Example Document Reference - A document based on a patient event that is not a FHIR Encounter resource

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DocumentReference
DocumentReference.id[0]Example-DataStandardsWales-DocumentReference-EventBased
DocumentReference.meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DocumentReference
DocumentReference.extension[0].url[0]https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus
DocumentReference.extension[0].value[0]born-digital-document
DocumentReference.extension[1].url[0]https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-SourceSystem
DocumentReference.extension[1].value[0].reference[0]Device/Example-DataStandardsWales-Source-System-for-Documents
DocumentReference.extension[1].value[0].display[0]System ABC
DocumentReference.extension[2].url[0]http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
DocumentReference.extension[2].value[0]1
DocumentReference.extension[3].extension[0].url[0]mode
DocumentReference.extension[3].extension[0].value[0].coding[0].system[0]https://hl7.org/fhir/valueset-composition-attestation-mode.html
DocumentReference.extension[3].extension[0].value[0].coding[0].code[0]professional
DocumentReference.extension[3].extension[0].value[0].coding[0].display[0]Professional
DocumentReference.extension[3].extension[1].url[0]time
DocumentReference.extension[3].extension[1].value[0]2025-07-22T13:09:37+00:00
DocumentReference.extension[3].extension[2].url[0]party
DocumentReference.extension[3].extension[2].value[0].reference[0]PractitionerRole/Example-DataStandardsWales-PractitionerRole-Consultant-JoeBloggs
DocumentReference.extension[3].extension[2].value[0].display[0]BLOGGS, Joe A, Dr (GMC:1234567)
DocumentReference.extension[3].url[0]http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester
DocumentReference.extension[4].extension[0].url[0]attributeName
DocumentReference.extension[4].extension[0].value[0]CloneSequenceNumber
DocumentReference.extension[4].extension[1].url[0]attributeValue
DocumentReference.extension[4].extension[1].value[0]0
DocumentReference.extension[4].extension[2].url[0]attributeNamespace
DocumentReference.extension[4].extension[2].value[0]http://www.wales.nhs.uk/ndr
DocumentReference.extension[4].url[0]https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentAttribute
DocumentReference.extension[5].extension[0].url[0]attributeName
DocumentReference.extension[5].extension[0].value[0]ThirdPartyDataIncluded
DocumentReference.extension[5].extension[1].url[0]attributeValue
DocumentReference.extension[5].extension[1].value[0]True
DocumentReference.extension[5].extension[2].url[0]attributeNamespace
DocumentReference.extension[5].extension[2].value[0]http://www.wales.nhs.uk/ndr
DocumentReference.extension[5].url[0]https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentAttribute
DocumentReference.identifier[0].system[0]https://fhir.nhs.wales/Id/wcrs-document-identifier
DocumentReference.identifier[0].value[0]FF849C81-9917-47D9-B929-4AF1BDD94670
DocumentReference.identifier[1].system[0]https://fhir.nhs.wales/Id/wcrs-supersession-set-identifier
DocumentReference.identifier[1].value[0]6DB699D2-AD58-43DD-AEA5-341AE3DBFF93
DocumentReference.status[0]current
DocumentReference.docStatus[0]amended
DocumentReference.type[0].coding[0].system[0]http://snomed.info/sct
DocumentReference.type[0].coding[0].code[0]766841000000106
DocumentReference.type[0].coding[0].display[0]Consultation with patient
DocumentReference.category[0].coding[0].system[0]https://fhir.nhs.wales/CodeSystem/DataStandardsWales-DocumentCategory
DocumentReference.category[0].coding[0].code[0]assessments
DocumentReference.category[0].coding[0].display[0]Assessments
DocumentReference.category[1].coding[0].system[0]https://fhir.nhs.wales/indicator/document-subtype
DocumentReference.category[1].text[0]Adult services
DocumentReference.subject[0].reference[0]Patient/Example-DataStandardsWales-Patient-JohnSmith
DocumentReference.subject[0].display[0]SMITH, John B, Mr
DocumentReference.date[0]2025-07-22T11:20:17+00:00
DocumentReference.author[0].reference[0]PractitionerRole/Example-DataStandardsWales-PractitionerRole-Nurse-EmilyMay
DocumentReference.author[0].display[0]MAY, Emily B, Ms (NMC:AB12345X)
DocumentReference.author[1].reference[0]PractitionerRole/Example-DataStandardsWales-PractitionerRole-Dietitian-JudeFrancis
DocumentReference.author[1].display[0]FRANCIS Jude, Miss (HCPC:DT123456)
DocumentReference.custodian[0].reference[0]Organization/Example-DataStandardsWales-Organization-HDUHB
DocumentReference.custodian[0].display[0]Hywel Dda University Health Board
DocumentReference.description[0]Diabetes Consultation Note
DocumentReference.securityLabel[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/v3-Confidentiality
DocumentReference.securityLabel[0].coding[0].code[0]N
DocumentReference.securityLabel[0].coding[0].display[0]Normal
DocumentReference.content[0].attachment[0].contentType[0]application/pdf
DocumentReference.content[0].attachment[0].language[0]en
DocumentReference.content[0].attachment[0].url[0]https://www.example.com/documentref1234
DocumentReference.context[0].encounter[0].reference[0]Encounter/Example-DataStandardsWales-Encounter-DiabetesConsultation
DocumentReference.context[0].period[0].start[0]2025-07-22T13:09:37+00:00
DocumentReference.context[0].practiceSetting[0].coding[0].system[0]http://snomed.info/sct
DocumentReference.context[0].practiceSetting[0].coding[0].code[0]963151000000104
DocumentReference.context[0].practiceSetting[0].coding[0].display[0]Diabetic medicine service
DocumentReference.context[0].related[0].reference[0]Organization/Example-DataStandardsWales-Organization-HDUHB
DocumentReference.context[0].related[0].display[0]Hywel Dda University Health Board
DocumentReference.context[0].related[1].reference[0]Location/Example-DataStandardsWales-Location-GlangwiliHospital
DocumentReference.context[0].related[1].display[0]Glangwili General Hospital
DocumentReference.context[0].related[2].reference[0]Location/Example-DataStandardsWales-Location-GlangwiliHospitalOPD
DocumentReference.context[0].related[2].display[0]Glangwili General Hospital Outpatients Department
DocumentReference.context[0].related[3].reference[0]PractitionerRole/Example-DataStandardsWales-PractitionerRole-Consultant-JoeBloggs
DocumentReference.context[0].related[3].display[0]BLOGGS, Joe A, Dr (GMC:1234567)
<DocumentReference xmlns="http://hl7.org/fhir">
<id value="Example-DataStandardsWales-DocumentReference-EventBased" />
<meta>
<profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DocumentReference" />
</meta>
<extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus">
<valueCode value="born-digital-document" />
</extension>
<extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-SourceSystem">
<valueReference>
<reference value="Device/Example-DataStandardsWales-Source-System-for-Documents" />
<display value="System ABC" />
</valueReference>
</extension>
<extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version">
<valueString value="1" />
</extension>
<extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester">
<extension url="mode">
<valueCodeableConcept>
<coding>
<system value="https://hl7.org/fhir/valueset-composition-attestation-mode.html" />
<code value="professional" />
<display value="Professional" />
</coding>
</valueCodeableConcept>
</extension>
<extension url="time">
<valueDateTime value="2025-07-22T13:09:37+00:00" />
</extension>
<extension url="party">
<valueReference>
<reference value="PractitionerRole/Example-DataStandardsWales-PractitionerRole-Consultant-JoeBloggs" />
<display value="BLOGGS, Joe A, Dr (GMC:1234567)" />
</valueReference>
</extension>
</extension>
<extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentAttribute">
<extension url="attributeName">
<valueCode value="CloneSequenceNumber" />
</extension>
<extension url="attributeValue">
<valueString value="0" />
</extension>
<extension url="attributeNamespace">
<valueString value="http://www.wales.nhs.uk/ndr" />
</extension>
</extension>
<extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentAttribute">
<extension url="attributeName">
<valueCode value="ThirdPartyDataIncluded" />
</extension>
<extension url="attributeValue">
<valueString value="True" />
</extension>
<extension url="attributeNamespace">
<valueString value="http://www.wales.nhs.uk/ndr" />
</extension>
</extension>
<identifier>
<system value="https://fhir.nhs.wales/Id/wcrs-document-identifier" />
<value value="FF849C81-9917-47D9-B929-4AF1BDD94670" />
</identifier>
<identifier>
<system value="https://fhir.nhs.wales/Id/wcrs-supersession-set-identifier" />
<value value="6DB699D2-AD58-43DD-AEA5-341AE3DBFF93" />
</identifier>
<status value="current" />
<docStatus value="amended" />
<type>
<coding>
<system value="http://snomed.info/sct" />
<code value="766841000000106" />
<display value="Consultation with patient" />
</coding>
</type>
<category>
<coding>
<system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-DocumentCategory" />
<code value="assessments" />
<display value="Assessments" />
</coding>
</category>
<category>
<coding>
<system value="https://fhir.nhs.wales/indicator/document-subtype" />
</coding>
<text value="Adult services" />
</category>
<subject>
<reference value="Patient/Example-DataStandardsWales-Patient-JohnSmith" />
<display value="SMITH, John B, Mr" />
</subject>
<date value="2025-07-22T11:20:17+00:00" />
<author>
<reference value="PractitionerRole/Example-DataStandardsWales-PractitionerRole-Nurse-EmilyMay" />
<display value="MAY, Emily B, Ms (NMC:AB12345X)" />
</author>
<author>
<reference value="PractitionerRole/Example-DataStandardsWales-PractitionerRole-Dietitian-JudeFrancis" />
<display value="FRANCIS Jude, Miss (HCPC:DT123456)" />
</author>
<custodian>
<reference value="Organization/Example-DataStandardsWales-Organization-HDUHB" />
<display value="Hywel Dda University Health Board" />
</custodian>
<description value="Diabetes Consultation Note" />
<securityLabel>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality" />
<code value="N" />
<display value="Normal" />
</coding>
</securityLabel>
<content>
<attachment>
<contentType value="application/pdf" />
<language value="en" />
<url value="https://www.example.com/documentref1234" />
</attachment>
</content>
<context>
<encounter>
<reference value="Encounter/Example-DataStandardsWales-Encounter-DiabetesConsultation" />
</encounter>
<period>
<start value="2025-07-22T13:09:37+00:00" />
</period>
<practiceSetting>
<coding>
<system value="http://snomed.info/sct" />
<code value="963151000000104" />
<display value="Diabetic medicine service" />
</coding>
</practiceSetting>
<related>
<reference value="Organization/Example-DataStandardsWales-Organization-HDUHB" />
<display value="Hywel Dda University Health Board" />
</related>
<related>
<reference value="Location/Example-DataStandardsWales-Location-GlangwiliHospital" />
<display value="Glangwili General Hospital" />
</related>
<related>
<reference value="Location/Example-DataStandardsWales-Location-GlangwiliHospitalOPD" />
<display value="Glangwili General Hospital Outpatients Department" />
</related>
<related>
<reference value="PractitionerRole/Example-DataStandardsWales-PractitionerRole-Consultant-JoeBloggs" />
<display value="BLOGGS, Joe A, Dr (GMC:1234567)" />
</related>
</context>
</DocumentReference>
{
"resourceType": "DocumentReference",
"id": "Example-DataStandardsWales-DocumentReference-EventBased",
"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"
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester",
"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": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentAttribute",
"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"
}
]
}
],
"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": "amended",
"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"
}
],
"period": {
"start": "2025-07-22T13:09:37+00:00"
},
"practiceSetting": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "963151000000104",
"display": "Diabetic medicine service"
}
]
},
"related": [
{
"reference": "Organization/Example-DataStandardsWales-Organization-HDUHB",
"display": "Hywel Dda University Health Board"
},
{
"reference": "Location/Example-DataStandardsWales-Location-GlangwiliHospital",
"display": "Glangwili General Hospital"
},
{
"reference": "Location/Example-DataStandardsWales-Location-GlangwiliHospitalOPD",
"display": "Glangwili General Hospital Outpatients Department"
},
{
"reference": "PractitionerRole/Example-DataStandardsWales-PractitionerRole-Consultant-JoeBloggs",
"display": "BLOGGS, Joe A, Dr (GMC:1234567)"
}
]
}
}