DRAFT Implementation Guide

This is for collaboration and discussion purposes and is subject to change.

North West Genomics Testing Workflow (GTW) - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Narrative Content
• XML
• JSON

: Clinical Document - JSON Representation

Draft as of 2025-02-23

Raw json | Download

{
  "resourceType" : "ActorDefinition",
  "id" : "ClinicalDocument",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ActorDefinition ClinicalDocument</b></p><a name=\"ClinicalDocument\"> </a><a name=\"hcClinicalDocument\"> </a><a name=\"ClinicalDocument-en-GB\"> </a><table class=\"grid\"><tr><td><b>Actor: ClinicalDocument </b></td><td>Clinical Document</td><td>Type: system </td></tr><tr><td colspan=\"3\"><div><p>Standards specific definitions:</p>\n<ul>\n<li><a href=\"https://hl7.org/fhir/R4/documents.html\">HL7 FHIR Document</a></li>\n<li><a href=\"https://en.wikipedia.org/wiki/Clinical_Document_Architecture\">HL7 v3 Clinical Document Architecture</a></li>\n<li><a href=\"https://specifications.openehr.org/releases/RM/latest/ehr.html\">openEHR</a></li>\n</ul>\n<p>HL7 FHIR Document Standards for use with <a href=\"HIE.html\">Health Document Sharing</a>:</p>\n<ul>\n<li><a href=\"https://build.fhir.org/ig/HL7/fhir-ips/\">HL7 International Patient Summary Implementation Guide</a></li>\n<li><a href=\"https://build.fhir.org/ig/hl7-eu/laboratory/\">HL7 Europe Laboratory Report</a></li>\n<li><a href=\"https://build.fhir.org/ig/hl7-eu/imaging/\">HL7 Europe Imaging Study Report</a></li>\n<li><a href=\"https://build.fhir.org/ig/hl7-eu/hdr/index.html\">HL7 Europe Hospital Discharge Report</a></li>\n</ul>\n</div></td></tr></table></div>"
  },
  "url" : "https://hl7.mft.nhs.uk/ActorDefinition/ClinicalDocument",
  "version" : "0.0.1",
  "name" : "ClinicalDocument",
  "title" : "Clinical Document",
  "status" : "draft",
  "date" : "2025-02-23T05:40:25+00:00",
  "publisher" : "Manchester University NHS Foundation Trust",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://mft.nhs.uk/"
        }
      ]
    },
    {
      "telecom" : [
        {
          "system" : "email",
          "value" : "pressoffice@mft.nhs.uk"
        }
      ]
    },
    {
      "name" : "Press Office",
      "telecom" : [
        {
          "system" : "email",
          "value" : "pressoffice@mft.nhs.uk"
        }
      ]
    }
  ],
  "description" : "From [ISO-13606](http://www.en13606.org/information.html) The set of information committed to one EHR as a result of a clinical encounter or a record documentation session. Examples of COMPOSITION are Progress note, Laboratory test result form, Radiology report, Referral letter, Clinic visit, Clinic letter, Discharge summary, Functional health assessment, Diabetes review.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "GB",
          "display" : "United Kingdom of Great Britain and Northern Ireland"
        }
      ]
    }
  ],
  "type" : "system",
  "documentation" : "Standards specific definitions:\n\n- [HL7 FHIR Document](https://hl7.org/fhir/R4/documents.html)\n- [HL7 v3 Clinical Document Architecture](https://en.wikipedia.org/wiki/Clinical_Document_Architecture)\n- [openEHR](https://specifications.openehr.org/releases/RM/latest/ehr.html)\n\nHL7 FHIR Document Standards for use with [Health Document Sharing](HIE.html):\n\n- [HL7 International Patient Summary Implementation Guide](https://build.fhir.org/ig/HL7/fhir-ips/)\n- [HL7 Europe Laboratory Report](https://build.fhir.org/ig/hl7-eu/laboratory/)\n- [HL7 Europe Imaging Study Report](https://build.fhir.org/ig/hl7-eu/imaging/)\n- [HL7 Europe Hospital Discharge Report](https://build.fhir.org/ig/hl7-eu/hdr/index.html)\n"
}