</a>#75326-9)</span></p><p><b>code</b>: Type 2 Diabetes Mellitus <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#44054006)</span></p><p><b>subject</b>: <a href=\"#Patient_970af6c9-5bbd-4067-b6c1-d9b2c823aece\">See above (urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece)</a></p><p><b>onset</b>: 2006</p><p><b>asserter</b>: <a href=\"#Practitioner_0820c16d-91de-4dfa-a3a6-f140a516a9bc\">See above (urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc)</a></p></div>"
},
"identifier" : [
{
"system" : "urn:oid:1.3.6.1.4.1.22812.4.111.0.4.1.2.1",
"value" : "1"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "55607006",
"display" : "Problem"
},
{
"system" : "http://loinc.org",
"code" : "75326-9",
"display" : "Problem"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "44054006",
"display" : "Type 2 Diabetes Mellitus"
}
]
},
"subject" : {
"reference" : "urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece"
},
"onsetDateTime" : "2006",
"asserter" : {
"reference" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc"
}
}
},
{
"fullUrl" : "urn:uuid:5ce5c83a-000f-47d2-941c-039358cc9112",
"resource" : {
"resourceType" : "Encounter",
"id" : "5ce5c83a-000f-47d2-941c-039358cc9112",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Encounter \"5ce5c83a-000f-47d2-941c-039358cc9112\" </p></div><p><b>status</b>: finished</p><p><b>class</b>: emergency (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code EMER = 'emergency', stated as 'null')</p><p><b>type</b>: Unknown (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#261665006)</span></p><p><b>subject</b>: <a href=\"#Patient_970af6c9-5bbd-4067-b6c1-d9b2c823aece\">See above (urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece: CDEX Example Patient)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"#Practitioner_0820c16d-91de-4dfa-a3a6-f140a516a9bc\">See above (urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc: John Hancock)</a></td></tr></table><p><b>period</b>: 2021-10-25 08:10:29-0700 --> 2021-10-25 08:16:29-0700</p><p><b>serviceProvider</b>: <a href=\"#Organization_e37f004b-dc10-422b-b833-cdaa10a055a3\">See above (urn:uuid:e37f004b-dc10-422b-b833-cdaa10a055a3: CDEX Example Organization)</a></p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "EMER"
},
"type" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "261665006",
"display" : "Unknown (qualifier value)"
}
],
"text" : "Unknown (qualifier value)"
}
],
"subject" : {
"reference" : "urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece",
"display" : "CDEX Example Patient"
},
"participant" : [
{
"individual" : {
"reference" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc",
"display" : "John Hancock"
}
}
],
"period" : {
"start" : "2021-10-25T20:10:29-07:00",
"end" : "2021-10-25T20:16:29-07:00"
},
"serviceProvider" : {
"reference" : "urn:uuid:e37f004b-dc10-422b-b833-cdaa10a055a3",
"display" : "CDEX Example Organization"
}
}
},
{
"fullUrl" : "urn:uuid:e37f004b-dc10-422b-b833-cdaa10a055a3",
"resource" : {
"resourceType" : "Organization",
"id" : "e37f004b-dc10-422b-b833-cdaa10a055a3",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization \"e37f004b-dc10-422b-b833-cdaa10a055a3\" </p></div><p><b>active</b>: true</p><p><b>name</b>: CDEX Example Organization</p><p><b>telecom</b>: ph: (+1) 555-555-5555, <a href=\"mailto:customer-service@example.org\">customer-service@example.org</a></p><p><b>address</b>: 1 CDEX Lane Boston MA 01002 USA </p></div>"
},
"active" : true,
"name" : "CDEX Example Organization",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 555-555-5555"
},
{
"system" : "email",
"value" : "customer-service@example.org"
}
],
"address" : [
{
"line" : [
"1 CDEX Lane"
],
"city" : "Boston",
"state" : "MA",
"postalCode" : "01002",
"country" : "USA"
}
]
}
}
],
"signature" : {
"type" : [
{
"system" : "urn:iso-astm:E1762-95:2013",
"code" : "1.2.840.10065.1.12.1.5",
"display" : "Verification Signature"
}
],
"when" : "2021-10-05T22:42:19-07:00",
"who" : {
"reference" : "https://example.org/Practitioner/123"
},
"onBehalfOf" : {
"reference" : "https://example.org/Organization/123"
},
"data" : "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"
}
}
IG © 2022+ HL7 International - Patient Care Work Group. Package hl7.fhir.us.davinci-cdex#1.1.0 based on FHIR 4.0.1. Generated 2022-08-08
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