DiagnosticsThis page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions 
| 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)
XDS Comprehensive metadata
{
"resourceType" : "DocumentReference",
"id" : "example-comprehensive",
"meta" : {
"security" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code" : "HTEST"
}]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DocumentReference</b><a name=\"example-comprehensive\"> </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 "example-comprehensive" </p><p style=\"margin-bottom: 0px\">Security Labels: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActReason http://terminology.hl7.org/CodeSystem/v3-ActReason}\">http://terminology.hl7.org/CodeSystem/v3-ActReason</span></p></div><p><b>DocumentReference Source Patient</b>: <a name=\"in-patient\"> </a></p><blockquote><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Anonymous Patient</b> (no stated gender), DoB Unknown</p><hr/></blockquote><p><b>identifier</b>: id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340, id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21</p><p><b>version</b>: urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21</p><p><b>status</b>: current</p><p><b>type</b>: Addendum Document <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#55107-7)</span></p><p><b>category</b>: History of immunization Narrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11369-6)</span></p><p><b>subject</b>: <a href=\"patient-example-xcda.html\">Patient/xcda</a> "Henry LEVIN"</p><h3>Events</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td>account receivable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-v3-ActCode.html\">ActCode</a>#ACCTRECEIVABLE)</span></td><td> </td></tr><tr><td style=\"display: none\">*</td><td> </td><td><span>id:\u00a0<a href=\"http://terminology.hl7.org/5.4.0/NamingSystem-uri.html\">#</a>urn:oid:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759</span></td></tr></table><p><b>facilityType</b>: Children's hospital <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#82242000)</span></p><p><b>practiceSetting</b>: Adult mental illness - speciality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#408467006)</span></p><p><b>period</b>: 2020-12-31T23:50:50-05:00 --> 2020-12-31T23:50:50-05:00</p><p><b>date</b>: 1 Jan 2021, 3:50:50 pm</p><p><b>author</b>: <a name=\"in-author\"> </a></p><blockquote><p/><p><a name=\"in-author\"> </a></p><p><b>telecom</b>: <a href=\"mailto:JohnMoehrke@gmail.com\">JohnMoehrke@gmail.com</a></p></blockquote><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>Professional <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-composition-attestation-mode.html\">Composition Attestation Mode</a>#professional)</span></td><td><a name=\"in-author\"> </a><blockquote><p/><p><a name=\"in-author\"> </a></p><p><b>telecom</b>: <a href=\"mailto:JohnMoehrke@gmail.com\">JohnMoehrke@gmail.com</a></p></blockquote></td></tr></table><h3>RelatesTos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td style=\"display: none\">*</td><td>Appends <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-document-relationship-type.html\">Document Relationship Type</a>#appends)</span></td><td><a href=\"documentreference-example.html\">DocumentReference/example</a></td></tr></table><p><b>description</b>: Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements.</p><p><b>securityLabel</b>: normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-v3-Confidentiality.html\">Confidentiality</a>#N)</span></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>Language</b></td><td><b>Url</b></td><td><b>Size</b></td><td><b>Hash</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style=\"display: none\">*</td><td>text/plain</td><td>en</td><td><a href=\"http://example.com/nowhere.txt\">http://example.com/nowhere.txt</a></td><td>190</td><td>(base64 data - 40 bytes)</td><td>DocumentReference for Comprehensive fully filled metadata</td><td>2020-12-31T23:50:50-05:00</td></tr></table><h3>Profiles</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>ITI XDS-SD TEXT (Details: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode code urn:ihe:iti:xds-sd:text:2008 = 'ITI XDS-SD TEXT', stated as 'null')</td></tr></table></blockquote></div>"
},
"contained" : [{
"resourceType" : "Practitioner",
"id" : "in-author",
"telecom" : [{
"system" : "email",
"value" : "JohnMoehrke@gmail.com"
}]
},
{
"resourceType" : "Patient",
"id" : "in-patient"
}],
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient",
"valueReference" : {
"reference" : "#in-patient"
}
}],
"identifier" : [{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340"
},
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21"
}],
"version" : "urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21",
"status" : "current",
"type" : {
"coding" : [{
"system" : "http://loinc.org",
"code" : "55107-7"
}]
},
"category" : [{
"coding" : [{
"system" : "http://loinc.org",
"code" : "11369-6"
}]
}],
"subject" : {
"reference" : "Patient/xcda"
},
"event" : [{
"concept" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "ACCTRECEIVABLE"
}]
}
},
{
"reference" : {
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759"
}
}
}],
"facilityType" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "82242000"
}]
},
"practiceSetting" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "408467006"
}]
},
"period" : {
"start" : "2020-12-31T23:50:50-05:00",
"end" : "2020-12-31T23:50:50-05:00"
},
"date" : "2020-12-31T23:50:50-05:00",
"author" : [{
"reference" : "#in-author"
}],
"attester" : [{
"mode" : {
"coding" : [{
"system" : "http://hl7.org/fhir/composition-attestation-mode",
"code" : "professional"
}]
},
"party" : {
"reference" : "#in-author"
}
}],
"relatesTo" : [{
"code" : {
"coding" : [{
"system" : "http://hl7.org/fhir/document-relationship-type",
"code" : "appends"
}]
},
"target" : {
"reference" : "DocumentReference/example"
}
}],
"description" : "Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements.",
"securityLabel" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "N"
}]
}],
"content" : [{
"attachment" : {
"contentType" : "text/plain",
"language" : "en",
"url" : "http://example.com/nowhere.txt",
"size" : "190",
"hash" : "OGEzOGYyNjMzMDA2ZmQ1MzUxNDljNDRhM2E3M2YzMTI0MzdiMzQ3OA==",
"title" : "DocumentReference for Comprehensive fully filled metadata",
"creation" : "2020-12-31T23:50:50-05:00"
},
"profile" : [{
"valueCoding" : {
"system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code" : "urn:ihe:iti:xds-sd:text:2008"
}
}]
}]
}
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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot1 generated on Mon, Dec 18, 2023 15:17+1100.
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