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Source1

{
  "resourceType": "DocumentReference",
  "id": "Example-DataStandardsWales-DocumentReference-EncounterBased",
  "meta": {
    "profile": [
      "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DocumentReference"
    ]
  },
  "extension": [
    {
      "url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus",
      "valueCode": "born-digital-document"
    },
    {
      "url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-SourceSystem",
      "valueReference": {
        "reference": "Device/Example-DataStandardsWales-Source-System-for-Documents",
        "display": "System ABC"
      }
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version",
      "valueString": "1"
    },
    {
      "extension": [
        {
          "url": "mode",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://hl7.org/fhir/valueset-composition-attestation-mode.html",
                "code": "professional",
                "display": "Professional"
              }
            ]
          }
        },
        {
          "url": "time",
          "valueDateTime": "2025-07-22T13:09:37+00:00"
        },
        {
          "url": "party",
          "valueReference": {
            "reference": "PractitionerRole/Example-DataStandardsWales-PractitionerRole-Consultant-JoeBloggs",
            "display": "BLOGGS, Joe A, Dr (GMC:1234567)"
          }
        }
      ],
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester"
    },
    {
      "extension": [
        {
          "url": "attributeName",
          "valueCode": "CloneSequenceNumber"
        },
        {
          "url": "attributeValue",
          "valueString": "0"
        },
        {
          "url": "attributeNamespace",
          "valueString": "http://www.wales.nhs.uk/ndr"
        }
      ],
      "url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentAttribute"
    },
    {
      "extension": [
        {
          "url": "attributeName",
          "valueCode": "ThirdPartyDataIncluded"
        },
        {
          "url": "attributeValue",
          "valueString": "True"
        },
        {
          "url": "attributeNamespace",
          "valueString": "http://www.wales.nhs.uk/ndr"
        }
      ],
      "url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentAttribute"
    }
  ],
  "identifier": [
    {
      "system": "https://fhir.nhs.wales/Id/wcrs-document-identifier",
      "value": "FF849C81-9917-47D9-B929-4AF1BDD94670"
    },
    {
      "system": "https://fhir.nhs.wales/Id/wcrs-supersession-set-identifier",
      "value": "6DB699D2-AD58-43DD-AEA5-341AE3DBFF93"
    }
  ],
  "status": "current",
  "docStatus": "final",
  "type": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "766841000000106",
        "display": "Consultation with patient"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-DocumentCategory",
          "code": "assessments",
          "display": "Assessments"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "https://fhir.nhs.wales/indicator/document-subtype"
        }
      ],
      "text": "Adult services"
    }
  ],
  "subject": {
    "reference": "Patient/Example-DataStandardsWales-Patient-JohnSmith",
    "display": "SMITH, John B, Mr"
  },
  "date": "2025-07-22T11:20:17+00:00",
  "author": [
    {
      "reference": "PractitionerRole/Example-DataStandardsWales-PractitionerRole-Nurse-EmilyMay",
      "display": "MAY, Emily B, Ms (NMC:AB12345X)"
    },
    {
      "reference": "PractitionerRole/Example-DataStandardsWales-PractitionerRole-Dietitian-JudeFrancis",
      "display": "FRANCIS Jude, Miss (HCPC:DT123456)"
    }
  ],
  "custodian": {
    "reference": "Organization/Example-DataStandardsWales-Organization-HDUHB",
    "display": "Hywel Dda University Health Board"
  },
  "description": "Diabetes Consultation Note",
  "securityLabel": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
          "code": "N",
          "display": "Normal"
        }
      ]
    }
  ],
  "content": [
    {
      "attachment": {
        "contentType": "application/pdf",
        "language": "en",
        "url": "https://www.example.com/documentref1234"
      }
    }
  ],
  "context": {
    "encounter": [
      {
        "reference": "Encounter/Example-DataStandardsWales-Encounter-DiabetesConsultation"
      }
    ],
    "practiceSetting": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "963151000000104",
          "display": "Diabetic medicine service"
        }
      ]
    }
  }
}