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 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><h3>Medical Records Document</h3><p>This document, titled &quot;Active Conditions,&quot; was created on October 25, 2021, by Dr. John Hancock, who also legally attested to its accuracy on the same date. It summarizes the active medical conditions for a patient based on an emergency encounter on October 25, 2021. The document includes one section detailing an active condition: Type 2 Diabetes Mellitus.</p></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><h3>Practitioner Information</h3><p>Dr. John Hancock is a healthcare provider with National Provider Identifier (NPI) 9941339100. He authored and attested to the medical records document.</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><h3>Patient Information</h3><p>CDEX Example Patient, a male, is identified by member ID Member123 in the payer system http://example.org/cdex/payer/member-ids. He is the subject of this medical records document. The patient said, &quot;I feel great!&quot;</p></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><h3>Active Condition</h3><p>The patient has an active diagnosis of Type 2 Diabetes Mellitus (SNOMED CT: 44054006), first identified in 2006. This condition was documented by Dr. John Hancock and is listed as a problem on the patient’s problem list.</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><h3>Encounter Details</h3><p>An emergency encounter occurred on October 25, 2021, from 8:10 PM to 8:16 PM, involving CDEX Example Patient and attended by Dr. John Hancock at CDEX Example Organization. The encounter type is unspecified (SNOMED CT: 261665006).</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><h3>Organization Information</h3><p>CDEX Example Organization, located at 1 CDEX Lane, Boston, MA 01002, USA, is the service provider for the documented encounter. Contact details include phone: (+1) 555-555-5555 and email: customer-service@example.org. The organization's NPI is 1234567893.</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="2020-10-23T04:54:56.048+00:00"/>
        <who>
          <identifier>
            <type>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                <code value="NPI"/>
              </coding>
            </type>
            <system value="http://hl7.org/fhir/sid/us-npi"/>
            <value value="9941339100"/>
          </identifier>
          <display value="John Hancock, MD"/>
        </who>
        <onBehalfOf>
          <identifier>
            <system value="http://hl7.org/fhir/sid/us-npi"/>
            <value value="1234567893"/>
          </identifier>
        </onBehalfOf>
        <targetFormat
                      value="application/fhir+json;canonicalization=http://hl7.org/fhir/canonicalization/json#document"/>
        <sigFormat value="application/jose"/>
        <data
              value=" "/>
      </signature>
    </Bundle>