R5 Final QA
DiagnosticsThis 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 
. Page versions: R5 R4B R4 R3
| Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw Turtle (+ also see Turtle/RDF Format Specification)
Generic example
@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 xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
[a fhir:DocumentReference ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "example"] ; #
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\"> </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>supporting info</b>: <a href=\"patient-example-xcda.html\">Patient/xcda</a> "Henry LEVIN"</p><p><b>DocumentReference Source Patient</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 Dec 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\">Composition Attestation Mode</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\">Document Relationship Type</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/4.0.0/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>"
] ; # 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
fhir:contained ( [
a fhir:Practitioner ;
fhir:id [ fhir:v "a2" ] ;
fhir:name ( [
fhir:family [ fhir:v "Smitty" ] ;
fhir:given ( [ fhir:v "Gerald" ] )
] )
] ) ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Patient/xcda" ] ;
fhir:identifier [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345" ]
]
]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Patient/xcda" ]
]
] ) ; #
fhir:identifier ( [
fhir:type [
fhir:text [ fhir:v "entryUUID" ]
] ;
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234" ]
] [
fhir:type [
fhir:text [ fhir:v "uniqueId" ]
] ;
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:1.3.6.1.4.1.21367.2005.3.7" ]
] ) ; #
fhir:status [ fhir:v "current"] ; #
fhir:docStatus [ fhir:v "preliminary"] ; #
fhir:type [
fhir:coding ( [
a loinc:34108-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "34108-1" ] ;
fhir:display [ fhir:v "Outpatient Note" ]
] )
] ; #
fhir:category ( [
fhir:coding ( [
fhir:system [ fhir:v "http://ihe.net/xds/connectathon/classCodes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "History and Physical" ] ;
fhir:display [ fhir:v "History and Physical" ]
] )
] ) ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/xcda" ]
] ; #
fhir:context ( [
fhir:reference [ fhir:v "Encounter/xcda" ]
] ) ; #
fhir:event ( [
fhir:concept [
fhir:coding ( [
fhir:system [ fhir:v "http://ihe.net/xds/connectathon/eventCodes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "T-D8200" ] ;
fhir:display [ fhir:v "Arm" ]
] )
]
] ) ; #
fhir:facilityType [
fhir:coding ( [
fhir:system [ fhir:v "http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "Outpatient" ] ;
fhir:display [ fhir:v "Outpatient" ]
] )
] ; #
fhir:practiceSetting [
fhir:coding ( [
fhir:system [ fhir:v "http://www.ihe.net/xds/connectathon/practiceSettingCodes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "General Medicine" ] ;
fhir:display [ fhir:v "General Medicine" ]
] )
] ; #
fhir:period [
fhir:start [ fhir:v "2004-12-23T08:00:00+11:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2004-12-23T08:01:00+11:00"^^xsd:dateTime ]
] ; #
fhir:date [ fhir:v "2005-12-24T09:43:41+11:00"^^xsd:dateTime] ; #
fhir:author ( [
fhir:reference [ fhir:v "Practitioner/xcda1" ]
] [
fhir:reference [ fhir:v "#a2" ]
] ) ; #
fhir:attester ( [
fhir:mode [
fhir:coding ( [
fhir:system [ fhir:v "http://hl7.org/fhir/composition-attestation-mode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "official" ]
] )
] ;
fhir:party [
fhir:reference [ fhir:v "Organization/f001" ]
]
] ) ; #
fhir:custodian [
fhir:reference [ fhir:v "Organization/f001" ]
] ; #
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 "Physical"] ; #
fhir:securityLabel ( [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
fhir:code [ fhir:v "V" ] ;
fhir:display [ fhir:v "very restricted" ]
] )
] ) ; #
fhir:content ( [
fhir:attachment [
fhir:contentType [ fhir:v "application/hl7-v3+xml" ] ;
fhir:language [ fhir:v "en-US" ] ;
fhir:url [ fhir:v "http://example.org/xds/mhd/Binary/07a6483f-732b-461e-86b6-edb665c45510"^^xsd:anyURI ] ;
fhir:size [ fhir:v "3654"^^xsd:long ] ;
fhir:hash [ fhir:v "2jmj7l5rSw0yVb/vlWAYkK/YBwk="^^xsd:base64Binary ] ;
fhir:title [ fhir:v "Physical" ] ;
fhir:creation [ fhir:v "2005-12-24T09:35:00+11:00"^^xsd:dateTime ]
] ;
fhir:profile ( [
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:1.3.6.1.4.1.19376.1.2.3"^^xsd:anyURI ] ;
fhir:code [ fhir:v "urn:ihe:pcc:handp:2008" ] ;
fhir:display [ fhir:v "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 hl7.fhir.core#5.0.0-draft-final generated on Wed, Mar 1, 2023 23:06+1100.
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