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FHIR IG analytics

Packagehie-fhir-ig-profile
Resource TypeDocumentReference
IdDocumentReference-HIEDocumentReference-example.json
FHIR VersionR4B

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

DocumentReference

Discharge summary available as a PDF. Authored by Acme Health, authenticated by Dr. John Clinician, and linked to the referenced encounter and patient.

FieldValue
Statuscurrent
Doc Statusfinal
TypeDischarge summary (LOINC 18842-5)
SubjectJane Patient (Patient/p-001)
Date2025-11-12T11:20:00+03:00
AuthorAcme Health (Organization/org-001)
AuthenticatorDr. John Clinician (HIEPractitioner/pr-001)
EncounterOutpatient visit (Encounter/enc-001)
Attachmentapplication/pdf, 256 KB, title "Discharge Summary", URL Binary/bin-001

Source1

{
  "resourceType": "DocumentReference",
  "id": "HIEDocumentReference-example",
  "meta": {
    "profile": [
      "https://nshr.dha.go.ke/fhir/StructureDefinition/documentreference"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "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"
    }
  }
}