Release 5 Ballot
DiagnosticsThis 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 
. 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": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DocumentReference</b><a name=\"example\"> </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 "example" </p></div><p><b>supportingInfo</b>: <a href=\"patient-example-xcda.html\">Patient/xcda</a> "Henry LEVIN"</p><p><b>sourcepatient</b>: <a href=\"patient-example-xcda.html\">Patient/xcda</a> "Henry LEVIN"</p><p><b>identifier</b>: entryUUID: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234, uniqueId: urn:oid:1.3.6.1.4.1.21367.2005.3.7</p><p><b>status</b>: current</p><p><b>docStatus</b>: preliminary</p><p><b>type</b>: Outpatient Note <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#34108-1)</span></p><p><b>category</b>: History and Physical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (classCodes#History and Physical)</span></p><p><b>subject</b>: <a href=\"patient-example-xcda.html\">Patient/xcda</a> "Henry LEVIN"</p><p><b>context</b>: <a href=\"encounter-example-xcda.html\">Encounter/xcda</a></p><h3>Events</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Arm <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (eventCodes#T-D8200)</span></td></tr></table><p><b>facilityType</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (healthcareFacilityTypeCodes#Outpatient)</span></p><p><b>practiceSetting</b>: General Medicine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (practiceSettingCodes#General Medicine)</span></p><p><b>period</b>: 2004-12-23T08:00:00+11:00 --> 2004-12-23T08:01:00+11:00</p><p><b>date</b>: 24/12/2005 9:43:41 AM</p><p><b>author</b>: </p><ul><li><a href=\"practitioner-example-xcda1.html\">Practitioner/xcda1</a> "Sherry DOPPLEMEYER"</li><li><a name=\"a2\"> </a></li></ul><blockquote><p/><p><a name=\"a2\"> </a></p><p><b>name</b>: Gerald Smitty </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>Official <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-composition-attestation-mode.html\">CompositionAttestationMode</a>#official)</span></td><td><a href=\"organization-example-f001-burgers.html\">Organization/f001</a> "Burgers University Medical Center"</td></tr></table><p><b>custodian</b>: <a href=\"organization-example-f001-burgers.html\">Organization/f001</a> "Burgers University Medical Center"</p><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>: Physical</p><p><b>securityLabel</b>: very restricted <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>#V)</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>application/hl7-v3+xml</td><td>en-US</td><td><a href=\"http://example.org/xds/mhd/Binary/07a6483f-732b-461e-86b6-edb665c45510\">http://example.org/xds/mhd/Binary/07a6483f-732b-461e-86b6-edb665c45510</a></td><td>3654</td><td>2jmj7l5rSw0yVb/vlWAYkK/YBwk=</td><td>Physical</td><td>2005-12-24T09:35:00+11:00</td></tr></table><h3>Profiles</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><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></blockquote></div>"
},
"contained": [
{
"resourceType": "Practitioner",
"id": "a2",
"name": [
{
"family": "Smitty",
"given": [
"Gerald"
]
}
]
}
],
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
"valueReference": {
"reference": "Patient/xcda",
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345"
}
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient",
"valueReference": {
"reference": "Patient/xcda"
}
}
],
"identifier": [
{
"type": {
"text": "entryUUID"
},
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
},
{
"type": {
"text": "uniqueId"
},
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7"
}
],
"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"
},
"context": [
{
"reference": "Encounter/xcda"
}
],
"event": [
{
"concept": {
"coding": [
{
"system": "http://ihe.net/xds/connectathon/eventCodes",
"code": "T-D8200",
"display": "Arm"
}
]
}
}
],
"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"
}
]
},
"period": {
"start": "2004-12-23T08:00:00+11:00",
"end": "2004-12-23T08:01:00+11:00"
},
"date": "2005-12-24T09:43:41+11:00",
"author": [
{
"reference": "Practitioner/xcda1"
},
{
"reference": "#a2"
}
],
"attester": [
{
"mode": {
"coding": [
{
"system": "http://hl7.org/fhir/composition-attestation-mode",
"code": "official"
}
]
},
"party": {
"reference": "Organization/f001"
}
}
],
"custodian": {
"reference": "Organization/f001"
},
"relatesTo": [
{
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/document-relationship-type",
"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"
},
"profile": [
{
"valueCoding": {
"system": "urn:oid:1.3.6.1.4.1.19376.1.2.3",
"code": "urn:ihe:pcc:handp:2008",
"display": "History and Physical Specification"
}
}
]
}
]
}
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.
FHIR ®© HL7.org 2011+. FHIR R5 Ballot hl7.fhir.core#5.0.0-ballot generated on Wed, Sep 7, 2022 11:08+1000.
Links: Search |
Version History |
Contents |
Glossary |
QA |
Compare to R4 |
Compare to R5 Draft |
|
Propose a change