This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU) in it's permanent home (it will always be available at this URL). 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
| Structured Documents 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": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>contained</b>: </p><p><b>masterIdentifier</b>: urn:oid:1.3.6.1.4.1.21367.2005.3.7</p><p><b>identifier</b>: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234</p><p><b>status</b>: current</p><p><b>docStatus</b>: preliminary</p><p><b>type</b>: Outpatient Note <span>(Details : {LOINC code '34108-1' = 'Outpatient Note', given as 'Outpatient Note'})</span></p><p><b>category</b>: History and Physical <span>(Details : {http://ihe.net/xds/connectathon/classCodes code 'History and Physical' = 'History and Physical', given as 'History and Physical'})</span></p><p><b>subject</b>: <a>Patient/xcda</a></p><p><b>date</b>: 24/12/2005 9:43:41 AM</p><p><b>author</b>: </p><ul><li><a>Practitioner/xcda1</a></li><li>id: a2; Gerald Smitty </li></ul><p><b>authenticator</b>: <a>Organization/f001</a></p><p><b>custodian</b>: <a>Organization/f001</a></p><h3>RelatesTos</h3><table><tr><td>-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td>*</td><td>appends</td><td><a>DocumentReference/example</a></td></tr></table><p><b>description</b>: Physical</p><p><b>securityLabel</b>: very restricted <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-Confidentiality code 'V' = 'very restricted', given as 'very restricted'})</span></p><h3>Contents</h3><table><tr><td>-</td><td><b>Attachment</b></td><td><b>Format</b></td></tr><tr><td>*</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><h3>Contexts</h3><table><tr><td>-</td><td><b>Encounter</b></td><td><b>Event</b></td><td><b>Period</b></td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td><td><b>Related</b></td></tr><tr><td>*</td><td><a>Encounter/xcda</a></td><td>Arm <span>(Details : {http://ihe.net/xds/connectathon/eventCodes code 'T-D8200' = 'T-D8200', given as 'Arm'})</span></td><td>23/12/2004 8:00:00 AM --> 23/12/2004 8:01:00 AM</td><td>Outpatient <span>(Details : {http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes code 'Outpatient' = 'Outpatient', given as 'Outpatient'})</span></td><td>General Medicine <span>(Details : {http://www.ihe.net/xds/connectathon/practiceSettingCodes code 'General Medicine' = 'General Medicine', given as 'General Medicine'})</span></td><td><a>Patient/xcda</a></td><td><a>Patient/xcda</a></td></tr></table></div>"
},
"contained": [
{
"resourceType": "Practitioner",
"id": "a2",
"name": [
{
"family": "Smitty",
"given": [
"Gerald"
]
}
]
}
],
"masterIdentifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7"
},
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
}
],
"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"
},
"date": "2005-12-24T09:43:41+11:00",
"author": [
{
"reference": "Practitioner/xcda1"
},
{
"reference": "#a2"
}
],
"authenticator": {
"reference": "Organization/f001"
},
"custodian": {
"reference": "Organization/f001"
},
"relatesTo": [
{
"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"
},
"format": {
"system": "urn:oid:1.3.6.1.4.1.19376.1.2.3",
"code": "urn:ihe:pcc:handp:2008",
"display": "History and Physical Specification"
}
}
],
"context": {
"encounter": [
{
"reference": "Encounter/xcda"
}
],
"event": [
{
"coding": [
{
"system": "http://ihe.net/xds/connectathon/eventCodes",
"code": "T-D8200",
"display": "Arm"
}
]
}
],
"period": {
"start": "2004-12-23T08:00:00+11:00",
"end": "2004-12-23T08:01:00+11:00"
},
"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"
}
]
},
"sourcePatientInfo": {
"reference": "Patient/xcda"
},
"related": [
{
"reference": "Patient/xcda",
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345"
}
}
]
}
}
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.