Release 4 5 Preview #3
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Documentreference-example.xml

Structured Documents Orders and Observations Work Group Maturity Level : N/A Standards Status : Informative Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

Generic example (id = "example")

<?xml version="1.0" encoding="UTF-8"?>
<DocumentReference xmlns="http://hl7.org/fhir">
  <id value="example"/> 
  <!--    Many XDS systems do not trak any id for the author. When systems don't do this, 
    the only option is for the author information to be contained in the Document Reference
      -->
  (Details : {http://ihe.net/xds/connectathon/classCodes code 'History and Physical' = 'History
           and Physical', given as 'History and Physical'})(Details : {http://terminology.hl7.org/CodeSystem/v3-Confidentiality code 'V' = 'very
           restricted', given as 'very restricted'})History and Physical Specification (Details: urn:oid:1.3.6.1.4.1.19376.1.2.3 code urn:ihe:pcc:handp:
            2008 = 'urn:ihe:pcc:handp:2008', stated as 'History and Physical Specification')(Details : {http://ihe.net/xds/connectathon/eventCodes code 'T-D8200' = 'T-D8200', given
               as 'Arm'})(Details : {http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes code 'Outpatient'
               = 'Outpatient', given as 'Outpatient'})(Details : {http://www.ihe.net/xds/connectathon/practiceSettingCodes code 'General Medicine'
               = 'General Medicine', given as 'General Medicine'})

  <text> <status value="generated"/> <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> : Dec 23, 2004 8:00:00 AM --&gt; Dec 23, 2004 8:01:00 AM</p> <p> <b> date</b> : Dec 24, 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: Dec 23, 2004 8:00:00 AM --&gt; Dec 23, 2004 8:01:00 AM; date: Dec 24, 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> </text> <contained> 

    <Practitioner> 
      <id value="a2"/> 
      <name> 
        <family value="Smitty"/> 
        <given value="Gerald"/> 
      </name> 
    </Practitioner> 
  </contained> 
  
    
    
  

  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"/> 
  </identifier> 
  <status value="current"/> 
  <docStatus value="preliminary"/> 
  <type> 
    <coding> 
      <system value="http://loinc.org"/> 
      <code value="34108-1"/> 
      <display value="Outpatient Note"/> 
    </coding> 
  </type> 
  <category> 
    <coding> 
      <system value="http://ihe.net/xds/connectathon/classCodes"/> 
      <code value="History and Physical"/> 
      <display value="History and Physical"/> 
    </coding> 
  </category> 
  <subject> 
    

    <reference value="Patient/xcda"/> 
  </subject> 
  <encounter> 
    <reference value="Encounter/xcda"/> 
  </encounter> 
  <event> 
    <coding> 
      <system value="http://ihe.net/xds/connectathon/eventCodes"/> 
      <code value="T-D8200"/> 
      <display value="Arm"/> 
    </coding> 
  </event> 
  <facilityType> 
    <coding> 
      <system value="http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes"/> 
      <code value="Outpatient"/> 
      <display value="Outpatient"/> 
    </coding> 
  </facilityType> 
  <practiceSetting> 
    <coding> 
      <system value="http://www.ihe.net/xds/connectathon/practiceSettingCodes"/> 
      <code value="General Medicine"/> 
      <display value="General Medicine"/> 
    </coding> 
  </practiceSetting> 
  <period> 
    <start value="2004-12-23T08:00:00+11:00"/> 
    <end value="2004-12-23T08:01:00+11:00"/> 
  </period> 
  <date value="2005-12-24T09:43:41+11:00"/> 
  <author> 
    

    <reference value="Practitioner/xcda1"/> 
  </author> 
  <author> 
    

    <reference value="#a2"/> 
  </author> 
  
    
  

  <attester> 
    <mode value="official"/> 
    <party> 
      <reference value="Organization/f001"/> 
    </party> 
  </attester> 
  <custodian> 
    

    <reference value="Organization/f001"/> 
  </custodian> 
  <relatesTo> 
    <code value="appends"/> 
    <target> 
      

      <reference value="DocumentReference/example"/> 
    </target> 
  </relatesTo> 
  <description value="Physical"/> 
  <securityLabel> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/> 
      <code value="V"/> 
      <display value="very restricted"/> 
    </coding> 
  </securityLabel> 
  <content> 
    <attachment> 
      <contentType value="application/hl7-v3+xml"/> 
      <language value="en-US"/> 
      <url value="http://example.org/xds/mhd/Binary/07a6483f-732b-461e-86b6-edb665c45510"/> 
      <size value="3654"/> 
      <hash value="2jmj7l5rSw0yVb/vlWAYkK/YBwk="/> 
      <title value="Physical"/> 
           <creation value="2005-12-24T09:35:00+11:00"/> 
    </attachment> 
    <format> 
      <system value="urn:oid:1.3.6.1.4.1.19376.1.2.3"/> 
      <code value="urn:ihe:pcc:handp:2008"/> 
      <display value="History and Physical Specification"/> 
    </format> 
    <identifier> 
      <system value="urn:ietf:rfc:3986"/> 
      <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7"/> 
    </identifier> 
  </content> 
  
    
      
    
    
      
        
        
        
      
    
    
      
      
    
    
      
        
        
        
      
    
    
      
        
        
        
      
    
    
      
    
    
      
      
        
        
      
    
  

  <sourcePatientInfo> 
    <reference value="Patient/xcda"/> 
  </sourcePatientInfo> 
  <related> 
    <reference value="Patient/xcda"/> 
    <identifier> 
      <system value="urn:ietf:rfc:3986"/> 
      <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345"/> 
    </identifier> 
  </related> 


</

DocumentReference

>



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.