Implementation Guide
ePA MHD Service
Version 1.1.1 - 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" : {
        "use" : "usual",
        "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"
        },
        {
          "use" : "usual",
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:oid:2.25.104666037230925920288492414767863731214"
        }
      ],
      "status" : "current",
      "type" : {
        "coding" : [
          {
            "system" : "urn:oid:1.3.6.1.4.1.19376.3.276.1.5.9",
            "code" : "ADCH",
            "display" : "Administrative Checklisten"
          }
        ]
      },
      "category" : [
        {
          "coding" : [
            {
              "system" : "urn:oid:1.3.6.1.4.1.19376.3.276.1.5.8",
              "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" : "G995030566"
        },
        "display" : "Gundlach, Monika"
      },
      "author" : [
        {
          "type" : "Organization",
          "identifier" : {
            "system" : "https://gematik.de/fhir/sid/telematik-id",
            "value" : "1-2c47sd-e518"
          },
          "display" : "Arztpraxis Dr. Thilo Weber"
        }
      ],
      "description" : "Beispieldokument",
      "securityLabel" : [
        {
          "coding" : [
            {
              "system" : "urn:oid:2.16.840.1.113883.5.25",
              "code" : "N",
              "display" : "normal"
            }
          ]
        },
        {
          "coding" : [
            {
              "system" : "urn:oid:1.2.276.0.76.5.511",
              "code" : "reports",
              "display" : "Befunde/Diagnosen/Berichte"
            }
          ]
        }
      ],
      "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"
            }
          }
        ]
      }
    }