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DocumentReference Profile

Canonical../StructureDefinition/nexus-emr-core-documentreference
Statusdraft · 1.26.0
BaseDocumentReference (constraint)
CQL primary code pathtype — what this means
SourceFSH · JSON

Nexus EMR profile for an ATTACHED DOCUMENT -- a clinical document that exists as a file: scanned paper, incoming faxes, external consult letters received as PDF, signed consent forms, patient-uploaded files. FHIR holds the metadata and clinical context; the bytes live in document storage and are reached through content.attachment.url.

Examples

Allergy Consult Letter (challenge refuted) · Anemia Consultation Document · Cardiology Consult Letter (received) · Consent Withdrawal Evidence Document · Hrm discharge summary 20260618 · WSIB Form 8 (filed) · WSIB Form 8 Template (with field mapping)

WSIB Form 8 (filed)

A WSIB Form 8 filled for a patient and filed on the chart, marked under nexus-form with the same slug as its template and carrying no mapping -- the filled values are in the file

DocumentReference/wsib-form-8-filed-avery-linwood — claims conformance to DocumentReference Profile

{
  "resourceType": "DocumentReference",
  "id": "wsib-form-8-filed-avery-linwood",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-emr-core-documentreference"
    ]
  },
  "identifier": [
    {
      "system": "../NamingSystem/nexus-form",
      "value": "wsib-form-8"
    }
  ],
  "status": "current",
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "51851-4",
        "display": "Administrative Note"
      }
    ],
    "text": "Completed form"
  },
  "subject": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "date": "2026-08-26T14:20:00-04:00",
  "description": "WSIB Form 8 - Health Professional's Report",
  "author": [
    {
      "reference": "Practitioner/dr-emil-navarro",
      "display": "Dr. Emil Navarro"
    }
  ],
  "content": [
    {
      "attachment": {
        "contentType": "application/pdf",
        "language": "en",
        "title": "WSIB Form 8 - Avery Linwood - 2026-08-26",
        "creation": "2026-08-26T14:20:00-04:00",
        "data": "JVBERi0xLjUKJYCBgoMKMSAwIG9iago8PC9UeXBlL0NhdGFsb2cvUGFnZXMgMiAwIFIvTGFuZyhlbi1DQSkgPj4KZW5kb2JqCjIgMCBvYmoKPDwvVHlwZS9QYWdlcy9Db3VudC8xL0tpZHNbIDQgMCBSXSA+PgplbmRvYmoK",
        "size": 126
      }
    }
  ],
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml">WSIB Form 8 completed for Avery Linwood on 2026-08-26. Carries the nexus-form marker with the same slug its template carries, and references no template: a filed form survives its template's deletion.</div>"
  },
  "custodian": {
    "reference": "Organization/cedarbrook-clinic"
  }
}

Referenced by: Enclosures - Internal Medicine referral letter - Avery Linwood