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Structured Documents Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

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

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Generic example (id = "example")

<?xml version="1.0" encoding="UTF-8"?>

<DocumentReference xmlns="">
  <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
  <text> <status value="generated"/> <div xmlns=""><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : example</p> <p> <b> contained</b> : </p> <p> <b> masterIdentifier</b> : urn:oid:</p> <p> <b> identifier</b> : urn:oid:</p> <p> <b> status</b> : current</p> <p> <b> docStatus</b> : preliminary</p> <p> <b> type</b> : Outpatient Note <span> (Details : {LOINC code '34108-1' = 'Outpatient Note', given as 'Outpatient Note'})</span> </p> <p> <b> category</b> : History and Physical <span> (Details : { code 'History and Physical' = 'History
           and Physical', given as 'History and Physical'})</span> </p> <p> <b> subject</b> : <a> Patient/xcda</a> </p> <p> <b> date</b> : Dec 24, 2005 9:43:41 AM</p> <p> <b> author</b> : </p> <ul> <li> <a> Practitioner/xcda1</a> </li> <li> id: a2; Gerald Smitty </li> </ul> <p> <b> authenticator</b> : <a> Organization/f001</a> </p> <p> <b> custodian</b> : <a> Organization/f001</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> DocumentReference/example</a> </td> </tr> </table> <p> <b> description</b> : Physical</p> <p> <b> securityLabel</b> : very restricted <span> (Details : { code 'V' = 'very
           restricted', given as 'very restricted'})</span> </p> <h3> Contents</h3> <table> <tr> <td> -</td> <td> <b> Attachment</b> </td> <td> <b> Format</b> </td> </tr> <tr> <td> *</td> <td/>  <td> History and Physical Specification (Details: urn:oid: code urn:ihe:pcc:handp:
            2008 = 'urn:ihe:pcc:handp:2008', stated as 'History and Physical Specification')</td> </tr> </table> <h3> Contexts</h3> <table> <tr> <td> -</td> <td> <b> Encounter</b> </td> <td> <b> Event</b> </td> <td> <b> Period</b> </td> <td> <b> FacilityType</b> </td> <td> <b> PracticeSetting</b> </td> <td> <b> SourcePatientInfo</b> </td> <td> <b> Related</b> </td> </tr> <tr> <td> *</td> <td> <a> Encounter/xcda</a> </td> <td> Arm <span> (Details : { code 'T-D8200' = 'T-D8200', given
               as 'Arm'})</span> </td> <td> Dec 23, 2004 8:00:00 AM --&gt; Dec 23, 2004 8:01:00 AM</td> <td> Outpatient <span> (Details : { code 'Outpatient'
               = 'Outpatient', given as 'Outpatient'})</span> </td> <td> General Medicine <span> (Details : { code 'General Medicine'
               = 'General Medicine', given as 'General Medicine'})</span> </td> <td> <a> Patient/xcda</a> </td> <td> <a> Patient/xcda</a> </td> </tr> </table> </div> </text> <contained> 
      <id value="a2"/> 
        <family value="Smitty"/> 
        <given value="Gerald"/> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:"/> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:"/> 
  <status value="current"/> 
  <docStatus value="preliminary"/> 

      <system value=""/> 
      <code value="34108-1"/> 
      <display value="Outpatient Note"/> 
      <system value=""/> 
      <code value="History and Physical"/> 
      <display value="History and Physical"/> 
    <reference value="Patient/xcda"/> 
  <date value="2005-12-24T09:43:41+11:00"/> 
    <reference value="Practitioner/xcda1"/> 
    <reference value="#a2"/> 
    <reference value="Organization/f001"/> 
    <reference value="Organization/f001"/> 
    <code value="appends"/> 
      <reference value="DocumentReference/example"/> 
  <description value="Physical"/> 
      <system value=""/> 
      <code value="V"/> 
      <display value="very restricted"/> 
      <contentType value="application/hl7-v3+xml"/> 
      <language value="en-US"/> 
      <url value=""/> 
      <size value="3654"/> 
      <hash value="2jmj7l5rSw0yVb/vlWAYkK/YBwk="/> 
      <title value="Physical"/> 
           <creation value="2005-12-24T09:35:00+11:00"/> 
      <system value="urn:oid:"/> 
      <code value="urn:ihe:pcc:handp:2008"/> 
      <display value="History and Physical Specification"/> 
      <reference value="Encounter/xcda"/> 
        <system value=""/> 
        <code value="T-D8200"/> 
        <display value="Arm"/> 
      <start value="2004-12-23T08:00:00+11:00"/> 
      <end value="2004-12-23T08:01:00+11:00"/> 
        <system value=""/> 
        <code value="Outpatient"/> 
        <display value="Outpatient"/> 
        <system value=""/> 
        <code value="General Medicine"/> 
        <display value="General Medicine"/> 
      <reference value="Patient/xcda"/> 
      <reference value="Patient/xcda"/> 
        <system value="urn:ietf:rfc:3986"/> 
        <value value="urn:oid:"/> 

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.