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 2.2.0 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 2 - TTL Representation

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

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

<http://hl7.org/fhir/DocumentReference/treatment-attestation-form-002> a fhir:DocumentReference ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "treatment-attestation-form-002"] ;
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2024-12-16T10:00:00Z"^^xsd:dateTime ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Signed Treatment Relationship Attestation Form for Sarah Williams</p></div>"
  ] ;
  fhir:DocumentReference.status [ fhir:value "current"] ;
  fhir:DocumentReference.docStatus [ fhir:value "final"] ;
  fhir:DocumentReference.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:64292-6 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "64292-6" ] ;
       fhir:Coding.display [ fhir:value "Release of information consent Document" ]
     ]
  ] ;
  fhir:DocumentReference.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:64292-6 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "64292-6" ] ;
       fhir:Coding.display [ fhir:value "Release of information consent Document" ]
     ]
  ] ;
  fhir:DocumentReference.subject [
     fhir:link <http://hl7.org/fhir/Patient/patient-prov-002> ;
     fhir:Reference.reference [ fhir:value "Patient/patient-prov-002" ] ;
     fhir:Reference.display [ fhir:value "Sarah Elizabeth Williams" ]
  ] ;
  fhir:DocumentReference.date [ fhir:value "2024-12-16T09:45:00Z"^^xsd:dateTime] ;
  fhir:DocumentReference.author [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/Practitioner/provider-002> ;
     fhir:Reference.reference [ fhir:value "Practitioner/provider-002" ] ;
     fhir:Reference.display [ fhir:value "Dr. Mary Jones" ]
  ] ;
  fhir:DocumentReference.custodian [
     fhir:link <http://hl7.org/fhir/Organization/provider-org-002> ;
     fhir:Reference.reference [ fhir:value "Organization/provider-org-002" ] ;
     fhir:Reference.display [ fhir:value "Second Example Provider Organization" ]
  ] ;
  fhir:DocumentReference.description [ fhir:value "Signed attestation form documenting active treatment relationship between Dr. Jones and patient Sarah Williams"] ;
  fhir:DocumentReference.content [
     fhir:index 0 ;
     fhir:DocumentReference.content.attachment [
       fhir:Attachment.contentType [ fhir:value "application/pdf" ] ;
       fhir:Attachment.language [ fhir:value "en-US" ] ;
       fhir:Attachment.title [ fhir:value "Treatment Relationship Attestation Form" ] ;
       fhir:Attachment.creation [ fhir:value "2024-12-16T09:45:00Z"^^xsd:dateTime ]
     ]
  ] ;
  fhir:DocumentReference.context [
     fhir:DocumentReference.context.period [
       fhir:Period.start [ fhir:value "2024-02-15"^^xsd:date ]
     ]
  ] .

<http://hl7.org/fhir/Patient/patient-prov-002> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/provider-002> a fhir:Practitioner .

<http://hl7.org/fhir/Organization/provider-org-002> a fhir:Organization .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/DocumentReference/treatment-attestation-form-002.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/DocumentReference/treatment-attestation-form-002.ttl> .