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 Parameters Example 2 - XML Representation

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    <Parameters xmlns="http://hl7.org/fhir">
      <parameter>
        <name value="TrackingId"/>
        <valueIdentifier>
          <system value="http://example.org/provider"/>
          <value value="21234657"/>
        </valueIdentifier>
      </parameter>
      <parameter>
        <name value="AttachTo"/>
        <valueCode value="claim"/>
      </parameter>
      <parameter>
        <name value="PayerId"/>
        <valueIdentifier>
          <system value="http://example.org/cdex/payer-ids"/>
          <value value="payer123"/>
        </valueIdentifier>
      </parameter>
      <parameter>
        <name value="OrganizationId"/>
        <valueIdentifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="1407071236"/>
        </valueIdentifier>
      </parameter>
      <parameter>
        <name value="ProviderId"/>
        <valueIdentifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="9941339108"/>
        </valueIdentifier>
      </parameter>
      <parameter>
        <name value="MemberId"/>
        <valueIdentifier>
          <system value="http://example.org/cdex/member-ids"/>
          <value value="234567"/>
        </valueIdentifier>
      </parameter>
      <parameter>
        <name value="ServiceDate"/>
        <valueDateTime value="2022-06-16"/>
      </parameter>
      <parameter>
        <name value="Attachment"/>
        <part>
          <name value="LineItem"/>
          <valueString value="1"/>
        </part>
        <part>
          <name value="Code"/>
          <valueCodeableConcept>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11503-0"/>
              <display value="Medical records"/>
            </coding>
            <text value="Medical records"/>
          </valueCodeableConcept>
        </part>
        <part>
          <name value="Content"/>
          <resource>
            <Bundle>
              <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>
          </resource>
        </part>
      </parameter>
    </Parameters>