Health eData 1 Sandbox
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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" : " "
      }
    }