R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3 R2

Documentmanifest-example.json

Structured Documents Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (canonical form)

XDS SubmissionSet example

{
  "resourceType": "DocumentManifest",
  "id": "example",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Text</div>"
  },
  "contained": [
    {
      "resourceType": "Practitioner",
      "id": "a1",
      "name": [
        {
          "family": "Dopplemeyer",
          "given": [
            "Sherry"
          ]
        }
      ],
      "telecom": [
        {
          "system": "email",
          "value": "john.doe@healthcare.example.org"
        }
      ]
    }
  ],
  "masterIdentifier": {
    "system": "http://example.org/documents",
    "value": "23425234234-2346"
  },
  "identifier": [
    {
      "system": "http://example.org/documents",
      "value": "23425234234-2347"
    }
  ],
  "status": "current",
  "type": {
    "text": "History and Physical"
  },
  "subject": {
    "reference": "Patient/xcda"
  },
  "created": "2004-12-25T23:50:50-05:00",
  "agent": [
    {
      "type": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v3/ParticipationType",
            "code": "AUT",
            "display": "author (originator)"
          }
        ]
      },
      "who": {
        "reference": "#a1"
      }
    }
  ],
  "recipient": [
    {
      "reference": "Practitioner/xcda1"
    }
  ],
  "source": "urn:oid:1.3.6.1.4.1.21367.2009.1.2.1",
  "description": "Physical",
  "content": [
    {
      "reference": "DocumentReference/example"
    }
  ],
  "related": [
    {
      "identifier": {
        "system": "http://example.org/documents",
        "value": "23425234234-9999"
      },
      "ref": {
        "reference": "DocumentReference/example"
      }
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.