FHIR Release 3 (STU) 5 Preview #3
This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 4.0.1 . For a full list of available versions, see the Directory of published versions

Documentreference-example

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

This is the narrative for the resource. See also the XML or , JSON or Turtle format. This example conforms to the profile DocumentReference .


Generated Narrative with Details

id : example contained : masterIdentifier : urn:oid:1.3.6.1.4.1.21367.2005.3.7 identifier : id: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

status : current

docStatus : preliminary

type : Outpatient Note (Details : {LOINC code '34108-1' = 'Outpatient Note', given as 'Outpatient Note'})

class category : History and Physical (Details : {http://ihe.net/xds/connectathon/classCodes code 'History and Physical' = 'History and Physical', given as 'History and Physical'})

subject : Patient/xcda Generated Summary: Medical record number: 12345 (USUAL); active; Henry Levin ; gender: male; birthDate: 1932-09-24

created encounter : 24/12/2005 9:35:00 AM Generated Summary: id: 1234213.52345873 (OFFICIAL); status: completed; ambulatory

indexed event : 24/12/2005 9:43:41 AM Arm

author facilityType : Practitioner/xcda1 , id: a2; Gerald Smitty Outpatient

authenticator practiceSetting : Organization/f001 General Medicine

custodian period : Organization/f001 Dec 22, 2004 9:00:00 PM --> Dec 22, 2004 9:01:00 PM

date : Dec 23, 2005 10:43:41 PM

author :

name : Gerald Smitty

RelatesTos Attesters

- Code Mode Target Party
* appends official DocumentReference/example Generated Summary: id: 91654 (OFFICIAL), id: 17-0112278 (USUAL); University Medical Hospital ; name: Burgers University Medical Center; Phone: 022-655 2300

description : Physical securityLabel custodian : very restricted (Details : {http://hl7.org/fhir/v3/Confidentiality code 'V' = 'very restricted', given as 'very restricted'}) Generated Summary: id: 91654 (OFFICIAL), id: 17-0112278 (USUAL); University Medical Hospital ; name: Burgers University Medical Center; Phone: 022-655 2300

Contents RelatesTos

- Attachment Code Format Target
* appends Generated Summary: id: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234; status: current; docStatus: preliminary; Outpatient Note ; 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') context ; Arm ; Outpatient ; General Medicine ; period: Dec 22, 2004 9:00:00 PM --> Dec 22, 2004 9:01:00 PM; date: Dec 23, 2005 10:43:41 PM; description: Physical; very restricted encounter : Encounter/xcda event : Arm (Details : {http://ihe.net/xds/connectathon/eventCodes code 'T-D8200' = 'T-D8200', given as 'Arm'})

period description : 23/12/2004 8:00:00 AM --> 23/12/2004 8:01:00 AM Physical

facilityType securityLabel : Outpatient (Details : {http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes code 'Outpatient' = 'Outpatient', given as 'Outpatient'}) very restricted practiceSetting : General Medicine (Details : {http://www.ihe.net/xds/connectathon/practiceSettingCodes code 'General Medicine' = 'General Medicine', given as 'General Medicine'})

sourcePatientInfo : Patient/xcda content

Relateds Attachments

-
*

Identifier format : History and Physical Specification

Ref identifier : id: urn:oid:1.3.6.1.4.1.21367.2005.3.7

* urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345

sourcePatientInfo : Patient/xcda Generated Summary: Medical record number: 12345 (USUAL); active; Henry Levin ; gender: male; birthDate: 1932-09-24

related : Generated Summary: Medical record number: 12345 (USUAL); active; Henry Levin ; gender: male; birthDate: 1932-09-24


 

Other examples that reference this example:

  • DocumentManifest/FM-Example
  • DocumentManifest/XDS-Example
  • DocumentReference/Generic exampl example
  • MedicinalProductDefinition/General Example
  • Provenance/General
  • Provenance/Signature
  •  

    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.