Implementation Guide
ePA MHD Service
Version 1.0.0 - release

: Example EPA MHD DocumentReference - JSON Representation

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{
  "resourceType" : "DocumentReference",
  "id" : "b2d5f8db-48ca-43c4-a540-6c8f2e853913",
  "meta" : {
    "profile" : [
      🔗 "https://gematik.de/fhir/epa-mhd/StructureDefinition/epa-mhd-document-reference"
    ]
  },
  "masterIdentifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.25.104666037230925920288492414767863731214"
  },
  "identifier" : [
    {
      "use" : "official",
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:uuid:b2d5f8db-48ca-43c4-a540-6c8f2e853913"
    }
  ],
  "status" : "current",
  "type" : {
    "coding" : [
      {
        "system" : "http://www.ihe-d.de/fhir/CodeSystem/Dokumententypen",
        "code" : "ADCH",
        "display" : "Administrative Checklisten"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://www.ihe-d.de/fhir/CodeSystem/Dokumentenklassen",
          "code" : "BEF",
          "display" : "Befundbericht"
        }
      ]
    }
  ],
  "subject" : {
    "type" : "Patient",
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://fhir.de/CodeSystem/identifier-type-de-basis",
            "code" : "KVZ10",
            "display" : "Krankenversichertennummer"
          }
        ]
      },
      "system" : "http://fhir.de/sid/gkv/kvid-10",
      "value" : "X110411319"
    }
  },
  "author" : [
    {
      "type" : "Organization",
      "identifier" : {
        "system" : "https://gematik.de/fhir/sid/telematik-id",
        "value" : "1-2c47sd-e518"
      }
    }
  ],
  "description" : "Beispieldokument",
  "content" : [
    {
      "attachment" : {
        "contentType" : "application/pdf",
        "language" : "de-DE",
        "url" : "http://epa4all/epa/mhd/retrieve/v1/content/b2d5f8db-48ca-43c4-a540-6c8f2e853913.pdf",
        "size" : 3654,
        "hash" : "yPnibUHWIkRejf1euZCDWQ==",
        "title" : "Neurologischer_Untersuchungsbefund.pdf",
        "creation" : "2025-12-01T09:03:24Z"
      },
      "format" : {
        "system" : "urn:oid:1.3.6.1.4.1.19376.3.276.1.5.6",
        "code" : "urn:ihe-d:spec:PDF_A1:2005",
        "display" : "PDF/A-1"
      }
    }
  ],
  "context" : {
    "event" : [
      {
        "coding" : [
          {
            "system" : "urn:oid:1.3.6.1.4.1.19376.3.276.1.5.16",
            "code" : "E200",
            "display" : "stationärer Aufenthalt"
          }
        ]
      }
    ],
    "period" : {
      "start" : "2025-11-28"
    },
    "facilityType" : {
      "coding" : [
        {
          "system" : "urn:oid:1.3.6.1.4.1.19376.3.276.1.5.2",
          "code" : "KHS",
          "display" : "Krankenhaus"
        }
      ]
    },
    "practiceSetting" : {
      "coding" : [
        {
          "system" : "urn:oid:1.3.6.1.4.1.19376.3.276.1.5.4",
          "code" : "NEUR",
          "display" : "Neurologie"
        }
      ]
    },
    "related" : [
      {
        "identifier" : {
          "system" : "urn:gematik:iti:xds:2023:rootDocumentUniqueId"
        }
      },
      {
        "identifier" : {
          "value" : "http://epa4all/epa/mhd/retrieve/v1/content/2.25.31457958586625016607071363908764203414.pdf"
        }
      }
    ]
  }
}