Da Vinci Clinical Data Exchange (CDex)
2.1.0 - STU 2.1

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## : CDEX Document with Electronic Signature Example - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="cdex-electronic-sig-example"/>
      <meta>
        <lastUpdated value="2021-10-25T20:16:29-07:00"/>
      </meta>
      <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><p class="res-header-id"><b>Generated Narrative: Composition 17a80a8d-4cf1-4deb-a1fd-2db1130e5f76</b></p><a name="17a80a8d-4cf1-4deb-a1fd-2db1130e5f76"> </a><a name="hc17a80a8d-4cf1-4deb-a1fd-2db1130e5f76"> </a><a name="17a80a8d-4cf1-4deb-a1fd-2db1130e5f76-en-US"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 11503-0}">Medical records</span></p><p><b>encounter</b>: <a href="Bundle-cdex-document-digital-sig-example.html#urn-uuid-5ce5c83a-000f-47d2-941c-039358cc9112">Example Encounter</a></p><p><b>date</b>: 2021-10-25 20:16:29-0700</p><p><b>author</b>: <a href="Bundle-cdex-document-digital-sig-example.html#urn-uuid-0820c16d-91de-4dfa-a3a6-f140a516a9bc">Example Practitioner</a></p><p><b>title</b>: Active Conditions</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>Legal</td><td>2021-10-25 20:16:29-0700</td><td><a href="Bundle-cdex-document-digital-sig-example.html#urn-uuid-0820c16d-91de-4dfa-a3a6-f140a516a9bc">Example Practitioner</a></td></tr></table></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><p class="res-header-id"><b>Generated Narrative: Practitioner 0820c16d-91de-4dfa-a3a6-f140a516a9bc</b></p><a name="0820c16d-91de-4dfa-a3a6-f140a516a9bc"> </a><a name="hc0820c16d-91de-4dfa-a3a6-f140a516a9bc"> </a><a name="0820c16d-91de-4dfa-a3a6-f140a516a9bc-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2013-05-05 16:13:03+0000</p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.3.0/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/9941339100</p><p><b>name</b>: John Hancock </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><p class="res-header-id"><b>Generated Narrative: Patient 970af6c9-5bbd-4067-b6c1-d9b2c823aece</b></p><a name="970af6c9-5bbd-4067-b6c1-d9b2c823aece"> </a><a name="hc970af6c9-5bbd-4067-b6c1-d9b2c823aece"> </a><a name="970af6c9-5bbd-4067-b6c1-d9b2c823aece-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">CDEX Example Patient Male, DoB Unknown ( Member Number)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr></table></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><p class="res-header-id"><b>Generated Narrative: Condition 014a68ec-d691-49e0-b980-91b0d924e570</b></p><a name="014a68ec-d691-49e0-b980-91b0d924e570"> </a><a name="hc014a68ec-d691-49e0-b980-91b0d924e570"> </a><a name="014a68ec-d691-49e0-b980-91b0d924e570-en-US"> </a><p><b>identifier</b>: <code>urn:oid:1.3.6.1.4.1.22812.4.111.0.4.1.2.1</code>/1</p><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 44054006}">Type 2 Diabetes Mellitus</span></p><p><b>subject</b>: <a href="Bundle-cdex-document-digital-sig-example.html#urn-uuid-970af6c9-5bbd-4067-b6c1-d9b2c823aece">Bundle: identifier = UUID:c173535e-135e-48e3-ab64-38bacc68dba8; type = document; timestamp = 2021-10-25 20:16:29-0700</a></p><p><b>onset</b>: 2006</p><p><b>asserter</b>: <a href="Bundle-cdex-document-digital-sig-example.html#urn-uuid-0820c16d-91de-4dfa-a3a6-f140a516a9bc">Bundle: identifier = UUID:c173535e-135e-48e3-ab64-38bacc68dba8; type = document; timestamp = 2021-10-25 20:16:29-0700</a></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><p class="res-header-id"><b>Generated Narrative: Encounter 5ce5c83a-000f-47d2-941c-039358cc9112</b></p><a name="5ce5c83a-000f-47d2-941c-039358cc9112"> </a><a name="hc5ce5c83a-000f-47d2-941c-039358cc9112"> </a><a name="5ce5c83a-000f-47d2-941c-039358cc9112-en-US"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/6.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-EMER">ActCode EMER</a>: emergency</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 261665006}">Unknown (qualifier value)</span></p><p><b>subject</b>: <a href="Bundle-cdex-document-digital-sig-example.html#urn-uuid-970af6c9-5bbd-4067-b6c1-d9b2c823aece">CDEX Example Patient</a></p><h3>Participants</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Individual</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-cdex-document-digital-sig-example.html#urn-uuid-0820c16d-91de-4dfa-a3a6-f140a516a9bc">John Hancock</a></td></tr></table><p><b>period</b>: 2021-10-25 20:10:29-0700 --&gt; 2021-10-25 20:16:29-0700</p><p><b>serviceProvider</b>: <a href="Bundle-cdex-document-digital-sig-example.html#urn-uuid-e37f004b-dc10-422b-b833-cdaa10a055a3">CDEX Example Organization</a></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><p class="res-header-id"><b>Generated Narrative: Organization e37f004b-dc10-422b-b833-cdaa10a055a3</b></p><a name="e37f004b-dc10-422b-b833-cdaa10a055a3"> </a><a name="hce37f004b-dc10-422b-b833-cdaa10a055a3"> </a><a name="e37f004b-dc10-422b-b833-cdaa10a055a3-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.3.0/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/1234567893</p><p><b>active</b>: true</p><p><b>name</b>: CDEX Example Organization</p><p><b>telecom</b>: ph: (+1) 555-555-5555, <a href="mailto:customer-service@example.org">customer-service@example.org</a></p><p><b>address</b>: 1 CDEX Lane Boston MA 01002 USA </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="2021-10-05T22:42:19-07:00"/>
        <who>
          <reference value="urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc"/>
          <display value="CDEX Example Practitioner"/>
        </who>
        <onBehalfOf>
          <reference value="urn:uuid:e37f004b-dc10-422b-b833-cdaa10a055a3"/>
          <display value="CDEX Example Organization"/>
        </onBehalfOf>
        <sigFormat value="image/jpg"/>
        <data
              value=" "/>
      </signature>
    </Bundle>