R6 Ballot (2nd Draft)

Publish-box (todo)

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)

Generic example (id = "example")

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

<!--  
source data from http://wiki.ihe.net/index.php?title=Annotated_ProvideAndRegister.b_Transacti
on.
  <homeCommunity>1.2.36.1.1001.1.1.1.1</homeCommunity>
  --><DocumentReference xmlns="http://hl7.org/fhir">
  <id value="example"/> 
  <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.