DocumentReference
A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), clinical notes, scanned paper, and non-patient specific documents like policy text.
http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-documentreference.html
A Document Reference can represent many different PDFs generated in Canvas:
- A Letter that has been faxed or printed from the patient’s chart.
- All documents uploaded via Data Integration and linked to a Patient. This includes Lab Reports, Imaging Reports, Referral Reports, Clinical, and Administrative Documents.
- POC Lab Command’s committed on the Patient’s chart
- Clinical Notes representing a PDF of each locked note. This also includes superseded versions on notes.
- Any Educational Material committed on a patient’s chart.
- Any Invoices generated for a patient.
DocumentReference create
Create DocumentReference with provided fields and values.
Attributes
The FHIR Resource name.
Specific FHIR extensions on this resource are supported to be able to map some Canvas specific attributes for a comment, clinical date, review mode, reviewer, priority, and if it requires a signature.
In order to identify which extension maps to specific fields in Canvas, the url field is used as an exact string match.
A few of the extensions are required:
- clinical-date
- reviewer
- requires-signature
Identifies the meaning of the extension
Value of extensions for Comment.
The valueString attribute is needed for the Comment’s extension where the url is http://schemas.canvasmedical.com/fhir/document-reference-comment.
Comment is a comment on the underlying Canvas document that is related to this DocumentReference resource.
Value of extensions for Review Mode.
The valueCode attribute is needed for the Review Mode extension where the url is http://schemas.canvasmedical.com/fhir/document-reference-review-mode.
Review Mode is a field on the underlying Canvas document record which determines the review mode values (RR for Review Required, AR for Already Reviewed and RN for Review Not Required).
Value of extension for Clinical Date.
The valueDate attribute is needed for the Clinical Date extension where the url is http://schemas.canvasmedical.com/fhir/document-reference-clinical-date. This attribute is required and determines the Clinical Date on the underlying document record related to this DocumentReference resource. It’s the original_date field on the related Canvas document record. Expected date value format for this field is YYYY-MM-DD.
Value of extension for Reviewer.
The valueReference attribute is needed for expressing the Reviewer of the document where the url is http://schemas.canvasmedical.com/fhir/document-reference-reviewer. This attribute is required and will be the reference to the Practitioner (Canvas Staff) that’s assigned as the reviewer of this document.
The reference string of the Practitioner in the format of "Practitioner/95b9ac2d-e963-4d7a-b165-7901870f1663".
Type the reference refers to (e.g. “Practitioner”).
Value of extensions for Priority and Requires Signature.
The valueBoolean attribute is needed for the Priority extension where the url is http://schemas.canvasmedical.com/fhir/document-reference-priority and for the Requires Signature where the url is http://schemas.canvasmedical.com/fhir/document-reference-requires-signature.
Priority is a field on the underlying Canvas document that is related to this DocumentReference resource and determines if the document should be prioritized. If the priority is omitted from the request, it will default to False.
Requires Signature is also a field on the underlying Canva document that determines where the related document requires Practitioner’s signature. The requires-signature extension is required on create.
The “status” field is required by FHIR to indicate the current state of the document; however, the value is ignored by Canvas on creation.
A coding for the type of document.
Code defined by a terminology system.
The system url of the coding.
The code value.
The categorization of the document.
Code defined by a terminology system.
The system url of the coding.
The code value.
Who/what is the subject of the document.
The reference string of the subject in the format of "Patient/a39cafb9d1b445be95a2e2548e12a787".
Type the reference refers to (e.g. “Patient”).
Who and/or what authored the document.
The reference string of the author in the format of "Practitioner/0e46396e-9cbc-48c6-94cc-f75f08b66c80".
Type the reference refers to (e.g. “Practitioner”).
The title of the underlying Canvas Document related to this DocumentReference resource.
It requires standard document titles that must be matched to the document provided in the coding type attribute. See the table above with the available loinc codes and their associated description.
Document referenced
Note: There is a temporary extension on Attachment that will contain the presigned URL for the Attachment; this will be provided while we migrate to static URLs that will require bearer authentication to retrieve attachment files. Use this extension for backward-compatible URLs until the migration is completed.
Where to access the document.
Base64 encoded document file as a string.
Responses
Canvas returns the created resource's id as a UUID within the
location header and a null response body.Errors
DocumentReference read
Read DocumentReference resource.
Path Parameters
Response Payload Attributes
The FHIR Resource name.
The identifier of the document reference.
Other identifiers for the document.
The namespace for the identifier value.
The identifier value that is unique.
Specific FHIR extensions on this resource are supported to be able to map some Canvas specific attributes for a comment, clinical date, review mode, reviewer, priority, and if it requires a signature.
Identifies the meaning of the extension
Value of extensions for Comment.
Value of extensions for Review Mode.
Value of extension for Clinical Date.
Value of extension for Reviewer.
The reference string of the Practitioner in the format of "Practitioner/95b9ac2d-e963-4d7a-b165-7901870f1663".
Type the reference refers to (e.g. “Practitioner”).
Value of extensions for Priority and Requires Signature.
The status of the document reference.
- Letters and POC Lab Reports will always have a status of
current. - Documents uploaded in Data Integration will have a status of
currentwhen created. If a document is removed from the patient’s chart, it will have a status ofentered-in-error. - For Clinical Note documents, the status will be
currentif it is the latest PDF of the locked note. If it is an older version due to a practitioner unlocking/ammending the note, the status will besuperseded. If the note is deleted on the patient’s chart, the status will beentered-in-error. - For Educational Material, the status will be
currentif the command is committed. If the command was entered-in-error in the chart, the status will also beentered-in-error. - For Invoices, the status will be
currentif it is a latest version or an adhoc invoice. The status will beentered-in-errorif there was a problem generating or sending out the invoice to the patient. The status will besupersededif an automated invoice gets archived as it is older than the invoice interval defined Constance Config in Settings.
A coding for the type of document.
Code defined by a terminology system.
The system url of the coding.
The code value.
The display name of the coding.
Plain text representation of the type of document.
The categorization of the document.
Code defined by a terminology system.
The system url of the coding.
The code value.
Who/what is the subject of the document.
The reference string of the subject in the format of "Patient/a39cafb9d1b445be95a2e2548e12a787".
Type the reference refers to (e.g. “Patient”).
When this document reference was created in Canvas.
Who and/or what authored the document.
- For letters, it is the practitioner who signed the letter determined by the practitioner dropdown in the UI when creating the letter.
- For Lab Reports the author will be the practitioner who linked the report to the patient in Data Integration or if it the report has been reviewed, it will be the practitioner who committed a Lab Review. If the lab report that came through Health Gorilla was automtically linked to a Patient, there will be no author.
- For POC Lab Reports, the author will be the practitioner who committed the command in the patient’s chart.
- For Clinical and Administrative submitted through Data Integration, the author will be the practitioner who linked the doc to the patient in Data Integration.
- For Educational Material docs, the author will be the practitioner who originated the command on the patient’s chart
- For Invoices, the author will either be the practitioner who asked for the invoice when invoice was created adhoc or it will be Canvas Bot if the invoice was automtically generated.
- There are no authors on Imaging Reports or Clinical Notes.
The reference string of the author in the format of "Practitioner/0e46396e-9cbc-48c6-94cc-f75f08b66c80".
Type the reference refers to (e.g. “Practitioner”).
Organization which maintains the document.
The reference string of the custodian in the format of "Organization/00000000-0000-0000-0002-000000000000".
Type the reference refers to (e.g. “Organization”).
The title of the underlying Canvas Document related to this DocumentReference resource.
Document referenced
Note: There is a temporary extension on Attachment that will contain the presigned URL for the Attachment; this will be provided while we migrate to static URLs that will require bearer authentication to retrieve attachment files. Use this extension for backward-compatible URLs until the migration is completed.
Where to access the document.
Mime type of the content, with charset etc.
URI where the data can be found. Please note that urls may have an AWSAccessKeyId and an Expires attribute. By default documents stored in AWS S3 will expire 10 minutes after the response payload is returned.
Extension for backward-compatible URLs
Format/content rules for the document
The system url of the coding.
The code value.
The display name of the coding.
Clinical context of document.
- For clinical note documents, the context will contain information about the encounter associated with the note if applicable.
- For POC Lab Reports or Educational Material documents, the context will contain information about the encounter of the note the commands were committed with if applicable.
- For Lab Reports that have a Lab Review committed in a note, the context will have information about any encounter associated with that note.
Context of the document content
The reference string of the encounter in the format of "Encounter/879b35fd-3bc2-4ccd-98d7-954dd9b6d0a9".
Type the reference refers to (e.g. “Encounter”).
Time of service that is being documented
Starting time with inclusive boundary of the encounter
End time with inclusive boundary, if not ongoing of the encounter
Responses
Errors
DocumentReference search
Search for DocumentReference resources.
Query Parameters
A Canvas-issued unique identifier
Categorization of document. Filters by the code and/or system under category.coding attribute. You can search by just the code value or you can search by the system and code in the format system|code (e.g http://schemas.canvasmedical.com/fhir/document-reference-category|labreport).
Filter by the date or specific datetime the document was created. See Date Filtering for more information.
The patient reference associated to the document in the format Patient/a39cafb9d1b445be95a2e2548e12a787.
The status of the document reference
The patient reference associated to the document in the format Patient/a39cafb9d1b445be95a2e2548e12a787. Can be used interchangeably with the patient parameter.
Kind of document (LOINC if possible). Filters by the code and/or system under type.coding attribute. You can search by just the code value or you can search by the system and code in the format system|code (e.g http://loinc.org|11502-2).
Response Payload Attributes
The FHIR Resource name.
This element and value designate that the bundle is a search response. Search result bundles will always have the Bundle.type of searchset .
The number of resources that match the search parameter.
Attributes relevant to pagination, see our Pagination page for more detail.
The relation of the page search
The search url for the specific relation
The results bundle that lists out each object returned in the search
The attributes specific to the resource type, see the Attributes section below
Attributes
The FHIR Resource name.
The identifier of the document reference.
Other identifiers for the document.
The namespace for the identifier value.
The identifier value that is unique.
Specific FHIR extensions on this resource are supported to be able to map some Canvas specific attributes for a comment, clinical date, review mode, reviewer, priority, and if it requires a signature.
Identifies the meaning of the extension
Value of extensions for Comment.
Value of extensions for Review Mode.
Value of extension for Clinical Date.
Value of extension for Reviewer.
The reference string of the Practitioner in the format of "Practitioner/95b9ac2d-e963-4d7a-b165-7901870f1663".
Type the reference refers to (e.g. “Practitioner”).
Value of extensions for Priority and Requires Signature.
The status of the document reference.
- Letters and POC Lab Reports will always have a status of
current. - Documents uploaded in Data Integration will have a status of
currentwhen created. If a document is removed from the patient’s chart, it will have a status ofentered-in-error. - For Clinical Note documents, the status will be
currentif it is the latest PDF of the locked note. If it is an older version due to a practitioner unlocking/ammending the note, the status will besuperseded. If the note is deleted on the patient’s chart, the status will beentered-in-error. - For Educational Material, the status will be
currentif the command is committed. If the command was entered-in-error in the chart, the status will also beentered-in-error. - For Invoices, the status will be
currentif it is a latest version or an adhoc invoice. The status will beentered-in-errorif there was a problem generating or sending out the invoice to the patient. The status will besupersededif an automated invoice gets archived as it is older than the invoice interval defined Constance Config in Settings.
A coding for the type of document.
Code defined by a terminology system.
The system url of the coding.
The code value.
The display name of the coding.
Plain text representation of the type of document.
The categorization of the document.
Code defined by a terminology system.
The system url of the coding.
The code value.
Who/what is the subject of the document.
The reference string of the subject in the format of "Patient/a39cafb9d1b445be95a2e2548e12a787".
Type the reference refers to (e.g. “Patient”).
When this document reference was created in Canvas.
Who and/or what authored the document.
- For letters, it is the practitioner who signed the letter determined by the practitioner dropdown in the UI when creating the letter.
- For Lab Reports the author will be the practitioner who linked the report to the patient in Data Integration or if it the report has been reviewed, it will be the practitioner who committed a Lab Review. If the lab report that came through Health Gorilla was automtically linked to a Patient, there will be no author.
- For POC Lab Reports, the author will be the practitioner who committed the command in the patient’s chart.
- For Clinical and Administrative submitted through Data Integration, the author will be the practitioner who linked the doc to the patient in Data Integration.
- For Educational Material docs, the author will be the practitioner who originated the command on the patient’s chart
- For Invoices, the author will either be the practitioner who asked for the invoice when invoice was created adhoc or it will be Canvas Bot if the invoice was automtically generated.
- There are no authors on Imaging Reports or Clinical Notes.
The reference string of the author in the format of "Practitioner/0e46396e-9cbc-48c6-94cc-f75f08b66c80".
Type the reference refers to (e.g. “Practitioner”).
Organization which maintains the document.
The reference string of the custodian in the format of "Organization/00000000-0000-0000-0002-000000000000".
Type the reference refers to (e.g. “Organization”).
The title of the underlying Canvas Document related to this DocumentReference resource.
Document referenced
Note: There is a temporary extension on Attachment that will contain the presigned URL for the Attachment; this will be provided while we migrate to static URLs that will require bearer authentication to retrieve attachment files. Use this extension for backward-compatible URLs until the migration is completed.
Where to access the document.
Mime type of the content, with charset etc.
URI where the data can be found. Please note that urls may have an AWSAccessKeyId and an Expires attribute. By default documents stored in AWS S3 will expire 10 minutes after the response payload is returned.
Extension for backward-compatible URLs
Format/content rules for the document
The system url of the coding.
The code value.
The display name of the coding.
Clinical context of document.
- For clinical note documents, the context will contain information about the encounter associated with the note if applicable.
- For POC Lab Reports or Educational Material documents, the context will contain information about the encounter of the note the commands were committed with if applicable.
- For Lab Reports that have a Lab Review committed in a note, the context will have information about any encounter associated with that note.
Context of the document content
The reference string of the encounter in the format of "Encounter/879b35fd-3bc2-4ccd-98d7-954dd9b6d0a9".
Type the reference refers to (e.g. “Encounter”).
Time of service that is being documented
Starting time with inclusive boundary of the encounter
End time with inclusive boundary, if not ongoing of the encounter
Responses
Errors
curl --request POST \ --url 'https://fumage-example.canvasmedical.com/DocumentReference' \ --header 'Authorization: Bearer <token>' \ --header 'accept: application/json' \ --header 'content-type: application/json' \ --data ' { "resourceType": "DocumentReference", "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/document-reference-comment", "valueString": "Some comment on Document" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-clinical-date", "valueDate": "2024-04-01" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-review-mode", "valueCode": "RN" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-reviewer", "valueReference": { "reference": "Practitioner/5843991a8c934118ab4f424c839b340f", "type": "Practitioner" } }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-priority", "valueBoolean": true }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-requires-signature", "valueBoolean": true } ], "status": "current", "type": { "coding": [ { "system": "http://loinc.org", "code": "34105-7" } ] }, "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "uncategorizedclinicaldocument" } ] } ], "subject": { "reference": "Patient/aabcf98215eb4356ad773a0ec9cd3369", "type": "Patient" }, "author": [ { "reference": "Practitioner/4150cd20de8a470aa570a852859ac87e", "type": "Practitioner" } ], "description": "Hospital Discharge Summary", "content": [ { "attachment": { "contentType": "application/pdf", "data": "JVBERi0xLjIgCjkgMCBvYmoKPDwKPj4Kc3RyZWFtCkJULyAzMiBUZiggIFlPVVIgVEVYVCBIRVJFICAgKScgRVQKZW5kc3RyZWFtCmVuZG9iago0IDAgb2JqCjw8Ci9UeXBlIC9QYWdlCi9QYXJlbnQgNSAwIFIKL0NvbnRlbnRzIDkgMCBSCj4+CmVuZG9iago1IDAgb2JqCjw8Ci9LaWRzIFs0IDAgUiBdCi9Db3VudCAxCi9UeXBlIC9QYWdlcwovTWVkaWFCb3ggWyAwIDAgMjUwIDUwIF0KPj4KZW5kb2JqCjMgMCBvYmoKPDwKL1BhZ2VzIDUgMCBSCi9UeXBlIC9DYXRhbG9nCj4+CmVuZG9iagp0cmFpbGVyCjw8Ci9Sb290IDMgMCBSCj4+CiUlRU9G" } } ] } }'import requests url = "https://fumage-example.canvasmedical.com/DocumentReference" headers = { "accept": "application/json", "Authorization": "Bearer <token>", "content-type": "application/json", } payload = { "resourceType": "DocumentReference", "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/document-reference-comment", "valueString": "Some comment on Document", }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-clinical-date", "valueDate": "2024-04-01", }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-review-mode", "valueCode": "RN", }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-reviewer", "valueReference": { "reference": "Practitioner/5843991a8c934118ab4f424c839b340f", "type": "Practitioner", } }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-priority", "valueBoolean": true, }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-requires-signature", "valueBoolean": true, } ], "status": "current", "type": { "coding": [ { "system": "http://loinc.org", "code": "34105-7", } ] }, "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "uncategorizedclinicaldocument", } ] } ], "subject": { "reference": "Patient/aabcf98215eb4356ad773a0ec9cd3369", "type": "Patient", }, "author": [ { "reference": "Practitioner/4150cd20de8a470aa570a852859ac87e", "type": "Practitioner", } ], "description": "Hospital Discharge Summary", "content": [ { "attachment": { "contentType": "application/pdf", "data": "JVBERi0xLjIgCjkgMCBvYmoKPDwKPj4Kc3RyZWFtCkJULyAzMiBUZiggIFlPVVIgVEVYVCBIRVJFICAgKScgRVQKZW5kc3RyZWFtCmVuZG9iago0IDAgb2JqCjw8Ci9UeXBlIC9QYWdlCi9QYXJlbnQgNSAwIFIKL0NvbnRlbnRzIDkgMCBSCj4+CmVuZG9iago1IDAgb2JqCjw8Ci9LaWRzIFs0IDAgUiBdCi9Db3VudCAxCi9UeXBlIC9QYWdlcwovTWVkaWFCb3ggWyAwIDAgMjUwIDUwIF0KPj4KZW5kb2JqCjMgMCBvYmoKPDwKL1BhZ2VzIDUgMCBSCi9UeXBlIC9DYXRhbG9nCj4+CmVuZG9iagp0cmFpbGVyCjw8Ci9Sb290IDMgMCBSCj4+CiUlRU9G", } } ] }
null{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "invalid", "details": { "text": "Bad request" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "unknown", "details": { "text": "Authentication failed" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "forbidden", "details": { "text": "Authorization failed" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "not-supported", "details": { "text": "Operation is not supported" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "business-rule", "details": { "text": "Unprocessable entity" } } ] }
curl --request GET \ --url 'https://fumage-example.canvasmedical.com/DocumentReference/<id>' \ --header 'Authorization: Bearer <token>' \ --header 'accept: application/json'import requests url = "https://fumage-example.canvasmedical.com/DocumentReference/<id>" headers = { "accept": "application/json", "Authorization": "Bearer <token>" } response = requests.get(url, headers=headers) print(response.text)
{ "resourceType": "DocumentReference", "id": "6f60ed1c-a6b3-4791-99f0-f618704e33d1", "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/document-reference-comment", "valueString": "Some comment on Document" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-clinical-date", "valueDate": "2024-04-01" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-review-mode", "valueCode": "RN" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-reviewer", "valueReference": { "reference": "Practitioner/5843991a8c934118ab4f424c839b340f", "type": "Practitioner" } }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-priority", "valueBoolean": true }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-requires-signature", "valueBoolean": true } ], "status": "current", "type": { "coding": [ { "system": "http://loinc.org", "code": "34105-7", "display": "Hospital Discharge summary" } ] }, "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "uncategorizedclinicaldocument" } ] } ], "subject": { "reference": "Patient/aabcf98215eb4356ad773a0ec9cd3369", "type": "Patient" }, "date": "2024-04-22T00:00:00+00:00", "author": [ { "reference": "Practitioner/4150cd20de8a470aa570a852859ac87e", "type": "Practitioner" } ], "custodian": { "reference": "Organization/00000000-0000-0000-0002-000000000000", "type": "Organization" }, "description": "Hospital Discharge Summary", "content": [ { "attachment": { "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/deprecated-url", "valueUri": "https://canvas-client-media.s3.amazonaws.com/training/invoices/f3d750f5d77d403c96baef6a6055c6e7_20211027_193132.pdf?AWSAccessKeyId=xxxx&Signature=xxxx&Expires=xxxx" } ], "contentType": "application/pdf", "url": "https://canvas-client-media.s3.amazonaws.com/training/invoices//Hospital_Discharge_Summary_2024-04-22_18-27-45_7aeadd4496b34f86a78c26223cdabbf4_YQiesv8.pdf?AWSAccessKeyId=xxxx&Signature=xxxx&Expires=xxxx" }, "format": { "system": "http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem", "code": "urn:ihe:iti:xds:2017:mimeTypeSufficient", "display": "mimeType Sufficient" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "unknown", "details": { "text": "Authentication failed" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "forbidden", "details": { "text": "Authorization failed" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "not-found", "details": { "text": "Unknown DocumentReference resource '9b814d81-fb56-456b-a46d-c67fdaaec2ac'" } } ] }
curl --request GET \ --url 'https://fumage-example.canvasmedical.com/DocumentReference?subject=Patient/cfd91cd3bd9046db81199aa8ee4afd7f&status=current&type=http://loinc.org|11502-2' \ --header 'Authorization: Bearer <token>' \ --header 'accept: application/json'import requests url = "https://fumage-example.canvasmedical.com/DocumentReference?subject=Patient/cfd91cd3bd9046db81199aa8ee4afd7f&status=current&type=http://loinc.org|11502-2" headers = { "accept": "application/json", "Authorization": "Bearer <token>" } response = requests.get(url, headers=headers) print(response.text)
{ "resourceType": "Bundle", "type": "searchset", "total": 12, "link": [ { "relation": "self", "url": "/DocumentReference?patient=Patient/c0df2c04a0e64b46ba7fe3f836068e49&_count=50&_offset=0" }, { "relation": "first", "url": "/DocumentReference?patient=Patient/c0df2c04a0e64b46ba7fe3f836068e49&_count=50&_offset=0" }, { "relation": "last", "url": "/DocumentReference?patient=Patient/c0df2c04a0e64b46ba7fe3f836068e49&_count=50&_offset=0" } ], "entry": [ { "resource": { "resourceType": "DocumentReference", "id": "4b640065-ae64-4775-b5a8-8264314cf5fc", "status": "current", "type": { "coding": [ { "system": "http://loinc.org", "code": "94093-2", "display": "Itemized bill" } ], "text": "Itemized bill" }, "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "invoicefull" } ] } ], "subject": { "reference": "Patient/c0df2c04a0e64b46ba7fe3f836068e49", "type": "Patient" }, "date": "2024-02-24T00:00:00+00:00", "author": [ { "reference": "Practitioner/5eede137ecfe4124b8b773040e33be14", "type": "Practitioner" } ], "custodian": { "reference": "Organization/00000000-0000-0000-0002-000000000000", "type": "Organization" }, "description": "Itemized bill", "content": [ { "attachment": { "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/deprecated-url", "valueUri": "https://canvas-client-media.s3.amazonaws.com/training/invoices/c0df2c04a0e64b46ba7fe3f836068e49_20240224_124702.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=WtfvJWbBgc50VgekeqrUDTPsyHk%3D&Expires=1709072108" } ], "contentType": "application/pdf", "url": "https://canvas-client-media.s3.amazonaws.com/training/invoices/c0df2c04a0e64b46ba7fe3f836068e49_20240224_124702.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=WtfvJWbBgc50VgekeqrUDTPsyHk%3D&Expires=1709072108" }, "format": { "system": "http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem", "code": "urn:ihe:iti:xds:2017:mimeTypeSufficient", "display": "mimeType Sufficient" } } ] } }, { "resource": { "resourceType": "DocumentReference", "id": "5a0cf7ae-bd88-4f04-bd7e-60a33e5e2824", "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/document-reference-comment", "valueString": "Some comment on LabReport Document" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-clinical-date", "valueDate": "2024-04-02" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-review-mode", "valueCode": "AR" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-reviewer", "valueReference": { "reference": "Practitioner/5843991a8c934118ab4f424c839b340f", "type": "Practitioner" } }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-requires-signature", "valueBoolean": true } ], "status": "current", "type": { "coding": [ { "system": "http://loinc.org", "code": "11502-2", "display": "Laboratory report" } ], "text": "Laboratory report" }, "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "labreport" } ] } ], "subject": { "reference": "Patient/c0df2c04a0e64b46ba7fe3f836068e49", "type": "Patient" }, "date": "2024-04-22T00:00:00+00:00", "author": [ { "reference": "Practitioner/4150cd20de8a470aa570a852859ac87e", "type": "Practitioner" } ], "custodian": { "reference": "Organization/00000000-0000-0000-0002-000000000000", "type": "Organization" }, "description": "Lab Report", "content": [ { "attachment": { "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/deprecated-url", "valueUri": "https://canvas-client-media.s3.amazonaws.com/training/dummy_BLseNPP.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=uBuEZpbxcCg4w9hZ6hAXLJxMGe8%3D&Expires=1709072108" } ], "contentType": "application/pdf", "url": "https://canvas-client-media.s3.amazonaws.com/training/dummy_BLseNPP.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=uBuEZpbxcCg4w9hZ6hAXLJxMGe8%3D&Expires=1709072108" }, "format": { "system": "http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem", "code": "urn:ihe:iti:xds:2017:mimeTypeSufficient", "display": "mimeType Sufficient" } } ], "context": { "encounter": [ { "reference": "Encounter/879b35fd-3bc2-4ccd-98d7-954dd9b6d0a9", "type": "Encounter" } ], "period": { "start": "2024-02-22T23:10:12.409838+00:00" } } } }, { "resource": { "resourceType": "DocumentReference", "id": "b9f82cd0-6644-4b3f-a9d1-7585c3e71498", "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/document-reference-comment", "valueString": "Some comment on ImagingReport Document" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-clinical-date", "valueDate": "2024-04-03" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-review-mode", "valueCode": "RN" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-reviewer", "valueReference": { "reference": "Practitioner/5843991a8c934118ab4f424c839b340f", "type": "Practitioner" } }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-requires-signature", "valueBoolean": true } ], "status": "entered-in-error", "type": { "coding": [ { "system": "http://loinc.org", "code": "18748-4", "display": "Diagnostic imaging study" } ], "text": "Diagnostic imaging study" }, "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "imagingreport" } ] } ], "subject": { "reference": "Patient/c0df2c04a0e64b46ba7fe3f836068e49", "type": "Patient" }, "date": "2024-04-21T00:00:00+00:00", "custodian": { "reference": "Organization/00000000-0000-0000-0002-000000000000", "type": "Organization" }, "description": "Imaging Report", "content": [ { "attachment": { "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/deprecated-url", "valueUri": "https://canvas-client-media.s3.amazonaws.com/training/document_annotations/blob_FeMcbYv?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=7V8KwSeZlPCCJiiarAHK55IW4pI%3D&Expires=1709072108" } ], "contentType": "application/pdf", "url": "https://canvas-client-media.s3.amazonaws.com/training/document_annotations/blob_FeMcbYv?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=7V8KwSeZlPCCJiiarAHK55IW4pI%3D&Expires=1709072108" }, "format": { "system": "http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem", "code": "urn:ihe:iti:xds:2017:mimeTypeSufficient", "display": "mimeType Sufficient" } } ] } } { "resource": { "resourceType": "DocumentReference", "id": "51a49fef-eb67-4b8d-a992-b3dd9e754dea", "status": "current", "type": { "coding": [ { "system": "http://loinc.org", "code": "51852-2", "display": "Letter" } ], "text": "Letter" }, "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "correspondence" } ] } ], "subject": { "reference": "Patient/c0df2c04a0e64b46ba7fe3f836068e49", "type": "Patient" }, "date": "2024-02-21T00:00:00+00:00", "author": [ { "reference": "Practitioner/4150cd20de8a470aa570a852859ac87e", "type": "Practitioner" } ], "custodian": { "reference": "Organization/00000000-0000-0000-0002-000000000000", "type": "Organization" }, "description": "Letter", "content": [ { "attachment": { "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/deprecated-url", "valueUri": "https://canvas-client-media.s3.amazonaws.com/training/generic_documents/letter_494.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=K4d67C%2FNj9PtLIjY9by5qLwYiK4%3D&Expires=1709072108" } ], "contentType": "application/pdf", "url": "https://canvas-client-media.s3.amazonaws.com/training/generic_documents/letter_494.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=K4d67C%2FNj9PtLIjY9by5qLwYiK4%3D&Expires=1709072108" }, "format": { "system": "http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem", "code": "urn:ihe:iti:xds:2017:mimeTypeSufficient", "display": "mimeType Sufficient" } } ] } }, { "resource": { "resourceType": "DocumentReference", "id": "713394da-f250-4c59-8b47-96458155f687", "status": "entered-in-error", "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "clinical-note" } ] } ], "subject": { "reference": "Patient/c0df2c04a0e64b46ba7fe3f836068e49", "type": "Patient" }, "date": "2024-02-22T00:00:00+00:00", "custodian": { "reference": "Organization/00000000-0000-0000-0002-000000000000", "type": "Organization" }, "content": [ { "attachment": { "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/deprecated-url", "valueUri": "https://canvas-client-media.s3.amazonaws.com/training/note_history/training_note_state_document_232604_1708628478?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=yangPOcYiWvr48s6VhvQIBSw0fs%3D&Expires=1709072108" } ], "contentType": "application/pdf", "url": "https://canvas-client-media.s3.amazonaws.com/training/note_history/training_note_state_document_232604_1708628478?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=yangPOcYiWvr48s6VhvQIBSw0fs%3D&Expires=1709072108" }, "format": { "system": "http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem", "code": "urn:ihe:iti:xds:2017:mimeTypeSufficient", "display": "mimeType Sufficient" } } ], "description": "Lab visit", "context": { "encounter": [ { "reference": "Encounter/aaefb326-8601-4c03-84d4-d6151b3a96bf", "type": "Encounter" } ], "period": { "start": "2024-02-21T21:52:42.777590+00:00", "end": "2024-02-22T19:37:10.850120+00:00" } } } }, { "resource": { "resourceType": "DocumentReference", "id": "6ebf590d-ff90-412e-a5e7-9be30d6e4c35", "status": "current", "type": { "coding": [ { "system": "http://loinc.org", "code": "11488-4", "display": "Consult note" } ], "text": "Consult note" }, "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "referralreport" } ] } ], "subject": { "reference": "Patient/c0df2c04a0e64b46ba7fe3f836068e49", "type": "Patient" }, "date": "2024-02-22T00:00:00+00:00", "author": [ { "reference": "Practitioner/5eede137ecfe4124b8b773040e33be14", "type": "Practitioner" } ], "custodian": { "reference": "Organization/00000000-0000-0000-0002-000000000000", "type": "Organization" }, "description": "Consultancy Report", "content": [ { "attachment": { "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/deprecated-url", "valueUri": "https://canvas-client-media.s3.amazonaws.com/training/dummy_BLseNPP.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=uBuEZpbxcCg4w9hZ6hAXLJxMGe8%3D&Expires=1709072108" } ], "contentType": "application/pdf", "url": "https://canvas-client-media.s3.amazonaws.com/training/dummy_BLseNPP.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=uBuEZpbxcCg4w9hZ6hAXLJxMGe8%3D&Expires=1709072108" }, "format": { "system": "http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem", "code": "urn:ihe:iti:xds:2017:mimeTypeSufficient", "display": "mimeType Sufficient" } } ] } }, { "resource": { "resourceType": "DocumentReference", "id": "d9a1304d-159d-4518-be88-3f9a1ea93cd1", "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/document-reference-comment", "valueString": "Disability form comment" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-clinical-date", "valueDate": "2023-12-12" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-review-mode", "valueCode": "RN" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-reviewer", "valueReference": { "reference": "Practitioner/4150cd20de8a470aa570a852859ac87e", "type": "Practitioner" } }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-priority", "valueBoolean": false } ], "status": "current", "type": { "text": "Disability Form" }, "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "patientadministrativedocument" } ] } ], "subject": { "reference": "Patient/c0df2c04a0e64b46ba7fe3f836068e49", "type": "Patient" }, "date": "2024-02-22T00:00:00+00:00", "author": [ { "reference": "Practitioner/5eede137ecfe4124b8b773040e33be14", "type": "Practitioner" } ], "custodian": { "reference": "Organization/00000000-0000-0000-0002-000000000000", "type": "Organization" }, "description": "Disability Form", "content": [ { "attachment": { "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/deprecated-url", "valueUri": "https://canvas-client-media.s3.amazonaws.com/training/dummy_BLseNPP.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=uBuEZpbxcCg4w9hZ6hAXLJxMGe8%3D&Expires=1709072108" } ], "contentType": "application/pdf", "url": "https://canvas-client-media.s3.amazonaws.com/training/dummy_BLseNPP.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=uBuEZpbxcCg4w9hZ6hAXLJxMGe8%3D&Expires=1709072108" }, "format": { "system": "http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem", "code": "urn:ihe:iti:xds:2017:mimeTypeSufficient", "display": "mimeType Sufficient" } } ] } }, { "resource": { "resourceType": "DocumentReference", "id": "bce56cc4-268a-4562-a699-16e8869415ad", "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/document-reference-comment", "valueString": "Hospital discharge summary comment" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-clinical-date", "valueDate": "2024-01-14" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-review-mode", "valueCode": "AR" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-reviewer", "valueReference": { "reference": "Practitioner/4150cd20de8a470aa570a852859ac87e", "type": "Practitioner" } }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-priority", "valueBoolean": true }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-requires-signature", "valueBoolean": false } ], "status": "current", "type": { "coding": [ { "system": "http://loinc.org", "code": "34105-7", "display": "Hospital Discharge summary" } ], "text": "Hospital Discharge summary" }, "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "uncategorizedclinicaldocument" } ] } ], "subject": { "reference": "Patient/c0df2c04a0e64b46ba7fe3f836068e49", "type": "Patient" }, "date": "2024-02-22T00:00:00+00:00", "author": [ { "reference": "Practitioner/fdb06c59cecd43d095884222fcd93717", "type": "Practitioner" } ], "custodian": { "reference": "Organization/00000000-0000-0000-0002-000000000000", "type": "Organization" }, "description": "Hospital Discharge Summary", "content": [ { "attachment": { "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/deprecated-url", "valueUri": "https://canvas-client-media.s3.amazonaws.com/training/dummy_BLseNPP.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=uBuEZpbxcCg4w9hZ6hAXLJxMGe8%3D&Expires=1709072108" } ], "contentType": "application/pdf", "url": "https://canvas-client-media.s3.amazonaws.com/training/dummy_BLseNPP.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=uBuEZpbxcCg4w9hZ6hAXLJxMGe8%3D&Expires=1709072108" }, "format": { "system": "http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem", "code": "urn:ihe:iti:xds:2017:mimeTypeSufficient", "display": "mimeType Sufficient" } } ] } }, { "resource": { "resourceType": "DocumentReference", "id": "d220fa24-2b2f-44cf-9843-5a1b681f0805", "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/document-reference-comment", "valueString": "Advance beneficiary comment" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-clinical-date", "valueDate": "2024-02-13" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-review-mode", "valueCode": "RN" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-reviewer", "valueReference": { "reference": "Practitioner/4150cd20de8a470aa570a852859ac87e", "type": "Practitioner" } }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-priority", "valueBoolean": true } ], "status": "current", "type": { "coding": [ { "system": "http://loinc.org", "code": "53243-2", "display": "Advanced beneficiary notice" } ], "text": "Advanced beneficiary notice" }, "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "patientadministrativedocument" } ] } ], "subject": { "reference": "Patient/c0df2c04a0e64b46ba7fe3f836068e49", "type": "Patient" }, "date": "2024-02-22T00:00:00+00:00", "author": [ { "reference": "Practitioner/5eede137ecfe4124b8b773040e33be14", "type": "Practitioner" } ], "custodian": { "reference": "Organization/00000000-0000-0000-0002-000000000000", "type": "Organization" }, "description": "Advanced Beneficiary Notice", "content": [ { "attachment": { "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/deprecated-url", "valueUri": "https://canvas-client-media.s3.amazonaws.com/training/dummy_BLseNPP.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=uBuEZpbxcCg4w9hZ6hAXLJxMGe8%3D&Expires=1709072108" } ], "contentType": "application/pdf", "url": "https://canvas-client-media.s3.amazonaws.com/training/dummy_BLseNPP.pdf?AWSAccessKeyId=AKIAQB7SIDR7EI2V32FZ&Signature=uBuEZpbxcCg4w9hZ6hAXLJxMGe8%3D&Expires=1709072108" }, "format": { "system": "http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem", "code": "urn:ihe:iti:xds:2017:mimeTypeSufficient", "display": "mimeType Sufficient" } } ] } }, { "resource": { "resourceType": "DocumentReference", "id": "04a71b54-89b0-49bf-96be-60b5bdfa6450", "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/document-reference-comment", "valueString": "Handicap Parking Permit comment" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-clinical-date", "valueDate": "2024-04-01" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-review-mode", "valueCode": "RN" }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-reviewer", "valueReference": { "reference": "Practitioner/4150cd20de8a470aa570a852859ac87e", "type": "Practitioner" } }, { "url": "http://schemas.canvasmedical.com/fhir/document-reference-priority", "valueBoolean": true } ], "status": "current", "type": { "text": "Handicap Parking Permit" }, "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "patientadministrativedocument" } ] } ], "subject": { "reference": "Patient/c0df2c04a0e64b46ba7fe3f836068e49", "type": "Patient" }, "date": "2024-02-22T00:00:00+00:00", "author": [ { 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