Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Example DocumentReference/example-comprehensive (JSON)

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

Raw JSON (canonical form + also see JSON Format Specification)

XDS Comprehensive metadata

{
  "resourceType": "DocumentReference",
  "id": "example-comprehensive",
  "meta": {
    "security": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST"
      }
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DocumentReference</b><a name=\"example-comprehensive\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource DocumentReference &quot;example-comprehensive&quot; </p><p style=\"margin-bottom: 0px\">Security Labels: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActReason http://terminology.hl7.org/CodeSystem/v3-ActReason}\">http://terminology.hl7.org/CodeSystem/v3-ActReason</span></p></div><p><b>sourcepatient</b>: <a name=\"in-patient\"> </a></p><blockquote><p><b>Anonymous Patient</b> (no stated gender), DoB Unknown</p></blockquote><p><b>identifier</b>: id: urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340, id: urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21</p><p><b>status</b>: current</p><p><b>type</b>: Addendum Document <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#55107-7)</span></p><p><b>category</b>: History of immunization Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11369-6)</span></p><p><b>subject</b>: <a href=\"patient-example-xcda.html\">Patient/xcda</a> &quot;Henry LEVIN&quot;</p><h3>Events</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td><td><b>Reference</b></td></tr><tr><td>*</td><td>account receivable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActCode.html\">ActCode</a>#ACCTRECEIVABLE)</span></td><td> </td></tr><tr><td>*</td><td> </td><td><span/></td></tr></table><p><b>facilityType</b>: Children's hospital <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#82242000)</span></p><p><b>practiceSetting</b>: Adult mental illness - speciality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#408467006)</span></p><p><b>period</b>: 2020-12-31T23:50:50-05:00 --&gt; 2020-12-31T23:50:50-05:00</p><p><b>date</b>: 01/01/2021 3:50:50 PM</p><p><b>author</b>: <a name=\"in-author\"> </a></p><blockquote><p/><p><a name=\"in-author\"> </a></p><p><b>telecom</b>: <a href=\"mailto:JohnMoehrke@gmail.com\">JohnMoehrke@gmail.com</a></p></blockquote><h3>Attesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>Professional <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-composition-attestation-mode.html\">CompositionAttestationMode</a>#professional)</span></td><td><a name=\"in-author\"> </a><blockquote><p/><p><a name=\"in-author\"> </a></p><p><b>telecom</b>: <a href=\"mailto:JohnMoehrke@gmail.com\">JohnMoehrke@gmail.com</a></p></blockquote></td></tr></table><h3>RelatesTos</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td>*</td><td>Appends <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-document-relationship-type.html\">DocumentRelationshipType</a>#appends)</span></td><td><a href=\"documentreference-example.html\">DocumentReference/example</a></td></tr></table><p><b>description</b>: Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements.</p><p><b>securityLabel</b>: normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-Confidentiality.html\">Confidentiality</a>#N)</span></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td>-</td><td><b>ContentType</b></td><td><b>Language</b></td><td><b>Url</b></td><td><b>Size</b></td><td><b>Hash</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td>*</td><td>text/plain</td><td>en</td><td><a href=\"http://example.com/nowhere.txt\">http://example.com/nowhere.txt</a></td><td>190</td><td>OGEzOGYyNjMzMDA2ZmQ1MzUxNDljNDRhM2E3M2YzMTI0MzdiMzQ3OA==</td><td>DocumentReference for Comprehensive fully filled metadata</td><td>2020-12-31T23:50:50-05:00</td></tr></table><h3>Profiles</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>ITI XDS-SD TEXT (Details: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode code urn:ihe:iti:xds-sd:text:2008 = 'ITI XDS-SD TEXT', stated as 'null')</td></tr></table></blockquote></div>"
  },
  "contained": [
    {
      "resourceType": "Practitioner",
      "id": "in-author",
      "telecom": [
        {
          "system": "email",
          "value": "JohnMoehrke@gmail.com"
        }
      ]
    },
    {
      "resourceType": "Patient",
      "id": "in-patient"
    }
  ],
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient",
      "valueReference": {
        "reference": "#in-patient"
      }
    }
  ],
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340"
    },
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21"
    }
  ],
  "status": "current",
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "55107-7"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "11369-6"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/xcda"
  },
  "event": [
    {
      "concept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "ACCTRECEIVABLE"
          }
        ]
      }
    },
    {
      "reference": {
        "identifier": {
          "system": "urn:ietf:rfc:3986",
          "value": "urn:oid:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759"
        }
      }
    }
  ],
  "facilityType": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "82242000"
      }
    ]
  },
  "practiceSetting": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "408467006"
      }
    ]
  },
  "period": {
    "start": "2020-12-31T23:50:50-05:00",
    "end": "2020-12-31T23:50:50-05:00"
  },
  "date": "2020-12-31T23:50:50-05:00",
  "author": [
    {
      "reference": "#in-author"
    }
  ],
  "attester": [
    {
      "mode": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/composition-attestation-mode",
            "code": "professional"
          }
        ]
      },
      "party": {
        "reference": "#in-author"
      }
    }
  ],
  "relatesTo": [
    {
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/document-relationship-type",
            "code": "appends"
          }
        ]
      },
      "target": {
        "reference": "DocumentReference/example"
      }
    }
  ],
  "description": "Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements.",
  "securityLabel": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
          "code": "N"
        }
      ]
    }
  ],
  "content": [
    {
      "attachment": {
        "contentType": "text/plain",
        "language": "en",
        "url": "http://example.com/nowhere.txt",
        "size": "190",
        "hash": "OGEzOGYyNjMzMDA2ZmQ1MzUxNDljNDRhM2E3M2YzMTI0MzdiMzQ3OA==",
        "title": "DocumentReference for Comprehensive fully filled metadata",
        "creation": "2020-12-31T23:50:50-05:00"
      },
      "profile": [
        {
          "valueCoding": {
            "system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
            "code": "urn:ihe:iti:xds-sd:text:2008"
          }
        }
      ]
    }
  ]
}

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.