Example Document Reference - A document which has been misfiled via a two-step workflow: misfile proposed and then accepted. The document in this example is not based on a patient healthcare event.

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DocumentReference
DocumentReference.id[0]Example-DataStandardsWales-DocumentReference-MisfiledNotEventBased
DocumentReference.meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DocumentReference
DocumentReference.extension[0].url[0]https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus
DocumentReference.extension[0].value[0]scanned-paper-document
DocumentReference.extension[1].url[0]https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-SourceSystem
DocumentReference.extension[1].value[0].reference[0]Device/Example-DataStandardsWales-Source-System-for-Documents
DocumentReference.extension[1].value[0].display[0]System ABC
DocumentReference.extension[2].url[0]https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentErrorStatus
DocumentReference.extension[2].value[0]misfiled
DocumentReference.extension[3].extension[0].url[0]actionType
DocumentReference.extension[3].extension[0].value[0]misfile-proposed
DocumentReference.extension[3].extension[1].url[0]actionDateTime
DocumentReference.extension[3].extension[1].value[0]2025-07-22T13:15:32+00:00
DocumentReference.extension[3].extension[2].url[0]actionedBy
DocumentReference.extension[3].extension[2].value[0].reference[0]PractitionerRole/Example-DataStandardsWales-PractitionerRole-Nurse-EmilyMay
DocumentReference.extension[3].extension[2].value[0].display[0]MAY, Emily B, Ms (NMC:AB12345X)
DocumentReference.extension[3].extension[3].url[0]actionReason
DocumentReference.extension[3].extension[3].value[0].text[0]Recorded against the previous patient seen
DocumentReference.extension[3].url[0]https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentErrorAction
DocumentReference.extension[4].extension[0].url[0]actionType
DocumentReference.extension[4].extension[0].value[0]misfile-accepted
DocumentReference.extension[4].extension[1].url[0]actionDateTime
DocumentReference.extension[4].extension[1].value[0]2025-07-22T13:20:32+00:00
DocumentReference.extension[4].extension[2].url[0]actionedBy
DocumentReference.extension[4].extension[2].value[0].reference[0]PractitionerRole/Example-DataStandardsWales-PractitionerRole-Consultant-JoeBloggs
DocumentReference.extension[4].extension[2].value[0].display[0]BLOGGS, Joe A, Dr (GMC:1234567)
DocumentReference.extension[4].extension[3].url[0]actionReason
DocumentReference.extension[4].extension[3].value[0].text[0]Confirmed wrong patient
DocumentReference.extension[4].url[0]https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentErrorAction
DocumentReference.identifier[0].system[0]www.localnamespace
DocumentReference.identifier[0].value[0]CONF-A123-10
DocumentReference.status[0]entered-in-error
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]https://fhir.nhs.wales/CodeSystem/DataStandardsWales-DocumentCategory
DocumentReference.category[0].coding[0].code[0]notification-and-legal-documents
DocumentReference.category[0].coding[0].display[0]Notification & Legal Documents
DocumentReference.subject[0].reference[0]Patient/Example-DataStandardsWales-Patient-JohnSmith
DocumentReference.subject[0].display[0]SMITH, John B, Mr
DocumentReference.date[0]2025-07-22T11:20:17+00:00
DocumentReference.author[0].reference[0]Organization/Example-DataStandardsWales-Organization-MedicalInsurerA
DocumentReference.author[0].display[0]Insurance Company A
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-DataStandardsWales-DocumentReference-DirectlyReplacedDoc
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]en
DocumentReference.content[0].attachment[0].url[0]https://www.example.com/documentref1234
DocumentReference.context[0].encounter[0].reference[0]Encounter/Example-DataStandardsWales-Encounter-DiabetesConsultation
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
<DocumentReference xmlns="http://hl7.org/fhir">
<id value="Example-DataStandardsWales-DocumentReference-MisfiledNotEventBased" />
<meta>
<profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DocumentReference" />
</meta>
<extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus">
<valueCode value="scanned-paper-document" />
</extension>
<extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-SourceSystem">
<valueReference>
<reference value="Device/Example-DataStandardsWales-Source-System-for-Documents" />
<display value="System ABC" />
</valueReference>
</extension>
<extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentErrorStatus">
<valueCode value="misfiled" />
</extension>
<extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentErrorAction">
<extension url="actionType">
<valueCode value="misfile-proposed" />
</extension>
<extension url="actionDateTime">
<valueInstant value="2025-07-22T13:15:32+00:00" />
</extension>
<extension url="actionedBy">
<valueReference>
<reference value="PractitionerRole/Example-DataStandardsWales-PractitionerRole-Nurse-EmilyMay" />
<display value="MAY, Emily B, Ms (NMC:AB12345X)" />
</valueReference>
</extension>
<extension url="actionReason">
<valueCodeableConcept>
<text value="Recorded against the previous patient seen" />
</valueCodeableConcept>
</extension>
</extension>
<extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentErrorAction">
<extension url="actionType">
<valueCode value="misfile-accepted" />
</extension>
<extension url="actionDateTime">
<valueInstant value="2025-07-22T13:20:32+00:00" />
</extension>
<extension url="actionedBy">
<valueReference>
<reference value="PractitionerRole/Example-DataStandardsWales-PractitionerRole-Consultant-JoeBloggs" />
<display value="BLOGGS, Joe A, Dr (GMC:1234567)" />
</valueReference>
</extension>
<extension url="actionReason">
<valueCodeableConcept>
<text value="Confirmed wrong patient" />
</valueCodeableConcept>
</extension>
</extension>
<identifier>
<system value="www.localnamespace" />
<value value="CONF-A123-10" />
</identifier>
<status value="entered-in-error" />
<docStatus value="final" />
<type>
<coding>
<system value="http://snomed.info/sct" />
<code value="722447009" />
<display value="Confirmation of insurance coverage for treatment" />
</coding>
</type>
<category>
<coding>
<system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-DocumentCategory" />
<code value="notification-and-legal-documents" />
<display value="Notification & Legal Documents" />
</coding>
</category>
<subject>
<reference value="Patient/Example-DataStandardsWales-Patient-JohnSmith" />
<display value="SMITH, John B, Mr" />
</subject>
<date value="2025-07-22T11:20:17+00:00" />
<author>
<reference value="Organization/Example-DataStandardsWales-Organization-MedicalInsurerA" />
<display value="Insurance Company A" />
</author>
<custodian>
<reference value="Organization/Example-DataStandardsWales-Organization-HDUHB" />
<display value="Hywel Dda University Health Board" />
</custodian>
<relatesTo>
<code value="replaces" />
<target>
<reference value="DocumentReference/Example-DataStandardsWales-DocumentReference-DirectlyReplacedDoc" />
</target>
</relatesTo>
<description value="Insurance certificate covering surgical treatment" />
<securityLabel>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality" />
<code value="N" />
<display value="Normal" />
</coding>
</securityLabel>
<content>
<attachment>
<contentType value="application/pdf" />
<language value="en" />
<url value="https://www.example.com/documentref1234" />
</attachment>
</content>
<context>
<encounter>
<reference value="Encounter/Example-DataStandardsWales-Encounter-DiabetesConsultation" />
</encounter>
<period>
<start value="2025-02-20T00:00:00+00:00" />
<end value="2026-02-19T23:59:00+00:00" />
</period>
</context>
</DocumentReference>
{
"resourceType": "DocumentReference",
"id": "Example-DataStandardsWales-DocumentReference-MisfiledNotEventBased",
"meta": {
"profile": [
"https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DocumentReference"
]
},
"extension": [
{
"url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus",
"valueCode": "scanned-paper-document"
},
{
"url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-SourceSystem",
"valueReference": {
"reference": "Device/Example-DataStandardsWales-Source-System-for-Documents",
"display": "System ABC"
}
},
{
"url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentErrorStatus",
"valueCode": "misfiled"
},
{
"url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentErrorAction",
"extension": [
{
"url": "actionType",
"valueCode": "misfile-proposed"
},
{
"url": "actionDateTime",
"valueInstant": "2025-07-22T13:15:32+00:00"
},
{
"url": "actionedBy",
"valueReference": {
"reference": "PractitionerRole/Example-DataStandardsWales-PractitionerRole-Nurse-EmilyMay",
"display": "MAY, Emily B, Ms (NMC:AB12345X)"
}
},
{
"url": "actionReason",
"valueCodeableConcept": {
"text": "Recorded against the previous patient seen"
}
}
]
},
{
"url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentErrorAction",
"extension": [
{
"url": "actionType",
"valueCode": "misfile-accepted"
},
{
"url": "actionDateTime",
"valueInstant": "2025-07-22T13:20:32+00:00"
},
{
"url": "actionedBy",
"valueReference": {
"reference": "PractitionerRole/Example-DataStandardsWales-PractitionerRole-Consultant-JoeBloggs",
"display": "BLOGGS, Joe A, Dr (GMC:1234567)"
}
},
{
"url": "actionReason",
"valueCodeableConcept": {
"text": "Confirmed wrong patient"
}
}
]
}
],
"identifier": [
{
"system": "www.localnamespace",
"value": "CONF-A123-10"
}
],
"status": "entered-in-error",
"docStatus": "final",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "722447009",
"display": "Confirmation of insurance coverage for treatment"
}
]
},
"category": [
{
"coding": [
{
"system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-DocumentCategory",
"code": "notification-and-legal-documents",
"display": "Notification & Legal Documents"
}
]
}
],
"subject": {
"reference": "Patient/Example-DataStandardsWales-Patient-JohnSmith",
"display": "SMITH, John B, Mr"
},
"date": "2025-07-22T11:20:17+00:00",
"author": [
{
"reference": "Organization/Example-DataStandardsWales-Organization-MedicalInsurerA",
"display": "Insurance Company A"
}
],
"custodian": {
"reference": "Organization/Example-DataStandardsWales-Organization-HDUHB",
"display": "Hywel Dda University Health Board"
},
"relatesTo": [
{
"code": "replaces",
"target": {
"reference": "DocumentReference/Example-DataStandardsWales-DocumentReference-DirectlyReplacedDoc"
}
}
],
"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": "en",
"url": "https://www.example.com/documentref1234"
}
}
],
"context": {
"encounter": [
{
"reference": "Encounter/Example-DataStandardsWales-Encounter-DiabetesConsultation"
}
],
"period": {
"start": "2025-02-20T00:00:00+00:00",
"end": "2026-02-19T23:59:00+00:00"
}
}
}