R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). 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 (Turtle)

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

Raw Turtle (+ also see Turtle/RDF Format Specification)

XDS Comprehensive metadata

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

[a fhir:DocumentReference ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "example-comprehensive"] ; # 
  fhir:meta [
     fhir:security ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "HTEST" ]
     ] )
  ] ; # 
  fhir:text [
     fhir:status [ fhir:v "extensions" ] ;
     fhir: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>DocumentReference Source Patient</b>: <a name=\"in-patient\"> </a></p><blockquote><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Anonymous Patient</b> (no stated gender), DoB Unknown</p><hr/></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>version</b>: 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/4.0.0/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>: 1 Jan 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\">Composition Attestation Mode</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\">Document Relationship Type</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/4.0.0/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>"
  ] ; # 
  fhir:contained ( [
     a fhir:Practitioner ;
     fhir:id [ fhir:v "in-author" ] ;
     fhir:telecom ( [
       fhir:system [ fhir:v "email" ] ;
       fhir:value [ fhir:v "JohnMoehrke@gmail.com" ]
     ] )
  ] [
     a fhir:Patient ;
     fhir:id [ fhir:v "in-patient" ]
  ] ) ; # 
  fhir:extension ( [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient"^^xsd:anyURI ] ;
     fhir:value [
       a fhir:Reference ;
       fhir:reference [ fhir:v "#in-patient" ]
     ]
  ] ) ; # 
  fhir:identifier ( [
     fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340" ]
  ] [
     fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
     fhir:value [ fhir:v "urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21" ]
  ] ) ; # 
  fhir:version [ fhir:v "urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21"] ; # 
  fhir:status [ fhir:v "current"] ; # 
  fhir:type [
     fhir:coding ( [
       a loinc:55107-7 ;
       fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "55107-7" ]
     ] )
  ] ; # 
  fhir:category ( [
     fhir:coding ( [
       a loinc:11369-6 ;
       fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "11369-6" ]
     ] )
  ] ) ; # 
  fhir:subject [
     fhir:reference [ fhir:v "Patient/xcda" ]
  ] ; # 
  fhir:event ( [
     fhir:concept [
       fhir:coding ( [
         fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "ACCTRECEIVABLE" ]
       ] )
     ]
  ] [
     fhir:reference [
       fhir:identifier [
         fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
         fhir:value [ fhir:v "urn:oid:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759" ]
       ]
     ]
  ] ) ; #    should not be able to include this as there is a facilityType and/or practiceSetting
#    <context>
#    <reference value="Encounter/example"/>
#  </context>
#    
  fhir:facilityType [
     fhir:coding ( [
       a sct:82242000 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "82242000" ]
     ] )
  ] ; # 
  fhir:practiceSetting [
     fhir:coding ( [
       a sct:408467006 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "408467006" ]
     ] )
  ] ; # 
  fhir:period [
     fhir:start [ fhir:v "2020-12-31T23:50:50-05:00"^^xsd:dateTime ] ;
     fhir:end [ fhir:v "2020-12-31T23:50:50-05:00"^^xsd:dateTime ]
  ] ; # 
  fhir:date [ fhir:v "2020-12-31T23:50:50-05:00"^^xsd:dateTime] ; # 
  fhir:author ( [
     fhir:reference [ fhir:v "#in-author" ]
  ] ) ; # 
  fhir:attester ( [
     fhir:mode [
       fhir:coding ( [
         fhir:system [ fhir:v "http://hl7.org/fhir/composition-attestation-mode"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "professional" ]
       ] )
     ] ;
     fhir:party [
       fhir:reference [ fhir:v "#in-author" ]
     ]
  ] ) ; # 
  fhir:relatesTo ( [
     fhir:code [
       fhir:coding ( [
         fhir:system [ fhir:v "http://hl7.org/fhir/document-relationship-type"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "appends" ]
       ] )
     ] ;
     fhir:target [
       fhir:reference [ fhir:v "DocumentReference/example" ]
     ]
  ] ) ; # 
  fhir:description [ fhir:v "Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements."] ; # 
  fhir:securityLabel ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "N" ]
     ] )
  ] ) ; # 
  fhir:content ( [
     fhir:attachment [
       fhir:contentType [ fhir:v "text/plain" ] ;
       fhir:language [ fhir:v "en" ] ;
       fhir:url [ fhir:v "http://example.com/nowhere.txt"^^xsd:anyURI ] ;
       fhir:size [ fhir:v "190"^^xsd:long ] ;
       fhir:hash [ fhir:v "OGEzOGYyNjMzMDA2ZmQ1MzUxNDljNDRhM2E3M2YzMTI0MzdiMzQ3OA=="^^xsd:base64Binary ] ;
       fhir:title [ fhir:v "DocumentReference for Comprehensive fully filled metadata" ] ;
       fhir:creation [ fhir:v "2020-12-31T23:50:50-05:00"^^xsd:dateTime ]
     ] ;
     fhir:profile ( [
       fhir:value [
         a fhir:Coding ;
         fhir:system [ fhir:v "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "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.