Release 5 Draft Ballot

This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). 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

Documentreference-example

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile DocumentReference.

Generated Narrative

identifier: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

status: current

docStatus: preliminary

type: Outpatient Note

category: History and Physical

subject: Generated Summary: Medical record number: 12345 (USUAL); active; Henry Levin ; gender: male; birthDate: 1932-09-24

encounter: Generated Summary: id: 1234213.52345873 (OFFICIAL); status: completed; ambulatory

event: Arm

facilityType: Outpatient

practiceSetting: General Medicine

period: 23 Dec. 2004, 8:00:00 am --> 23 Dec. 2004, 8:01:00 am

date: 24 Dec. 2005, 9:43:41 am

author:

name: Gerald Smitty

Attesters

-ModeParty
*officialGenerated Summary: id: 91654 (OFFICIAL), id: 17-0112278 (USUAL); University Medical Hospital; name: Burgers University Medical Center; Phone: 022-655 2300

custodian: Generated Summary: id: 91654 (OFFICIAL), id: 17-0112278 (USUAL); University Medical Hospital; name: Burgers University Medical Center; Phone: 022-655 2300

RelatesTos

-CodeTarget
*appendsGenerated Summary: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234; status: current; docStatus: preliminary; Outpatient Note; History and Physical; Arm; Outpatient; General Medicine; period: 23 Dec. 2004, 8:00:00 am --> 23 Dec. 2004, 8:01:00 am; date: 24 Dec. 2005, 9:43:41 am; description: Physical; very restricted

description: Physical

securityLabel: very restricted

content

Attachments

-
*

format: History and Physical Specification

identifier: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7

sourcePatientInfo: Generated Summary: Medical record number: 12345 (USUAL); active; Henry Levin ; gender: male; birthDate: 1932-09-24

related: Generated Summary: Medical record number: 12345 (USUAL); active; Henry Levin ; gender: male; birthDate: 1932-09-24

 

Other examples that reference this example:

  • DocumentManifest/FM-Example
  • DocumentManifest/XDS-Example
  • DocumentReference/Generic example
  • MedicinalProductDefinition/General Example
  • Provenance/General
  • Provenance/Signature

    •  

    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.