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: CDEX Document with Digital Signature Example - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "cdex-document-digital-sig-example",
  "meta" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString" : "CDEX Document with Digital Signature Example"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown" : "Digital signature example showing how it is used to sign a FHIR Document.  The CDEX use case would be the target resource in response to a Task-based request where a digital signature was required.  If no signature was required, the response would typically be in the form of an individual resource."
      }
    ],
    "profile" : [
      "http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-signature-bundle"
    ]
  },
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:c173535e-135e-48e3-ab64-38bacc68dba8"
  },
  "type" : "document",
  "timestamp" : "2021-10-25T20:16:29-07:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:17a80a8d-4cf1-4deb-a1fd-2db1130e5f76",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "17a80a8d-4cf1-4deb-a1fd-2db1130e5f76",
        "text" : {
          "status" : "generated",
          "div" : "<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 &quot;Active Conditions,&quot; 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>"
        },
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "11503-0"
            }
          ],
          "text" : "Medical records"
        },
        "subject" : {
          "reference" : "urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece",
          "display" : "Example Patient"
        },
        "encounter" : {
          "reference" : "urn:uuid:5ce5c83a-000f-47d2-941c-039358cc9112",
          "display" : "Example Encounter"
        },
        "date" : "2021-10-25T20:16:29-07:00",
        "author" : [
          {
            "reference" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc",
            "display" : "Example Practitioner"
          }
        ],
        "title" : "Active Conditions",
        "attester" : [
          {
            "mode" : "legal",
            "time" : "2021-10-25T20:16:29-07:00",
            "party" : {
              "reference" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc",
              "display" : "Example Practitioner"
            }
          }
        ],
        "section" : [
          {
            "title" : "Active Condition 1",
            "entry" : [
              {
                "reference" : "urn:uuid:014a68ec-d691-49e0-b980-91b0d924e570"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "0820c16d-91de-4dfa-a3a6-f140a516a9bc",
        "meta" : {
          "lastUpdated" : "2013-05-05T16:13:03Z",
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|3.1.1",
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0",
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|7.0.0"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "9941339100"
          }
        ],
        "name" : [
          {
            "family" : "Hancock",
            "given" : [
              "John"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "970af6c9-5bbd-4067-b6c1-d9b2c823aece",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|3.1.1",
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0",
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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, &quot;I feel great!&quot;</p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MB"
                }
              ]
            },
            "system" : "http://example.org/cdex/payer/member-ids",
            "value" : "Member123"
          }
        ],
        "active" : true,
        "name" : [
          {
            "text" : "CDEX Example Patient",
            "family" : "Patient",
            "given" : [
              "CDEX Example"
            ]
          }
        ],
        "gender" : "male"
      }
    },
    {
      "fullUrl" : "urn:uuid:014a68ec-d691-49e0-b980-91b0d924e570",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "014a68ec-d691-49e0-b980-91b0d924e570",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition|3.1.1",
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|6.1.0",
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|7.0.0"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "identifier" : [
          {
            "system" : "urn:oid:1.3.6.1.4.1.22812.4.111.0.4.1.2.1",
            "value" : "1"
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "problem-list-item",
                "display" : "Problem List Item"
              }
            ],
            "text" : "Problem List Item"
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "44054006",
              "display" : "Type 2 Diabetes Mellitus"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece"
        },
        "onsetDateTime" : "2006",
        "asserter" : {
          "reference" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:5ce5c83a-000f-47d2-941c-039358cc9112",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "5ce5c83a-000f-47d2-941c-039358cc9112",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|3.1.1",
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0",
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|7.0.0"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "EMER"
        },
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "261665006",
                "display" : "Unknown (qualifier value)"
              }
            ],
            "text" : "Unknown (qualifier value)"
          }
        ],
        "subject" : {
          "reference" : "urn:uuid:970af6c9-5bbd-4067-b6c1-d9b2c823aece",
          "display" : "CDEX Example Patient"
        },
        "participant" : [
          {
            "individual" : {
              "reference" : "urn:uuid:0820c16d-91de-4dfa-a3a6-f140a516a9bc",
              "display" : "John Hancock"
            }
          }
        ],
        "period" : {
          "start" : "2021-10-25T20:10:29-07:00",
          "end" : "2021-10-25T20:16:29-07:00"
        },
        "serviceProvider" : {
          "reference" : "urn:uuid:e37f004b-dc10-422b-b833-cdaa10a055a3",
          "display" : "CDEX Example Organization"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:e37f004b-dc10-422b-b833-cdaa10a055a3",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "e37f004b-dc10-422b-b833-cdaa10a055a3",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "1234567893"
          }
        ],
        "active" : true,
        "name" : "CDEX Example Organization",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(+1) 555-555-5555"
          },
          {
            "system" : "email",
            "value" : "customer-service@example.org"
          }
        ],
        "address" : [
          {
            "line" : [
              "1 CDEX Lane"
            ],
            "city" : "Boston",
            "state" : "MA",
            "postalCode" : "01002",
            "country" : "USA"
          }
        ]
      }
    }
  ],
  "signature" : {
    "type" : [
      {
        "system" : "urn:iso-astm:E1762-95:2013",
        "code" : "1.2.840.10065.1.12.1.5",
        "display" : "Verification Signature"
      }
    ],
    "when" : "2025-10-07T18:19:06Z",
    "who" : {
      "identifier" : {
        "system" : "http://example.org/certificates",
        "value" : "OU=IG Publisher,L=Ann Arbor,CN=hl7.org,O=HL7,ST=Missouri,C=us"
      }
    },
    "onBehalfOf" : {
      "identifier" : {
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "1184932014"
      }
    },
    "targetFormat" : "application/fhir+json;canonicalization=http://hl7.org/fhir/canonicalization/json#document",
    "sigFormat" : "application/jose",
    "data" : "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"
  }
}