This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot). 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
Orders and Observations 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</b></p><p><b>identifier</b>: id: 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>: <span>Outpatient Note</span></p><p><b>category</b>: <span>History and Physical</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Henry Levin ; gender: male; birthDate: 1932-09-24</a></p><p><b>encounter</b>: <a>Generated Summary: id: 1234213.52345873 (OFFICIAL); status: completed; <span>ambulatory</span></a></p><p><b>event</b>: <span>Arm</span></p><p><b>facilityType</b>: <span>Outpatient</span></p><p><b>practiceSetting</b>: <span>General Medicine</span></p><p><b>period</b>: 23 Dec. 2004, 8:00:00 am --> 23 Dec. 2004, 8:01:00 am</p><p><b>date</b>: 24 Dec. 2005, 9:43:41 am</p><p><b>author</b>: </p><ul><li><a>Generated Summary: id: D234123 (OFFICIAL); Sherry Dopplemeyer ; john.doe@healthcare.example.org</a></li><li><a> </a></li></ul><blockquote><p><b>name</b>: Gerald Smitty </p></blockquote><h3>Attesters</h3><table><tr><td>-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>official</td><td><a>Generated Summary: id: 91654 (OFFICIAL), id: 17-0112278 (USUAL); <span>University Medical Hospital</span>; name: Burgers University Medical Center; Phone: 022-655 2300</a></td></tr></table><p><b>custodian</b>: <a>Generated Summary: id: 91654 (OFFICIAL), id: 17-0112278 (USUAL); <span>University Medical Hospital</span>; name: Burgers University Medical Center; Phone: 022-655 2300</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>Generated Summary: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234; status: current; docStatus: preliminary; <span>Outpatient Note</span>; <span>History and Physical</span>; <span>Arm</span>; <span>Outpatient</span>; <span>General Medicine</span>; period: 23 Dec. 2004, 8:00:00 am --> 23 Dec. 2004, 8:01:00 am; date: 24 Dec. 2005, 9:43:41 am; description: Physical; <span>very restricted</span></a></td></tr></table><p><b>description</b>: Physical</p><p><b>securityLabel</b>: <span>very restricted</span></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>format</b>: <span>History and Physical Specification</span></p><p><b>identifier</b>: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7</p></blockquote><p><b>sourcePatientInfo</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Henry Levin ; gender: male; birthDate: 1932-09-24</a></p><p><b>related</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Henry Levin ; gender: male; birthDate: 1932-09-24</a></p></div>" }, "contained": [ { "resourceType": "Practitioner", "id": "a2", "name": [ { "family": "Smitty", "given": [ "Gerald" ] } ] } ], "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" }, "encounter": [ { "reference": "Encounter/xcda" } ], "event": [ { "coding": [ { "system": "http://ihe.net/xds/connectathon/eventCodes", "code": "T-D8200", "display": "Arm" } ] } ], "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" } ] }, "period": { "start": "2004-12-23T08:00:00+11:00", "end": "2004-12-23T08:01:00+11:00" }, "date": "2005-12-24T09:43:41+11:00", "author": [ { "reference": "Practitioner/xcda1" }, { "reference": "#a2" } ], "attester": [ { "mode": "official", "party": { "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" }, "identifier": { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7" } } ], "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.