This page is part of the FHIR Specification (v4.4.0: R5 Preview #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: R5 R4B R4 R3 R2
Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
Generic example
{ "resourceType": "DocumentReference", "id": "example", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>contained</b>: </p><p><b>masterIdentifier</b>: urn:oid:1.3.6.1.4.1.21367.2005.3.7</p><p><b>identifier</b>: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234</p><p><b>status</b>: current</p><p><b>docStatus</b>: preliminary</p><p><b>type</b>: Outpatient Note <span>(Details : {LOINC code '34108-1' = 'Outpatient Note', given as 'Outpatient Note'})</span></p><p><b>category</b>: History and Physical <span>(Details : {http://ihe.net/xds/connectathon/classCodes code 'History and Physical' = 'History and Physical', given as 'History and Physical'})</span></p><p><b>subject</b>: <a>Patient/xcda</a></p><p><b>date</b>: 24/12/2005 9:43:41 AM</p><p><b>author</b>: </p><ul><li><a>Practitioner/xcda1</a></li><li>id: a2; Gerald Smitty </li></ul><p><b>authenticator</b>: <a>Organization/f001</a></p><p><b>custodian</b>: <a>Organization/f001</a></p><h3>RelatesTos</h3><table><tr><td>-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td>*</td><td>appends</td><td><a>DocumentReference/example</a></td></tr></table><p><b>description</b>: Physical</p><p><b>securityLabel</b>: very restricted <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-Confidentiality code 'V' = 'very restricted', given as 'very restricted'})</span></p><h3>Contents</h3><table><tr><td>-</td><td><b>Attachment</b></td><td><b>Format</b></td></tr><tr><td>*</td><td/><td>History and Physical Specification (Details: urn:oid:1.3.6.1.4.1.19376.1.2.3 code urn:ihe:pcc:handp:2008 = 'urn:ihe:pcc:handp:2008', stated as 'History and Physical Specification')</td></tr></table><h3>Contexts</h3><table><tr><td>-</td><td><b>Encounter</b></td><td><b>Event</b></td><td><b>Period</b></td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td><td><b>Related</b></td></tr><tr><td>*</td><td><a>Encounter/xcda</a></td><td>Arm <span>(Details : {http://ihe.net/xds/connectathon/eventCodes code 'T-D8200' = 'T-D8200', given as 'Arm'})</span></td><td>23/12/2004 8:00:00 AM --> 23/12/2004 8:01:00 AM</td><td>Outpatient <span>(Details : {http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes code 'Outpatient' = 'Outpatient', given as 'Outpatient'})</span></td><td>General Medicine <span>(Details : {http://www.ihe.net/xds/connectathon/practiceSettingCodes code 'General Medicine' = 'General Medicine', given as 'General Medicine'})</span></td><td><a>Patient/xcda</a></td><td><a>Patient/xcda</a></td></tr></table></div>" }, "contained": [ { "resourceType": "Practitioner", "id": "a2", "name": [ { "family": "Smitty", "given": [ "Gerald" ] } ] } ], "masterIdentifier": { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7" }, "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234" } ], "status": "current", "docStatus": "preliminary", "type": { "coding": [ { "system": "http://loinc.org", "code": "34108-1", "display": "Outpatient Note" } ] }, "category": [ { "coding": [ { "system": "http://ihe.net/xds/connectathon/classCodes", "code": "History and Physical", "display": "History and Physical" } ] } ], "subject": { "reference": "Patient/xcda" }, "date": "2005-12-24T09:43:41+11:00", "author": [ { "reference": "Practitioner/xcda1" }, { "reference": "#a2" } ], "authenticator": { "reference": "Organization/f001" }, "custodian": { "reference": "Organization/f001" }, "relatesTo": [ { "code": "appends", "target": { "reference": "DocumentReference/example" } } ], "description": "Physical", "securityLabel": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality", "code": "V", "display": "very restricted" } ] } ], "content": [ { "attachment": { "contentType": "application/hl7-v3+xml", "language": "en-US", "url": "http://example.org/xds/mhd/Binary/07a6483f-732b-461e-86b6-edb665c45510", "size": "3654", "hash": "2jmj7l5rSw0yVb/vlWAYkK/YBwk=", "title": "Physical", "creation": "2005-12-24T09:35:00+11:00" }, "format": { "system": "urn:oid:1.3.6.1.4.1.19376.1.2.3", "code": "urn:ihe:pcc:handp:2008", "display": "History and Physical Specification" } } ], "context": { "encounter": [ { "reference": "Encounter/xcda" } ], "event": [ { "coding": [ { "system": "http://ihe.net/xds/connectathon/eventCodes", "code": "T-D8200", "display": "Arm" } ] } ], "period": { "start": "2004-12-23T08:00:00+11:00", "end": "2004-12-23T08:01:00+11:00" }, "facilityType": { "coding": [ { "system": "http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes", "code": "Outpatient", "display": "Outpatient" } ] }, "practiceSetting": { "coding": [ { "system": "http://www.ihe.net/xds/connectathon/practiceSettingCodes", "code": "General Medicine", "display": "General Medicine" } ] }, "sourcePatientInfo": { "reference": "Patient/xcda" }, "related": [ { "reference": "Patient/xcda", "identifier": { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345" } } ] } }
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.