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Example DocumentReference/example (Turtle)

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw Turtle (+ also see Turtle/RDF Format Specification)

Generic example

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

[a fhir:DocumentReference;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "example"]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DocumentReference</b><a name=\"example\"> </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 &quot;example&quot; </p></div><p><b>supportingInfo</b>: <a href=\"patient-example-xcda.html\">Patient/xcda</a> &quot;Henry LEVIN&quot;</p><p><b>sourcepatient</b>: <a href=\"patient-example-xcda.html\">Patient/xcda</a> &quot;Henry LEVIN&quot;</p><p><b>identifier</b>: entryUUID: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234, uniqueId: urn:oid:1.3.6.1.4.1.21367.2005.3.7</p><p><b>status</b>: current</p><p><b>docStatus</b>: preliminary</p><p><b>type</b>: Outpatient Note <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#34108-1)</span></p><p><b>category</b>: History and Physical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (classCodes#History and Physical)</span></p><p><b>subject</b>: <a href=\"patient-example-xcda.html\">Patient/xcda</a> &quot;Henry LEVIN&quot;</p><p><b>context</b>: <a href=\"encounter-example-xcda.html\">Encounter/xcda</a></p><h3>Events</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Arm <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (eventCodes#T-D8200)</span></td></tr></table><p><b>facilityType</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (healthcareFacilityTypeCodes#Outpatient)</span></p><p><b>practiceSetting</b>: General Medicine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (practiceSettingCodes#General Medicine)</span></p><p><b>period</b>: 2004-12-23T08:00:00+11:00 --&gt; 2004-12-23T08:01:00+11:00</p><p><b>date</b>: Dec 23, 2005, 10:43:41 PM</p><p><b>author</b>: </p><ul><li><a href=\"practitioner-example-xcda1.html\">Practitioner/xcda1</a> &quot;Sherry DOPPLEMEYER&quot;</li><li><a name=\"a2\"> </a></li></ul><blockquote><p/><p><a name=\"a2\"> </a></p><p><b>name</b>: Gerald Smitty </p></blockquote><h3>Attesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td>*</td><td>Official <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-composition-attestation-mode.html\">CompositionAttestationMode</a>#official)</span></td><td><a href=\"organization-example-f001-burgers.html\">Organization/f001</a> &quot;Burgers University Medical Center&quot;</td></tr></table><p><b>custodian</b>: <a href=\"organization-example-f001-burgers.html\">Organization/f001</a> &quot;Burgers University Medical Center&quot;</p><h3>RelatesTos</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td>*</td><td>Appends <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-document-relationship-type.html\">DocumentRelationshipType</a>#appends)</span></td><td><a href=\"documentreference-example.html\">DocumentReference/example</a></td></tr></table><p><b>description</b>: Physical</p><p><b>securityLabel</b>: very restricted <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-Confidentiality.html\">Confidentiality</a>#V)</span></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td>-</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>*</td><td>application/hl7-v3+xml</td><td>en-US</td><td><a href=\"http://example.org/xds/mhd/Binary/07a6483f-732b-461e-86b6-edb665c45510\">http://example.org/xds/mhd/Binary/07a6483f-732b-461e-86b6-edb665c45510</a></td><td>3654</td><td>2jmj7l5rSw0yVb/vlWAYkK/YBwk=</td><td>Physical</td><td>2005-12-24T09:35:00+11:00</td></tr></table><h3>Profiles</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>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')</td></tr></table></blockquote></div>"
  ]; #    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   
  fhir:DomainResource.contained [
     a fhir:Practitioner;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "a2" ];
     fhir:Practitioner.name [
       fhir:index 0;
       fhir:HumanName.family [ fhir:value "Smitty" ];
       fhir:HumanName.given [
         fhir:value "Gerald";
         fhir:index 0
       ]
     ]
  ]; # 
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "Patient/xcda" ];
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
         fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345" ]
       ]
     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "Patient/xcda" ]
     ]
  ]; # 
  fhir:DocumentReference.identifier [
     fhir:index 0;
     fhir:Identifier.type [
       fhir:CodeableConcept.text [ fhir:value "entryUUID" ]
     ];
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234" ]
  ], [
     fhir:index 1;
     fhir:Identifier.type [
       fhir:CodeableConcept.text [ fhir:value "uniqueId" ]
     ];
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.21367.2005.3.7" ]
  ]; # 
  fhir:DocumentReference.status [ fhir:value "current"]; # 
  fhir:DocumentReference.docStatus [ fhir:value "preliminary"]; # 
  fhir:DocumentReference.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:34108-1;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "34108-1" ];
       fhir:Coding.display [ fhir:value "Outpatient Note" ]
     ]
  ]; # 
  fhir:DocumentReference.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://ihe.net/xds/connectathon/classCodes" ];
       fhir:Coding.code [ fhir:value "History and Physical" ];
       fhir:Coding.display [ fhir:value "History and Physical" ]
     ]
  ]; # 
  fhir:DocumentReference.subject [
     fhir:Reference.reference [ fhir:value "Patient/xcda" ]
  ]; # 
  fhir:DocumentReference.context [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Encounter/xcda" ]
  ]; # 
  fhir:DocumentReference.event [
     fhir:index 0;
     fhir:CodeableReference.concept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://ihe.net/xds/connectathon/eventCodes" ];
         fhir:Coding.code [ fhir:value "T-D8200" ];
         fhir:Coding.display [ fhir:value "Arm" ]
       ]
     ]
  ]; # 
  fhir:DocumentReference.facilityType [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes" ];
       fhir:Coding.code [ fhir:value "Outpatient" ];
       fhir:Coding.display [ fhir:value "Outpatient" ]
     ]
  ]; # 
  fhir:DocumentReference.practiceSetting [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ihe.net/xds/connectathon/practiceSettingCodes" ];
       fhir:Coding.code [ fhir:value "General Medicine" ];
       fhir:Coding.display [ fhir:value "General Medicine" ]
     ]
  ]; # 
  fhir:DocumentReference.period [
     fhir:Period.start [ fhir:value "2004-12-23T08:00:00+11:00"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2004-12-23T08:01:00+11:00"^^xsd:dateTime ]
  ]; # 
  fhir:DocumentReference.date [ fhir:value "2005-12-24T09:43:41+11:00"^^xsd:dateTime]; # 
  fhir:DocumentReference.author [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Practitioner/xcda1" ]
  ], [
     fhir:index 1;
     fhir:Reference.reference [ fhir:value "#a2" ]
  ]; # 
  fhir:DocumentReference.attester [
     fhir:index 0;
     fhir:DocumentReference.attester.mode [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/composition-attestation-mode" ];
         fhir:Coding.code [ fhir:value "official" ]
       ]
     ];
     fhir:DocumentReference.attester.party [
       fhir:Reference.reference [ fhir:value "Organization/f001" ]
     ]
  ]; # 
  fhir:DocumentReference.custodian [
     fhir:Reference.reference [ fhir:value "Organization/f001" ]
  ]; # 
  fhir:DocumentReference.relatesTo [
     fhir:index 0;
     fhir:DocumentReference.relatesTo.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/document-relationship-type" ];
         fhir:Coding.code [ fhir:value "appends" ]
       ]
     ];
     fhir:DocumentReference.relatesTo.target [
       fhir:Reference.reference [ fhir:value "DocumentReference/example" ]
     ]
  ]; # 
  fhir:DocumentReference.description [ fhir:value "Physical"]; # 
  fhir:DocumentReference.securityLabel [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-Confidentiality" ];
       fhir:Coding.code [ fhir:value "V" ];
       fhir:Coding.display [ fhir:value "very restricted" ]
     ]
  ]; # 
  fhir:DocumentReference.content [
     fhir:index 0;
     fhir:DocumentReference.content.attachment [
       fhir:Attachment.contentType [ fhir:value "application/hl7-v3+xml" ];
       fhir:Attachment.language [ fhir:value "en-US" ];
       fhir:Attachment.url [ fhir:value "http://example.org/xds/mhd/Binary/07a6483f-732b-461e-86b6-edb665c45510" ];
       fhir:Attachment.size [ fhir:value "3654"^^xsd:long ];
       fhir:Attachment.hash [ fhir:value "2jmj7l5rSw0yVb/vlWAYkK/YBwk="^^xsd:base64Binary ];
       fhir:Attachment.title [ fhir:value "Physical" ];
       fhir:Attachment.creation [ fhir:value "2005-12-24T09:35:00+11:00"^^xsd:dateTime ]
     ];
     fhir:DocumentReference.content.profile [
       fhir:index 0;
       fhir:DocumentReference.content.profile.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:1.3.6.1.4.1.19376.1.2.3" ];
         fhir:Coding.code [ fhir:value "urn:ihe:pcc:handp:2008" ];
         fhir:Coding.display [ fhir:value "History and Physical Specification" ]
       ]
     ]
  ]] . # 

# - ontology header ------------------------------------------------------------

[a owl:Ontology;
  owl:imports fhir:fhir.ttl] .

# -------------------------------------------------------------------------------------


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.