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

: Provider Attestation Document Reference - XML Representation

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<DocumentReference xmlns="http://hl7.org/fhir">
  <id value="provider-attestation-doc-1"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DocumentReference provider-attestation-doc-1</b></p><a name="provider-attestation-doc-1"> </a><a name="hcprovider-attestation-doc-1"> </a><p><b>status</b>: Current</p><p><b>docStatus</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 64292-6}">Release of information consent</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/consentcategorycodes treat}">Treatment</span></p><p><b>subject</b>: <a href="Patient-1.html">Patricia Ann Person</a></p><p><b>date</b>: 2024-11-14 10:30:00+0000</p><p><b>author</b>: <a href="Practitioner-4.html">Dr. Susan Smith</a></p><p><b>authenticator</b>: <a href="Organization-ProviderOrg1.html">Provider 1</a></p><p><b>custodian</b>: <a href="Organization-ProviderOrg1.html">Provider 1</a></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContentType</b></td><td><b>Url</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style="display: none">*</td><td>application/pdf</td><td><a href="https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&amp;canonical=https://example.org/provider1/attestations/2024/attestation-001.pdf">https://example.org/provider1/attestations/2024/attestation-001.pdf</a></td><td>Provider Treatment Relationship Attestation Form</td><td>2024-11-14 10:30:00+0000</td></tr></table><p><b>format</b>: IHE.FormatCode.codesystem: urn:ihe:iti:xds:2017:mimeTypeSufficient (urn:ihe:iti:xds:2017:mimeTypeSufficient)</p></blockquote><h3>Contexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Period</b></td><td><b>Related</b></td></tr><tr><td style="display: none">*</td><td>2024-01-15 --&gt; (ongoing)</td><td><a href="Encounter-6.html">Encounter: status = finished; class = Ambulatory (ActCode#AMB); type = Consultation</a></td></tr></table></div>
  </text>
  <status value="current"/>
  <docStatus value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="64292-6"/>
      <display value="Release of information consent"/>
    </coding>
  </type>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"/>
      <code value="treat"/>
      <display value="Treatment"/>
    </coding>
  </category>
  <subject>🔗 
    <reference value="Patient/1"/>
    <display value="Patricia Ann Person"/>
  </subject>
  <date value="2024-11-14T10:30:00Z"/>
  <author>🔗 
    <reference value="Practitioner/4"/>
    <display value="Dr. Susan Smith"/>
  </author>
  <authenticator>🔗 
    <reference value="Organization/ProviderOrg1"/>
    <display value="Provider 1"/>
  </authenticator>
  <custodian>🔗 
    <reference value="Organization/ProviderOrg1"/>
    <display value="Provider 1"/>
  </custodian>
  <content>
    <attachment>
      <contentType value="application/pdf"/>
      <url
           value="https://example.org/provider1/attestations/2024/attestation-001.pdf"/>
      <title value="Provider Treatment Relationship Attestation Form"/>
      <creation value="2024-11-14T10:30:00Z"/>
    </attachment>
    <format>
      <system value="http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem"/>
      <code value="urn:ihe:iti:xds:2017:mimeTypeSufficient"/>
    </format>
  </content>
  <context>
    <period>
      <start value="2024-01-15"/>
    </period>
    <related>🔗 
      <reference value="Encounter/6"/>
    </related>
  </context>
</DocumentReference>