resourceType: Parameters
id: cdex-parameters-example2
meta:
  extension:
  - url: http://hl7.org/fhir/StructureDefinition/instance-name
    valueString: CDex Parameters Example 2
  - url: http://hl7.org/fhir/StructureDefinition/instance-description
    valueMarkdown: '**Signed FHIR Document Attachment Example:** Parameters Resource
      example showing how it is used to submit attachments using the `$submit-attachment`
      operation. It contains a Signed FHIR Document attachment and the necessary information
      needed to associate it to a claim.'
  profile:
  - http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-parameters-submit-attachment
parameter:
- name: TrackingId
  valueIdentifier:
    system: http://example.org/provider
    value: '21234657'
- name: AttachTo
  valueCode: claim
- name: PayerId
  valueIdentifier:
    system: http://example.org/cdex/payer-ids
    value: payer123
- name: OrganizationId
  valueIdentifier:
    system: http://hl7.org/fhir/sid/us-npi
    value: '1407071236'
- name: ProviderId
  valueIdentifier:
    system: http://hl7.org/fhir/sid/us-npi
    value: '9941339108'
- name: MemberId
  valueIdentifier:
    system: http://example.org/cdex/member-ids
    value: '234567'
- name: ServiceDate
  valueDateTime: '2022-06-16'
- name: Attachment
  part:
  - name: LineItem
    valueString: '1'
  - name: Code
    valueCodeableConcept:
      coding:
      - system: http://loinc.org
        code: 11503-0
        display: Medical records
      text: Medical records
  - name: Content
    resource:
      resourceType: Bundle
      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><h3>Medical Records Document</h3><p>This document, titled "Active
              Conditions," 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>'
          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
          meta:
            lastUpdated: '2013-05-05T16:13:03Z'
            profile:
            - http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|3.1.1
            - http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0
            - http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0
          text:
            status: generated
            div: <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>
          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
          meta:
            profile:
            - http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|3.1.1
            - http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0
            - http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0
          text:
            status: generated
            div: <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,
              "I feel great!"</p></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
          meta:
            profile:
            - http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition|3.1.1
            - http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|6.1.0
            - http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|7.0.0
          text:
            status: generated
            div: "<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\u2019s problem list.</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
          meta:
            profile:
            - http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|3.1.1
            - http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0
            - http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|7.0.0
          text:
            status: generated
            div: '<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>'
          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
          meta:
            profile:
            - http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-organization
          text:
            status: generated
            div: '<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>'
          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
      id: cdex-document-digital-sig-example
      meta:
        profile:
        - http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-signature-bundle
        extension:
        - url: http://hl7.org/fhir/StructureDefinition/instance-name
          valueString: CDEX Document with Digital Signature Example
        - url: http://hl7.org/fhir/StructureDefinition/instance-description
          valueMarkdown: Digital signature example showing how it is used to sign
            a FHIR Document.  The CDEX use case would be the target resource in response
            to a Task-based request where a digital signature was required.  If no
            signature was required, the response would typically be in the form of
            an individual resource.
      signature:
        type:
        - system: urn:iso-astm:E1762-95:2013
          code: 1.2.840.10065.1.12.1.5
          display: Verification Signature
        when: '2020-10-23T04:54:56.048+00:00'
        who:
          identifier:
            system: http://hl7.org/fhir/sid/us-npi
            type:
              coding:
              - system: http://terminology.hl7.org/CodeSystem/v2-0203
                code: NPI
            value: '9941339100'
          display: John Hancock, MD
        onBehalfOf:
          identifier:
            system: http://hl7.org/fhir/sid/us-npi
            value: '1234567893'
        targetFormat: application/fhir+json;canonicalization=http://hl7.org/fhir/canonicalization/json#document
        sigFormat: application/jose
        data: ZXlKaGJHY2lPaUpTVXpJMU5pSXNJbXRwWkNJNkltSm1ZbVV6WlRWak1EUTNNRFEwTkRVM05qVTBPREV4TXpreU9HUTFaakZsTkdVelpqSmxaV0lpTENKcmRIa2lPaUpTVXlJc0luTnBaMVFpT2lJeU1ESXdMVEV3TFRJelZEQTBPalUwT2pVMkxqQTBPQ3N3TURvd01DSXNJbk55UTIxeklqcGJleUpqYjIxdFNXUWlPbnNpWkdWell5STZJbFpsY21sbWFXTmhkR2x2YmlCVGFXZHVZWFIxY21VaUxDSnBaQ0k2SW5WeWJqcHZhV1E2TVM0eUxqZzBNQzR4TURBMk5TNHhMakV5TGpFdU5TSjlMQ0pqYjIxdFVYVmhiSE1pT2xzaVZtVnlhV1pwWTJGMGFXOXVJRzltSUcxbFpHbGpZV3dnY21WamIzSmtJR2x1ZEdWbmNtbDBlU0pkZlYwc0luUjVjQ0k2SWtwWFZDSXNJbmcxWXlJNld5Sk5TVWxHVm5wRFEwRTNLMmRCZDBsQ1FXZEpWVUp1TkROR05FOHhNVEI2Vms1SVVGVjBRbTV1V0dZek0wWlJkM2RFVVZsS1MyOWFTV2gyWTA1QlVVVk1RbEZCZDJkYVZYaERla0ZLUW1kT1ZrSkJXVlJCYkZaVVRWSk5kMFZSV1VSV1VWRkpSRUZ3UkZsWGVIQmFiVGw1WW0xc2FFMVNTWGRGUVZsRVZsRlJTRVJCYkZSWldGWjZXVmQ0Y0dSSE9IaElWRUZpUW1kT1ZrSkJiMDFHUlZZMFdWY3hkMkpIVldkVU0wcHVXVmMxY0dWdFJqQmhWemwxVFZKcmQwWjNXVVJXVVZGRVJFSkNTMkl5YUhWSlJXaG9ZbTFPZGxreWMzTkpSVEZGVFZOTmQwbFJXVXBMYjFwSmFIWmpUa0ZSYTBKR2FGSnhZVWRHZFZreU9XcGhNRUpzWlVkR2RHTkhlR3hNYlRsNVducEJaVVozTUhsT1ZFRXlUV3BWZVUxNlJYbE5lbXhoUm5jd2VVNTZRVEpOVkZWNVRYcEZlVTE2YkdGTlNVZFdUVkZ6ZDBOUldVUldVVkZIUlhkS1ZsVjZSVlJOUWtWSFFURlZSVU5CZDB0Uk1rWnpZVmRhZG1OdE5YQlpWRVZUVFVKQlIwRXhWVVZDZDNkS1ZUSkdNV015Um5OaFdGSjJUVkl3ZDBkM1dVUldVVkZMUkVKU1JtVkhSblJqUjNoc1NVVTVlVm95Um5WaFdIQm9aRWRzZG1KcVJWcE5RbU5IUVRGVlJVRjNkMUZUYlRsdlltbENTVmxYTldwaU1rNXlURU5DVGxKRVJXcE5RMFZIUTFOeFIxTkpZak5FVVVWS1FWSlpWV0Z0YUdoaWJVNTJXVEowUVZwWWFHaGlXRUp6V2xNMWRtTnRZM2RuWjBkcFRVRXdSME5UY1VkVFNXSXpSRkZGUWtGUlZVRkJORWxDYW5kQmQyZG5SMHRCYjBsQ1oxRkRZMWh0ZGxnMk1FZEJOVWNyUkd3MGFWSnVPVlJUTDNkVVJqRkdWRWc1VW0xeVVESTVSelpZVTA5MVZrUkZaMGRhZDFWVVNra3ZUMnRTVEZCcUswcFZTM2t2YTAxWk0xbHROREZyTTBwU2NqaE9ja28zVldOcVpqTlVaVEpaTUhwdFVrMW1SMHRQTWxnM2NEQXhTV1E0Y2tkb2JtSnpWR3RYYW5ONlkyTnJha3RQVkdzM1JUUklXRTgzV0ZGdFZuWlNXbUZRY21wdVZsWnplalpoU1ZWdGJWVjVRbVZ0VlhoelVGRjRjV3RrTnpkNlVrdGxNVW9yWmsxaWNHSlRibUZHTWxNMVNEbEpOVWx3VVhVelpYSlRhazUzZFc1MWJVcEJMelZ6VGtGVFRWVm1LMXB5U3pWb2RIZFFabXh2Ym14V1FUbElSVkJ2Tms0MWRFcHpRMDFGV1RWeGExcEJXRVExTlZCVlltWTRTWGh5WkRNcmRERnBXRTVCWjAxa1dGQndPVTVxWm0xcmVtRklUM05TTlVWTU56aHZWbVowUzBnNFdFMW5jemxNSzFoWWFHTnRjQ3RUZFZOaVZWUXJiR0ZSUm01TFdsbzJOakZGUWpoVlZsRkhVR2h6U0dOMVdYbzNUUzhyUjBRM2JHdHRialYzTjJjMmFYcFpNRFZFY3pGMFpIUm9NMmhDSzBVeFpUQldPR0ZzTUN0SVdYaFlkRzFNTWpoUFluSjFjbHAwTlZaUFZEWXpObUZDVjJWaGF6TnRNV3gwSzBwTWFWUlhkMk5KV0hWeWFVcDNXRU5STjFjeVQyaEpjbXhsUW01ME5WbFNaRVl2Vm5kclFXWTFRbkEwTUVSTGNsbFRka0pVTDNnelVHRnlZbU5CY3pWeWRXRTBUV2w2ZEhwM2VrMURRWGRGUVVGaFQwSnVSRU5DYlZSQlNrSm5UbFpJVWsxRlFXcEJRVTFCYzBkQk1WVmtSSGRSUlVGM1NVWTBSRUpuUW1kT1ZraFNSVVZYVkVKWVoyYzVNMlF6WTNWYVdHaG9ZbGhDYzFwVE5YWmpiV1ZuUjFGWlNsbEpXa2xCV1dJMVYzZFJSMjlCZDAxRGFtczFUa1JGZWsxNmEzaE5SRU5IUzFkb01HUklRbnBQYVRoMldsaG9hR0pZUW5OYVV6VjJZMjFqZGxwdGFIQmphVGxSWTIxR2FtUkhiREJoVnpsMVdsaEpkazFVU1hwTlFqQkhRVEZWWkVSblVWZENRbE12ZG1vMVkwSklRa1ZTV0ZwVloxSlBVMnBXT0dWVWFqaDFObnBCVGtKbmEzRm9hMmxIT1hjd1FrRlJjMFpCUVU5RFFWbEZRV1pIYURCbWRqYzJRazE1VW5CcGJpODJiVEpPYms5QmQxbE9LMWRaVGxjMFduZFJTMUJ2YUN0cFFrWnFaMkl2WjFoYUwzZ3paRzVIY1RKU1ZXNVNTRXg1WW1OMmNVOTNRemgwTkN0TU1sRmhaVzUwZWk5NlUweG1Ra2xwU0ZBcmRuUmhkVlp2TkZscGNsVkxTVVpQTlU1clJHSlFVbmRGV0RaYWNHOTBkMUpGTW5BeldWQlBjVzFNYWxWd2RYRmxla3RTWm5WNlptWkZVMGxIUTFkbU5tSkJXbTlJT0c5MmVYcHJjRlZQZUZReWJHTktUREpaVVdkNFlVVkZLeTlOVDBWRWVHSjVMMGMxZEU1c1NGZFZNWEp0TWpsRVdrUTJhVlJ1T0VaSVRVOWlORVJCWlV4ek4yUmxWVUpMWlVGNGJVTk9NWGN3TjBsaVNHWlVXQ3M0ZUc5NlFtczRiVFJ5VVdGU1NUSkdZV05IWTA0dlV6UlBhMmxwYW14b2ExbHVSR1JpWWpaYWIwbENPVGxCVFVjdk1IUk5aMWRuYURVMVJrTk1PWGN5ZVhWaVJrUnpVaXN4ZVZwWE5YYzJlSFpXZFdKR2IzRXlja3RKV1U0MlFsUk5WRE0wT1U0clMxbEdVbFJpSzNCWU1EUlJSa1pEY1ZneFQzbDFVVVZLYWtwd1dtRjFURWxXVTIxVllWWjZSRmRrWVZKdGREQnlhMHhFTmxJNE5YUm9XVXB3VG5oTmNqUnZRWEp6ZVRWcGJEVk1NRXBXVFVWWVJ6RXhRMmhGZUZKRFNqZFljMmhyZEV4cWFpdEJPR3hrVlZKeVRFaFNWMWh2ZEhnMmJVNVdjRE1yVFc5cFEyaDROMUJtYmtkMlExQmhVSFpyVEZGeGFXVTRaRGh5YXpCbGFrNHpJbDE5Li5JU2JVQ3J5T29oQjB3U3RoSWdOVkhSaVNTLVBmcjh1dnRKb29ac3dSQlE0R3R0Vk4taG13c0VKQTNMcVE5Nmd3NkRWcHBfYkNsUy0yeDBZZWRvejJiT212REZLNmdrekhMdW83LXJVbHhfR0dZYUJNQ25qWjJNZnpZZmZLR3VzeGRqNHBYQzJlRHIyeHQyYlNJZG4wR3JnRnJxM21idFNXdmtvTTdRcVE5czZZQTZnSEI2RVJjcjVpREgteEhIZW0ydzNGRWNrWUpRODBiVVhxeVladS1MbGFYWnluNW11RW02MVVxeGFCMjdFeElkeGZJUnRIbGdPMUh3VldQYVZUa01hNzYwTXNwNmxzMDduQ0FKVnVrOFZ6VkFCbWg3M3FXZ3JEcC1UdU5DNWJiSzFSY3RXM1dWOXZteVE4MF84Z28xOE9ONjJZb2NLeGFWRWwxQzFzdGI2dW9oUE9kbU5CQUhxYzJtM2F6UlFxVU9rdkt0UHl5V3hlQkNoSVR6LWhqNmpCTS1ERDVZWERFdFVJd21OTDVnZXB1STdzZFZNemZtX2R4ZjcyM3Y4bEhFTjAyd1JXSUh3UldIWkFiMndpempsYVZJSEptUWJ5YXVyQi1BVUdvb0dNM2FGaC1YVkJLSFVIMVhwZldwRmtfS2thMmE1Vkw0bldrWG9VbXEyRw==