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Packagehl7.fhir.us.davinci-pdex
Resource TypeDocumentReference
IdDocumentReference-provider-attestation-doc-1.json
FHIR VersionR4

Resources that use this resource

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Resources that this resource uses

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Narrative

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

Generated Narrative: DocumentReference provider-attestation-doc-1

status: Current

docStatus: Final

type: Release of information consent

category: Information Disclosure

subject: Patricia Ann Person

date: 2024-11-14 10:30:00+0000

author: Dr. Susan Smith

authenticator: Provider 1

custodian: Provider 1

content

Attachments

-ContentTypeUrlTitleCreation
*application/pdfhttps://example.org/provider1/attestations/2024/attestation-001.pdfProvider Treatment Relationship Attestation Form2024-11-14 10:30:00+0000

format: IHE.FormatCode.codesystem: urn:ihe:iti:xds:2017:mimeTypeSufficient (urn:ihe:iti:xds:2017:mimeTypeSufficient)

Contexts

-PeriodRelated
*2024-01-15 --> (ongoing)Encounter: status = finished; class = Ambulatory (ActCode#AMB); type = Consultation

Source1

{
  "resourceType": "DocumentReference",
  "id": "provider-attestation-doc-1",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "current",
  "docStatus": "final",
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "64292-6",
        "display": "Release of information consent"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "IDSCL",
          "display": "Information Disclosure"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/1",
    "display": "Patricia Ann Person"
  },
  "date": "2024-11-14T10:30:00Z",
  "author": [
    {
      "reference": "Practitioner/4",
      "display": "Dr. Susan Smith"
    }
  ],
  "authenticator": {
    "reference": "Organization/ProviderOrg1",
    "display": "Provider 1"
  },
  "custodian": {
    "reference": "Organization/ProviderOrg1",
    "display": "Provider 1"
  },
  "content": [
    {
      "attachment": {
        "contentType": "application/pdf",
        "url": "https://example.org/provider1/attestations/2024/attestation-001.pdf",
        "title": "Provider Treatment Relationship Attestation Form",
        "creation": "2024-11-14T10:30:00Z"
      },
      "format": {
        "system": "http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem",
        "code": "urn:ihe:iti:xds:2017:mimeTypeSufficient"
      }
    }
  ],
  "context": {
    "period": {
      "start": "2024-01-15"
    },
    "related": [
      {
        "reference": "Encounter/6"
      }
    ]
  }
}