Da Vinci Clinical Data Exchange (CDex)
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This page is part of the Da Vinci Clinical Documentation Exchange (v2.1.0-snapshot: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

: CDEX Document with Digital Signature Example - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <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"><a name="Composition_17a80a8d-4cf1-4deb-a1fd-2db1130e5f76"> </a><p class="res-header-id"><b>Generated Narrative: Composition 17a80a8d-4cf1-4deb-a1fd-2db1130e5f76</b></p><a name="17a80a8d-4cf1-4deb-a1fd-2db1130e5f76"> </a><a name="hc17a80a8d-4cf1-4deb-a1fd-2db1130e5f76"> </a><a name="17a80a8d-4cf1-4deb-a1fd-2db1130e5f76-en-US"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 11503-0}">Medical records</span></p><p><b>encounter</b>: <a href="Bundle-cdex-document-digital-sig-example.html#urn-uuid-5ce5c83a-000f-47d2-941c-039358cc9112">Example Encounter</a></p><p><b>date</b>: 2021-10-25 20:16:29-0700</p><p><b>author</b>: <a href="Bundle-cdex-document-digital-sig-example.html#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 style="display: none">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>Legal</td><td>2021-10-25 20:16:29-0700</td><td><a href="Bundle-cdex-document-digital-sig-example.html#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="2013-05-05T16:13:03Z"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_0820c16d-91de-4dfa-a3a6-f140a516a9bc"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 0820c16d-91de-4dfa-a3a6-f140a516a9bc</b></p><a name="0820c16d-91de-4dfa-a3a6-f140a516a9bc"> </a><a name="hc0820c16d-91de-4dfa-a3a6-f140a516a9bc"> </a><a name="0820c16d-91de-4dfa-a3a6-f140a516a9bc-en-US"> </a><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">Last updated: 2013-05-05 16:13:03+0000</p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/9941339100</p><p><b>name</b>: John Hancock </p></div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="9941339100"/>
        </identifier>
        <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"><a name="Patient_970af6c9-5bbd-4067-b6c1-d9b2c823aece"> </a><p class="res-header-id"><b>Generated Narrative: Patient 970af6c9-5bbd-4067-b6c1-d9b2c823aece</b></p><a name="970af6c9-5bbd-4067-b6c1-d9b2c823aece"> </a><a name="hc970af6c9-5bbd-4067-b6c1-d9b2c823aece"> </a><a name="970af6c9-5bbd-4067-b6c1-d9b2c823aece-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">CDEX Example Patient Male, DoB Unknown ( Member Number)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MB"/>
            </coding>
          </type>
          <system value="http://example.org/cdex/payer/member-ids"/>
          <value value="Member123"/>
        </identifier>
        <active value="true"/>
        <name>
          <text value="CDEX Example Patient"/>
          <family value="Patient"/>
          <given value="CDEX Example"/>
        </name>
        <gender value="male"/>
      </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"><a name="Condition_014a68ec-d691-49e0-b980-91b0d924e570"> </a><p class="res-header-id"><b>Generated Narrative: Condition 014a68ec-d691-49e0-b980-91b0d924e570</b></p><a name="014a68ec-d691-49e0-b980-91b0d924e570"> </a><a name="hc014a68ec-d691-49e0-b980-91b0d924e570"> </a><a name="014a68ec-d691-49e0-b980-91b0d924e570-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.3.6.1.4.1.22812.4.111.0.4.1.2.1</code>/1</p><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 44054006}">Type 2 Diabetes Mellitus</span></p><p><b>subject</b>: <a href="Bundle-cdex-document-digital-sig-example.html#urn-uuid-970af6c9-5bbd-4067-b6c1-d9b2c823aece">Bundle: identifier = UUID:c173535e-135e-48e3-ab64-38bacc68dba8; type = document; timestamp = 2021-10-25 20:16:29-0700</a></p><p><b>onset</b>: 2006</p><p><b>asserter</b>: <a href="Bundle-cdex-document-digital-sig-example.html#urn-uuid-0820c16d-91de-4dfa-a3a6-f140a516a9bc">Bundle: identifier = UUID:c173535e-135e-48e3-ab64-38bacc68dba8; type = document; timestamp = 2021-10-25 20:16:29-0700</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://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="problem-list-item"/>
            <display value="Problem List Item"/>
          </coding>
          <text value="Problem List Item"/>
        </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"><a name="Encounter_5ce5c83a-000f-47d2-941c-039358cc9112"> </a><p class="res-header-id"><b>Generated Narrative: Encounter 5ce5c83a-000f-47d2-941c-039358cc9112</b></p><a name="5ce5c83a-000f-47d2-941c-039358cc9112"> </a><a name="hc5ce5c83a-000f-47d2-941c-039358cc9112"> </a><a name="5ce5c83a-000f-47d2-941c-039358cc9112-en-US"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-EMER">ActCode</a> EMER: emergency</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 261665006}">Unknown (qualifier value)</span></p><p><b>subject</b>: <a href="Bundle-cdex-document-digital-sig-example.html#urn-uuid-970af6c9-5bbd-4067-b6c1-d9b2c823aece">CDEX Example Patient</a></p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Individual</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-cdex-document-digital-sig-example.html#urn-uuid-0820c16d-91de-4dfa-a3a6-f140a516a9bc">John Hancock</a></td></tr></table><p><b>period</b>: 2021-10-25 20:10:29-0700 --&gt; 2021-10-25 20:16:29-0700</p><p><b>serviceProvider</b>: <a href="Bundle-cdex-document-digital-sig-example.html#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"><a name="Organization_e37f004b-dc10-422b-b833-cdaa10a055a3"> </a><p class="res-header-id"><b>Generated Narrative: Organization e37f004b-dc10-422b-b833-cdaa10a055a3</b></p><a name="e37f004b-dc10-422b-b833-cdaa10a055a3"> </a><a name="hce37f004b-dc10-422b-b833-cdaa10a055a3"> </a><a name="e37f004b-dc10-422b-b833-cdaa10a055a3-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/1234567893</p><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>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="1234567893"/>
        </identifier>
        <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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