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 . Page versions: R5 R4B R4 R3 R2

Example DocumentReference/example (XML)

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

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

Jump past Narrative

Generic example (id = "example")

<?xml version="1.0" encoding="UTF-8"?>

<DocumentReference xmlns="http://hl7.org/fhir">
  <id value="example"/> 
  <!--    Many XDS systems do not trak any id for the author. When systems don't do this, 
    the only option is for the author information to be contained in the Document Reference
      -->
  <text> <status value="extensions"/> <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 &quot;example&quot; </p> </div> <p> <b> supportingInfo</b> : <a href="patient-example-xcda.html">Patient/xcda</a>  &quot;Henry LEVIN&quot;</p> <p> <b> sourcepatient</b> : <a href="patient-example-xcda.html">Patient/xcda</a>  &quot;Henry LEVIN&quot;</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>  &quot;Henry LEVIN&quot;</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 --&gt; 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>  &quot;Sherry DOPPLEMEYER&quot;</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>  &quot;Burgers University Medical Center&quot;</td> </tr> </table> <p> <b> custodian</b> : <a href="organization-example-f001-burgers.html">Organization/f001</a>  &quot;Burgers University Medical Center&quot;</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> </text> <contained> 
    <Practitioner> 
      <id value="a2"/> 
      <name> 
        <family value="Smitty"/> 
        <given value="Gerald"/> 
      </name> 
    </Practitioner> 
  </contained> 
  <extension url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
    <valueReference> 
      <reference value="Patient/xcda"/> 
      <identifier> 
        <system value="urn:ietf:rfc:3986"/> 
        <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345"/> 
      </identifier> 
    </valueReference> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient">
    <valueReference> 
      <reference value="Patient/xcda"/> 
    </valueReference> 
  </extension> 
  <identifier> 
      <type> 
        <text value="entryUUID"/> 
    </type> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"/> 
  </identifier> 
  <identifier> 
      <type> 
        <text value="uniqueId"/> 
    </type> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7"/> 
  </identifier> 
  <status value="current"/> 
  <docStatus value="preliminary"/> 

  <type> 
    <coding> 
      <system value="http://loinc.org"/> 
      <code value="34108-1"/> 
      <display value="Outpatient Note"/> 
    </coding> 
  </type> 
  <category> 
    <coding> 
      <system value="http://ihe.net/xds/connectathon/classCodes"/> 
      <code value="History and Physical"/> 
      <display value="History and Physical"/> 
    </coding> 
  </category> 
  <subject> 
    <reference value="Patient/xcda"/> 
  </subject> 
  <context> 
    <reference value="Encounter/xcda"/> 
  </context> 
  <event> 
  <concept> 
    <coding> 
      <system value="http://ihe.net/xds/connectathon/eventCodes"/> 
      <code value="T-D8200"/> 
      <display value="Arm"/> 
    </coding> 
    </concept> 
  </event> 
  <facilityType> 
    <coding> 
      <system value="http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes"/> 
      <code value="Outpatient"/> 
      <display value="Outpatient"/> 
    </coding> 
  </facilityType> 
  <practiceSetting> 
    <coding> 
      <system value="http://www.ihe.net/xds/connectathon/practiceSettingCodes"/> 
      <code value="General Medicine"/> 
      <display value="General Medicine"/> 
    </coding> 
  </practiceSetting> 
  <period> 
    <start value="2004-12-23T08:00:00+11:00"/> 
    <end value="2004-12-23T08:01:00+11:00"/> 
  </period> 
  <date value="2005-12-24T09:43:41+11:00"/> 
  <author> 
    <reference value="Practitioner/xcda1"/> 
  </author> 
  <author> 
    <reference value="#a2"/> 
  </author> 
  <attester> 
    <mode> 
      <coding> 
        <system value="http://hl7.org/fhir/composition-attestation-mode"/> 
        <code value="official"/> 
      </coding> 
    </mode> 
    <party> 
      <reference value="Organization/f001"/> 
    </party> 
  </attester> 
  <custodian> 
    <reference value="Organization/f001"/> 
  </custodian> 
  <relatesTo> 
      <code> 
      <coding> 
        <system value="http://hl7.org/fhir/document-relationship-type"/> 
        <code value="appends"/> 
      </coding> 
    </code> 
    <target> 
      <reference value="DocumentReference/example"/> 
    </target> 
  </relatesTo> 
  <description value="Physical"/> 
  <securityLabel> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/> 
      <code value="V"/> 
      <display value="very restricted"/> 
    </coding> 
  </securityLabel> 
  <content> 
    <attachment> 
      <contentType value="application/hl7-v3+xml"/> 
      <language value="en-US"/> 
      <url value="http://example.org/xds/mhd/Binary/07a6483f-732b-461e-86b6-edb665c45510"/> 
      <size value="3654"/> 
      <hash value="2jmj7l5rSw0yVb/vlWAYkK/YBwk="/> 
      <title value="Physical"/> 
           <creation value="2005-12-24T09:35:00+11:00"/> 
    </attachment> 
    <profile> 
      <valueCoding> 
      <system value="urn:oid:1.3.6.1.4.1.19376.1.2.3"/> 
      <code value="urn:ihe:pcc:handp:2008"/> 
      <display value="History and Physical Specification"/> 
      </valueCoding> 
    </profile> 

  </content> 


</DocumentReference>

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.