Artifacts Summary

FHIR Clinical Documents
1.0.0 - STU 1 International flag

This page is part of the FHIR Clinical Documents (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Contents:

Clinical Document Examples
Behavior: Operation Definitions
Structures: Resource Profiles
Structures: Extension Definitions
Example: Example Instances

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Clinical Document Examples

Examples to show a Clinical Document, a revision replacing the Clinical Document, and a Transaction Bundle version of the original Clinical Document.

clinical-document-bundle-example1

Document Bundle example for FHIR Clinical Document

clinical-document-bundle-revision

Document Bundle revision example for FHIR Clinical Document

clinical-document-to-transaction-bundle

Transaction Bundle version of the FHIR Clinical Document example

Behavior: Operation Definitions

These are custom operations that can be supported by and/or invoked by systems conforming to this implementation guide.

Convert to transaction bundle

Convert a FHIR Clinical Document into a FHIR transaction bundle.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

FHIR Clinical Document Bundle Profile

Universal starting point for specifying a FHIR Clinical Document.

FHIR Clinical Document Composition Profile

Starting point for a specification for a composition of a FHIR Clinical Document.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Change Made

Change Made provides an annotation of a change that has been made to the Composition or Composition section. The extension is experimental and may overlap with other extensions, such as use of note in R6. The extension contains two parts: change - the description of the change, version-changed - the FHIR Clinical Document version that was changed. Note: Calculating a differential between versions is suggested for safely finding all changes as this annotation may not contain all changes between versions.

Consent Extension

Consent Extension refers to a FHIR Consent instance that indicates a patient's consent

Data Enterer Extension

The Data Enterer Extension represents the person who transferred the content, written or dictated, into the clinical document. To clarify, an author provides the content, subject to their own interpretation; a dataEnterer adds an author's information to the electronic system.

Informant Extension

Informant Extension describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.

Information Recipient Extension

The Information Recipient Extension records the intended recipient of the information at the time the document was created.

Participant Extension

Participant Extension identifies supporting entities, including parents, relatives, caregivers, insurance policyholders, guarantors, and others related in some way to the patient. A supporting person or organization is an individual or an organization with a relationship to the patient. A supporting person who is playing multiple roles would be recorded in multiple participants (e.g., emergency contact and next-of-kin).