{

"resourceType": "DocumentReference",
"id": "example",
"text": {
  "fhir_comments": [
    "   Many XDS systems do not trak any id for the author. When systems don't do this, \n    the only option is for the author information to be contained in the Document Reference   "
  ],
  "status": "generated",
  "div": "<div><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>contained</b>: </p><p><b>masterIdentifier</b>: urn:oid:1.3.6.1.4.1.21367.2005.3.7</p><p><b>identifier</b>: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234</p><p><b>subject</b>: <a>Patient/xcda</a></p><p><b>type</b>: Outpatient Note <span>(Details : {LOINC code '34108-1' = 'Outpatient Note', given as 'Outpatient Note'})</span></p><p><b>class</b>: History and Physical <span>(Details : {http://ihe.net/xds/connectathon/classCodes code 'History and Physical' = '??', given as 'History and Physical'})</span></p><p><b>author</b>: <a>Practitioner/xcda1</a>, id: a2; Gerald Smitty </p><p><b>custodian</b>: <a>Organization/organization-example</a></p><p><b>authenticator</b>: <a>Organization/organization-example</a></p><p><b>created</b>: 24/12/2005 9:35:00 AM</p><p><b>indexed</b>: 24/12/2005 9:43:41 AM</p><p><b>status</b>: current</p><p><b>docStatus</b>: preliminary <span>(Details : {http://hl7.org/fhir/composition-status code 'preliminary' = 'Preliminary', given as 'preliminary'})</span></p><h3>RelatesTos</h3><table><tr><td>-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td>*</td><td>appends</td><td><a>DocumentReference/example</a></td></tr></table><p><b>description</b>: Physical</p><p><b>securityLabel</b>: very restricted <span>(Details : {http://hl7.org/fhir/v3/Confidentiality code 'V' = 'very restricted', given as 'very restricted'})</span></p><h3>Contents</h3><table><tr><td>-</td><td><b>Attachment</b></td><td><b>Format</b></td></tr><tr><td>*</td><td/><td>History and Physical Specification (Details: urn:oid:1.3.6.1.4.1.19376.1.2.3 code urn:ihe:pcc:handp:2008 = '??', stated as 'History and Physical Specification')</td></tr></table><blockquote><p><b>context</b></p><p><b>encounter</b>: <a>Encounter/xcda</a></p><p><b>event</b>: Arm <span>(Details : {http://ihe.net/xds/connectathon/eventCodes code 'T-D8200' = '??', given as 'Arm'})</span></p><p><b>period</b>: 23/12/2004 8:00:00 AM --&gt; 23/12/2004 8:01:00 AM</p><p><b>facilityType</b>: Outpatient <span>(Details : {http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes code 'Outpatient' = '??', given as 'Outpatient'})</span></p><p><b>practiceSetting</b>: General Medicine <span>(Details : {http://www.ihe.net/xds/connectathon/practiceSettingCodes code 'General Medicine' = '??', given as 'General Medicine'})</span></p><p><b>sourcePatientInfo</b>: <a>Patient/xcda</a></p><h3>Relateds</h3><table><tr><td>-</td><td><b>Identifier</b></td><td><b>Ref</b></td></tr><tr><td>*</td><td>urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345</td><td><a>Patient/xcda</a></td></tr></table></blockquote></div>"
},
"contained": [
  {
    "resourceType": "Practitioner",
    "id": "a2",
    "name": {
      "family": [
        "Smitty"
      ],
      "given": [
        "Gerald"
      ]
    },
    "practitionerRole": [
      {
        "managingOrganization": {
          "display": "Cleveland Clinic"
        },
        "role": {
          "text": "Attending"
        },
        "specialty": [
          {
            "text": "Orthopedic"
          }
        ]
      }
    ]
  }
],
"masterIdentifier": {
  "system": "urn:ietf:rfc:3986",
  "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7"
},
"identifier": [
  {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
  }
],
"subject": {
  "reference": "Patient/xcda"
},
"type": {
  "coding": [
    {
      "system": "http://loinc.org",
      "code": "34108-1",
      "display": "Outpatient Note"
    }
  ]
},
"class": {
  "coding": [
    {
      "system": "http://ihe.net/xds/connectathon/classCodes",
      "code": "History and Physical",
      "display": "History and Physical"
    }
  ]
},
"author": [
  {
    "reference": "Practitioner/xcda1"
  },
  {
    "reference": "#a2"
  }
],
"custodian": {
  "reference": "Organization/organization-example"
},
"authenticator": {
  "reference": "Organization/organization-example"
},
"created": "2005-12-24T09:35:00+11:00",
"indexed": "2005-12-24T09:43:41+11:00",
"status": "current",
"docStatus": {
  "coding": [
    {
      "system": "http://hl7.org/fhir/composition-status",
      "code": "preliminary",
      "display": "preliminary"
    }
  ]
},
"relatesTo": [
  {
    "code": "appends",
    "target": {
      "reference": "DocumentReference/example"
    }
  }
],
"description": "Physical",
"securityLabel": [
  {
    "coding": [
      {
        "system": "http://hl7.org/fhir/v3/Confidentiality",
        "code": "V",
        "display": "very restricted"
      }
    ]
  }
],
"content": [
  {
    "attachment": {
      "contentType": "application/hl7-v3+xml",
      "language": "en-US",
      "url": "http://example.org/xds/mhd/Binary/07a6483f-732b-461e-86b6-edb665c45510",
      "size": 3654,
      "hash": "2jmj7l5rSw0yVb/vlWAYkK/YBwk="
    },
    "format": [
      {
        "system": "urn:oid:1.3.6.1.4.1.19376.1.2.3",
        "code": "urn:ihe:pcc:handp:2008",
        "display": "History and Physical Specification"
      }
    ]
  }
],
"context": {
  "encounter": {
    "reference": "Encounter/xcda"
  },
  "event": [
    {
      "coding": [
        {
          "system": "http://ihe.net/xds/connectathon/eventCodes",
          "code": "T-D8200",
          "display": "Arm"
        }
      ]
    }
  ],
  "period": {
    "start": "2004-12-23T08:00:00+11:00",
    "end": "2004-12-23T08:01:00+11:00"
  },
  "facilityType": {
    "coding": [
      {
        "system": "http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes",
        "code": "Outpatient",
        "display": "Outpatient"
      }
    ]
  },
  "practiceSetting": {
    "coding": [
      {
        "system": "http://www.ihe.net/xds/connectathon/practiceSettingCodes",
        "code": "General Medicine",
        "display": "General Medicine"
      }
    ]
  },
  "sourcePatientInfo": {
    "reference": "Patient/xcda"
  },
  "related": [
    {
      "identifier": {
        "system": "urn:ietf:rfc:3986",
        "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345"
      },
      "ref": {
        "reference": "Patient/xcda"
      }
    }
  ]
}

}