Beispiele

Serverseitiges Dokument (vollständig annotiert)

in XML

<DocumentReference xmlns="http://hl7.org/fhir">
    <id value="dok-beispiel-server" />
    <meta>
        <profile value="https://gematik.de/fhir/isik/v3/Dokumentenaustausch/StructureDefinition/ISiKDokumentenMetadaten" />
        <security>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason" />
            <code value="HTEST" />
        </security>
    </meta>
    <masterIdentifier>
        <system value="urn:ietf:rfc:3986" />
        <value value="urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340" />
    </masterIdentifier>
    <status value="current" />
    <type>
        <coding>
            <system value="http://dvmd.de/fhir/CodeSystem/kdl" />
            <code value="PT130102" />
            <display value="Molekularpathologiebefund" />
        </coding>
        <coding>
            <system value="http://ihe-d.de/CodeSystems/IHEXDStypeCode" />
            <code value="PATH" />
            <display value="Pathologiebefundberichte" />
        </coding>
    </type>
    <category>
        <coding>
            <system value="http://ihe-d.de/CodeSystems/IHEXDSclassCode" />
            <code value="BEF" />
            <display value="Befundbericht" />
        </coding>
    </category>
    <subject>
        <reference value="Patient/PatientinMusterfrau" />
    </subject>
    <description value="Molekularpathologiebefund vom 31.12.21" />
    <securityLabel>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality" />
            <code value="N" />
        </coding>
    </securityLabel>
    <content>
        <attachment>
            <contentType value="application/pdf" />
            <language value="de" />
            <url value="https://mein-Dokumentenserver/dokumente/1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340.pdf" />
            <creation value="2020-12-31T23:50:50-05:00" />
        </attachment>
        <format>
            <system value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode" />
            <code value="urn:ihe:iti:xds:2017:mimeTypeSufficient" />
            <display value="mimeType Sufficient" />
        </format>
    </content>
    <context>
        <encounter>
            <reference value="Encounter/BeispielBesuch" />
        </encounter>
        <facilityType>
            <coding>
                <system value="http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung" />
                <code value="KHS" />
                <display value="Krankenhaus" />
            </coding>
        </facilityType>
        <practiceSetting>
            <coding>
                <system value="http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen" />
                <code value="ALLG" />
            </coding>
        </practiceSetting>
    </context>
</DocumentReference>

in JSON

{
    "resourceType": "DocumentReference",
    "id": "dok-beispiel-server",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason"
            }
        ],
        "profile":  [
            "https://gematik.de/fhir/isik/v3/Dokumentenaustausch/StructureDefinition/ISiKDokumentenMetadaten"
        ]
    },
    "masterIdentifier": {
        "system": "urn:ietf:rfc:3986",
        "value": "urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340"
    },
    "type": {
        "coding":  [
            {
                "system": "http://dvmd.de/fhir/CodeSystem/kdl",
                "code": "PT130102",
                "display": "Molekularpathologiebefund"
            },
            {
                "system": "http://ihe-d.de/CodeSystems/IHEXDStypeCode",
                "code": "PATH",
                "display": "Pathologiebefundberichte"
            }
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://ihe-d.de/CodeSystems/IHEXDSclassCode",
                    "code": "BEF",
                    "display": "Befundbericht"
                }
            ]
        }
    ],
    "status": "current",
    "description": "Molekularpathologiebefund vom 31.12.21",
    "subject": {
        "reference": "Patient/PatientinMusterfrau"
    },
    "securityLabel":  [
        {
            "coding":  [
                {
                    "code": "N",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"
                }
            ]
        }
    ],
    "content":  [
        {
            "attachment": {
                "contentType": "application/pdf",
                "url": "https://mein-Dokumentenserver/dokumente/1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340.pdf",
                "language": "de",
                "creation": "2020-12-31T23:50:50-05:00"
            },
            "format": {
                "code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
                "system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
                "display": "mimeType Sufficient"
            }
        }
    ],
    "context": {
        "facilityType": {
            "coding":  [
                {
                    "code": "KHS",
                    "system": "http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung",
                    "display": "Krankenhaus"
                }
            ]
        },
        "practiceSetting": {
            "coding":  [
                {
                    "code": "ALLG",
                    "system": "http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen"
                }
            ]
        },
        "encounter":  [
            {
                "reference": "Encounter/BeispielBesuch"
            }
        ]
    }
}

Clientseitiges Dokument (nur mit KDL annotiert)

in XML

<DocumentReference xmlns="http://hl7.org/fhir">
    <id value="dok-beispiel-client-with-binary-pdf-example-short" />
    <meta>
        <profile value="https://gematik.de/fhir/isik/v3/Dokumentenaustausch/StructureDefinition/ISiKDokumentenMetadaten" />
        <security>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason" />
            <code value="HTEST" />
        </security>
    </meta>
    <masterIdentifier>
        <system value="urn:ietf:rfc:3986" />
        <value value="urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340" />
    </masterIdentifier>
    <status value="current" />
    <type>
        <coding>
            <system value="http://dvmd.de/fhir/CodeSystem/kdl" />
            <code value="PT130102" />
            <display value="Molekularpathologiebefund" />
        </coding>
    </type>
    <subject>
        <reference value="Patient/PatientinMusterfrau" />
    </subject>
    <description value="Molekularpathologiebefund vom 31.12.21" />
    <securityLabel>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality" />
            <code value="N" />
        </coding>
    </securityLabel>
    <content>
        <attachment>
            <contentType value="application/pdf" />
            <language value="de" />
            <data value="JVBERi0xLjUNJeLjz9MNCjEw" />
            <creation value="2020-12-31T23:50:50-05:00" />
        </attachment>
        <format>
            <system value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode" />
            <code value="urn:ihe:iti:xds:2017:mimeTypeSufficient" />
            <display value="mimeType Sufficient" />
        </format>
    </content>
    <context>
        <encounter>
            <reference value="Encounter/BeispielBesuch" />
        </encounter>
        <facilityType>
            <coding>
                <system value="http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung" />
                <code value="KHS" />
                <display value="Krankenhaus" />
            </coding>
        </facilityType>
        <practiceSetting>
            <coding>
                <system value="http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen" />
                <code value="ALLG" />
            </coding>
        </practiceSetting>
    </context>
</DocumentReference>

in JSON

{
    "resourceType": "DocumentReference",
    "id": "dok-beispiel-client-with-binary-pdf-example-short",
    "meta": {
        "security":  [
            {
                "code": "HTEST",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason"
            }
        ],
        "profile":  [
            "https://gematik.de/fhir/isik/v3/Dokumentenaustausch/StructureDefinition/ISiKDokumentenMetadaten"
        ]
    },
    "masterIdentifier": {
        "system": "urn:ietf:rfc:3986",
        "value": "urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340"
    },
    "type": {
        "coding":  [
            {
                "system": "http://dvmd.de/fhir/CodeSystem/kdl",
                "code": "PT130102",
                "display": "Molekularpathologiebefund"
            }
        ]
    },
    "status": "current",
    "description": "Molekularpathologiebefund vom 31.12.21",
    "subject": {
        "reference": "Patient/PatientinMusterfrau"
    },
    "securityLabel":  [
        {
            "coding":  [
                {
                    "code": "N",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"
                }
            ]
        }
    ],
    "content":  [
        {
            "attachment": {
                "contentType": "application/pdf",
                "data": "JVBERi0xLjUNJeLjz9MNCjEw",
                "language": "de",
                "creation": "2020-12-31T23:50:50-05:00"
            },
            "format": {
                "code": "urn:ihe:iti:xds:2017:mimeTypeSufficient",
                "system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
                "display": "mimeType Sufficient"
            }
        }
    ],
    "context": {
        "facilityType": {
            "coding":  [
                {
                    "code": "KHS",
                    "system": "http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung",
                    "display": "Krankenhaus"
                }
            ]
        },
        "practiceSetting": {
            "coding":  [
                {
                    "code": "ALLG",
                    "system": "http://ihe-d.de/CodeSystems/AerztlicheFachrichtungen"
                }
            ]
        },
        "encounter":  [
            {
                "reference": "Encounter/BeispielBesuch"
            }
        ]
    }
}