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 This also includes superseded versions on notes.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.
get
/DocumentReference/{id}
DocumentReference read
Path Parameters
id required
string
The unique identifier for the DocumentReference
Response Payload Attributes
resourceType
string
The FHIR Resource name.
id
string
The identifier of the document reference.
identifier
array[json]
Other identifiers for the document.
Click to view child attributes
system
string
The namespace for the identifier value.
value
string
The identifier value that is unique.
status
enum [ current | superseded | entered-in-error]
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.
type
json
A coding for the type of document.
Click to view child attributes
coding
array[json]
Identifies where the definition of the code comes from.
Click to view child attributes
system
string
The system url of the coding.
code
string
The code value.
display
string
The display name of the coding.
text
string
Plain text representation of the type of document.
category
array[json]
The categorization of the document.
Click to view child attributes
coding
array[json]
Identifies where the definition of the code comes from.
Click to view child attributes
system
string
The system url of the coding.
code
string
The code value.
subject
json
Who/what is the subject of the document.
Click to view child attributes
reference
string
The reference string of the subject in the format of "Patient/a39cafb9d1b445be95a2e2548e12a787".
type
string
Type the reference refers to (e.g. “Patient”).
date
date
When this document reference was created.
author
array[json]
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.
custodian
json
Organization which maintains the document.
Click to view child attributes
reference
string
The reference string of the custodian in the format of "Organization/00000000-0000-0000-0002-000000000000".
type
string
Type the reference refers to (e.g. “Organization”).
content
array[json]
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.
Click to view child attributes
attachment
json
Where to access the document.
Click to view child attributes
contentType
string
Mime type of the content, with charset etc.
url
string
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
json
Extension for backward-compatible URLs
format
json
Format/content rules for the document
Click to view child attributes
system
string
The system url of the coding.
code
string
The code value.
display
string
The display name of the coding.
context
json
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.
Click to view child attributes
encounter
array[json]
Context of the document content
Click to view child attributes
reference
string
The reference string of the encounter in the format of "Encounter/879b35fd-3bc2-4ccd-98d7-954dd9b6d0a9".
type
string
Type the reference refers to (e.g. “Encounter”).
period
json
Time of service that is being documented
Click to view child attributes
start
datetime
Starting time with inclusive boundary of the encounter
end
datetime
End time with inclusive boundary, if not ongoing of the encounter
Responses
200 OK
Request was successful.
Errors
401 Unauthorized
The request requires user authentication.
403 Forbidden
The request requires user authorization.
404 Not Found
The requested resource was not found.
get
/DocumentReference
DocumentReference search
Query Parameters
_id
string
A Canvas-issued unique identifier
category
string
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).
patient
string
The patient reference associated to the document in the format Patient/a39cafb9d1b445be95a2e2548e12a787.
status
string
The status of the document reference
subject
string
The patient reference associated to the document in the format Patient/a39cafb9d1b445be95a2e2548e12a787. Can be used interchangeably with the patient parameter.
type
string
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
resourceType
string
The FHIR Resource name.
type
string
This element and value designate that the bundle is a search response. Search result bundles will always have the Bundle.type of searchset .
total
integer
The number of resources that match the search parameter.
link
array[json]
Attributes relevant to pagination, see our Pagination page for more detail.
Click to view child attributes
relation
enum [self|first|next|last]
The relation of the page search
url
The search url for the specific relation
entry
array[json]
The results bundle that lists out each object returned in the search
Click to view child attributes
resource
json
The attributes specific to the resource type, see the Attributes section below
Attributes
resourceType
string
The FHIR Resource name.
id
string
The identifier of the document reference.
identifier
array[json]
Other identifiers for the document.
Click to view child attributes
system
string
The namespace for the identifier value.
value
string
The identifier value that is unique.
status
enum [ current | superseded | entered-in-error]
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.
type
json
A coding for the type of document.
Click to view child attributes
coding
array[json]
Identifies where the definition of the code comes from.
Click to view child attributes
system
string
The system url of the coding.
code
string
The code value.
display
string
The display name of the coding.
text
string
Plain text representation of the type of document.
category
array[json]
The categorization of the document.
Click to view child attributes
coding
array[json]
Identifies where the definition of the code comes from.
Click to view child attributes
system
string
The system url of the coding.
code
string
The code value.
subject
json
Who/what is the subject of the document.
Click to view child attributes
reference
string
The reference string of the subject in the format of "Patient/a39cafb9d1b445be95a2e2548e12a787".
type
string
Type the reference refers to (e.g. “Patient”).
date
date
When this document reference was created.
author
array[json]
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.
custodian
json
Organization which maintains the document.
Click to view child attributes
reference
string
The reference string of the custodian in the format of "Organization/00000000-0000-0000-0002-000000000000".
type
string
Type the reference refers to (e.g. “Organization”).
content
array[json]
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.
Click to view child attributes
attachment
json
Where to access the document.
Click to view child attributes
contentType
string
Mime type of the content, with charset etc.
url
string
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
json
Extension for backward-compatible URLs
format
json
Format/content rules for the document
Click to view child attributes
system
string
The system url of the coding.
code
string
The code value.
display
string
The display name of the coding.
context
json
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.
Click to view child attributes
encounter
array[json]
Context of the document content
Click to view child attributes
reference
string
The reference string of the encounter in the format of "Encounter/879b35fd-3bc2-4ccd-98d7-954dd9b6d0a9".
type
string
Type the reference refers to (e.g. “Encounter”).
period
json
Time of service that is being documented
Click to view child attributes
start
datetime
Starting time with inclusive boundary of the encounter
end
datetime
End time with inclusive boundary, if not ongoing of the encounter
Responses
200 OK
Request was successful.
Errors
400 Bad Request
The request was invalid or cannot be otherwise served. An accompanying error message will explain further.
401 Unauthorized
The request requires user authentication.
403 Forbidden
The request requires user authorization.
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", "status": "current", "type": { "coding": [ { "system": "http://loinc.org", "code": "94093-2", "display": "Itemized bill" } ] }, "category": [ { "coding": [ { "system": "http://schemas.canvasmedical.com/fhir/document-reference-category", "code": "invoicefull" } ] } ], "subject": { "reference": "Patient/f3d750f5d77d403c96baef6a6055c6e7", "type": "Patient" }, "date": "2021-10-27T00:00:00+00:00", "author": [ { "reference": "Practitioner/4150cd20de8a470aa570a852859ac87e", "type": "Practitioner" } ], "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/invoices/f3d750f5d77d403c96baef6a6055c6e7_20211027_193132.pdf?AWSAccessKeyId=xxxx&Signature=xxxx&Expires=xxxx" } ], "contentType": "application/pdf", "url": "https://canvas-client-media.s3.amazonaws.com/training/invoices/f3d750f5d77d403c96baef6a6055c6e7_20211027_193132.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" }, "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", "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": "2024-02-22T00:00:00+00:00", "author": [ { "reference": "Practitioner/4150cd20de8a470aa570a852859ac87e", "type": "Practitioner" } ], "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/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", "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": "2024-02-21T00:00:00+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/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" }, "content": [ { "attachment": { "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/deprecated-url", 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