Da Vinci Payer Data Exchange
2.1.0-ballot - STU2 Ballot United States of America flag

This page is part of the Da Vinci Payer Data Exchange (v2.1.0-ballot: STU2.1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

: ExampleDocumentReference - XML Representation

Page standards status: Informative

Raw xml | Download



<DocumentReference xmlns="http://hl7.org/fhir">
  <id value="123456"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DocumentReference 123456</b></p><a name="123456"> </a><a name="hc123456"> </a><a name="123456-en-US"> </a><p><b>status</b>: Current</p><p><b>type</b>: <span title="Codes:{http://loinc.org 34133-9}">Summary of episode note</span></p><p><b>category</b>: <span title="Codes:{http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category clinical-note}">Clinical Note</span></p><p><b>subject</b>: <a href="Patient-1.html">Johnny Appleseed  Male, DoB: 1986-01-01 ( Member Number)</a></p><p><b>date</b>: 2020-10-09 15:26:23+0000</p><p><b>author</b>: <a href="Organization-ProviderOrg1.html">Organization Provider 1</a></p><p><b>custodian</b>: <a href="Organization-Payer1.html">Organization Payer 1</a></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>application/pdf</td><td>/Binary/1-pdf</td><td>Uri where the data can be found = [base]/Binary/1-pdf
or base64encode document and include in content.attachment.data element</td></tr></table><p><b>format</b>: IHE.FormatCode.codesystem : urn:ihe:iti:xds:2017:mimeTypeSufficient</p></blockquote></div>
  </text>
  <status value="current"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="34133-9"/>
    </coding>
  </type>
  <category>
    <coding>
      <system
              value="http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"/>
      <code value="clinical-note"/>
    </coding>
  </category>
  <subject>🔗 
    <reference value="Patient/1"/>
  </subject>
  <date value="2020-10-09T15:26:23.217+00:00"/>
  <author>🔗 
    <reference value="Organization/ProviderOrg1"/>
  </author>
  <custodian>🔗 
    <reference value="Organization/Payer1"/>
  </custodian>
  <content>
    <attachment>
      <contentType value="application/pdf"/>
      <url value="/Binary/1-pdf"/>
      <title
             value="Uri where the data can be found = [base]/Binary/1-pdf
or base64encode document and include in content.attachment.data element"/>
    </attachment>
    <format>
      <system value="http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem"/>
      <display value="urn:ihe:iti:xds:2017:mimeTypeSufficient"/>
    </format>
  </content>
</DocumentReference>