Implementation Guide
23.1.0 - R4 APIs
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<DocumentReference xmlns="http://hl7.org/fhir">
<id value="Example1"/>
<meta>
<lastUpdated value="2020-09-16T03:50:04.200-06:00"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"/>
<profile
value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-documentref-profile"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
<code value="N"/>
<display value="Normal"/>
</security>
<tag>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
<code value="New"/>
<display value="New"/>
</tag>
<tag>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
<code value="Pen"/>
<display value="Pen"/>
</tag>
<tag>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
<code value="NewPen"/>
<display value="New Pen"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: DocumentReference Example1</b></p><a name="Example1"> </a><a name="hcExample1"> </a><a name="Example1-en-US"> </a><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">Last updated: 2020-09-16 03:50:04-0600</p><p style="margin-bottom: 0px">Profiles: <a href="http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-documentreference.html">US Core DocumentReference Profile</a>, <a href="StructureDefinition-athena-documentref-profile.html">A reference to a document</a></p><p style="margin-bottom: 0px">Tags: New (Details: EditTags code New = ' New ', stated as ' New '), Pen (Details: EditTags code Pen = ' Pen ', stated as ' Pen '), New Pen (Details: EditTags code NewPen = ' NewPen ', stated as ' New Pen ')</p><p style="margin-bottom: 0px">Security Label: Normal (Details: Confidentiality code N = ' normal ', stated as ' Normal ')</p></div><p><b>masterIdentifier</b>: Unspecified Identifier/DOC-1915846720450610</p><p><b>identifier</b>: Unspecified Identifier/DOC-1915846720450610</p><p><b>status</b>: Current</p><p><b>docStatus</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 34133-9}">Summary of episode note</span></p><p><b>category</b>: <span title="Codes:{http://loinc.org 28563-5}">Care provider notes</span></p><p><b>subject</b>: <a href="Patient-Example1.html">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>date</b>: 2020-09-16 03:38:40-0600</p><p><b>author</b>: <a href="Practitioner-Example1.html">Practitioner Harry S. Winston </a></p><p><b>authenticator</b>: <a href="Practitioner-Example1.html">Practitioner Harry S. Winston </a></p><p><b>custodian</b>: <a href="Organization-Example1.html">Organization Main Health System</a></p><p><b>description</b>: example document</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></tr><tr><td style="display: none">*</td><td>ASCII Text</td><td>English</td><td>Binary/DOC-1915846720450610</td></tr></table><p><b>format</b>: unknown urn:ihe:iti:xds:2017:mimeTypeSufficient: MimeType Sufficient</p></blockquote><h3>Contexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Encounter</b></td><td><b>Period</b></td><td><b>SourcePatientInfo</b></td></tr><tr><td style="display: none">*</td><td><a href="Encounter-Example1.html">Encounter: extension = No display for Extension ,No display for Extension ,No display for Extension ; status = finished; class = ambulatory (ActCode#AMB); type = Office Visit; priority = routine; period = 2020-08-17 21:04:20-0600 --> 2020-08-17 21:07:17-0600</a></td><td>2020-09-16 03:38:41-0600 --> 2020-09-16 03:38:41-0600</td><td><a href="Patient-Example1.html">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></td></tr></table></div>
</text>
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-documentref-extension-refprovid">
<valueReference>
<reference value="Practitioner/1377098605000720"/>
</valueReference>
</extension>
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-documentref-extension-pubtime">
<valueDateTime value="2020-09-16T03:50:05-06:00"/>
</extension>
<masterIdentifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="U"/>
<display value="Unspecified Identifier"/>
</coding>
<text value="Unspecified Identifier"/>
</type>
<system
value="https://mydata.athenahealth.com/fhir/athenaFlex/namingsystem/DocumentReferenceId/Training"/>
<value value="DOC-1915846720450610"/>
</masterIdentifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="U"/>
<display value="Unspecified Identifier"/>
</coding>
<text value="Unspecified Identifier"/>
</type>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/DocumentReferenceId/Training"/>
<value value="DOC-1915846720450610"/>
</identifier>
<status value="current">
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode">
<valueCoding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/documentreferencestatus"/>
<code value="C"/>
<display value="Current"/>
</valueCoding>
</extension>
</status>
<docStatus value="final">
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode">
<valueCoding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/docstatus"/>
<code value="S"/>
<display value="signed"/>
</valueCoding>
</extension>
</docStatus>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="34133-9"/>
<display value="Summary of episode note"/>
</coding>
<text value="Summary of episode note"/>
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode">
<valueCoding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/documenttype"/>
<code value="1"/>
<display value="Office Visit"/>
</valueCoding>
</extension>
</type>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="28563-5"/>
<display value="Care provider notes"/>
</coding>
<text value="Care provider notes"/>
</category>
<subject>🔗
<reference value="Patient/Example1"/>
</subject>
<date value="2020-09-16T03:38:40.833-06:00"/>
<author>🔗
<reference value="Practitioner/Example1"/>
</author>
<authenticator>🔗
<reference value="Practitioner/Example1"/>
</authenticator>
<custodian>🔗
<reference value="Organization/Example1"/>
</custodian>
<description value="example document"/>
<content>
<attachment>
<contentType value="ASCII Text"/>
<language value="en"/>
<url value="Binary/DOC-1915846720450610"/>
</attachment>
<format>
<system value="urn:oid:1.3.6.1.4.1.19376.1.2.3"/>
<code value="urn:ihe:iti:xds:2017:mimeTypeSufficient"/>
<display value="MimeType Sufficient"/>
</format>
</content>
<context>
<encounter>🔗
<reference value="Encounter/Example1"/>
</encounter>
<period>
<start value="2020-09-16T03:38:41-06:00"/>
<end value="2020-09-16T03:38:41-06:00"/>
</period>
<sourcePatientInfo>🔗
<reference value="Patient/Example1"/>
</sourcePatientInfo>
</context>
</DocumentReference>