Example Document Reference - Not event-based

This example represents a document related to patient health or care but not based on a patient healthcare event. The document is a confirmation of medical insurance coverage for treatment for a specified period, that directly replaces a document for insurance coverage now expired."

NOTE that the example is illustrative of DocumentReference content in this sort of scenario. Not all of the referenced resources currently exist as examples within this implementation guide.

DocumentReference
DocumentReference.id[0]Example-DataStandardsWales-DocumentReference-NotEventBased
DocumentReference.meta[0].source[0]urn:oid:2.16.840.1.113883.2.1.8.1.3.193
DocumentReference.meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DocumentReference
DocumentReference.meta[0].tag[0].system[0]seqno
DocumentReference.meta[0].tag[0].display[0]1
DocumentReference.meta[0].tag[1].system[0]docattr_documenttypecode
DocumentReference.meta[0].tag[1].display[0]MEDICALINSURANCE
DocumentReference.extension[0].url[0]https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus
DocumentReference.extension[0].value[0]scanned-paper-document
DocumentReference.identifier[0].system[0]www.localnamespace
DocumentReference.identifier[0].value[0]CONF-A123-10
DocumentReference.status[0]current
DocumentReference.docStatus[0]final
DocumentReference.type[0].coding[0].system[0]http://snomed.info/sct
DocumentReference.type[0].coding[0].code[0]722447009
DocumentReference.type[0].coding[0].display[0]Confirmation of insurance coverage for treatment
DocumentReference.category[0].coding[0].system[0]http://snomed.info/sct
DocumentReference.category[0].coding[0].code[0]826651000000100
DocumentReference.category[0].coding[0].display[0]Notification and legal document
DocumentReference.subject[0].reference[0]Patient/Example-DataStandardsWales-Patient-HaroldJames
DocumentReference.subject[0].display[0]JAMES, Harold A, Mr
DocumentReference.date[0]2025-07-22T11:20:17+00:00
DocumentReference.author[0].reference[0]Organization/Example-DataStandardsWales-Organization-MedicalInsurer
DocumentReference.author[0].display[0]Star Value Medical Insurance Ltd
DocumentReference.custodian[0].reference[0]Organization/Example-DataStandardsWales-Organization-HDUHB
DocumentReference.custodian[0].display[0]Hywel Dda University Health Board
DocumentReference.relatesTo[0].code[0]replaces
DocumentReference.relatesTo[0].target[0].reference[0]DocumentReference/Example-DSW-DocumentReference-ExpiredInsuranceCover
DocumentReference.description[0]Insurance certificate covering surgical treatment
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]eng
DocumentReference.content[0].attachment[0].url[0]https://www.example.com/documentref1234
DocumentReference.context[0].period[0].start[0]2025-02-20T00:00:00+00:00
DocumentReference.context[0].period[0].end[0]2026-02-19T23:59:00+00:00
<DocumentReference xmlns="http://hl7.org/fhir">
<id value="Example-DataStandardsWales-DocumentReference-NotEventBased" />
<source value="urn:oid:2.16.840.1.113883.2.1.8.1.3.193" />
<profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DocumentReference" />
<tag>
<system value="seqno" />
<display value="1" />
</tag>
<tag>
<system value="docattr_documenttypecode" />
<display value="MEDICALINSURANCE" />
</tag>
</meta>
<extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus">
<valueCode value="scanned-paper-document" />
</extension>
<system value="www.localnamespace" />
<value value="CONF-A123-10" />
</identifier>
<status value="current" />
<docStatus value="final" />
<system value="http://snomed.info/sct" />
<code value="722447009" />
<display value="Confirmation of insurance coverage for treatment" />
</coding>
</type>
<system value="http://snomed.info/sct" />
<code value="826651000000100" />
<display value="Notification and legal document" />
</coding>
</category>
<reference value="Patient/Example-DataStandardsWales-Patient-HaroldJames" />
<display value="JAMES, Harold A, Mr" />
</subject>
<date value="2025-07-22T11:20:17+00:00" />
<reference value="Organization/Example-DataStandardsWales-Organization-MedicalInsurer" />
<display value="Star Value Medical Insurance Ltd" />
</author>
<reference value="Organization/Example-DataStandardsWales-Organization-HDUHB" />
<display value="Hywel Dda University Health Board" />
</custodian>
<code value="replaces" />
<reference value="DocumentReference/Example-DSW-DocumentReference-ExpiredInsuranceCover" />
</target>
</relatesTo>
<description value="Insurance certificate covering surgical treatment" />
<system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality" />
<code value="N" />
<display value="Normal" />
</coding>
</securityLabel>
<contentType value="application/pdf" />
<language value="eng" />
<url value="https://www.example.com/documentref1234" />
</attachment>
</content>
<start value="2025-02-20T00:00:00+00:00" />
<end value="2026-02-19T23:59:00+00:00" />
</period>
</context>
</DocumentReference>
{
"resourceType": "DocumentReference",
"id": "Example-DataStandardsWales-DocumentReference-NotEventBased",
"meta": {
"source": "urn:oid:2.16.840.1.113883.2.1.8.1.3.193",
"profile": [
"https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DocumentReference"
],
"tag": [
{
"system": "seqno",
"display": "1"
},
{
"system": "docattr_documenttypecode",
"display": "MEDICALINSURANCE"
}
]
},
{
"url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus",
"valueCode": "scanned-paper-document"
}
],
{
"system": "www.localnamespace",
"value": "CONF-A123-10"
}
],
"status": "current",
"docStatus": "final",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "722447009",
"display": "Confirmation of insurance coverage for treatment"
}
]
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "826651000000100",
"display": "Notification and legal document"
}
]
}
],
"subject": {
"reference": "Patient/Example-DataStandardsWales-Patient-HaroldJames",
"display": "JAMES, Harold A, Mr"
},
"date": "2025-07-22T11:20:17+00:00",
"author": [
{
"reference": "Organization/Example-DataStandardsWales-Organization-MedicalInsurer",
"display": "Star Value Medical Insurance Ltd"
}
],
"reference": "Organization/Example-DataStandardsWales-Organization-HDUHB",
"display": "Hywel Dda University Health Board"
},
{
"code": "replaces",
"target": {
"reference": "DocumentReference/Example-DSW-DocumentReference-ExpiredInsuranceCover"
}
}
],
"description": "Insurance certificate covering surgical treatment",
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code": "N",
"display": "Normal"
}
]
}
],
"content": [
{
"contentType": "application/pdf",
"language": "eng",
"url": "https://www.example.com/documentref1234"
}
}
],
"context": {
"period": {
"start": "2025-02-20T00:00:00+00:00",
"end": "2026-02-19T23:59:00+00:00"
}
}
}