{ "resourceType": "DocumentReference", "id": "example", "text": { "fhir_comments": [ " Many XDS systems do not trak any id for the author. When systems don't do this, \n the only option is for the author information to be contained in the Document Reference " ], "status": "generated", "div": "

Generated Narrative with Details

id: example

contained:

masterIdentifier: urn:oid:1.3.6.1.4.1.21367.2005.3.7

identifier: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234

subject: Patient/xcda

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

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

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

custodian: Organization/organization-example

authenticator: Organization/organization-example

created: Dec 24, 2005 9:35:00 AM

indexed: Dec 24, 2005 9:43:41 AM

status: current

docStatus: preliminary (Details : {http://hl7.org/fhir/composition-status code 'preliminary' = 'Preliminary', given as 'preliminary'})

RelatesTos

-CodeTarget
*appendsDocumentReference/example

description: Physical

securityLabel: very restricted (Details : {http://hl7.org/fhir/v3/Confidentiality code 'V' = 'very restricted', given as 'very restricted'})

Contents

-AttachmentFormat
*History and Physical Specification (Details: urn:oid:1.3.6.1.4.1.19376.1.2.3 code urn:ihe:pcc:handp:2008 = '??', stated as 'History and Physical Specification')

context

encounter: Encounter/xcda

event: Arm (Details : {http://ihe.net/xds/connectathon/eventCodes code 'T-D8200' = '??', given as 'Arm'})

period: Dec 23, 2004 8:00:00 AM --> Dec 23, 2004 8:01:00 AM

facilityType: Outpatient (Details : {http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes code 'Outpatient' = '??', given as 'Outpatient'})

practiceSetting: General Medicine (Details : {http://www.ihe.net/xds/connectathon/practiceSettingCodes code 'General Medicine' = '??', given as 'General Medicine'})

sourcePatientInfo: Patient/xcda

Relateds

-IdentifierRef
*urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345Patient/xcda
" }, "contained": [ { "resourceType": "Practitioner", "id": "a2", "name": [ { "family": [ "Smitty" ], "given": [ "Gerald" ] } ], "practitionerRole": [ { "organization": { "display": "Cleveland Clinic" }, "role": { "text": "Attending" }, "specialty": [ { "text": "Orthopedic" } ] } ] } ], "masterIdentifier": { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7" }, "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234" } ], "subject": { "reference": "Patient/xcda" }, "type": { "coding": [ { "system": "http://loinc.org", "code": "34108-1", "display": "Outpatient Note" } ] }, "class": { "coding": [ { "system": "http://ihe.net/xds/connectathon/classCodes", "code": "History and Physical", "display": "History and Physical" } ] }, "author": [ { "reference": "Practitioner/xcda1" }, { "reference": "#a2" } ], "custodian": { "reference": "Organization/organization-example" }, "authenticator": { "reference": "Organization/organization-example" }, "created": "2005-12-24T09:35:00+11:00", "indexed": "2005-12-24T09:43:41+11:00", "status": "current", "docStatus": { "coding": [ { "system": "http://hl7.org/fhir/composition-status", "code": "preliminary", "display": "preliminary" } ] }, "relatesTo": [ { "code": "appends", "target": { "reference": "DocumentReference/example" } } ], "description": "Physical", "securityLabel": [ { "coding": [ { "system": "http://hl7.org/fhir/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=" }, "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" } ] } ], "context": { "encounter": { "reference": "Encounter/xcda" }, "event": [ { "coding": [ { "system": "http://ihe.net/xds/connectathon/eventCodes", "code": "T-D8200", "display": "Arm" } ] } ], "period": { "start": "2004-12-23T08:00:00+11:00", "end": "2004-12-23T08:01:00+11:00" }, "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" } ] }, "sourcePatientInfo": { "reference": "Patient/xcda" }, "related": [ { "identifier": { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345" }, "ref": { "reference": "Patient/xcda" } } ] } }