Mobile access to Health Documents (MHD)
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Mobile access to Health Documents (MHD), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 4.2.2-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.MHD/ and changes regularly. See the Directory of published versions

: DocumentReference for Comprehensive fully filled metadata for a Deferred Creation - JSON Representation

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{
  "resourceType" : "DocumentReference",
  "id" : "ex-DocumentReferenceComprehensiveDelayedAssembly",
  "meta" : {
    "profile" : [
      🔗 "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference"
    ],
    "security" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DocumentReference</b><a name=\"ex-DocumentReferenceComprehensiveDelayedAssembly\"> </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;ex-DocumentReferenceComprehensiveDelayedAssembly&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-IHE.MHD.Comprehensive.DocumentReference.html\">MHD DocumentReference Comprehensive</a></p><p style=\"margin-bottom: 0px\">Security Labels: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActReason http://terminology.hl7.org/CodeSystem/v3-ActReason}\">http://terminology.hl7.org/CodeSystem/v3-ActReason</span></p></div><p><b>masterIdentifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">URI</a>/urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.47340</p><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">URI</a>/urn:uuid:0c287d32-01e3-4d87-9953-9fcc9407eb21\u00a0(use:\u00a0OFFICIAL)</p><p><b>status</b>: current</p><p><b>type</b>: Addendum Doc <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#55107-7)</span></p><p><b>category</b>: Hx of Immunization <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11369-6)</span></p><p><b>subject</b>: <a href=\"Patient-ex-patient.html\">Patient/ex-patient</a> &quot; SCHMIDT&quot;</p><p><b>date</b>: Jan 1, 2021, 4:50:50\u202fAM</p><p><b>author</b>: <a name=\"in-author\"> </a></p><blockquote><p/><p><a name=\"in-author\"> </a></p><p><b>telecom</b>: <a href=\"mailto:JohnMoehrke@gmail.com\">JohnMoehrke@gmail.com</a></p></blockquote><p><b>authenticator</b>: <a name=\"in-author\"> </a></p><blockquote><p/><p><a name=\"in-author\"> </a></p><p><b>telecom</b>: <a href=\"mailto:JohnMoehrke@gmail.com\">JohnMoehrke@gmail.com</a></p></blockquote><h3>RelatesTos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td style=\"display: none\">*</td><td>appends</td><td><a href=\"DocumentReference-ex-documentreference.html\">DocumentReference/ex-documentreference</a></td></tr></table><p><b>description</b>: Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements.</p><p><b>securityLabel</b>: normal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-Confidentiality.html\">Confidentiality</a>#N)</span></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</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 style=\"display: none\">*</td><td>text/plain</td><td>en</td><td><a href=\"http://example.com/nowhere.txt\">http://example.com/nowhere.txt</a></td><td>0</td><td>(base64 data - 40 bytes)</td><td>DocumentReference for Comprehensive fully filled metadata</td><td>2020-12-31 23:50:50-0500</td></tr></table><p><b>format</b>: ITI XDS-SD TEXT (Details: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode code urn:ihe:iti:xds-sd:text:2008 = 'ITI XDS-SD TEXT', stated as 'null')</p></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</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 style=\"display: none\">*</td><td>account receivable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-ActCode.html\">ActCode</a>#ACCTRECEIVABLE)</span></td><td>2020-12-31 23:50:50-0500 --&gt; 2020-12-31 23:50:50-0500</td><td>Children's hospital <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#82242000)</span></td><td>Adult mental illness - specialty (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#408467006)</span></td><td><a name=\"in-patient\"> </a><blockquote><p/><p><a name=\"in-patient\"> </a></p></blockquote></td><td><span><a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">URI</a>/urn:oid:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759</span></td></tr></table><hr/><blockquote><p><b>Generated Narrative: Practitioner #in-author</b><a name=\"in-author\"> </a></p><p><b>telecom</b>: <a href=\"mailto:JohnMoehrke@gmail.com\">JohnMoehrke@gmail.com</a></p></blockquote><hr/><blockquote><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Anonymous Patient</b> (no stated gender), DoB Unknown</p><hr/></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "Practitioner",
      "id" : "in-author",
      "telecom" : [
        {
          "system" : "email",
          "value" : "JohnMoehrke@gmail.com"
        }
      ]
    },
    {
      "resourceType" : "Patient",
      "id" : "in-patient"
    }
  ],
  "masterIdentifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.47340"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:uuid:0c287d32-01e3-4d87-9953-9fcc9407eb21"
    }
  ],
  "status" : "current",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "55107-7"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "11369-6"
        }
      ]
    }
  ],
  "subject" : {
    🔗 "reference" : "Patient/ex-patient"
  },
  "date" : "2020-12-31T23:50:50-05:00",
  "author" : [
    {
      "reference" : "#in-author"
    }
  ],
  "authenticator" : {
    "reference" : "#in-author"
  },
  "relatesTo" : [
    {
      "code" : "appends",
      "target" : {
        🔗 "reference" : "DocumentReference/ex-documentreference"
      }
    }
  ],
  "description" : "Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements.",
  "securityLabel" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
          "code" : "N"
        }
      ]
    }
  ],
  "content" : [
    {
      "attachment" : {
        "contentType" : "text/plain",
        "language" : "en",
        "url" : "http://example.com/nowhere.txt",
        "size" : 0,
        "hash" : "ZGEzOWEzZWU1ZTZiNGIwZDMyNTViZmVmOTU2MDE4OTBhZmQ4MDcwOQ==",
        "title" : "DocumentReference for Comprehensive fully filled metadata",
        "creation" : "2020-12-31T23:50:50-05:00"
      },
      "format" : {
        "system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
        "code" : "urn:ihe:iti:xds-sd:text:2008"
      }
    }
  ],
  "context" : {
    "event" : [
      {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code" : "ACCTRECEIVABLE"
          }
        ]
      }
    ],
    "period" : {
      "start" : "2020-12-31T23:50:50-05:00",
      "end" : "2020-12-31T23:50:50-05:00"
    },
    "facilityType" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "82242000"
        }
      ]
    },
    "practiceSetting" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "408467006"
        }
      ]
    },
    "sourcePatientInfo" : {
      "reference" : "#in-patient"
    },
    "related" : [
      {
        "identifier" : {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:oid:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759"
        }
      }
    ]
  }
}