ESMD FHIR Implementation Guide
1.0.0 - esmd
ESMD FHIR Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "DocumentReference",
"id" : "doc-002",
"meta" : {
"profile" : [
🔗 "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-DocumentReference"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "V",
"display" : "very restricted"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference doc-002</b></p><a name=\"doc-002\"> </a><a name=\"hcdoc-002\"> </a><a name=\"doc-002-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Esmd-DocumentReference.html\">Esmd Document Reference Profile</a></p><p style=\"margin-bottom: 0px\">Security Label: very restricted (Details: Confidentiality code V = 'very restricted')</p></div><p><b>identifier</b>: <code>https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Idn-UniqueId</code>/UNIQUE1234569</p><p><b>status</b>: Current</p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 47039-3}\">Hospital Admission history and physical note</span></p><p><b>date</b>: 2024-10-05 11:25:40-0400</p><p><b>securityLabel</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-Confidentiality V}\">very restricted</span></p><blockquote><p><b>content</b></p><blockquote><p><b>attachment</b></p><blockquote><p><b>id</b></p>document1</blockquote><p><b>contentType</b>: application/pdf</p><p><b>url</b>: s3://dev-esmd-qurantine/testpresigneduniqueid-test1/testpresigneduniqueid-test1_1.xml</p><p><b>size</b>: 105255200</p><p><b>hash</b>: <code>9445022295f0880d2a17f679e58fb64613029dab05a840e211068e8244d9a7b2</code></p><p><b>title</b>: document1</p><p><b>creation</b>: 2025-10-02 11:25:40-0400</p></blockquote><p><b>format</b>: formatcode urn:ihe:iti:xds-sd:pdf:2008: ITI XDS-SD PDF</p></blockquote><blockquote><p><b>content</b></p><blockquote><p><b>attachment</b></p><blockquote><p><b>id</b></p>document2</blockquote><p><b>contentType</b>: application/pdf</p><p><b>url</b>: s3://dev-esmd-qurantine/testpresigneduniqueid-test1/testpresigneduniqueid-test1_2.xml</p><p><b>size</b>: 105255200</p><p><b>hash</b>: <code>9445022295f0880d2a17f679e58fb64613029dab05a840e211068e8244d9a7b2</code></p><p><b>title</b>: document2</p><p><b>creation</b>: 2025-10-02 11:25:40-0400</p></blockquote><p><b>format</b>: formatcode urn:ihe:iti:xds-sd:pdf:2008: ITI XDS-SD PDF</p></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>FacilityType</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://terminology.esmduat.cms.gov:8099/fhir/CodeSystem/Esmd-CS-FacilityTypeCodes hih}\">Health Information Handler (HIH)</span></td></tr></table></div>"
},
"identifier" : [
{
"system" : "https://terminology.esmduat.cms.gov:8099/fhir/StructureDefinition/Esmd-Idn-UniqueId",
"value" : "UNIQUE1234569"
}
],
"status" : "current",
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47039-3",
"display" : "Hospital Admission history and physical note"
}
]
}
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"date" : "2024-10-05T11:25:40-04:00",
"securityLabel" : [
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],
"content" : [
{
"attachment" : {
"id" : "document1",
"contentType" : "application/pdf",
"url" : "s3://dev-esmd-qurantine/testpresigneduniqueid-test1/testpresigneduniqueid-test1_1.xml",
"size" : 105255200,
"hash" : "9445022295f0880d2a17f679e58fb64613029dab05a840e211068e8244d9a7b2",
"title" : "document1",
"creation" : "2025-10-02T11:25:40-04:00"
},
"format" : {
"system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code" : "urn:ihe:iti:xds-sd:pdf:2008",
"display" : "ITI XDS-SD PDF"
}
},
{
"attachment" : {
"id" : "document2",
"contentType" : "application/pdf",
"url" : "s3://dev-esmd-qurantine/testpresigneduniqueid-test1/testpresigneduniqueid-test1_2.xml",
"size" : 105255200,
"hash" : "9445022295f0880d2a17f679e58fb64613029dab05a840e211068e8244d9a7b2",
"title" : "document2",
"creation" : "2025-10-02T11:25:40-04:00"
},
"format" : {
"system" : "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
"code" : "urn:ihe:iti:xds-sd:pdf:2008",
"display" : "ITI XDS-SD PDF"
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],
"context" : {
"facilityType" : {
"coding" : [
{
"system" : "https://terminology.esmduat.cms.gov:8099/fhir/CodeSystem/Esmd-CS-FacilityTypeCodes",
"code" : "hih",
"display" : "Health Information Handler (HIH)"
}
]
}
}
}