DocumentReference

This topic describes information for the DocumentReference resource.

To interact with the REST endpoints in the DocumentReference resource, see DocumentReference.

Overview

The DocumentReference resource is used to reference a clinical document for a patient in the health system. This resource supports reading clinical notes and returning references to retrieve Continuity of Care Documents (CCDs).

Soarian Clinicals supports a read-only Application Programming Interface (API). This API accepts GET and POST based search and GET based read interactions. The response represents the most current information about the patient that is charted in Soarian Clinicals at the time of the query.

Error: The common Client Errors (for more information, see R4 Overview) and OperationOutcomes may be returned.

The following fields are returned if valued for clinical documents:

• DocumentReference id

• Identifier

• Status

• Document status

• Document type

• Document category

• Subject (Patient)

• Created Date

• Author

  • Pracititioner

  • Organization

• Custodian

• Security Label

• Content

  • Attachment

    • Attachment ContentType

    • Attachment Data

    • Attachment URL

  • Format

• Patient encounter

• Document period

Terminology Bindings

• DocumentReference.type

  Description: Specifies the particular type of document referenced.

  Details: US Core DocumentReference Type

  System: http://loinc.org

• DocumentReference.category

  Description: A categorization for the type of document referenced.

  Details: US Core DocumentReference Category

  System: http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category

• DocumentReference.securityLabel

  Description: A set of Security-Tag codes specifying the level of privacy/security of the Document.

  Details: SecurityLabels

  System: https://terminology.hl7.org/CodeSystem/v3-Confidentiality

• DocumentReference.content.format

  Description: An identifier of the document encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.

  Details: FormatCodes

  System: https://profiles.ihe.net/fhir/ihe.formatcode.fhir/ValueSet-formatcode.html