Da Vinci Payer Data Exchange
2.2.0 - STU 2.2 United States of America flag

This page is part of the Da Vinci Payer Data Exchange (v2.2.0: STU2.2) based on FHIR (HL7® FHIR® Standard) 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

Example DocumentReference: Provider Attestation Document Reference

Page standards status: Informative

status: Current

docStatus: Final

type: Release of information consent

category: Information Disclosure

subject: Patricia Ann Person

date: 2024-11-14 10:30:00+0000

author: Dr. Susan Smith

authenticator: Provider 1

custodian: Provider 1

content

Attachments

-ContentTypeUrlTitleCreation
*application/pdfhttps://example.org/provider1/attestations/2024/attestation-001.pdfProvider Treatment Relationship Attestation Form2024-11-14 10:30:00+0000

format: IHE.FormatCode.codesystem: urn:ihe:iti:xds:2017:mimeTypeSufficient (urn:ihe:iti:xds:2017:mimeTypeSufficient)

Contexts

-PeriodRelated
*2024-01-15 --> (ongoing)Encounter: status = finished; class = Ambulatory (ActCode#AMB); type = Consultation