Da Vinci Clinical Data Exchange (CDex)
2.1.0 - STU 2.1
Da Vinci Clinical Data Exchange (CDex)
2.1.0 - STU 2.1
Da Vinci Clinical Data Exchange (CDex), published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ecdx/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
{
"resourceType" : "Task",
"id" : "cdex-task-example29",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Task cdex-task-example29</b></p><a name=\"cdex-task-example29\"> </a><a name=\"hccdex-task-example29\"> </a><a name=\"cdex-task-example29-en-US\"> </a><p><b>identifier</b>: Re-Association Tracking Control Number/trackingid1056</p><p><b>status</b>: Completed</p><p><b>intent</b>: order</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes attachment-request-questionnaire}\">Attachment Request Questionnaire</span></p><p><b>for</b>: <a href=\"#hccdex-task-example29/patient\">Amy Shaw (no stated gender), DoB: 1987-02-20 ( Patient Account Number:\u00a0PA-123\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>authoredOn</b>: 2022-06-17 16:16:06+0000</p><p><b>lastModified</b>: 2022-06-17 16:16:06+0000</p><p><b>requester</b>: Identifier: <code>http://example.org/cdex/payer/payer-ids</code>/Payer123</p><p><b>owner</b>: <a href=\"#hccdex-task-example29/practitionerrole\">PractitionerRole</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/claim-use preauthorization}\">preauthorization</span></p><p><b>reasonReference</b>: Identifier: <code>http://example.org/cdex/payer/claim-ids</code>/Preauth123</p><h3>Restrictions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td>?? --> 2022-06-21</td></tr></table><blockquote><p><b>input</b></p><p><b>PALineNumber</b>: 1</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes questionnaire-context}\">questionnaire-context</span></p><p><b>value</b>: <a href=\"Questionnaire-cdex-questionnaire-example2.html\">Home Oxygen Therapy Questionnaire</a></p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes payer-url}\">Payer URL</span></p><p><b>value</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&canonical=http://example.org/cdex/payer/$submit-attachment\">http://example.org/cdex/payer/$submit-attachment</a></p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp purpose-of-use}\">Purpose Of Use</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActReason COVAUTH}\">coverage authorization</span></p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp signature-flag}\">Signature Flag</span></p><p><b>value</b>: true</p></blockquote><h3>Outputs</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes questionnaire-context}\">questionnaire-context</span></td><td><a href=\"QuestionnaireResponse-cdex-questionnaireresponse-example4.html\">Response to Questionnaire '->Home Oxygen Therapy Questionnaire' about '->display: string (PrimitiveType/QuestionnaireResponse.subject.display): element = string -> display=string[Amy Shaw]'</a></td></tr></table><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Patient #patient</b></p><a name=\"cdex-task-example29/patient\"> </a><a name=\"hccdex-task-example29/patient\"> </a><a name=\"cdex-task-example29/patient-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Amy Shaw (no stated gender), DoB: 1987-02-20 ( Patient Account Number:\u00a0PA-123\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Member Number/Member123\u00a0(use:\u00a0usual,\u00a0)</td></tr></table></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole #practitionerrole</b></p><a name=\"cdex-task-example29/practitionerrole\"> </a><a name=\"hccdex-task-example29/practitionerrole\"> </a><a name=\"cdex-task-example29/practitionerrole-en-US\"> </a><p><b>practitioner</b>: Identifier: <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>organization</b>: Identifier: <a href=\"http://terminology.hl7.org/5.5.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/1234567893</p></blockquote></div>"
},
"contained" : [
{
"resourceType" : "Patient",
"id" : "patient",
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MB",
"display" : "Member Number"
}
],
"text" : "Member Number"
},
"system" : "http://example.org/cdex/payer/member-ids",
"value" : "Member123"
},
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType",
"code" : "pat",
"display" : "Patient Account Number"
}
],
"text" : "Patient Account Number"
},
"system" : "http://example.org/cdex/provider/patient-ids",
"value" : "PA-123"
}
],
"name" : [
{
"family" : "Shaw",
"given" : [
"Amy"
]
}
],
"birthDate" : "1987-02-20"
},
{
"resourceType" : "PractitionerRole",
"id" : "practitionerrole",
"practitioner" : {
"identifier" : {
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9941339100"
}
},
"organization" : {
"identifier" : {
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1234567893"
}
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp",
"code" : "tracking-id",
"display" : "Tracking Id"
}
],
"text" : "Re-Association Tracking Control Number"
},
"system" : "http://example.org/payer",
"value" : "trackingid1056"
}
],
"status" : "completed",
"intent" : "order",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
"code" : "attachment-request-questionnaire"
}
],
"text" : "Attachment Request Questionnaire"
},
"for" : {
"reference" : "#patient"
},
"authoredOn" : "2022-06-17T16:16:06Z",
"lastModified" : "2022-06-17T16:16:06Z",
"requester" : {
"identifier" : {
"system" : "http://example.org/cdex/payer/payer-ids",
"value" : "Payer123"
}
},
"owner" : {
"reference" : "#practitionerrole"
},
"reasonCode" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/claim-use",
"code" : "preauthorization",
"display" : "Preauthorization"
}
],
"text" : "preauthorization"
},
"reasonReference" : {
"identifier" : {
"system" : "http://example.org/cdex/payer/claim-ids",
"value" : "Preauth123"
}
},
"restriction" : {
"period" : {
"end" : "2022-06-21"
}
},
"input" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-pas/StructureDefinition/extension-paLineNumber",
"valueInteger" : 1
}
],
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
"code" : "questionnaire-context"
}
]
},
"valueCanonical" : "http://example.org/cdex-questionnaire-example2"
},
{
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
"code" : "payer-url"
}
]
},
"valueUrl" : "http://example.org/cdex/payer/$submit-attachment"
},
{
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp",
"code" : "purpose-of-use"
}
]
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "COVAUTH",
"display" : "coverage authorization"
}
]
}
},
{
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp",
"code" : "signature-flag"
}
]
},
"valueBoolean" : true
}
],
"output" : [
{
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-pas/CodeSystem/PASTempCodes",
"code" : "questionnaire-context"
}
]
},
"valueReference" : {
🔗 "reference" : "QuestionnaireResponse/cdex-questionnaireresponse-example4"
}
}
]
}
IG © 2024+ HL7 International / Payer/Provider Information Exchange Work Group. Package hl7.fhir.us.davinci-cdex#2.1.0 based on FHIR 4.0.1. Generated 2024-12-17
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