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.
- Overview
- Table
- XML
- JSON
- Narrative
| 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 |
| tag |
| system : docattr_documenttypecode |
| display : MEDICALINSURANCE |
| extension |
| url : https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus |
| value : scanned-paper-document |
| identifier |
| 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 |
| category |
| 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 |
| custodian |
| reference : Organization/Example-DataStandardsWales-Organization-HDUHB |
| display : Hywel Dda University Health Board |
| relatesTo |
| code : replaces |
| target |
| reference : DocumentReference/Example-DSW-DocumentReference-ExpiredInsuranceCover |
| description : Insurance certificate covering surgical treatment |
| securityLabel |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v3-Confidentiality |
| code : N |
| display : Normal |
| content |
| attachment |
| 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 |
| 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 |
</tag>
</tag>
</meta>
<extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus">
</extension>
</identifier>
</coding>
</type>
</coding>
</category>
</subject>
</author>
</custodian>
</target>
</relatesTo>
</coding>
</securityLabel>
</attachment>
</content>
</period>
</context>
</DocumentReference>
{
"https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DocumentReference"
],
{
},
{
}
]
},
{
"url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus",
}
],
],
{
}
]
},
{
{
}
]
}
],
},
{
}
],
},
{
}
}
],
{
{
}
]
}
],
{
}
}
],
}
}