US Core Implementation Guide
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This page is part of the US Core (v7.0.0: STU7) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions. Page versions: STU6.1 STU6 STU5 STU4 STU3 STU2

: Episode Summary Example - XML Representation

Page standards status: Informative

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<DocumentReference xmlns="http://hl7.org/fhir">
  <id value="episode-summary"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|7.0.0"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: DocumentReference</b><a name="episode-summary"> </a><a name="hcepisode-summary"> </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;episode-summary&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-core-documentreference.html">US Core DocumentReference Profile (version 7.0.0)</a></p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.3.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.19.5.99999.1</p><p><b>status</b>: current</p><p><b>type</b>: CCD Document <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#34133-9 &quot;Summary of episode note&quot;)</span></p><p><b>category</b>: Clinical Note <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-us-core-documentreference-category.html">US Core DocumentReferences Category Codes</a>#clinical-note)</span></p><p><b>subject</b>: <a href="Patient-example.html">Patient/example: Amy Shaw</a> &quot; SHAW&quot;</p><p><b>date</b>: Mar 9, 2016, 3:29:46 PM</p><p><b>author</b>: <a href="Practitioner-practitioner-1.html">Practitioner/practitioner-1: Ronald Bone, MD</a> &quot; BONE&quot;</p><p><b>description</b>: Pulmonology clinic acute visit</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContentType</b></td><td><b>Url</b></td><td><b>Title</b></td></tr><tr><td style="display: none">*</td><td>text/plain</td><td><code>/Binary/1-note</code></td><td>Uri where the data can be found: [base]/Binary/1-note</td></tr></table><p><b>format</b>: For documents following C-CDA 2.1 constraints using a structured body. (Details: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode code urn:hl7-org:sdwg:ccda-structuredBody:2.1 = 'For documents following C-CDA 2.1 constraints using a structured body.', stated as 'For documents following C-CDA 2.1 constraints using a structured body.')</p></blockquote><h3>Contexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Period</b></td></tr><tr><td style="display: none">*</td><td>2004-12-23 08:00:00+1100 --&gt; 2004-12-23 08:01:00+1100</td></tr></table></div>
  </text>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.19.5.99999.1"/>
  </identifier>
  <status value="current"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="34133-9"/>
      <display value="Summary of episode note"/>
    </coding>
    <text value="CCD Document"/>
  </type>
  <category>
    <coding>
      <system
              value="http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"/>
      <code value="clinical-note"/>
      <display value="Clinical Note"/>
    </coding>
    <text value="Clinical Note"/>
  </category>
  <subject>🔗 
    <reference value="Patient/example"/>
    <display value="Amy Shaw"/>
  </subject>
  <date value="2016-03-09T15:29:46Z"/>
  <author>🔗 
    <reference value="Practitioner/practitioner-1"/>
    <display value="Ronald Bone, MD"/>
  </author>
  <description value="Pulmonology clinic acute visit"/>
  <content>
    <attachment>
      <contentType value="text/plain"/>
      <url value="/Binary/1-note"/>
      <title value="Uri where the data can be found: [base]/Binary/1-note"/>
    </attachment>
    <format>
      <system
              value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"/>
      <code value="urn:hl7-org:sdwg:ccda-structuredBody:2.1"/>
      <display
               value="For documents following C-CDA 2.1 constraints using a structured body."/>
    </format>
  </content>
  <context>
    <period>
      <start value="2004-12-23T08:00:00+11:00"/>
      <end value="2004-12-23T08:01:00+11:00"/>
    </period>
  </context>
</DocumentReference>