Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Treatment Attestation Form Example 1 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:DocumentReference ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "treatment-attestation-form-001"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2024-12-16T10:00:00Z"^^xsd:dateTime ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Signed Treatment Relationship Attestation Form for Robert Johnson</p></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "current"] ; # 
  fhir:docStatus [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:64292-6 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ] ;
fhir:code [ fhir:v "64292-6" ] ;
fhir:display [ fhir:v "Release of information consent Document" ]     ] )
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
a loinc:64292-6 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ] ;
fhir:code [ fhir:v "64292-6" ] ;
fhir:display [ fhir:v "Release of information consent Document" ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:l fhir:Patient/patient-prov-001 ;
fhir:reference [ fhir:v "Patient/patient-prov-001" ] ;
fhir:display [ fhir:v "Robert Michael Johnson" ]
  ] ; # 
  fhir:date [ fhir:v "2024-12-16T09:30:00Z"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:l fhir:Practitioner/provider-001 ;
fhir:reference [ fhir:v "Practitioner/provider-001" ] ;
fhir:display [ fhir:v "Dr. John Smith" ]
  ] ) ; # 
  fhir:custodian [
fhir:l fhir:Organization/provider-org-001 ;
fhir:reference [ fhir:v "Organization/provider-org-001" ] ;
fhir:display [ fhir:v "Example Provider Organization" ]
  ] ; # 
  fhir:description [ fhir:v "Signed attestation form documenting active treatment relationship between Dr. Smith and patient Robert Johnson"] ; # 
  fhir:content ( [
fhir:attachment [
fhir:contentType [ fhir:v "application/pdf" ] ;
fhir:language [ fhir:v "en-US" ] ;
fhir:title [ fhir:v "Treatment Relationship Attestation Form" ] ;
fhir:creation [ fhir:v "2024-12-16T09:30:00Z"^^xsd:dateTime ]     ] ;
fhir:format [
fhir:system [
fhir:v "http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem"^^xsd:anyURI ;
fhir:l <http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem>       ] ;
fhir:code [ fhir:v "urn:ihe:iti:xds:2017:mimeTypeSufficient" ] ;
fhir:display [ fhir:v "mimeType Sufficient" ]     ]
  ] ) ; # 
  fhir:context [
fhir:period [
fhir:start [ fhir:v "2024-01-01"^^xsd:date ]     ]
  ] . #