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

## : CDEX Document with Electronic Signature Example - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "cdex-electronic-sig-example",
      "identifier" : {
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:uuid:c173535e-135e-48e3-ab64-38bacc68dba8"
      },
      "type" : "document",
      "timestamp" : "2021-10-25T20:16:29-07:00",
      "entry" : [
        {
          "fullUrl" : "urn:uuid:17a80a8d-4cf1-4deb-a1fd-2db1130e5f76",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "17a80a8d-4cf1-4deb-a1fd-2db1130e5f76",
            "text" : {
              "status" : "generated",
              "div" : "<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><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>"
            },
            "status" : "final",
            "type" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11503-0"
                }
              ],
              "text" : "Medical records"
            },
            "subject" : {
              "reference" : "urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece",
              "display" : "Example Patient"
            },
            "encounter" : {
              "reference" : "urn:uuid:5ce5c83a-000f-47d2-941c-039358cc9112",
              "display" : "Example Encounter"
            },
            "date" : "2021-10-25T20:16:29-07:00",
            "author" : [
              {
                "reference" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc",
                "display" : "Example Practitioner"
              }
            ],
            "title" : "Active Conditions",
            "attester" : [
              {
                "mode" : "legal",
                "time" : "2021-10-25T20:16:29-07:00",
                "party" : {
                  "reference" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc",
                  "display" : "Example Practitioner"
                }
              }
            ],
            "section" : [
              {
                "title" : "Active Condition 1",
                "entry" : [
                  {
                    "reference" : "urn:uuid:014a68ec-d691-49e0-b980-91b0d924e570"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "0820c16d-91de-4dfa-a3a6-f140a516a9bc",
            "text" : {
              "status" : "generated",
              "div" : "<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><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/9941339100</p><p><b>name</b>: John Hancock </p></div>"
            },
            "identifier" : [
              {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "9941339100"
              }
            ],
            "name" : [
              {
                "family" : "Hancock",
                "given" : [
                  "John"
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "970af6c9-5bbd-4067-b6c1-d9b2c823aece",
            "text" : {
              "status" : "generated",
              "div" : "<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><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>"
            },
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "MB"
                    }
                  ]
                },
                "system" : "http://example.org/cdex/payer/member-ids",
                "value" : "Member123"
              }
            ],
            "active" : true,
            "name" : [
              {
                "text" : "CDEX Example Patient",
                "family" : "Patient",
                "given" : [
                  "CDEX Example"
                ]
              }
            ],
            "gender" : "male"
          }
        },
        {
          "fullUrl" : "urn:uuid:014a68ec-d691-49e0-b980-91b0d924e570",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "014a68ec-d691-49e0-b980-91b0d924e570",
            "text" : {
              "status" : "generated",
              "div" : "<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><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>"
            },
            "identifier" : [
              {
                "system" : "urn:oid:1.3.6.1.4.1.22812.4.111.0.4.1.2.1",
                "value" : "1"
              }
            ],
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active"
                }
              ]
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code" : "problem-list-item",
                    "display" : "Problem List Item"
                  }
                ],
                "text" : "Problem List Item"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "44054006",
                  "display" : "Type 2 Diabetes Mellitus"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece"
            },
            "onsetDateTime" : "2006",
            "asserter" : {
              "reference" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:5ce5c83a-000f-47d2-941c-039358cc9112",
          "resource" : {
            "resourceType" : "Encounter",
            "id" : "5ce5c83a-000f-47d2-941c-039358cc9112",
            "text" : {
              "status" : "generated",
              "div" : "<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><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-EMER\">ActCode EMER</a>: 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>"
            },
            "status" : "finished",
            "class" : {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "EMER"
            },
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "261665006",
                    "display" : "Unknown (qualifier value)"
                  }
                ],
                "text" : "Unknown (qualifier value)"
              }
            ],
            "subject" : {
              "reference" : "urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece",
              "display" : "CDEX Example Patient"
            },
            "participant" : [
              {
                "individual" : {
                  "reference" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc",
                  "display" : "John Hancock"
                }
              }
            ],
            "period" : {
              "start" : "2021-10-25T20:10:29-07:00",
              "end" : "2021-10-25T20:16:29-07:00"
            },
            "serviceProvider" : {
              "reference" : "urn:uuid:e37f004b-dc10-422b-b833-cdaa10a055a3",
              "display" : "CDEX Example Organization"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:e37f004b-dc10-422b-b833-cdaa10a055a3",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "e37f004b-dc10-422b-b833-cdaa10a055a3",
            "text" : {
              "status" : "generated",
              "div" : "<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><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.3.0/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>"
            },
            "identifier" : [
              {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "1234567893"
              }
            ],
            "active" : true,
            "name" : "CDEX Example Organization",
            "telecom" : [
              {
                "system" : "phone",
                "value" : "(+1) 555-555-5555"
              },
              {
                "system" : "email",
                "value" : "customer-service@example.org"
              }
            ],
            "address" : [
              {
                "line" : [
                  "1 CDEX Lane"
                ],
                "city" : "Boston",
                "state" : "MA",
                "postalCode" : "01002",
                "country" : "USA"
              }
            ]
          }
        }
      ],
      "signature" : {
        "type" : [
          {
            "system" : "urn:iso-astm:E1762-95:2013",
            "code" : "1.2.840.10065.1.12.1.5",
            "display" : "Verification Signature"
          }
        ],
        "when" : "2021-10-05T22:42:19-07:00",
        "who" : {
          "reference" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc",
          "display" : "CDEX Example Practitioner"
        },
        "onBehalfOf" : {
          "reference" : "urn:uuid:e37f004b-dc10-422b-b833-cdaa10a055a3",
          "display" : "CDEX Example Organization"
        },
        "sigFormat" : "image/jpg",
        "data" : " "
      }
    }