Da Vinci Clinical Data Exchange (CDex), published by HL7 International - Patient Care Work Group. This is not an authorized publication; it is the continuous build for version 2.1.0-preview). This version is based on the current content of https://github.com/HL7/davinci-ecdx/ and changes regularly. See the Directory of published versions

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• JSON

: CDex Parameters Example 5 - XML Representation

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