FHIR IG analytics| Package | hl7.fhir.us.davinci-pdex |
| Resource Type | DocumentReference |
| Id | DocumentReference-treatment-attestation-form-001.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Signed Treatment Relationship Attestation Form for Robert Johnson
{
"resourceType": "DocumentReference",
"id": "treatment-attestation-form-001",
"meta": {
"lastUpdated": "2024-12-16T10:00:00Z"
},
"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 Document"
}
]
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "64292-6",
"display": "Release of information consent Document"
}
]
}
],
"subject": {
"reference": "Patient/patient-prov-001",
"display": "Robert Michael Johnson"
},
"date": "2024-12-16T09:30:00Z",
"author": [
{
"reference": "Practitioner/provider-001",
"display": "Dr. John Smith"
}
],
"custodian": {
"reference": "Organization/provider-org-001",
"display": "Example Provider Organization"
},
"description": "Signed attestation form documenting active treatment relationship between Dr. Smith and patient Robert Johnson",
"content": [
{
"attachment": {
"contentType": "application/pdf",
"language": "en-US",
"title": "Treatment Relationship Attestation Form",
"creation": "2024-12-16T09:30:00Z"
}
}
],
"context": {
"period": {
"start": "2024-01-01"
}
}
}