Da Vinci Clinical Data Exchange (CDex)
1.0.0 - STU R1 US

This page is part of the Da Vinci Clinical Documentation Exchange (v1.0.0: STU1) 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

: CDex Submit Attachment Parameters Resource Example - XML Representation

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<Parameters xmlns="http://hl7.org/fhir">
  <id value="cdex-submit-attachment-example"/>
  <meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
      <valueString value="CDex Submit Attachment Parameters Resource Example"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/instance-description">
      <valueMarkdown
                     value="Parameters Resource example showing how it is used when the `$submit-attachment` operation is invoked. It represents the collection of named parameters including the &quot;attachment&quot;  (additional information) and data to re-associate the attachmenet to a claim or prior authorization."/>
    </extension>
  </meta>
  <parameter>
    <name value="AttachTo"/>
    <valueCode value="claim"/>
  </parameter>
  <parameter>
    <name value="TargetId"/>
    <valueString value="11234657"/>
  </parameter>
  <parameter>
    <name value="ItemId"/>
    <valueString value="1"/>
  </parameter>
  <parameter>
    <name value="OrganizationId"/>
    <valueIdentifier>
      <system value="http://hl7.org/fhir/sid/us-npi"/>
      <value value="1407071236"/>
    </valueIdentifier>
  </parameter>
  <parameter>
    <name value="ProviderId"/>
    <valueIdentifier>
      <system value="http://hl7.org/fhir/sid/us-npi"/>
      <value value="9941339108"/>
    </valueIdentifier>
  </parameter>
  <parameter>
    <name value="MemberId"/>
    <valueIdentifier>
      <system value="http://example.org/cdex/member-ids"/>
      <value value="234567"/>
    </valueIdentifier>
  </parameter>
  <parameter>
    <name value="Attachment"/>
    <resource>
      <Bundle>
        <id value="cdex-document-digital-sig-example"/>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:uuid:c173535e-135e-48e3-ab64-38bacc68dba8"/>
        </identifier>
        <type value="document"/>
        <timestamp value="2021-10-25T20:16:29-07:00"/>
        <entry>
          <fullUrl value="urn:uuid:17a80a8d-4cf1-4deb-a1fd-2db1130e5f76"/>
          <resource>
            <Composition>
              <id value="17a80a8d-4cf1-4deb-a1fd-2db1130e5f76"/>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</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 "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>: 2021-10-25T20:16:29-07:00</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>2021-10-25T20:16:29-07:00</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>
              </text>
              <status value="final"/>
              <type>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="11503-0"/>
                </coding>
                <text value="Medical records"/>
              </type>
              <subject>
                <reference value="urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece"/>
                <display value="Example Patient"/>
              </subject>
              <encounter>
                <reference value="urn:uuid:5ce5c83a-000f-47d2-941c-039358cc9112"/>
                <display value="Example Encounter"/>
              </encounter>
              <date value="2021-10-25T20:16:29-07:00"/>
              <author>
                <reference value="urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc"/>
                <display value="Example Practitioner"/>
              </author>
              <title value="Active Conditions"/>
              <attester>
                <mode value="legal"/>
                <time value="2021-10-25T20:16:29-07:00"/>
                <party>
                  <reference
                             value="urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc"/>
                  <display value="Example Practitioner"/>
                </party>
              </attester>
              <section>
                <title value="Active Condition 1"/>
                <entry>
                  <reference
                             value="urn:uuid:014a68ec-d691-49e0-b980-91b0d924e570"/>
                </entry>
              </section>
            </Composition>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc"/>
          <resource>
            <Practitioner>
              <id value="0820c16d-91de-4dfa-a3a6-f140a516a9bc"/>
              <meta>
                <lastUpdated value="2013-05-05T16:13:03+00:00"/>
              </meta>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</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 "0820c16d-91de-4dfa-a3a6-f140a516a9bc" Updated "2013-05-05T16:13:03Z" </p></div><p><b>name</b>: John Hancock </p></div>
              </text>
              <name>
                <family value="Hancock"/>
                <given value="John"/>
              </name>
            </Practitioner>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece"/>
          <resource>
            <Patient>
              <id value="970af6c9-5bbd-4067-b6c1-d9b2c823aece"/>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</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 "970af6c9-5bbd-4067-b6c1-d9b2c823aece" </p></div><p><b>active</b>: true</p><p><b>name</b>: CDEX Example Patient</p></div>
              </text>
              <active value="true"/>
              <name>
                <text value="CDEX Example Patient"/>
                <family value="Patient"/>
                <given value="CDEX Example"/>
              </name>
            </Patient>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:014a68ec-d691-49e0-b980-91b0d924e570"/>
          <resource>
            <Condition>
              <id value="014a68ec-d691-49e0-b980-91b0d924e570"/>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</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 "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/3.0.0/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>: 2006-01-01</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>
              </text>
              <identifier>
                <system value="urn:oid:1.3.6.1.4.1.22812.4.111.0.4.1.2.1"/>
                <value value="1"/>
              </identifier>
              <clinicalStatus>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
                  <code value="active"/>
                </coding>
              </clinicalStatus>
              <category>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="55607006"/>
                  <display value="Problem"/>
                </coding>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="75326-9"/>
                  <display value="Problem"/>
                </coding>
              </category>
              <code>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="44054006"/>
                  <display value="Type 2 Diabetes Mellitus"/>
                </coding>
              </code>
              <subject>
                <reference value="urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece"/>
              </subject>
              <onsetDateTime value="2006"/>
              <asserter>
                <reference value="urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc"/>
              </asserter>
            </Condition>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:5ce5c83a-000f-47d2-941c-039358cc9112"/>
          <resource>
            <Encounter>
              <id value="5ce5c83a-000f-47d2-941c-039358cc9112"/>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</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 "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>: 2021-10-25T20:10:29-07:00 --&gt; 2021-10-25T20:16:29-07:00</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>
              </text>
              <status value="finished"/>
              <class>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <code value="EMER"/>
              </class>
              <type>
                <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="261665006"/>
                  <display value="Unknown (qualifier value)"/>
                </coding>
                <text value="Unknown (qualifier value)"/>
              </type>
              <subject>
                <reference value="urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece"/>
                <display value="CDEX Example Patient"/>
              </subject>
              <participant>
                <individual>
                  <reference
                             value="urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc"/>
                  <display value="John Hancock"/>
                </individual>
              </participant>
              <period>
                <start value="2021-10-25T20:10:29-07:00"/>
                <end value="2021-10-25T20:16:29-07:00"/>
              </period>
              <serviceProvider>
                <reference value="urn:uuid:e37f004b-dc10-422b-b833-cdaa10a055a3"/>
                <display value="CDEX Example Organization"/>
              </serviceProvider>
            </Encounter>
          </resource>
        </entry>
        <entry>
          <fullUrl value="urn:uuid:e37f004b-dc10-422b-b833-cdaa10a055a3"/>
          <resource>
            <Organization>
              <id value="e37f004b-dc10-422b-b833-cdaa10a055a3"/>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</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 "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>
              </text>
              <active value="true"/>
              <name value="CDEX Example Organization"/>
              <telecom>
                <system value="phone"/>
                <value value="(+1) 555-555-5555"/>
              </telecom>
              <telecom>
                <system value="email"/>
                <value value="customer-service@example.org"/>
              </telecom>
              <address>
                <line value="1 CDEX Lane"/>
                <city value="Boston"/>
                <state value="MA"/>
                <postalCode value="01002"/>
                <country value="USA"/>
              </address>
            </Organization>
          </resource>
        </entry>
        <signature>
          <type>
            <system value="urn:iso-astm:E1762-95:2013"/>
            <code value="1.2.840.10065.1.12.1.5"/>
            <display value="Verification Signature"/>
          </type>
          <when value="2021-10-05T22:42:19-07:00"/>
          <who>
            <reference value="https://example.org/Practitioner/123"/>
          </who>
          <onBehalfOf>
            <reference value="https://example.org/Organization/123"/>
          </onBehalfOf>
          <data
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        </signature>
      </Bundle>
    </resource>
  </parameter>
</Parameters>