Da Vinci Clinical Data Exchange (CDex)
2.1.0 - STU 2.1
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
<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 "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>
</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, "I feel great!"</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="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"/>
</signature>
</Bundle>
IG © 2024+ HL7 International / Payer/Provider Information Exchange Work Group. Package hl7.fhir.us.davinci-cdex#2.1.0 based on FHIR 4.0.1. Generated 2025-07-24
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