FHIR IG analytics| Package | telus.dw.emr.extract-1-1-21 |
| Resource Type | DocumentReference |
| Id | DocumentReference-ma-ma-schema-1-DocumentReference-12001.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: DocumentReference ma-ma-schema-1-DocumentReference-12001
Last updated: 2023-12-18 23:07:47+0000;
Information Source: urn:telus:emr:ma:ma-schema-1
Security Label: normal (Details: Confidentiality code N = 'normal')
identifier: urn:telus:emr:ma:ma-schema-1:DocumentReference/12001 (use: official, )
status: Current
docStatus: Final
type: Clinical Summary Document
category: Clinical Note
subject: John Michael Smith
date: 2023-12-18 10:45:00+0000
author: Dr. Sarah Johnson
authenticator: Dr. Sarah Johnson
custodian: Main Street Family Practice
description: Comprehensive clinical summary from annual physical examination visit. Includes vital signs, laboratory results, current medications, and care plan.
securityLabel: normal
content
Attachments
ContentType Language Size Hash Title Creation application/pdf English 245760 2jmj7l5rSw0yVb/vlWAYkK/YBwk=Annual Physical Examination Summary - December 18, 2023 2023-12-18 10:45:00+0000 format: IHE.FormatCode.codesystem: urn:ihe:iti:xds:2017:mimeTypeSufficient (mimeType Sufficient)
| Encounter | Event | Period | FacilityType | PracticeSetting | Related |
| Encounter: identifier = urn:telus:emr:ma:ma-schema-1:Encounter#2001 (use: official, ); status = finished; class = ambulatory (ActCode#AMB); type = ; period = 2023-12-18 10:00:00+0000 --> 2023-12-18 10:45:00+0000; reasonCode = | Care Provision | 2023-12-18 10:00:00+0000 --> 2023-12-18 10:45:00+0000 | Ambulatory care site | Family practice | Diagnostic Report for 'Glucose [Mass/volume] in Serum or Plasma' for '->John Michael Smith' |
{
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"meta": {
"lastUpdated": "2023-12-18T23:07:47Z",
"source": "urn:telus:emr:ma:ma-schema-1",
"security": [
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"code": "N",
"display": "normal"
}
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"identifier": [
{
"use": "official",
"system": "urn:telus:emr:ma:ma-schema-1:DocumentReference",
"value": "12001"
}
],
"status": "current",
"docStatus": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "11503-0",
"display": "Medical records"
}
],
"text": "Clinical Summary Document"
},
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code": "clinical-note",
"display": "Clinical Note"
}
]
}
],
"subject": {
"reference": "Patient/ma-ma-schema-1-Patient-12345",
"type": "Patient",
"display": "John Michael Smith"
},
"date": "2023-12-18T10:45:00Z",
"author": [
{
"reference": "Practitioner/ma-ma-schema-1-Practitioner-789",
"type": "Practitioner",
"display": "Dr. Sarah Johnson"
}
],
"authenticator": {
"reference": "Practitioner/ma-ma-schema-1-Practitioner-789",
"type": "Practitioner",
"display": "Dr. Sarah Johnson"
},
"custodian": {
"reference": "Organization/ma-ma-schema-1-Organization-0",
"type": "Organization",
"display": "Main Street Family Practice"
},
"description": "Comprehensive clinical summary from annual physical examination visit. Includes vital signs, laboratory results, current medications, and care plan.",
"securityLabel": [
{
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{
"system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code": "N",
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}
]
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],
"content": [
{
"attachment": {
"contentType": "application/pdf",
"language": "en",
"size": 245760,
"hash": "2jmj7l5rSw0yVb/vlWAYkK/YBwk=",
"title": "Annual Physical Examination Summary - December 18, 2023",
"creation": "2023-12-18T10:45:00Z"
},
"format": {
"system": "http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem",
"code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
"display": "mimeType Sufficient"
}
}
],
"context": {
"encounter": [
{
"reference": "Encounter/ma-ma-schema-1-Encounter-2001",
"type": "Encounter"
}
],
"event": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "PCPR",
"display": "Care Provision"
}
]
}
],
"period": {
"start": "2023-12-18T10:00:00Z",
"end": "2023-12-18T10:45:00Z"
},
"facilityType": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "35971002",
"display": "Ambulatory care site"
}
]
},
"practiceSetting": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "419772000",
"display": "Family practice"
}
]
},
"related": [
{
"reference": "DiagnosticReport/ma-ma-schema-1-DiagnosticReport-9002",
"type": "DiagnosticReport"
}
]
}
}