SIL HIE Implementation Guide
0.1.0 - sil-hie-active

SIL HIE Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

: Example HIE DocumentReference - JSON Representation

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{
  "resourceType" : "DocumentReference",
  "id" : "HIEDocumentReference-example",
  "meta" : {
    "profile" : [
      🔗 "https://nshr.dha.go.ke/fhir/StructureDefinition/hie-documentreference"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>DocumentReference</b></p><p>Discharge summary available as a PDF. Authored by Acme Health, authenticated by Dr. John Clinician, and linked to the referenced encounter and patient.</p><table><thead><tr><th align=\"left\">Field</th><th align=\"left\">Value</th></tr></thead><tbody><tr><td>Status</td><td>current</td></tr><tr><td>Doc Status</td><td>final</td></tr><tr><td>Type</td><td>Discharge summary (LOINC 18842-5)</td></tr><tr><td>Subject</td><td>Jane Patient (Patient/p-001)</td></tr><tr><td>Date</td><td>2025-11-12T11:20:00+03:00</td></tr><tr><td>Author</td><td>Acme Health (Organization/org-001)</td></tr><tr><td>Authenticator</td><td>Dr. John Clinician (HIEPractitioner/pr-001)</td></tr><tr><td>Encounter</td><td>Outpatient visit (Encounter/enc-001)</td></tr><tr><td>Attachment</td><td>application/pdf, 256 KB, title &quot;Discharge Summary&quot;, URL Binary/bin-001</td></tr></tbody></table></div>"
  },
  "identifier" : [
    {
      "use" : "official",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "ACSN",
            "display" : "Accession ID"
          }
        ]
      },
      "system" : "http://example.org/docrefs",
      "value" : "DOC-2025-0001"
    }
  ],
  "status" : "current",
  "docStatus" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "18842-5",
        "display" : "Discharge summary"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "ADR",
          "display" : "Administrative/summary report"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/p-001",
    "display" : "Jane Patient"
  },
  "date" : "2025-11-12T11:20:00+03:00",
  "author" : [
    {
      "reference" : "Organization/org-001",
      "display" : "Acme Health"
    }
  ],
  "authenticator" : {
    "reference" : "HIEPractitioner/pr-001",
    "display" : "Dr. John Clinician"
  },
  "custodian" : {
    "reference" : "Organization/org-001",
    "display" : "Acme Health"
  },
  "relatesTo" : [
    {
      "code" : "replaces",
      "target" : {
        "reference" : "DocumentReference/doc-older-0001",
        "display" : "Prior discharge summary"
      }
    }
  ],
  "securityLabel" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
          "code" : "N",
          "display" : "normal"
        }
      ]
    }
  ],
  "content" : [
    {
      "attachment" : {
        "contentType" : "application/pdf",
        "url" : "Binary/bin-001",
        "size" : 262144,
        "hash" : "3q2+7w==",
        "title" : "Discharge Summary",
        "creation" : "2025-11-12T11:15:00+03:00"
      }
    }
  ],
  "context" : {
    "encounter" : [
      {
        "reference" : "Encounter/enc-001",
        "display" : "Outpatient visit 2025-11-12"
      }
    ],
    "facilityType" : {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
          "code" : "OUTPHARM",
          "display" : "Outpatient facility"
        }
      ]
    },
    "practiceSetting" : {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "408443003",
          "display" : "General medical practice"
        }
      ]
    },
    "sourcePatientInfo" : {
      "reference" : "Patient/p-001",
      "display" : "Jane Patient"
    }
  }
}