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 - XML Representation

Draft as of 2025-02-23

Raw xml | Download

<ActorDefinition xmlns="http://hl7.org/fhir">
  <id value="ClinicalDocument"/>
  <text>
    <status value="generated"/>
    <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>
<ul>
<li><a href="https://hl7.org/fhir/R4/documents.html">HL7 FHIR Document</a></li>
<li><a href="https://en.wikipedia.org/wiki/Clinical_Document_Architecture">HL7 v3 Clinical Document Architecture</a></li>
<li><a href="https://specifications.openehr.org/releases/RM/latest/ehr.html">openEHR</a></li>
</ul>
<p>HL7 FHIR Document Standards for use with <a href="HIE.html">Health Document Sharing</a>:</p>
<ul>
<li><a href="https://build.fhir.org/ig/HL7/fhir-ips/">HL7 International Patient Summary Implementation Guide</a></li>
<li><a href="https://build.fhir.org/ig/hl7-eu/laboratory/">HL7 Europe Laboratory Report</a></li>
<li><a href="https://build.fhir.org/ig/hl7-eu/imaging/">HL7 Europe Imaging Study Report</a></li>
<li><a href="https://build.fhir.org/ig/hl7-eu/hdr/index.html">HL7 Europe Hospital Discharge Report</a></li>
</ul>
</div></td></tr></table></div>
  </text>
  <url value="https://hl7.mft.nhs.uk/ActorDefinition/ClinicalDocument"/>
  <version value="0.0.1"/>
  <name value="ClinicalDocument"/>
  <title value="Clinical Document"/>
  <status value="draft"/>
  <date value="2025-02-23T05:40:25+00:00"/>
  <publisher value="Manchester University NHS Foundation Trust"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://mft.nhs.uk/"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="email"/>
      <value value="pressoffice@mft.nhs.uk"/>
    </telecom>
  </contact>
  <contact>
    <name value="Press Office"/>
    <telecom>
      <system value="email"/>
      <value value="pressoffice@mft.nhs.uk"/>
    </telecom>
  </contact>
  <description
               value="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 value="urn:iso:std:iso:3166"/>
      <code value="GB"/>
      <display value="United Kingdom of Great Britain and Northern Ireland"/>
    </coding>
  </jurisdiction>
  <type value="system"/>
  <documentation
                 value="Standards specific definitions:

- [HL7 FHIR Document](https://hl7.org/fhir/R4/documents.html)
- [HL7 v3 Clinical Document Architecture](https://en.wikipedia.org/wiki/Clinical_Document_Architecture)
- [openEHR](https://specifications.openehr.org/releases/RM/latest/ehr.html)

HL7 FHIR Document Standards for use with [Health Document Sharing](HIE.html):

- [HL7 International Patient Summary Implementation Guide](https://build.fhir.org/ig/HL7/fhir-ips/)
- [HL7 Europe Laboratory Report](https://build.fhir.org/ig/hl7-eu/laboratory/)
- [HL7 Europe Imaging Study Report](https://build.fhir.org/ig/hl7-eu/imaging/)
- [HL7 Europe Hospital Discharge Report](https://build.fhir.org/ig/hl7-eu/hdr/index.html)
"/>
</ActorDefinition>