---
schema_version: "1"
id: fceb07b3b3ebfc748ae4201c2ba9546355da86593c11f8747d2007eac972c9b0
title: Clinical Diagnostics
collection: developer
version: current
locale: en-us
portal_url: https://docs.salesforce.com/developer/current/en-us/industries-integrations/health/references/generated-api-specs/clinical_diagnostics.md
canonical_url: https://developer.salesforce.com/docs/industries/health/references/clinical_diagnostics
source_site: developer.salesforce.com
content_type: documentation
content_hash: 21f4f4971a31e5e46a1121bee6a340c41393d4ecb12d7e11fc0e84290abae66a
products:
  - Salesforce Healthcare API
  - Industries Integrations
---
Clinical Diagnostics

# Clinical Diagnostics

Use the FHIR R4 Clinical Diagnostics API to manage the Observation, DiagnosticReport, and DocumentReference resources. The Observation resource records details, such as clinical laboratory data and vital signs. The DiagnosticReport resource provides details related to a diagnostic service such as a Radiology report or Pathology report. The DocumentReference resource indexes a document, clinical note, and other binary objects to make them available to a healthcare system.

**Version:** v1

Protocols: https.

## Operations

### GET Retrieves all observations

`GET /Observation`

Retrieves a set of resources by using filters.

#### Parameters

*   `code` (query, string) The code of the observation type.
*   `patient` (query, string) The subject that the observation is about if subject is a patient.
*   `X-CORRELATION-ID` (header, string)

#### Responses

*   **200**
    
    Media type: `application/fhir+json`. Schema: `ObservationBundle`.
    
    Contains a collection of resources.
    
    *   Rule: total only for search results or history.
    *   Rule: entry.search only for a search request.
    *   Rule: entry.request mandatory for batch, transaction, or history, else prohibited.
    *   Rule: entry.response mandatory for batch-response, transaction-response, or history, else prohibited.
    *   Rule: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles).
    *   Rule: A document must have an identifier with a system and a value.
    *   Rule: A document must have a date.
    *   Rule: A document must have a Composition resource as the first resource.
    *   Rule: A message must have a MessageHeader resource as the first resource. Elements defined in Ancestors: id, meta, implicitRules, and language.
    
    _Example_
    
    ```
    {
        "resourceType": "Bundle",
        "id": "5410528a-15ed-45cc-b18a-fe87f65ca2b7",
        "meta": {
            "lastUpdated": "2023-08-08T10:03:38.569Z"
        },
        "type": "searchset",
        "total": 1,
        "link": [
            {
                "relation": "self",
                "url": "https://healthcloud.lb.anypointdns.net/clinical-diagnostics/fhir-r4/v1/Observation?code=http://loinc.org%7C57837-99&patient=001RO00000AzQZ9YAN"
            }
        ],
        "entry": [
            {
                "fullUrl": "https://healthcloud.lb.anypointdns.net/clinical-diagnostics/fhir-r4/v1/Observation/0hIRO00000006zf2AA",
                "search": {
                    "mode": "match"
                },
                "resource": {
                    "resourceType": "Observation",
                    "id": "0hIRO00000006zf2AA",
                    "name": "Observation Data",
                    "status": "final",
                    "category": [
                        {
                            "coding": [
                                {
                                    "code": "vital-sign",
                                    "system": "http://terminology.hl7.org/CodeSystem/observation-category"
                                }
                            ]
                        }
                    ],
                    "code": {
                        "coding": [
                            {
                                "system": "http://loinc.org",
                                "code": "57837-99",
                                "display": "Body weight"
                            }
                        ]
                    },
                    "subject": {
                        "reference": "Patient/001RO00000AzQZ9YAN"
                    },
                    "effectivePeriod": {
                        "start": "2008-07-17T23:23:00.000Z",
                        "end": "2009-07-17T23:23:00.000Z"
                    },
                    "issued": "2004-05-13T15:49:49.000Z",
                    "performer": [{
                        "reference": "Patient/001RO00000AzQZ9YAN",
                        "type": "Patient"
                    }],
                    "bodySite": {
                        "coding": [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "65904435",
                                "display": "Left external ear structure"
                            }
                        ],
                        "text": "Left external ear structure"
                    },
                    "interpretation": [
                        {
                            "coding": [
                                {
                                    "code": "468359832"
                                }
                            ]
                        }
                    ],
                    "method": {
                        "coding": [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "867859167",
                                "display": "Negative"
                            },
                            {
                                "system": "https://acme.lab/resultcodes",
                                "code": "KAG1",
                                "display": "Negative"
                            }
                        ],
                        "text": "Negative"
                    },
                    "referenceRange": [
                        {
                            "low": {
                                "value": 7.9
                            },
                            "high": {
                                "value": 72.95
                            },
                            "text": "Negative for Chlamydia Trachomatis rRNA"
                        }
                    ],
                    "component": [
                        {
                            "name": "Observatioon Component Data",
                            "code": {
                                "coding": [
                                    {
                                        "system": "http://loinc.org",
                                        "code": "745968-97",
                                        "display": "Body weight"
                                    }
                                ],
                                "text": "Body weight"
                            },
                            "dataAbsentReason": {
                                "coding": [
                                    {
                                        "code": "157183"
                                    }
                                ]
                            },
                            "interpretation": [
                                {
                                    "coding": [
                                        {
                                            "system": "http://snomed.info/sct",
                                            "code": "768976-09",
                                            "display": "Negative"
                                        },
                                        {
                                            "system": "https://acme.lab/resultcodes",
                                            "code": "DFG1",
                                            "display": "Negative"
                                        }
                                    ],
                                    "text": "Negative"
                                }
                            ],
                            "referenceRange": [
                                {
                                    "low": {
                                        "value": 7.81,
                                        "unit": "mm",
                                        "code": "mm[Hg]"
                                    },
                                    "high": {
                                        "value": 72.96,
                                        "unit": "mm",
                                        "code": "mm[Hg]"
                                    },
                                    "text": "Negative for Chlamydia Trachomatis rRNA"
                                }
                            ],
                            "valueQuantity": {
                                "value": 99.94,
                                "unit": "ratio",
                                "code": "ratio"
                            }
                        }
                    ],
                    "valueBoolean": "false"
                }
            }
        ]
    }
    ```
    
*   **503** There was an error connecting to Salesforce.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example_
    
    ```
    {
        "resourceType": "OperationOutcome",
        "issue": [
            {
                "severity": "error",
                "code": "code-invalid",
                "details": {
                    "text": "DiagnosticReport details not found."
                }
            }
        ]
    }
    ```
    

### POST Creates an observation

`POST /Observation`

Creates an Observation, DiagnosticReport, or DocumentReference record.

#### Parameters

*   `X-CORRELATION-ID` (header, string)
*   `Accept` (header, string)  
    Allowed values: `application/fhir+json`.

#### Request body

Media type: `application/fhir+json`. Schema: `Observation`.

Specifies the base resource.

_Example_

```
{
    "resourceType": "Observation",
    "name": "Observation Data",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-sign",
                    "display": "vital-sign"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "57837-99",
                "display": "Body weight"
            },
            {
                "system": "http://loinc.org",
                "code": "57067-96",
                "display": "Body weight"
            },
            {
                "system": "http://loinc.org",
                "code": "56877-97",
                "display": "Body weight"
            }
        ],
        "text": "Body weight"
    },
    "subject": {
        "reference": "Patient/001RO00000AzQZ9YAN"
    },
    
    "effectivePeriod": {
        "start": "2008-07-18T09:23:00+10:00",
        "end": "2009-07-18T09:23:00+10:00"
    },
    "issued": "2004-05-13T10:49:49.073-05:00",
    "performer": [
        {
            "reference": "Account/001RO00000AzQZ9YAN",
            "display": "Dr Henry Seven"
        }
    ],
    "valueQuantity": {
    "value": 99.97,
    "system": "http://unitsofmeasure.org",
    "code": "ratio"
  },
  
    "interpretation": [
        {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "468359832",
                    "display": "Negative"
                },
                {
                    "system": "https://acme.lab/resultcodes",
                    "code": "GTN",
                    "display": "Negative"
                }
            ],
            "text": "Negative for Chlamydia Trachomatis rRNA"
        }
    ],
    "bodySite": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "65904435",
                "display": "Left external ear structure"
            }
        ],
        "text": "Left Ear"
    },
    "method": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "867859167",
                "display": "Negative"
            },
            {
                "system": "https://acme.lab/resultcodes",
                "code": "KAG1",
                "display": "Negative"
            }
        ],
        "text": "Negative for Chlamydia Trachomatis rRNA"
    },
    "referenceRange": [
        {
            "low": {
                "value": 7.9,
                "unit": "mm[Hg]",
                "code": "mm"
            },
            "high": {
                "value": 72.95,
                "unit": "mm[Hg]",
                "code": "mm"
            },
            "text": "Negative for Chlamydia Trachomatis rRNA"
        }
    ],
	"component": [{
        "name": "Observatioon Component Data",
		"code": {
			"coding": [{
				"system": "http://loinc.org",
				"code": "745968-97",
				"display": "Body weight"
			}],
			"text": "Body weight"
		},
	"valueQuantity": {
    "value": 99.94,
    "system": "http://unitsofmeasure.org",
    "code": "ratio"
  },
		
		"dataAbsentReason": {
			"coding": [{
				"system": "http://snomed.info/sct",
				"code": "157183",
				"display": "Negative"
			}, {
				"system": "https://acme.lab/resultcodes",
				"code": "FYA",
				"display": "Negative"
			}],
			"text": "Negative for Chlamydia Trachomatis rRNA"
		},
		"interpretation": [{
			"coding": [{
				"system": "http://snomed.info/sct",
				"code": "768976-09",
				"display": "Negative"
			}, {
				"system": "https://acme.lab/resultcodes",
				"code": "DFG1",
				"display": "Negative"
			}],
			"text": "Negative for Chlamydia Trachomatis rRNA"
		}],
		"referenceRange": [{
			"low": {
				"value": 7.81,
				"unit": "mm[Hg]",
				"code": "mm"
			},
			"high": {
				"value": 72.96,
				"unit": "mm[Hg]",
				"code": "mm"
			},
			"text": "Negative for Chlamydia Trachomatis rRNA"

		}]
	}]
}
```

#### Responses

*   **201** No match found. Resource created.
    
    Headers:
    
    *   `Location` (string, required) Specifies the URL where the resource can be fetched in subsequent requests.  
        Example: `http://xxx/Observation/123`.
    
    Media type: `application/fhir+json`. Schema: `Observation (extended)`.
    
    Specifies the base resource.
    
    Includes all fields of `Observation`.
    
    *   `id` (_string_) Specifies the ID of the created object.  
        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
    
    _Example_
    
    ```
    {
        "resourceType": "Observation",
        "name": "Observation Data",
        "status": "final",
        "category": [
            {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                        "code": "vital-sign",
                        "display": "vital-sign"
                    }
                ]
            }
        ],
        "code": {
            "coding": [
                {
                    "system": "http://loinc.org",
                    "code": "57837-99",
                    "display": "Body weight"
                },
                {
                    "system": "http://loinc.org",
                    "code": "57067-96",
                    "display": "Body weight"
                },
                {
                    "system": "http://loinc.org",
                    "code": "56877-97",
                    "display": "Body weight"
                }
            ],
            "text": "Body weight"
        },
        "subject": {
            "reference": "Patient/001RO00000AzQZ9YAN"
        },
        
        "effectivePeriod": {
            "start": "2008-07-18T09:23:00+10:00",
            "end": "2009-07-18T09:23:00+10:00"
        },
        "issued": "2004-05-13T10:49:49.073-05:00",
        "performer": [
            {
                "reference": "Account/001RO00000AzQZ9YAN",
                "display": "Dr Henry Seven"
            }
        ],
        "valueQuantity": {
        "value": 99.97,
        "system": "http://unitsofmeasure.org",
        "code": "ratio"
      },
      
        "interpretation": [
            {
                "coding": [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "468359832",
                        "display": "Negative"
                    },
                    {
                        "system": "https://acme.lab/resultcodes",
                        "code": "GTN",
                        "display": "Negative"
                    }
                ],
                "text": "Negative for Chlamydia Trachomatis rRNA"
            }
        ],
        "bodySite": {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "65904435",
                    "display": "Left external ear structure"
                }
            ],
            "text": "Left Ear"
        },
        "method": {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "867859167",
                    "display": "Negative"
                },
                {
                    "system": "https://acme.lab/resultcodes",
                    "code": "KAG1",
                    "display": "Negative"
                }
            ],
            "text": "Negative for Chlamydia Trachomatis rRNA"
        },
        "referenceRange": [
            {
                "low": {
                    "value": 7.9,
                    "unit": "mm[Hg]",
                    "code": "mm"
                },
                "high": {
                    "value": 72.95,
                    "unit": "mm[Hg]",
                    "code": "mm"
                },
                "text": "Negative for Chlamydia Trachomatis rRNA"
            }
        ],
    	"component": [{
            "name": "Observatioon Component Data",
    		"code": {
    			"coding": [{
    				"system": "http://loinc.org",
    				"code": "745968-97",
    				"display": "Body weight"
    			}],
    			"text": "Body weight"
    		},
    	"valueQuantity": {
        "value": 99.94,
        "system": "http://unitsofmeasure.org",
        "code": "ratio"
      },
    		
    		"dataAbsentReason": {
    			"coding": [{
    				"system": "http://snomed.info/sct",
    				"code": "157183",
    				"display": "Negative"
    			}, {
    				"system": "https://acme.lab/resultcodes",
    				"code": "FYA",
    				"display": "Negative"
    			}],
    			"text": "Negative for Chlamydia Trachomatis rRNA"
    		},
    		"interpretation": [{
    			"coding": [{
    				"system": "http://snomed.info/sct",
    				"code": "768976-09",
    				"display": "Negative"
    			}, {
    				"system": "https://acme.lab/resultcodes",
    				"code": "DFG1",
    				"display": "Negative"
    			}],
    			"text": "Negative for Chlamydia Trachomatis rRNA"
    		}],
    		"referenceRange": [{
    			"low": {
    				"value": 7.81,
    				"unit": "mm[Hg]",
    				"code": "mm"
    			},
    			"high": {
    				"value": 72.96,
    				"unit": "mm[Hg]",
    				"code": "mm"
    			},
    			"text": "Negative for Chlamydia Trachomatis rRNA"
    
    		}]
    	}],
    "id": "123"
    }
    ```
    
*   **400** Precondition failed error indicating insufficient client criteria.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    
*   **503** There was an error connecting to Salesforce.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    

### GET Retrieves an observation by ID

`GET /Observation/{id}`

Retrieves the current content of a resource.

#### Parameters

*   `id` (path, id, required)
*   `X-CORRELATION-ID` (header, string)
*   `Accept` (header, string)  
    Allowed values: `application/fhir+json`.

#### Responses

*   **200**
    
    Media type: `application/fhir+json`. Schema: `Observation`.
    
    Specifies the base resource.
    
    _Example_
    
    ```
    {
        "resourceType": "Observation",
        "id": "0hIRO000000072K2AQ",
        "name": "Observation Data",
        "status": "final",
        "category": [
            {
                "coding": [
                    {
                        "code": "vital-sign",
                        "system": "http://terminology.hl7.org/CodeSystem/observation-category"
                    }
                ]
            }
        ],
        "code": {
            "coding": [
                {
                    "system": "http://loinc.org",
                    "code": "57837-99",
                    "display": "Body weight"
                }
            ]
        },
        "subject": {
            "reference": "Patient/001RO00000AzQZ9YAN"
        },
        "effectivePeriod": {
            "start": "2008-07-17T23:23:00.000Z",
            "end": "2009-07-17T23:23:00.000Z"
        },
        "issued": "2004-05-13T15:49:49.000Z",
        "performer": [{
            "reference": "Patient/001RO00000AzQZ9YAN",
            "type": "Patient"
        }],
        "bodySite": {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "65904435",
                    "display": "Left external ear structure"
                }
            ],
            "text": "Left external ear structure"
        },
        "interpretation": [
            {
                "coding": [
                    {
                        "code": "468359832"
                    }
                ]
            }
        ],
        "method": {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "867859167",
                    "display": "Negative"
                },
                {
                    "system": "https://acme.lab/resultcodes",
                    "code": "KAG1",
                    "display": "Negative"
                }
            ],
            "text": "Negative"
        },
        "referenceRange": [
            {
                "low": {
                    "value": 7.9,
                    "unit": "mm",
                    "code": "mm[Hg]"
                },
                "high": {
                    "value": 72.95,
                    "unit": "mm",
                    "code": "mm[Hg]"
                },
                "text": "Negative for Chlamydia Trachomatis rRNA"
            }
        ],
        "component": [
            {
                "name": "Observatioon Component Data",
                "code": {
                    "coding": [
                        {
                            "system": "http://loinc.org",
                            "code": "745968-97",
                            "display": "Body weight"
                        }
                    ],
                    "text": "Body weight"
                },
                "dataAbsentReason": {
                    "coding": [
                        {
                            "code": "157183"
                        }
                    ]
                },
                "interpretation": [
                    {
                        "coding": [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "768976-09",
                                "display": "Negative"
                            },
                            {
                                "system": "https://acme.lab/resultcodes",
                                "code": "DFG1",
                                "display": "Negative"
                            }
                        ],
                        "text": "Negative"
                    }
                ],
                "referenceRange": [
                    {
                        "low": {
                            "value": 7.81,
                            "unit": "mm",
                            "code": "mm[Hg]"
                        },
                        "high": {
                            "value": 72.96,
                            "unit": "mm",
                            "code": "mm[Hg]"
                        },
                        "text": "Negative for Chlamydia Trachomatis rRNA"
                    }
                ],
                "valueQuantity": {
                    "value": 99.94,
                    "unit": "ratio",
                    "code": "ratio"
                }
            }
        ],
        "valueQuantity": {
            "value": 99.97,
            "unit": "ratio",
            "code": "ratio"
        }
    }
    ```
    
*   **404**
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    
*   **503** There was an error connecting to Salesforce.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    

### PUT Updates an observation by ID

`PUT /Observation/{id}`

Creates an Observation, DiagnosticReport, or DocumentReference record if no record exists for the specified ID or updates an existing record.

#### Parameters

*   `id` (path, id, required)
*   `X-CORRELATION-ID` (header, string)
*   `Accept` (header, string)  
    Allowed values: `application/fhir+json`.

#### Request body

Media type: `application/fhir+json`. Schema: `Observation`.

Specifies the base resource.

_Example_

```
{
    "resourceType": "Observation",
    "name": "Observation Data",
	"id": "123",
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "vital-sign",
                    "display": "vital-sign"
                }
            ]
        }
    ],
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "57837-99",
                "display": "Body weight"
            },
            {
                "system": "http://loinc.org",
                "code": "57067-96",
                "display": "Body weight"
            },
            {
                "system": "http://loinc.org",
                "code": "56877-97",
                "display": "Body weight"
            }
        ],
        "text": "Body weight"
    },
    "subject": {
        "reference": "Patient/001RO00000AzQZ9YAN"
    },
    
    "effectivePeriod": {
        "start": "2008-07-18T09:23:00+10:00",
        "end": "2009-07-18T09:23:00+10:00"
    },
    "issued": "2004-05-13T10:49:49.073-05:00",
    "performer": [
        {
            "reference": "Account/001RO00000AzQZ9YAN",
            "display": "Dr Henry Seven"
        }
    ],
    "valueQuantity": {
    "value": 99.97,
    "system": "http://unitsofmeasure.org",
    "code": "ratio"
  },
  
    "interpretation": [
        {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "468359832",
                    "display": "Negative"
                },
                {
                    "system": "https://acme.lab/resultcodes",
                    "code": "GTN",
                    "display": "Negative"
                }
            ],
            "text": "Negative for Chlamydia Trachomatis rRNA"
        }
    ],
    "bodySite": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "65904435",
                "display": "Left external ear structure"
            }
        ],
        "text": "Left Ear"
    },
    "method": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "867859167",
                "display": "Negative"
            },
            {
                "system": "https://acme.lab/resultcodes",
                "code": "KAG1",
                "display": "Negative"
            }
        ],
        "text": "Negative for Chlamydia Trachomatis rRNA"
    },
    "referenceRange": [
        {
            "low": {
                "value": 7.9,
                "unit": "mm[Hg]",
                "code": "mm"
            },
            "high": {
                "value": 72.95,
                "unit": "mm[Hg]",
                "code": "mm"
            },
            "text": "Negative for Chlamydia Trachomatis rRNA"
        }
    ],
	"component": [{
        "name": "Observatioon Component Data",
		"code": {
			"coding": [{
				"system": "http://loinc.org",
				"code": "745968-97",
				"display": "Body weight"
			}],
			"text": "Body weight"
		},
	"valueQuantity": {
    "value": 99.94,
    "system": "http://unitsofmeasure.org",
    "code": "ratio"
  },
		
		"dataAbsentReason": {
			"coding": [{
				"system": "http://snomed.info/sct",
				"code": "157183",
				"display": "Negative"
			}, {
				"system": "https://acme.lab/resultcodes",
				"code": "FYA",
				"display": "Negative"
			}],
			"text": "Negative for Chlamydia Trachomatis rRNA"
		},
		"interpretation": [{
			"coding": [{
				"system": "http://snomed.info/sct",
				"code": "768976-09",
				"display": "Negative"
			}, {
				"system": "https://acme.lab/resultcodes",
				"code": "DFG1",
				"display": "Negative"
			}],
			"text": "Negative for Chlamydia Trachomatis rRNA"
		}],
		"referenceRange": [{
			"low": {
				"value": 7.81,
				"unit": "mm[Hg]",
				"code": "mm"
			},
			"high": {
				"value": 72.96,
				"unit": "mm[Hg]",
				"code": "mm"
			},
			"text": "Negative for Chlamydia Trachomatis rRNA"

		}]
	}]
}
```

#### Responses

*   **200** Request was successful.
    
    Headers:
    
    *   `Location` (string, required) Specifies the URL where the resource can be fetched in subsequent requests.  
        Example: `http://xxx/Observation/123`.
    
    Media type: `application/fhir+json`. Schema: `Observation (extended)`.
    
    Specifies the base resource.
    
    Includes all fields of `Observation`.
    
    *   `id` (_string_, required) Specifies the ID of the created or updated resource.  
        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
    
    _Example_
    
    ```
    {
        "resourceType": "Observation",
        "id": "0hIRO000000072K2AQ",
        "name": "Observation Data",
        "status": "final",
        "category": [
            {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                        "code": "vital-sign",
                        "display": "vital-sign"
                    }
                ]
            }
        ],
        "code": {
            "coding": [
                {
                    "system": "http://loinc.org",
                    "code": "57837-99",
                    "display": "Body weight"
                },
                {
                    "system": "http://loinc.org",
                    "code": "57067-96",
                    "display": "Body weight"
                },
                {
                    "system": "http://loinc.org",
                    "code": "56877-97",
                    "display": "Body weight"
                }
            ],
            "text": "Body weight"
        },
        "subject": {
            "reference": "Patient/001RO00000AzQZ9YAN"
        },
        
        "effectivePeriod": {
            "start": "2008-07-18T09:23:00+10:00",
            "end": "2009-07-18T09:23:00+10:00"
        },
        "issued": "2004-05-13T10:49:49.073-05:00",
        "performer": [
            {
                "reference": "Account/001RO00000AzQZ9YAN",
                "display": "Dr Henry Seven"
            }
        ],
        "valueQuantity": {
        "value": 99.97,
        "system": "http://unitsofmeasure.org",
        "code": "ratio"
      },
      
        "interpretation": [
            {
                "coding": [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "468359832",
                        "display": "Negative"
                    },
                    {
                        "system": "https://acme.lab/resultcodes",
                        "code": "GTN",
                        "display": "Negative"
                    }
                ],
                "text": "Negative for Chlamydia Trachomatis rRNA"
            }
        ],
        "bodySite": {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "65904435",
                    "display": "Left external ear structure"
                }
            ],
            "text": "Left Ear"
        },
        "method": {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "867859167",
                    "display": "Negative"
                },
                {
                    "system": "https://acme.lab/resultcodes",
                    "code": "KAG1",
                    "display": "Negative"
                }
            ],
            "text": "Negative for Chlamydia Trachomatis rRNA"
        },
        "referenceRange": [
            {
                "low": {
                    "value": 7.9,
                    "unit": "mm[Hg]",
                    "code": "mm"
                },
                "high": {
                    "value": 72.95,
                    "unit": "mm[Hg]",
                    "code": "mm"
                },
                "text": "Negative for Chlamydia Trachomatis rRNA"
            }
        ],
    	"component": [{
            "name": "Observatioon Component Data",
    		"code": {
    			"coding": [{
    				"system": "http://loinc.org",
    				"code": "745968-97",
    				"display": "Body weight"
    			}],
    			"text": "Body weight"
    		},
    	"valueQuantity": {
        "value": 99.94,
        "system": "http://unitsofmeasure.org",
        "code": "ratio"
      },
    		
    		"dataAbsentReason": {
    			"coding": [{
    				"system": "http://snomed.info/sct",
    				"code": "157183",
    				"display": "Negative"
    			}, {
    				"system": "https://acme.lab/resultcodes",
    				"code": "FYA",
    				"display": "Negative"
    			}],
    			"text": "Negative for Chlamydia Trachomatis rRNA"
    		},
    		"interpretation": [{
    			"coding": [{
    				"system": "http://snomed.info/sct",
    				"code": "768976-09",
    				"display": "Negative"
    			}, {
    				"system": "https://acme.lab/resultcodes",
    				"code": "DFG1",
    				"display": "Negative"
    			}],
    			"text": "Negative for Chlamydia Trachomatis rRNA"
    		}],
    		"referenceRange": [{
    			"low": {
    				"value": 7.81,
    				"unit": "mm[Hg]",
    				"code": "mm"
    			},
    			"high": {
    				"value": 72.96,
    				"unit": "mm[Hg]",
    				"code": "mm"
    			},
    			"text": "Negative for Chlamydia Trachomatis rRNA"
    
    		}]
    	}]
    }
    ```
    
*   **201** Created.
    
    Headers:
    
    *   `Location` (string, required) Specifies the URL where the resource can be fetched in subsequent requests.  
        Example: `http://xxx/Observation/123`.
    
    Media type: `application/fhir+json`. Schema: `Observation (extended)`.
    
    Specifies the base resource.
    
    Includes all fields of `Observation`.
    
    *   `id` (_string_, required) Specifies the ID of the created or updated resource.  
        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
    
    _Example: same as PUT /Observation/{id} 200 response._
    
*   **400** Resource can’t be parsed or failed basic FHIR validation rules.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    
*   **503** There was an error connecting to Salesforce.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    

### GET Retrieves all diagnostic reports

`GET /DiagnosticReport`

Retrieves a set of resources by using filters.

#### Parameters

*   `code` (query, string) Specifies the code for the report, as opposed to the codes for the atomic results, which are the names on the observation resource referred to from the result.
*   `patient` (query, string) Specifies the subject of the report if the subject is a patient.
*   `X-CORRELATION-ID` (header, string)

#### Responses

*   **200**
    
    Media type: `application/fhir+json`. Schema: `DiagnosticReportBundle`.
    
    An entry in the bundle includes a resource or information.
    
    *   Rule: The entry must be a resource unless there's a request or response.
    *   Rule: The fullUrl property can't be a version-specific reference. For bundles of the document and message types, the first resource must be Composition and MessageHeader resources, respectively. For all bundles, the meaning of the order of entries depends on the bundle type.
    
    _Example_
    
    ```
    {
        "resourceType": "Bundle",
        "id": "41c6ece8-e7d9-420c-9105-a0470079669b",
        "meta": {
            "lastUpdated": "2023-08-08T09:53:22.505Z"
        },
        "type": "searchset",
        "total": 4,
        "link": [
            {
                "relation": "self",
                "url": "https://healthcloud.lb.anypointdns.net/clinical-diagnostics/fhir-r4/v1/DiagnosticReport?patient=001RO00000AzQZ9YAN&code=urn:oid:1.2.840.114350.1.13.0.1.7.2.696580%7C1696"
            }
        ],
        "entry": [
            {
                "fullUrl": "https://healthcloud.lb.anypointdns.net/clinical-diagnostics/fhir-r4/v1/DiagnosticReport/0lQRO00000006ss2AA",
                "search": {
                    "mode": "match"
                },
                "resource": {
                    "resourceType": "DiagnosticReport",
                    "id": "0lQRO00000006ss2AA",
                    "status": "final",
                    "code": {
                        "coding": [
                            {
                                "system": "http://loinc.org",
                                "code": "57567-99"
                            },
                            {
                                "system": "http://loinc.org",
                                "code": "57837-98"
                            },
                            {
                                "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.696580",
                                "code": "1696"
                            },
                            {
                                "system": "urn:oid:2.16.840.1.113883.6.96",
                                "code": "9564003"
                            }
                        ]
                    },
                    "subject": {
                        "reference": "Patient/001RO00000AzQZ9YAN"
                    }
                }
            },
            {
                "fullUrl": "https://healthcloud.lb.anypointdns.net/clinical-diagnostics/fhir-r4/v1/DiagnosticReport/0lQRO00000006sn2AA",
                "search": {
                    "mode": "match"
                },
                "resource": {
                    "resourceType": "DiagnosticReport",
                    "id": "0lQRO00000006sn2AA",
                    "status": "final",
                    "category": [
                        {
                            "coding": [
                                {
                                    "code": "Lab",
                                    "display": "Lab"
                                }
                            ]
                        }
                    ],
                    "code": {
                        "coding": [
                            {
                                "system": "http://loinc.org",
                                "code": "57567-99"
                            },
                            {
                                "system": "http://loinc.org",
                                "code": "57837-98"
                            },
                            {
                                "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.696580",
                                "code": "1696"
                            },
                            {
                                "system": "urn:oid:2.16.840.1.113883.6.96",
                                "code": "9564003"
                            }
                        ]
                    },
                    "subject": {
                        "reference": "Patient/001RO00000AzQZ9YAN"
                    },
                    "effectivePeriod": {
                        "start": "2008-06-17T23:23:00.000Z",
                        "end": "2009-06-17T23:23:00.000Z"
                    },
                    "issued": "2019-05-28T14:21:00.000Z",
                    "result": [
                        {
                            "reference": "Observation/0hIRO000000072A2AQ"
                        }
                    ]
                }
            },
            {
                "fullUrl": "https://healthcloud.lb.anypointdns.net/clinical-diagnostics/fhir-r4/v1/DiagnosticReport/0lQRO00000006sx2AA",
                "search": {
                    "mode": "match"
                },
                "resource": {
                    "resourceType": "DiagnosticReport",
                    "id": "0lQRO00000006sx2AA",
                    "identifier": [
                        {
                            "use": "usual",
                            "value": "1066900",
                            "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.798268"
                        }
                    ],
                    "status": "final",
                    "category": [
                        {
                            "coding": [
                                {
                                    "code": "Lab",
                                    "display": "Lab"
                                }
                            ]
                        }
                    ],
                    "code": {
                        "coding": [
                            {
                                "system": "http://loinc.org",
                                "code": "57567-99"
                            },
                            {
                                "system": "http://loinc.org",
                                "code": "57837-98"
                            },
                            {
                                "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.696580",
                                "code": "1696"
                            },
                            {
                                "system": "urn:oid:2.16.840.1.113883.6.96",
                                "code": "9564003"
                            }
                        ]
                    },
                    "subject": {
                        "reference": "Patient/001RO00000AzQZ9YAN"
                    },
                    "effectivePeriod": {
                        "start": "2008-06-17T23:23:00.000Z",
                        "end": "2009-06-17T23:23:00.000Z"
                    },
                    "issued": "2019-05-28T14:21:00.000Z",
                    "result": [
                        {
                            "reference": "Observation/0hIRO000000072A2AQ"
                        }
                    ]
                }
            },
            {
                "fullUrl": "https://healthcloud.lb.anypointdns.net/clinical-diagnostics/fhir-r4/v1/DiagnosticReport/0lQRO00000006si2AA",
                "search": {
                    "mode": "match"
                },
                "resource": {
                    "resourceType": "DiagnosticReport",
                    "id": "0lQRO00000006si2AA",
                    "status": "final",
                    "code": {
                        "coding": [
                            {
                                "system": "http://loinc.org",
                                "code": "57567-99"
                            },
                            {
                                "system": "http://loinc.org",
                                "code": "57837-98"
                            },
                            {
                                "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.696580",
                                "code": "1696"
                            },
                            {
                                "system": "urn:oid:2.16.840.1.113883.6.96",
                                "code": "9564003"
                            }
                        ]
                    },
                    "subject": {
                        "reference": "Patient/001RO00000AzQZ9YAN"
                    }
                }
            }
        ]
    }
    ```
    
*   **503** There was an error connecting to Salesforce.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    

### POST Creates a diagnostic report

`POST /DiagnosticReport`

Creates an Observation, DiagnosticReport, or DocumentReference record.

#### Parameters

*   `X-CORRELATION-ID` (header, string)
*   `Accept` (header, string)  
    Allowed values: `application/fhir+json`.

#### Request body

Media type: `application/fhir+json`. Schema: `DiagnosticReport`.

Specifies the base resource.

_Example_

```
{
    "resourceType": "DiagnosticReport",
    "identifier": [
        {
            "use": "official",
            "type": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "PLAC",
                        "display": "Placer Identifier"
                    }
                ],
                "text": "Placer Identifier"
            },
            "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.798268",
            "value": "1066900"
        },
        {
            "use": "usual",
            "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.798268",
            "type": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "MOPA",
                        "display": "Misses"
                    }
                ]
            },
            "value": "18-4438749"
        }
    ],
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "urn:oid:1.2.840.114350.1.13.0.1.7.10.798268.30",
                    "code": "Lab"
                },
                {
                    "system": "urn:oid:1.2.840.114350.1.13.0.1.7.10.798268.30",
                    "code": "Lab"
                }
            ],
            "text": "Lab"
        },
        {
            "coding": [
                {
                    "system": "urn:oid:1.2.840.114350.1.13.0.1.7.10.798268.30",
                    "code": "Lab"
                },
                {
                    "system": "urn:oid:1.2.840.114350.1.13.0.1.7.10.798268.30",
                    "code": "Lab"
                }
            ],
            "text": "Lab"
        }
    ],
    "code": {
        "coding": [
            {
                "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.696580",
                "code": "1696",
                "display": "CBC AND DIFFERENTIAL"
            },
            {
                "system": "urn:oid:2.16.840.1.113883.6.96",
                "code": "9564003",
                "display": "CBC AND DIFFERENTIAL"
            }
        ],
        "text": "CBC and differential"
    },
    "subject": {
        "reference": "Patient/001RO00000AzQZ9YAN",
        "display": "Lopez, Camila Maria"
    },
    
    "effectivePeriod": {
        "start": "2008-06-18T09:23:00+10:00",
        "end": "2009-06-18T09:23:00+10:00"
    },
    "issued": "2019-05-28T14:21:00Z",
    "result": [
        {
            "reference": "Observation/0hIRO000000072A2AQ",
            "display": "Component (1): LEUKOCYTES(10*3/UL) IN BLOOD BY AUTOMATED COUNT"
        },
        {
            "reference": "Observation/0hIRO000000072A2AQ",
            "display": "Component (1): LEUKOCYTES(10*3/UL) IN BLOOD BY AUTOMATED COUNT"
        }
    ]
}
```

#### Responses

*   **201** No match found. Resource created.
    
    Headers:
    
    *   `Location` (string, required) Specifies the URL where the resource can be fetched in subsequent requests.  
        Example: `http://xxx/DiagnosticReport/123`.
    
    Media type: `application/fhir+json`. Schema: `DiagnosticReport (extended)`.
    
    Specifies the base resource.
    
    Includes all fields of `DiagnosticReport`.
    
    *   `id` (_string_) Specifies the ID of the created object.  
        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
    
    _Example_
    
    ```
    {
        "resourceType": "DiagnosticReport",
        "id": "0lQRO00000006sx2AA",
        "identifier": [
            {
                "use": "usual",
                "value": "1066900",
                "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.798268"
            }
        ],
        "status": "final",
        "category": [
            {
                "coding": [
                    {
                        "code": "Lab",
                        "display": "Lab"
                    }
                ]
            }
        ],
        "code": {
            "coding": [
                {
                    "system": "http://loinc.org",
                    "code": "57567-99",
                    "display": "Body weight"
                },
                {
                    "system": "http://loinc.org",
                    "code": "57837-98",
                    "display": "Body weight"
                },
                {
                    "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.696580",
                    "code": "1696",
                    "display": "CBC AND DIFFERENTIAL"
                },
                {
                    "system": "urn:oid:2.16.840.1.113883.6.96",
                    "code": "9564003",
                    "display": "CBC AND DIFFERENTIAL"
                }
            ],
            "text": "Body weight"
        },
        "subject": {
            "reference": "Patient/001RO00000AzQZ9YAN"
        },
        "effectivePeriod": {
            "start": "2008-06-17T23:23:00.000Z",
            "end": "2009-06-17T23:23:00.000Z"
        },
        "issued": "2019-05-28T14:21:00.000Z",
        "result": [
            {
                "reference": "Observation/0hIRO000000072A2AQ"
            }
        ]
    }
    ```
    
*   **400** Precondition failed error indicating insufficient client criteria.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    
*   **503** There was an error connecting to Salesforce.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    

### GET Retrieves a diagnostic report by ID

`GET /DiagnosticReport/{id}`

Retrieves the current content of a resource.

#### Parameters

*   `id` (path, id, required)
*   `X-CORRELATION-ID` (header, string)
*   `Accept` (header, string)  
    Allowed values: `application/fhir+json`.

#### Responses

*   **200**
    
    Media type: `application/fhir+json`. Schema: `DiagnosticReport`.
    
    Specifies the base resource.
    
    _Example: same as POST /DiagnosticReport 201 response._
    
*   **404**
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    
*   **503** There was an error connecting to Salesforce.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    

### PUT Updates a diagnostic report by ID

`PUT /DiagnosticReport/{id}`

Creates an Observation, DiagnosticReport, or DocumentReference record if no record exists for the specified ID or updates an existing record.

#### Parameters

*   `id` (path, id, required)
*   `X-CORRELATION-ID` (header, string)
*   `Accept` (header, string)  
    Allowed values: `application/fhir+json`.

#### Request body

Media type: `application/fhir+json`. Schema: `DiagnosticReport`.

Specifies the base resource.

_Example_

```
{
    "resourceType": "DiagnosticReport",
    "id": "123",
    "identifier": [
        {
            "use": "official",
            "type": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "PLAC",
                        "display": "Placer Identifier"
                    }
                ],
                "text": "Placer Identifier"
            },
            "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.798268",
            "value": "1066900"
        },
        {
            "use": "usual",
            "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.798268",
            "type": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "MOPA",
                        "display": "Misses"
                    }
                ]
            },
            "value": "18-4438749"
        }
    ],
    "status": "final",
    "category": [
        {
            "coding": [
                {
                    "system": "urn:oid:1.2.840.114350.1.13.0.1.7.10.798268.30",
                    "code": "Lab"
                },
                {
                    "system": "urn:oid:1.2.840.114350.1.13.0.1.7.10.798268.30",
                    "code": "Lab"
                }
            ],
            "text": "Lab"
        },
        {
            "coding": [
                {
                    "system": "urn:oid:1.2.840.114350.1.13.0.1.7.10.798268.30",
                    "code": "Lab"
                },
                {
                    "system": "urn:oid:1.2.840.114350.1.13.0.1.7.10.798268.30",
                    "code": "Lab"
                }
            ],
            "text": "Lab"
        }
    ],
    "code": {
        "coding": [
            {
                "system": "urn:oid:1.2.840.114350.1.13.0.1.7.2.696580",
                "code": "1696",
                "display": "CBC AND DIFFERENTIAL"
            },
            {
                "system": "urn:oid:2.16.840.1.113883.6.96",
                "code": "9564003",
                "display": "CBC AND DIFFERENTIAL"
            }
        ],
        "text": "CBC and differential"
    },
    "subject": {
        "reference": "Patient/001RO00000AzQZ9YAN",
        "display": "Lopez, Camila Maria"
    },
    
    "effectivePeriod": {
        "start": "2008-06-18T09:23:00+10:00",
        "end": "2009-06-18T09:23:00+10:00"
    },
    "issued": "2019-05-28T14:21:00Z",
    "result": [
        {
            "reference": "Observation/0hIRO000000072A2AQ",
            "display": "Component (1): LEUKOCYTES(10*3/UL) IN BLOOD BY AUTOMATED COUNT"
        },
        {
            "reference": "Observation/0hIRO000000072A2AQ",
            "display": "Component (1): LEUKOCYTES(10*3/UL) IN BLOOD BY AUTOMATED COUNT"
        }
    ]
}
```

#### Responses

*   **200** Request was successful.
    
    Headers:
    
    *   `Location` (string, required) Specifies the URL where the resource can be fetched in subsequent requests.  
        Example: `http://xxx/DiagnosticReport/123`.
    
    Media type: `application/fhir+json`. Schema: `DiagnosticReport (extended)`.
    
    Specifies the base resource.
    
    Includes all fields of `DiagnosticReport`.
    
    *   `id` (_string_, required) Specifies the ID of the created or updated resource.  
        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
    
    _Example: same as POST /DiagnosticReport 201 response._
    
*   **201** Created.
    
    Headers:
    
    *   `Location` (string, required) Specifies the URL where the resource can be fetched in subsequent requests.  
        Example: `http://xxx/DiagnosticReport/123`.
    
    Media type: `application/fhir+json`. Schema: `DiagnosticReport (extended)`.
    
    Specifies the base resource.
    
    Includes all fields of `DiagnosticReport`.
    
    *   `id` (_string_, required) Specifies the ID of the created or updated resource.  
        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
    
    _Example: same as POST /DiagnosticReport 201 response._
    
*   **400** Resource can’t be parsed or failed basic FHIR validation rules.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    
*   **503** There was an error connecting to Salesforce.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    

### GET Retrieves all document references

`GET /DocumentReference`

Retrieves a set of resources by using filters.

#### Parameters

*   `date?` (query, string) Specifies when the document reference was created.
*   `patient` (query, string) Specifies the subject of the document.
*   `X-CORRELATION-ID` (header, string)

#### Responses

*   **200**
    
    Media type: `application/fhir+json`. Schema: `DocumentReferenceBundle (extended)`.
    
    Contains a collection of resources.
    
    *   Rule: total only for search results or history.
    *   Rule: entry.search only for a search request.
    *   Rule: entry.request mandatory for batch, transaction, or history, else prohibited.
    *   Rule: entry.response mandatory for batch-response, transaction-response, or history, else prohibited.
    *   Rule: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles).
    *   Rule: A document must have an identifier with a system and a value.
    *   Rule: A document must have a date.
    *   Rule: A document must have a Composition resource as the first resource.
    *   Rule: A message must have a MessageHeader resource as the first resource. Elements defined in Ancestors: id, meta, implicitRules, and language.
    
    Includes all fields of `DocumentReferenceBundle`.
    
    *   `entry` (_array of object_)
        
        An entry in the bundle includes a resource or information.
        
        *   Rule: must be a resource unless there's a request or response.
        *   Rule: fullUrl cannot be a version-specific reference. For bundles of the document and message types, the first resource must be Composition and MessageHeader resources, respectively. For all bundles, the meaning of the order of entries depends on the bundle type.
        
        Each item:
        
        An entry in the bundle includes a resource or information.
        
        *   Rule: The entry must be a resource unless there's a request or response.
        *   Rule: The fullUrl property can't be a version-specific reference. For bundles of the document and message types, the first resource must be Composition and MessageHeader resources, respectively. For all bundles, the meaning of the order of entries depends on the bundle type.
        
        *   `fullUrl` (_string_) Specifies the URI for the resource, which is the absolute URL server address, or the URI for UUID or OID.
        *   `resource` (_object_, required) Specifies the base resource.
            *   `securityLabel` (_array of object_) Specifies a set of security tag codes indicating the level of privacy and security of the document.
                
                Each item: Represents a value that's supplied by providing a reference to one or more terminologies or ontologies, but is also defined by the provision of text. The CodeableConcept type is a common pattern in healthcare data.
                
                *   `coding` (_array of object_) Specifies a code defined by a terminology system.
                    
                    Each item: Represents a defined concept using a symbol from a defined code system. See [Terminologies](http://hl7.org/fhir/STU3/terminologies.html).
                    
                    *   `system` (_string_) Specifies the identity of the terminology system.
                    *   `version` (_string_) Specifies the version of the system, if relevant.
                    *   `code` (_string_) Specifies the symbol in the syntax that's defined by the system.  
                        Pattern: ^(\[^\\s\]+(\[\\s\]+\[^\\s\]+)\*)?$.
                    *   `display` (_string_) Specifies the representation defined by the system.
                *   `text` (_string_) Represents the meaning of the codeable concept as text.
            *   `subject` (_object_, required) Specifies who or what the document is about. It can be about a person, a device, or even a group of subjects that share common exposure.
                *   `reference` (_string_) Specifies a literal, relative, internal, or absolute URL reference.
                *   `id` (_string_) Specifies the internal ID of the element.  
                    Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
            *   `authenticator` (_object_) Specifies the participant who has authenticated the document.
                *   `reference` (_string_) Specifies a literal, relative, internal, or absolute URL reference.
                *   `id` (_string_) Specifies the internal ID of the element.  
                    Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
            *   `context` (_object_) Specifies the clinical encounter or care type that the document content is associated with.
                *   `modifierExtension` (_array of object_) Modifier Extensions
                    
                    Each item: Optional. Specifies the extensions element and rule. Must have either extensions or value\[x\], but not both elements defined in the ancestors ID or extension.
                    
                    *   `url` (_string_, required) Identifies the meaning of the extension.
                    *   `id` (_string_) Specifies the internal ID of the element.  
                        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
                    *   `value` (_string_) Specifies the value of the extension.
                *   `id` (_string_) Specifies the internal ID of the element.  
                    Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
                *   `encounter` (_object_) Specifies the context of the document content.
                    *   `reference` (_string_) Specifies a literal, relative, internal, or absolute URL reference.
                    *   `id` (_string_) Specifies the internal ID of the element.  
                        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
            *   `identifier` (_array of object_) Specifies the business identifiers associated with the document, including version-independent identifiers.
                
                Each item: Represents a numeric or alphanumeric string that's associated with a single object or entity within a given system. Typically, identifiers are used to connect the content in the resources to external content available in other frameworks or protocols. Identifiers are associated with objects and can change or retire due to human or system processes and errors.
                
                *   `use` (_string_) usual | official | temp | secondary (If known)  
                    Allowed values: `usual`, `official`, `temp`, `secondary`, `old`. Pattern: ^(\[^\\s\]+(\[\\s\]+\[^\\s\]+)\*)?$.
                *   `type` (_object_) Describes the identifier.
                    *   `coding` (_array of object_) Specifies a code defined by a terminology system.
                        
                        Each item: Represents a defined concept using a symbol from a defined code system. See [Terminologies](http://hl7.org/fhir/STU3/terminologies.html).
                        
                        *   `system` (_string_) Specifies the identity of the terminology system.
                        *   `version` (_string_) Specifies the version of the system, if relevant.
                        *   `code` (_string_) Specifies the symbol in the syntax that's defined by the system.  
                            Pattern: ^(\[^\\s\]+(\[\\s\]+\[^\\s\]+)\*)?$.
                        *   `display` (_string_) Specifies the representation defined by the system.
                    *   `text` (_string_) Represents the meaning of the codeable concept as text.
                *   `system` (_string_) Provides the namespace for the identifier value.
                *   `value` (_string_) Specifies the ID value of the identifier.
            *   `id` (_string_) Specifies the ID of the base resource.  
                Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
            *   `docStatus` (_string_) Specifies the status of the underlying document.  
                Allowed values: `preliminary`, `final`, `amended`, `entered-in-error`. Pattern: ^(\[^\\s\]+(\[\\s\]+\[^\\s\]+)\*)?$.
            *   `date` (_string_) Specifies when the document reference was created.  
                Pattern: ^\[0-9\]{4}(-(0\[1-9\]|1\[0-2\])(-(0\[0-9\]|\[1-2\]\[0-9\]|3\[0-1\])(T(\[01\]\[0-9\]|2\[0-3\]):\[0-5\]\[0-9\]:\[0-5\]\[0-9\](https://./[0-9/]+)?(Z|(\\+|-)((0\[0-9\]|1\[0-3\]):\[0-5\]\[0-9\]|14:00)))))$.
            *   `relatesTo` (_array of object_) Specifies the details of how the document relates to other document references that exist.
                *   `modifierExtension` (_array of object_) Modifier Extensions
                    
                    Each item: Optional. Specifies the extensions element and rule. Must have either extensions or value\[x\], but not both elements defined in the ancestors ID or extension.
                    
                    *   `url` (_string_, required) Identifies the meaning of the extension.
                    *   `id` (_string_) Specifies the internal ID of the element.  
                        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
                    *   `value` (_string_) Specifies the value of the extension.
                *   `code` (_string_, required) Specifies how the document relates to another document.  
                    Allowed values: `replaces`, `transforms`, `signs`, `appends`. Pattern: ^(\[^\\s\]+(\[\\s\]+\[^\\s\]+)\*)?$.
                *   `id` (_string_) Specifies the unique identifier for inter-element referencing.  
                    Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
                *   `target` (_object_, required) Specifies the target of the relationship.
                    *   `reference` (_string_) Specifies a literal, relative, internal, or absolute URL reference.
                    *   `id` (_string_) Specifies the internal ID of the element.  
                        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
            *   `custodian` (_object_) Specifies the organization or group that is responsible for the maintenance of the document.
                *   `reference` (_string_) Specifies a literal, relative, internal, or absolute URL reference.
                *   `id` (_string_) Specifies the internal ID of the element.  
                    Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
            *   `category` (_array of object_, required) Specifies the categorization for the type of document referenced that helps with indexing and searching.
                
                Each item: Represents a value that's supplied by providing a reference to one or more terminologies or ontologies, but is also defined by the provision of text. The CodeableConcept type is a common pattern in healthcare data.
                
                *   `coding` (_array of object_) Specifies a code defined by a terminology system.
                    
                    Each item: Represents a defined concept using a symbol from a defined code system. See [Terminologies](http://hl7.org/fhir/STU3/terminologies.html).
                    
                    *   `system` (_string_) Specifies the identity of the terminology system.
                    *   `version` (_string_) Specifies the version of the system, if relevant.
                    *   `code` (_string_) Specifies the symbol in the syntax that's defined by the system.  
                        Pattern: ^(\[^\\s\]+(\[\\s\]+\[^\\s\]+)\*)?$.
                    *   `display` (_string_) Specifies the representation defined by the system.
                *   `text` (_string_) Represents the meaning of the codeable concept as text.
            *   `type` (_object_, required) Specifies the type of document referenced, such as Discharge Summary and Progress Note.
                *   `coding` (_array of object_) Specifies a code defined by a terminology system.
                    
                    Each item: Represents a defined concept using a symbol from a defined code system. See [Terminologies](http://hl7.org/fhir/STU3/terminologies.html).
                    
                    *   `system` (_string_) Specifies the identity of the terminology system.
                    *   `version` (_string_) Specifies the version of the system, if relevant.
                    *   `code` (_string_) Specifies the symbol in the syntax that's defined by the system.  
                        Pattern: ^(\[^\\s\]+(\[\\s\]+\[^\\s\]+)\*)?$.
                    *   `display` (_string_) Specifies the representation defined by the system.
                *   `text` (_string_) Represents the meaning of the codeable concept as text.
            *   `description` (_string_) Specifies the human-readable description of the source document.
            *   `content` (_array of object_, required) Specifies the document and format referenced.
                *   `format` (_object_) Specifies the format and content rules for the document.
                    *   `code` (_string_) Specifies the symbol in the syntax that's defined by the system.  
                        Pattern: ^(\[^\\s\]+(\[\\s\]+\[^\\s\]+)\*)?$.
                    *   `version` (_string_) Specifies the version of the system, if relevant.
                    *   `display` (_string_) Specifies the representation defined by the system.
                    *   `system` (_string_) Specifies the identity of the terminology system.
                *   `modifierExtension` (_array of object_) Modifier Extensions
                    
                    Each item: Optional. Specifies the extensions element and rule. Must have either extensions or value\[x\], but not both elements defined in the ancestors ID or extension.
                    
                    *   `url` (_string_, required) Identifies the meaning of the extension.
                    *   `id` (_string_) Specifies the internal ID of the element.  
                        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
                    *   `value` (_string_) Specifies the value of the extension.
                *   `id` (_string_) Specifies the internal ID of the element.  
                    Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
                *   `attachment` (_object_, required) Specifies the document or URL to access the content.
                    *   `creation` (_string_) Specifies the date when the attachment was created.  
                        Pattern: ^\[0-9\]{4}(-(0\[1-9\]|1\[0-2\])(-(0\[0-9\]|\[1-2\]\[0-9\]|3\[0-1\])(T(\[01\]\[0-9\]|2\[0-3\]):\[0-5\]\[0-9\]:\[0-5\]\[0-9\](https://./[0-9/]+)?(Z|(\\+|-)((0\[0-9\]|1\[0-3\]):\[0-5\]\[0-9\]|14:00)))?)?)?$.
                    *   `size` (_integer_) Specifies the number of bytes of content if the URL is provided.  
                        Minimum: 0.
                    *   `contentType` (_string_) Specifies the type of data in the attachment and allows a method to interpret or render the data. Includes mime type parameters such as charset where appropriate.  
                        Pattern: ^(\[^\\s\]+(\[\\s\]+\[^\\s\]+)\*)?$.
                    *   `id` (_string_) Specifies the internal ID of the element.  
                        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
                    *   `language` (_string_) Specifies the human language of the content (BCP 47).  
                        Pattern: ^(\[^\\s\]+(\[\\s\]+\[^\\s\]+)\*)?$.
                    *   `title` (_string_) Specifies a label to display in place of the data. The default value is Unknown.
                    *   `data` (_string_, required) Specifies the data of the attachment in a sequence of bytes, base64 encoded.  
                        Pattern: ^(\[A-Za-z0-9+/\]{4})\*(\[A-Za-z0-9+/\]{2}==|\[A-Za-z0-9+/\]{3}=)?$.
            *   `status` (_string_, required) Specifies the status of the document reference.  
                Allowed values: `current`, `superseded`, `entered-in-error`. Pattern: ^(\[^\\s\]+(\[\\s\]+\[^\\s\]+)\*)?$.
            *   `author` (_array of object_) Specifies the author of the document.
                
                Each item: Specifies the defined elements in a resource that are references to other resources. Using the references, the resources combine to build a web of information about healthcare.
                
                *   `reference` (_string_) Specifies a literal, relative, internal, or absolute URL reference.
                *   `id` (_string_) Specifies the internal ID of the element.  
                    Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
        *   `search` (_object_) Provides the search-related information.
            *   `mode` (_string_) Specifies the search mode and criteria. Possible values are match, include, and outcome.  
                Allowed values: `match`, `include`, `outcome`. Pattern: ^(\[^\\s\]+(\[\\s\]+\[^\\s\]+)\*)?$.
    
    _Example_
    
    ```
    {
        "resourceType": "Bundle",
        "id": "abcb6829-0c86-4d35-b94f-65dd1750ae4f",
        "meta": {
            "lastUpdated": "2020-08-27T18:32:44.584+00:00"
        },
        "type": "searchset",
        "link": [
            {
                "relation": "self",
                "url": "http://hapi.fhir.org/baseR4/DocumentReference?_pretty=true"
            },
            {
                "relation": "next",
                "url": "http://hapi.fhir.org/baseR4?_getpages=abcb6829-0c86-4d35-b94f-65dd1750ae4f&_getpagesoffset=20&_count=20&_pretty=true&_bundletype=searchset"
            }
        ],
        "entry": [
            {
                "fullUrl": "http://hapi.fhir.org/baseR4/DocumentReference/101249",
                "resource": {
                    "resourceType": "DocumentReference",
                    "id": "101249",
                    "meta": {
                        "versionId": "1",
                        "lastUpdated": "2019-11-26T19:49:05.117+00:00",
                        "source": "#ByZ1qz2HcbcCS4xc",
                        "profile": [
                            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"
                        ]
                    },
                    "status": "superseded",
                    "type": {
                        "coding": [
                            {
                                "system": "http://loinc.org",
                                "code": "34117-2",
                                "display": "History and physical note"
                            },
                            {
                                "system": "http://loinc.org",
                                "code": "51847-2",
                                "display": "Evaluation+Plan note"
                            }
                        ]
                    },
                    "category": [
                        {
                            "coding": [
                                {
                                    "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
                                    "code": "clinical-note",
                                    "display": "Clinical Note"
                                }
                            ]
                        }
                    ],
                    "subject": {
                        "reference": "Patient/101047"
                    },
                    "date": "2019-01-11T19:55:14.357-05:00",
                    "author": [
                        {
                            "reference": "Practitioner/101101",
                            "display": "Dr. Karl184 Nader710"
                        }
                    ],
                    "content": [
                        {
                            "attachment": {
                                "contentType": "text/plain",
                                "data": "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",
                                "title": "Label to display in place of the data"
                            }
                        }
                    ],
                    "context": {
                        "encounter": 
                            {
                                "reference": "Encounter/101245"
                            }
                        ,
                        "period": {
                            "start": "2019-01-11T19:55:14-05:00",
                            "end": "2019-01-12T19:55:14-05:00"
                        }
                    }
                },
                "search": {
                    "mode": "match"
                }
            },
            {
                "fullUrl": "http://hapi.fhir.org/baseR4/DocumentReference/101244",
                "resource": {
                    "resourceType": "DocumentReference",
                    "id": "101244",
                    "meta": {
                        "versionId": "1",
                        "lastUpdated": "2019-11-26T19:49:05.117+00:00",
                        "source": "#ByZ1qz2HcbcCS4xc",
                        "profile": [
                            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"
                        ]
                    },
                    "status": "superseded",
                    "type": {
                        "coding": [
                            {
                                "system": "http://loinc.org",
                                "code": "34117-2",
                                "display": "History and physical note"
                            },
                            {
                                "system": "http://loinc.org",
                                "code": "51847-2",
                                "display": "Evaluation+Plan note"
                            }
                        ]
                    },
                    "category": [
                        {
                            "coding": [
                                {
                                    "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
                                    "code": "clinical-note",
                                    "display": "Clinical Note"
                                }
                            ]
                        }
                    ],
                    "subject": {
                        "reference": "Patient/101047"
                    },
                    "date": "2018-10-06T20:55:14.357-04:00",
                    "author": [
                        {
                            "reference": "Practitioner/101101",
                            "display": "Dr. Karl184 Nader710"
                        }
                    ],
                    "content": [
                        {
                            "attachment": {
                                "contentType": "text/plain",
                                "title": "Label to display in place of the data",
                                "data": "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"
                            }
                        }
                    ],
                    "context": {
                        "encounter": 
                            {
                                "reference": "Encounter/101239"
                            }
                        ,
                        "period": {
                            "start": "2018-10-06T20:55:14-04:00",
                            "end": "2018-10-07T21:10:14-04:00"
                        }
                    }
                },
                "search": {
                    "mode": "match"
                }
            }
        ]
    }
    ```
    
*   **503** There was an error connecting to Salesforce.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    

### POST Creates a document reference

`POST /DocumentReference`

Creates an Observation, DiagnosticReport, or DocumentReference record.

#### Parameters

*   `X-CORRELATION-ID` (header, string)
*   `Accept` (header, string)  
    Allowed values: `application/fhir+json`.

#### Request body

Media type: `application/fhir+json`. Schema: `DocumentReference`.

Specifies the base resource.

_Example_

```
{
    "resourceType": "DocumentReference",
    "identifier": [
        {
            "system": "http://snomed.info/sct",
            "value": "100898977709080901",
            "type": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0204",
                        "code": "676705",
                        "display": "MisterKWOK9"
                    },
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0204",
                        "code": "676706",
                        "display": "MisterKWOK9"
                    },
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0204",
                        "code": "676707",
                        "display": "MisterKWOK9"
                    }
                ],
                "text": "Identifier Bundle"
            }
        },
        {
            "system": "http://snomed.info/sct",
            "value": "1008989777090804",
            "type": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0204",
                        "code": "7879801",
                        "display": "MisterKWOK9"
                    }
                ],
                "text": "Identifier Bundle"
            }
        }
    ],
    "status": "current",
    "docStatus": "preliminary",
    "type": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "SR12343",
                "display": "VAG HYSTERECTOMY NEC/NOS"
            },
            {
                "system": "http://snomed.info/sct",
                "code": "SR12344",
                "display": "VAG HYSTERECTOMY NEC/NOS"
            }
        ]
    },
    "category": [
        {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "SR12346",
                    "display": "VAG HYSTERECTOMY NEC/NOS"
                }
            ]
        },
        {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "SR12347",
                    "display": "VAG HYSTERECTOMY NEC/NOS"
                }
            ]
        }
    ],
    "subject": {
        "reference": "Patient/001SG000004bPI5YAM"
    },
    "date": "2023-05-11T14:25:24.000Z",
    "author": [
        {
            "reference": "Patient/001SG000004bPI5YAM"
        },
        {
            "reference": "Practitioner/0cmSG0000000MrlYAE"
        }
    ],
    "authenticator": {
        "reference": "Practitioner/0cmSG0000000MrlYAE"
    },
    "custodian": {
        "reference": "Organization/001SG000004bYV3YAM"
    },
    "relatesTo": [
        {
            "code": "replaces",
            "target": {
                "reference": "DocumentReference/0lQSG00000000Kz2AI"
            }
        },
        {
            "code": "replaces",
            "target": {
                "reference": "DocumentReference/0lQSG00000000Kz2AI"
            }
        }
    ],
    "description": "Human-readable description",
    "securityLabel": [
        {
            "coding": [
                {
                    "system": "http://hl7.org/fhir/sid/icd-9-cm",
                    "code": "6259",
                    "display": "FEM GENITAL SYMPTOMS NEC"
                }
            ]
        },
        {
            "coding": [
                {
                    "system": "http://hl7.org/fhir/sid/icd-9-cm",
                    "code": "6260",
                    "display": "FEM GENITAL SYMPTOMS NEC"
                }
            ]
        }
    ],
    "content": [
        {
            "attachment": {
                "contentType": "MR245",
                "language": "ENG",
                "data": "{
    "resourceType": "DocumentReference",
    "identifier": [
        {
            "system": "http://snomed.info/sct",
            "value": "100898977709080901",
            "type": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0204",
                        "code": "676705",
                        "display": "MisterKWOK9"
                    },
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0204",
                        "code": "676706",
                        "display": "MisterKWOK9"
                    },
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0204",
                        "code": "676707",
                        "display": "MisterKWOK9"
                    }
                ],
                "text": "Identifier Bundle"
            }
        },
        {
            "system": "http://snomed.info/sct",
            "value": "1008989777090804",
            "type": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0204",
                        "code": "7879801",
                        "display": "MisterKWOK9"
                    }
                ],
                "text": "Identifier Bundle"
            }
        }
    ],
    "status": "current",
    "docStatus": "preliminary",
    "type": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "SR12343",
                "display": "VAG HYSTERECTOMY NEC/NOS"
            },
            {
                "system": "http://snomed.info/sct",
                "code": "SR12344",
                "display": "VAG HYSTERECTOMY NEC/NOS"
            }
        ]
    },
    "category": [
        {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "SR12346",
                    "display": "VAG HYSTERECTOMY NEC/NOS"
                }
            ]
        },
        {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "SR12347",
                    "display": "VAG HYSTERECTOMY NEC/NOS"
                }
            ]
        }
    ],
    "subject": {
        "reference": "Patient/001SG000004bPI5YAM"
    },
    "date": "2023-05-11T14:25:24.000Z",
    "author": [
        {
            "reference": "Patient/001SG000004bPI5YAM"
        },
        {
            "reference": "Practitioner/0cmSG0000000MrlYAE"
        }
    ],
    "authenticator": {
        "reference": "Practitioner/0cmSG0000000MrlYAE"
    },
    "custodian": {
        "reference": "Organization/001SG000004bYV3YAM"
    },
    "relatesTo": [
        {
            "code": "replaces",
            "target": {
                "reference": "DocumentReference/0lQSG00000000Kz2AI"
            }
        },
        {
            "code": "replaces",
            "target": {
                "reference": "DocumentReference/0lQSG00000000Kz2AI"
            }
        }
    ],
    "description": "Human-readable description",
    "securityLabel": [
        {
            "coding": [
                {
                    "system": "http://hl7.org/fhir/sid/icd-9-cm",
                    "code": "6259",
                    "display": "FEM GENITAL SYMPTOMS NEC"
                }
            ]
        },
        {
            "coding": [
                {
                    "system": "http://hl7.org/fhir/sid/icd-9-cm",
                    "code": "6260",
                    "display": "FEM GENITAL SYMPTOMS NEC"
                }
            ]
        }
    ],
    "content": [
        {
            "attachment": {
                "contentType": "MR245",
                "language": "ENG",
                "data": "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",
                "size": "11655",
                "title": "Label to display in place of the data",
                "creation": "2023-04-11T14:25:24.000Z"
            },
            "format": {
                "system": "http://hl7.org/fhir/sid/icd-9-cm",
                "code": "6258",
                "display": "FEM GENITAL SYMPTOMS NEC"
            }
        },
        {
            "attachment": {
                "contentType": "MR246",
                "language": "ENG",
                "data": "ewogICAgIm1lc3NhZ2UiOiAiSGVsbG8gd29ybGQhIgp9",
                "size": "11655",
                "title": "Label to display in place of the data",
                "creation": "2023-04-11T14:25:24.000Z"
            },
            "format": {
                "system": "http://hl7.org/fhir/sid/icd-9-cm",
                "code": "6271",
                "display": "FEM GENITAL SYMPTOMS NEC"
            }
        }
    ],
    "context": {
        "encounter": {
            "reference": "Encounter/0kGSG000000009h2AA"
        }
    }
}",
                
                "title": "Label to display in place of the data"
            },
            "format": {
                "system": "http://hl7.org/fhir/sid/icd-9-cm",
                "code": "6258",
                "display": "FEM GENITAL SYMPTOMS NEC"
            }
        }
    ],
    "context": {
        "encounter": {
            "reference": "Encounter/0kGSG000000009h2AA"
        }
    }
}
```

#### Responses

*   **201** No match found. Resource created.
    
    Headers:
    
    *   `Location` (string, required) Specifies the URL where the resource can be fetched in subsequent requests.  
        Example: `http://xxx/DocumentReference/123`.
    
    Media type: `application/fhir+json`. Schema: `DocumentReference (extended)`.
    
    Specifies the base resource.
    
    Includes all fields of `DocumentReference`.
    
    *   `id` (_string_) Specifies the ID of the created object.  
        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
    
    _Example_
    
    ```
    {
      "resourceType": "DocumentReference",
      "text": {
        "status": "generated",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>contained</b>: </p><p><b>masterIdentifier</b>: urn:oid:1.3.6.1.4.1.21367.2005.3.7</p><p><b>identifier</b>: urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234</p><p><b>status</b>: current</p><p><b>docStatus</b>: preliminary</p><p><b>type</b>: Outpatient Note <span>(Details : {LOINC code '34108-1' = 'Outpatient Note', given as 'Outpatient Note'})</span></p><p><b>category</b>: History and Physical <span>(Details : {http://ihe.net/xds/connectathon/classCodes code 'History and Physical' = 'History and Physical', given as 'History and Physical'})</span></p><p><b>subject</b>: <a>Patient/xcda</a></p><p><b>date</b>: 24/12/2005 9:43:41 AM</p><p><b>author</b>: </p><ul><li><a>Practitioner/xcda1</a></li><li>id: a2; Gerald Smitty </li></ul><p><b>authenticator</b>: <a>Organization/f001</a></p><p><b>custodian</b>: <a>Organization/f001</a></p><h3>RelatesTos</h3><table><tr><td>-</td><td><b>Code</b></td><td><b>Target</b></td></tr><tr><td>*</td><td>appends</td><td><a>DocumentReference/example</a></td></tr></table><p><b>description</b>: Physical</p><p><b>securityLabel</b>: very restricted <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-Confidentiality code 'V' = 'very restricted', given as 'very restricted'})</span></p><h3>Contents</h3><table><tr><td>-</td><td><b>Attachment</b></td><td><b>Format</b></td></tr><tr><td>*</td><td/><td>History and Physical Specification (Details: urn:oid:1.3.6.1.4.1.19376.1.2.3 code urn:ihe:pcc:handp:2008 = 'urn:ihe:pcc:handp:2008', stated as 'History and Physical Specification')</td></tr></table><h3>Contexts</h3><table><tr><td>-</td><td><b>Encounter</b></td><td><b>Event</b></td><td><b>Period</b></td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td><td><b>Related</b></td></tr><tr><td>*</td><td><a>Encounter/xcda</a></td><td>Arm <span>(Details : {http://ihe.net/xds/connectathon/eventCodes code 'T-D8200' = 'T-D8200', given as 'Arm'})</span></td><td>23/12/2004 8:00:00 AM --&gt; 23/12/2004 8:01:00 AM</td><td>Outpatient <span>(Details : {http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes code 'Outpatient' = 'Outpatient', given as 'Outpatient'})</span></td><td>General Medicine <span>(Details : {http://www.ihe.net/xds/connectathon/practiceSettingCodes code 'General Medicine' = 'General Medicine', given as 'General Medicine'})</span></td><td><a>Patient/xcda</a></td><td><a>Patient/xcda</a></td></tr></table></div>"},
      "contained": [
        {
          "resourceType": "Practitioner",
          "id": "a2",
          "name": [
            {
              "family": "Smitty",
              "given": [
                "Gerald"
              ]
            }
          ]
        }
      ],
      
      "masterIdentifier": {
        "system": "urn:ietf:rfc:3986",
        "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7"
      },
      "identifier": [
        {
          "system": "urn:ietf:rfc:3986",
          "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
        }
      ],
      "status": "current",
      "docStatus": "preliminary",
      "type": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "34108-1",
            "display": "Outpatient Note"
          }
        ]
      },
      "category": [
        {
          "coding": [
            {
              "system": "http://ihe.net/xds/connectathon/classCodes",
              "code": "History and Physical",
              "display": "History and Physical"
            }
          ]
        }
      ],
      "subject": {
        "reference": "Patient/xcda"
      },
      "date": "2005-12-24T09:43:41+11:00",
      "author": [
        {
          "reference": "Practitioner/xcda1"
        },
        {
          "reference": "#a2"
        }
      ],
      "authenticator": {
        "reference": "Organization/f001"
      },
      "custodian": {
        "reference": "Organization/f001"
      },
      "relatesTo": [
        {
          "code": "appends",
          "target": {
            "reference": "DocumentReference/example"
          }
        }
      ],
      "description": "Physical",
      "securityLabel": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code": "V",
              "display": "very restricted"
            }
          ]
        }
      ],
      "content": [
        {
          "attachment": {
            "title": "Label to display in place of the data",
            "data": "ewogICAgIm1lc3NhZ2UiOiAiSGVsbG8gd29ybGQhIgp9"
          },
          "format": {
            "system": "urn:oid:1.3.6.1.4.1.19376.1.2.3",
            "code": "urn:ihe:pcc:handp:2008",
            "display": "History and Physical Specification"
          }
        }
      ],
      "context": {
        "encounter": 
          {
            "reference": "Encounter/xcda"
          }
        ,
        "event": [
          {
            "coding": [
              {
                "system": "http://ihe.net/xds/connectathon/eventCodes",
                "code": "T-D8200",
                "display": "Arm"
              }
            ]
          }
        ],
        "period": {
          "start": "2004-12-23T08:00:00+11:00",
          "end": "2004-12-23T08:01:00+11:00"
        },
        "facilityType": {
          "coding": [
            {
              "system": "http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes",
              "code": "Outpatient",
              "display": "Outpatient"
            }
          ]
        },
        "practiceSetting": {
          "coding": [
            {
              "system": "http://www.ihe.net/xds/connectathon/practiceSettingCodes",
              "code": "General Medicine",
              "display": "General Medicine"
            }
          ]
        },
        "sourcePatientInfo": {
          "reference": "Patient/xcda"
        },
        "related": [
          {
            "reference": "Patient/xcda",
            "identifier": {
              "system": "urn:ietf:rfc:3986",
              "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345"
            }
          }
        ]
      },
      "id": "123"
    }
    ```
    
*   **400** Precondition failed error indicating insufficient client criteria.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    
*   **503** There was an error connecting to Salesforce.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    

### GET Retrieves a document reference by ID

`GET /DocumentReference/{id}`

Retrieves the current content of a resource.

#### Parameters

*   `id` (path, id, required)
*   `X-CORRELATION-ID` (header, string)
*   `Accept` (header, string)  
    Allowed values: `application/fhir+json`.

#### Responses

*   **200**
    
    Media type: `application/fhir+json`. Schema: `DocumentReference`.
    
    Specifies the base resource.
    
    _Example: same as POST /DocumentReference 201 response._
    
*   **404**
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    
*   **503** There was an error connecting to Salesforce.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    

### PUT Updates a document reference by ID

`PUT /DocumentReference/{id}`

Creates an Observation, DiagnosticReport, or DocumentReference record if no record exists for the specified ID or updates an existing record.

#### Parameters

*   `id` (path, id, required)
*   `X-CORRELATION-ID` (header, string)
*   `Accept` (header, string)  
    Allowed values: `application/fhir+json`.

#### Request body

Media type: `application/fhir+json`. Schema: `DocumentReference`.

Specifies the base resource.

_Example: same as POST /DocumentReference 201 response._

#### Responses

*   **200** Request was successful.
    
    Headers:
    
    *   `Location` (string, required) Specifies the URL where the resource can be fetched in subsequent requests.  
        Example: `http://xxx/DocumentReference/123`.
    
    Media type: `application/fhir+json`. Schema: `DocumentReference (extended)`.
    
    Specifies the base resource.
    
    Includes all fields of `DocumentReference`.
    
    *   `id` (_string_, required) Specifies the ID of the created or updated resource.  
        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
    
    _Example: same as POST /DocumentReference 201 response._
    
*   **201** Created.
    
    Headers:
    
    *   `Location` (string, required) Specifies the URL where the resource can be fetched in subsequent requests.  
        Example: `http://xxx/DocumentReference/123`.
    
    Media type: `application/fhir+json`. Schema: `DocumentReference (extended)`.
    
    Specifies the base resource.
    
    Includes all fields of `DocumentReference`.
    
    *   `id` (_string_, required) Specifies the ID of the created or updated resource.  
        Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.
    
    _Example: same as POST /DocumentReference 201 response._
    
*   **400** Resource can’t be parsed or failed basic FHIR validation rules.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    
*   **503** There was an error connecting to Salesforce.
    
    Media type: `application/fhir+json`. Schema: `OperationOutcome`.
    
    _Example: same as GET /Observation 503 response._
    

## Schemas

### ObservationBundle

Includes all fields of `Bundle`.

*   `entry` (_array of ObservationEntry_)

### OperationOutcome

Provides information about the success or failure of an action. Elements are defined in ancestors id, meta, implicitRules, language, text, contained, extension, and modifierExtension.

*   `issue` (_array of object_, required)
    *   `severity` (_code (string)_, required) Specifies the severity of the issue. Possible values are fatal, error, warning, and information.  
        Allowed values: `fatal`, `error`, `warning`, `information`.
    *   `code` (_code (string)_, required) Specifies the error or warning code.  
        Allowed values: `invalid`, `structure`, `required`, `value`, `invariant`, `security`, `login`, `unknown`, `expired`, `forbidden`, `suppressed`, `processing`, `not-supported`, `duplicate`, `multiple-matches`, `not-found`, `deleted`, `too-long`, `code-invalid`, `extension`, `too-costly`, `business-rule`, `conflict`, `transient`, `lock-error`, `no-store`, `exception`, `timeout`, `incomplete`, `throttled`, `informational`.
    *   `details` (_object_) Additional details about the error
        
        Includes all fields of `CodeableConcept`.
        

### Observation

Includes all fields of `Resource`.

*   `identifier` (_array of Identifier_) Specifies the business identifier for the observation.
*   `partOf` (_array of Reference_) Specifies the part of the referenced event.
*   `basedOn` (_array of Reference_) Specifies the reference that's used for the plan, proposal, or order.
*   `status` (_code (string)_, required) Specifies the observation status.  
    Allowed values: `registered`, `preliminary`, `final`, `ammended`, `corrected`, `cancelled`, `entered-in-error`, `unknown`.
*   `category` (_array of CodeableConcept_) Specifies the classification of type of observation.
*   `code` (_object_, required) Specifies the type of observation, such as a code or type.
    
    Includes all fields of `CodeableConcept`.
    
*   `subject` (_object_) Specifies the subject of the observation.
    
    Includes all fields of `Reference`.
    
*   `encounter` (_object_) Specifies the healthcare event when the observation was made.
    
    Includes all fields of `Reference`.
    
*   `effective` (_observationeffectiveDateTime | observationeffectivePeriod_) Specifies the clinically relevant time for the observation.
    
    One of: `observationeffectiveDateTime`, `observationeffectivePeriod`.
    
*   `issued` (_instant (string)_) Specifies the date or time when the observation was made available.
*   `performer` (_array of Reference_) Specifies the performer who is responsible for the observation.
*   `value` (_enumvalueQuantity | enumvalueCodeableConcept | enumvalueString | enumvalueBoolean | enumvalueDateTime | enumvaluePeriod_) Specifies the result of the observation.
    
    One of: `enumvalueQuantity`, `enumvalueCodeableConcept`, `enumvalueString`, `enumvalueBoolean`, `enumvalueDateTime`, `enumvaluePeriod`.
    
*   `interpretation` (_array of CodeableConcept_) Specifies the interpretation of the observation, such as high, low, normal.
*   `bodySite` (_object_) Specifies the observed body part.
    
    Includes all fields of `CodeableConcept`.
    
*   `method` (_object_) Specifies the method of observation.
    
    Includes all fields of `CodeableConcept`.
    
*   `device` (_object_) Specifies the measurement device.
    
    Includes all fields of `Reference`.
    
*   `referenceRange` (_array of object_) Provides a guide for interpretation. The reference range must have at least a low or high range or a text-based reference.
    
    Includes all fields of `BackboneElement`.
    
    *   `low` (_object_) Specifies the low range, if relevant.
        
        Includes all fields of `SimpleQuantity`.
        
    *   `high` (_object_) Specifies the high range, if relevant.
        
        Includes all fields of `SimpleQuantity`.
        
    *   `text` (_string_) Specifies the text-based reference range in an observation.
*   `hasMember` (_array of Reference_) Specifies the related resource that belongs to the observation group.
*   `derivedFrom` (_array of Reference_) Specifies the related measurements the observation is made from.
*   `component` (_array of object_) Provides the component results.
    
    Includes all fields of `BackboneElement`.
    
    *   `code` (_object_, required) Specifies the type of component observation, such as a code or type.
        
        Includes all fields of `CodeableConcept`.
        
    *   `value` (_enumvalueQuantity | enumvalueCodeableConcept | enumvalueString | enumvalueBoolean | enumvalueDateTime | enumvaluePeriod_) Specifies the component result.
        
        One of: `enumvalueQuantity`, `enumvalueCodeableConcept`, `enumvalueString`, `enumvalueBoolean`, `enumvalueDateTime`, `enumvaluePeriod`.
        
    *   `dataAbsentReason` (_object_) Specifies the reason for missing a component result.
        
        Includes all fields of `CodeableConcept`.
        
    *   `interpretation` (_array of CodeableConcept_) Specifies the interpretation of the component observation, such as high, low, normal.
    *   `referenceRange` (_array of object_) Provides a guide for interpretation of component results.
        
        Includes all fields of `BackboneElement`.
        
        *   `low` (_object_) Specifies the low range, if relevant.
            
            Includes all fields of `SimpleQuantity`.
            
        *   `high` (_object_) Specifies the high range, if relevant.
            
            Includes all fields of `SimpleQuantity`.
            
        *   `type` (_object_) Specifies the reference range qualifier.
            
            Includes all fields of `CodeableConcept`.
            
        *   `appliesTo` (_array of CodeableConcept_) Specifies the reference range population.
        *   `age` (_object_) Specifies the applicable age range, if relevant.
            
            Includes all fields of `Range`.
            
        *   `text` (_string_) Specifies the text-based reference range in an observation.

### id

Represents any combination of upper or lower case ASCII letters ('A'..'Z', and 'a'..'z'), numerals ('0'..'9'), '-', and '.', with a length limit of 64 characters. Possible patterns are integer, an unprefixed OID, UUID, or any other identifier pattern that meets the constraints.

Type: `string`.

Pattern: ^\[A-Za-z0-9\\-\\.\]{1,64}$.

### DiagnosticReportBundle

Includes all fields of `Entry`.

*   `entry` (_array of DiagnosticReportEntry_)

### DiagnosticReport

Includes all fields of `Resource`.

*   `identifier` (_array of Identifier_) Specifies the business identifier for the report.
*   `basedOn` (_array of Reference_) Specifies the reference that's used for the plan, proposal, or order.
*   `status` (_code (string)_, required) Specifies the status of the diagnostic report. Possible values are registered, partial, preliminary, final, amended, corrected, appended, canceled, entered-in-error, or unknown.  
    Allowed values: `registered`, `partial`, `preliminary`, `final`, `amended`, `corrected`, `appended`, `cancelled`, `entered-in-error`, `unknown`.
*   `category` (_array of CodeableConcept_) Specifies the service category.
*   `code` (_object_, required) Specifies the name or code of the diagnostic report.
    
    Includes all fields of `CodeableConcept`.
    
*   `subject` (_object_, required) Specifies the subject of the report, which is usually the patient.
    
    Includes all fields of `Reference`.
    
*   `encounter` (_object_) Specifies the healthcare event when a test is ordered.
    
    Includes all fields of `Reference`.
    
*   `effective` (_diagnosticReporteffectiveDateTime | diagnosticReporteffectivePeriod_) Specifies the clinically relevant time or time period for the report.
    
    One of: `diagnosticReporteffectiveDateTime`, `diagnosticReporteffectivePeriod`.
    
*   `issued` (_instant (string)_) Specifies the DateTime value when a version of the report was made.
*   `performer` (_array of Reference_) Specifies the responsible diagnostic service.
*   `resultsInterpreter` (_array of Reference_) Specifies the primary result interpreter.
*   `result` (_array of Reference_) Observations
*   `media` (_array of object_) Provides the key images associated with the report.
    
    Includes all fields of `BackboneElement`.
    
    *   `comment` (_string_) Specifies the comment about the image. For example, a description of the image.
    *   `link` (_object_, required) Specifies the reference to the image source.
        
        Includes all fields of `Reference`.
        
*   `conclusion` (_string_) Specifies the clinical conclusion or interpretation of the test results.
*   `conclusionCode` (_array of CodeableConcept_) Specifies the codes for the clinical conclusion of the test results.

### DocumentReferenceBundle

Includes all fields of `Bundle`.

*   `entry` (_array of DocumentReferenceEntry_)

### DocumentReference

Includes all fields of `Resource`.

*   `identifier` (_array of Identifier_) Specifies the business identifiers associated with the document, including version-independent identifiers.
*   `status` (_code (string)_, required) Specifies the status of the document reference.  
    Allowed values: `current`, `superseded`, `entered-in-error`.
*   `docStatus` (_code (string)_) Specifies the status of the underlying document.  
    Allowed values: `preliminary`, `final`, `amended`, `entered-in-error`.
*   `type` (_object_, required) Specifies the type of document referenced, such as Discharge Summary and Progress Note.
    
    Includes all fields of `CodeableConcept`.
    
*   `category` (_array of CodeableConcept_, required) Specifies the categorization for the type of document referenced that helps with indexing and searching.
*   `subject` (_object_, required) Specifies who or what the document is about. It can be about a person, a device, or even a group of subjects that share common exposure.
    
    Includes all fields of `Reference`.
    
*   `date` (_instant (string)_) Specifies when the document reference was created.
*   `author` (_array of Reference_) Specifies the author of the document.
*   `authenticator` (_object_) Specifies the participant who has authenticated the document.
    
    Includes all fields of `Reference`.
    
*   `custodian` (_object_) Specifies the organization or group that is responsible for the maintenance of the document.
    
    Includes all fields of `Reference`.
    
*   `relatesTo` (_array of object_) Specifies the details of how the document relates to other document references that exist.
    
    Includes all fields of `BackboneElement`.
    
    *   `id` (_string_) Specifies the unique identifier for inter-element referencing.
    *   `code` (_code (string)_, required) Specifies how the document relates to another document.  
        Allowed values: `replaces`, `transforms`, `signs`, `appends`.
    *   `target` (_object_, required) Specifies the target of the relationship.
        
        Includes all fields of `Reference`.
        
*   `description` (_string_) Specifies the human-readable description of the source document.
*   `securityLabel` (_array of CodeableConcept_) Specifies a set of security tag codes indicating the level of privacy and security of the document.
*   `content` (_array of object_, required) Specifies the document and format referenced.
    
    Includes all fields of `BackboneElement`.
    
    *   `attachment` (_object_, required) Specifies the document or URL to access the content.
        
        Includes all fields of `Attachment`.
        
    *   `format` (_object_) Specifies the format and content rules for the document.
        
        Includes all fields of `Coding`.
        
*   `context` (_object_) Specifies the clinical encounter or care type that the document content is associated with.
    
    Includes all fields of `BackboneElement`.
    
    *   `encounter` (_object_) Specifies the context of the document content.
        
        Includes all fields of `Reference`.
        

### Bundle

Contains a collection of resources.

*   Rule: total only for search results or history.
*   Rule: entry.search only for a search request.
*   Rule: entry.request mandatory for batch, transaction, or history, else prohibited.
*   Rule: entry.response mandatory for batch-response, transaction-response, or history, else prohibited.
*   Rule: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles).
*   Rule: A document must have an identifier with a system and a value.
*   Rule: A document must have a date.
*   Rule: A document must have a Composition resource as the first resource.
*   Rule: A message must have a MessageHeader resource as the first resource. Elements defined in Ancestors: id, meta, implicitRules, and language.

*   `type` (_object_, required) document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection  
    Allowed values: `document`, `message`, `transaction`, `transaction-response`, `batch`, `batch-response`, `history`, `searchset`, `collection`.
    
    Includes all fields of `code`.
    
    Allowed values: `document`, `message`, `transaction`, `transaction-response`, `batch`, `batch-response`, `history`, `searchset`, `collection`.
    
*   `id` (_object_, required) Specifies the ID of the artifact.
    
    Includes all fields of `id`.
    
*   `total` (_object_) Specifies the number of matches with the search results.
    
    Includes all fields of `unsignedInt`.
    
*   `meta` (_object_, required) Holds the set of metadata (meta element) of the type Meta that each resource contains. Gives technical and workflow context to the resource. Though the metadata items are optional, some or all of the items are required in certain implementations or contexts.
    *   `lastUpdated` (_object_) Specifies the date when the record was last updated.
        
        Includes all fields of `instant`.
        
*   `link` (_array of object_) Specifies the links related to the resource bundle.
    *   `relation` (_string_, required) Specifies how this resource bundle link relates at the parent level. To know more about link relations, see [Link relations](http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1).
    *   `url` (_object_, required) Specifies the reference details of the link.
        
        Includes all fields of `uri`.
        
*   `entry` (_array of object_)
    
    An entry in the bundle includes a resource or information.
    
    *   Rule: must be a resource unless there's a request or response.
    *   Rule: fullUrl cannot be a version-specific reference. For bundles of the document and message types, the first resource must be Composition and MessageHeader resources, respectively. For all bundles, the meaning of the order of entries depends on the bundle type.
    
    Includes all fields of `Entry`.
    

### ObservationEntry

Includes all fields of `Entry`.

*   `resource` (_Observation_, required)

### code

Indicates that the value is taken from a set of controlled strings defined elsewhere. See [Using codes](http://hl7.org/fhir/STU3/terminologies.html). A code is restricted to a string, which has at least one character and no leading or trailing whitespace, and with no whitespace other than the single spaces in the content.

Type: `string`.

Pattern: ^(\[^\\s\]+(\[\\s\]+\[^\\s\]+)\*)?$.

### CodeableConcept

Represents a value that's supplied by providing a reference to one or more terminologies or ontologies, but is also defined by the provision of text. The CodeableConcept type is a common pattern in healthcare data.

*   `coding` (_array of Coding_) Specifies a code defined by a terminology system.
*   `text` (_string_) Represents the meaning of the codeable concept as text.

### Resource

Specifies the base resource.

*   `id` (_id (string)_) Specifies the ID of the base resource.

### Identifier

Represents a numeric or alphanumeric string that's associated with a single object or entity within a given system. Typically, identifiers are used to connect the content in the resources to external content available in other frameworks or protocols. Identifiers are associated with objects and can change or retire due to human or system processes and errors.

*   `use` (_code (string)_) usual | official | temp | secondary (If known)  
    Allowed values: `usual`, `official`, `temp`, `secondary`, `old`.
*   `type` (_object_) Describes the identifier.
    
    Includes all fields of `CodeableConcept`.
    
*   `system` (_object_) Provides the namespace for the identifier value.
    
    Includes all fields of `uri`.
    
*   `value` (_string_) Specifies the ID value of the identifier.

### Reference

Specifies the defined elements in a resource that are references to other resources. Using the references, the resources combine to build a web of information about healthcare.

Includes all fields of `Element`.

*   `reference` (_string_) Specifies a literal, relative, internal, or absolute URL reference.

### observationeffectiveDateTime

*   `effectiveDateTime` (_dateTime (string)_, required) Specifies the clinically relevant time for the observation.

### observationeffectivePeriod

*   `effectivePeriod` (_object_, required) Specifies the clinically relevant period for the observation.
    
    Includes all fields of `Period`.
    

### instant

Represents an instant in time that's known at least to the second and always includes a time zone. Note: An instant in time is intended for precisely observed times, such as system logs, and not human-reported times. Use date and dateTime for human-reported times. Instant is a more constrained dateTime. Note: An instant in time is for system times, not human-reported times, such as date and dateTime.

Type: `string`.

Pattern: ^\[0-9\]{4}(-(0\[1-9\]|1\[0-2\])(-(0\[0-9\]|\[1-2\]\[0-9\]|3\[0-1\])(T(\[01\]\[0-9\]|2\[0-3\]):\[0-5\]\[0-9\]:\[0-5\]\[0-9\](https://./[0-9/]+)?(Z|(\\+|-)((0\[0-9\]|1\[0-3\]):\[0-5\]\[0-9\]|14:00)))))$.

### enumvalueQuantity

*   `valueQuantity` (_object_, required) Specifies the quantity value of extension.
    
    Includes all fields of `Quantity`.
    

### enumvalueCodeableConcept

*   `valueCodeableConcept` (_object_, required) Specifies the codeable concept value of extension.
    
    Includes all fields of `CodeableConcept`.
    

### enumvalueString

*   `valueString` (_string_, required) Specifies the enum value of extension represented as string.

### enumvalueBoolean

*   `valueBoolean` (_boolean_, required) Specifies the enum value of extension represented as boolean.

### enumvalueDateTime

*   `valueDateTime` (_dateTime (string)_, required) Specifies the enum value of extension represented as dateTime.

### enumvaluePeriod

*   `valuePeriod` (_object_, required) Specifies the enum value period of extension.
    
    Includes all fields of `Period`.
    

### BackboneElement

Includes all fields of `Element`.

*   `modifierExtension` (_array of Extension_) Modifier Extensions

### SimpleQuantity

The comparator is not used on a SimpleQuantity type.

Includes all fields of `Quantity`.

### Range

Specifies a set of ordered quantity values defined by low and high limits.

Includes all fields of `Element`.

*   `low` (_object_) Specifies the lower limit.
    
    Includes all fields of `Quantity`.
    
*   `high` (_object_) Specifies the higher limit.
    
    Includes all fields of `Quantity`.
    

### Entry

An entry in the bundle includes a resource or information.

*   Rule: The entry must be a resource unless there's a request or response.
*   Rule: The fullUrl property can't be a version-specific reference. For bundles of the document and message types, the first resource must be Composition and MessageHeader resources, respectively. For all bundles, the meaning of the order of entries depends on the bundle type.

*   `fullUrl` (_object_) Specifies the URI for the resource, which is the absolute URL server address, or the URI for UUID or OID.
    
    Includes all fields of `uri`.
    
*   `search` (_object_) Provides the search-related information.
    *   `mode` (_code (string)_) Specifies the search mode and criteria. Possible values are match, include, and outcome.  
        Allowed values: `match`, `include`, `outcome`.
*   `resource` (_object_) Specifies a resource in the bundle.
    
    Includes all fields of `Resource`.
    

### DiagnosticReportEntry

Includes all fields of `Entry`.

*   `resource` (_DiagnosticReport_, required)

### diagnosticReporteffectiveDateTime

*   `effectiveDateTime` (_dateTime (string)_, required) Specifies the clinically relevant date and time for the report.

### diagnosticReporteffectivePeriod

*   `effectivePeriod` (_object_, required) Specifies the clinically relevant period for the report.
    
    Includes all fields of `Period`.
    

### DocumentReferenceEntry

Includes all fields of `Entry`.

*   `resource` (_DocumentReference_, required)

### Attachment

Contains or references additional data content defined in other formats. For example, to include images or reports in report format such as PDF. However, it can contain or refer to any data that’s a MIME type.

Includes all fields of `Element`.

*   `contentType` (_code (string)_) Specifies the type of data in the attachment and allows a method to interpret or render the data. Includes mime type parameters such as charset where appropriate.
*   `language` (_code (string)_) Specifies the human language of the content (BCP 47).
*   `data` (_base64Binary (string)_, required) Specifies the data of the attachment in a sequence of bytes, base64 encoded.
*   `size` (_object_) Specifies the number of bytes of content if the URL is provided.
    
    Includes all fields of `unsignedInt`.
    
*   `title` (_string_) Specifies a label to display in place of the data. The default value is Unknown.
*   `creation` (_object_) Specifies the date when the attachment was created.
    
    Includes all fields of `dateTime`.
    

### Coding

Represents a defined concept using a symbol from a defined code system. See [Terminologies](http://hl7.org/fhir/STU3/terminologies.html).

*   `system` (_object_) Specifies the identity of the terminology system.
    
    Includes all fields of `uri`.
    
*   `version` (_string_) Specifies the version of the system, if relevant.
*   `code` (_code (string)_) Specifies the symbol in the syntax that's defined by the system.
*   `display` (_string_) Specifies the representation defined by the system.

### unsignedInt

Specifies any non-negative integer (>= 0) with regex - \[0\]|(\[1-9\]\[0-9\]\*).

Type: `integer`.

Minimum: 0.

### uri

Specifies the Uniform Resource Identifier reference. See [Uniform Resource Identifier](https://tools.ietf.org/html/rfc3986). Note: URIs are case-sensitive. For UUID (urn:uuid:53fefa32-fcbb-4ff8-8a92-55ee120877b7), use all lowercase. URIs can be absolute or relative, and can include an optional fragment identifier. Regex: \\S\*

Type: `string`.

### Element

*   `id` (_object_) Specifies the internal ID of the element.
    
    Includes all fields of `id`.
    

### dateTime

Specifies a date, date and time, or partial date (year or year with month). If hours and minutes are specified, a time zone is populated. Seconds must be provided due to schema type constraints but allows zero-filled values. Dates must be valid dates. The time, "24:00" isn't allowed.

Type: `string`.

Pattern: ^\[0-9\]{4}(-(0\[1-9\]|1\[0-2\])(-(0\[0-9\]|\[1-2\]\[0-9\]|3\[0-1\])(T(\[01\]\[0-9\]|2\[0-3\]):\[0-5\]\[0-9\]:\[0-5\]\[0-9\](https://./[0-9/]+)?(Z|(\\+|-)((0\[0-9\]|1\[0-3\]):\[0-5\]\[0-9\]|14:00)))?)?)?$.

### Period

Specifies a time period defined by a start and end date or time.

Includes all fields of `Element`.

*   `start` (_dateTime (string)_) Specifies the starting time with inclusive boundary.
*   `end` (_dateTime (string)_) Specifies the end time with inclusive boundary, if not ongoing.

### Quantity

Specifies a measured amount or an amount that can potentially be measured.

Includes all fields of `Element`.

*   `value` (_decimal (number)_) Specifies the numerical value with implicit precision.
*   `comparator` (_code (string)_) Specifies the method to understand the value.  
    Allowed values: `<`, `<=`, `>=`, `>`.
*   `unit` (_string_) Specifies the unit representation.
*   `system` (_object_) Specifies the system that defines the coded unit form.
    
    Includes all fields of `uri`.
    
*   `code` (_code (string)_) Specifies the coded form of the unit.

### Extension

Optional. Specifies the extensions element and rule. Must have either extensions or value\[x\], but not both elements defined in the ancestors ID or extension.

Includes all fields of `Element`.

*   `url` (_object_, required) Identifies the meaning of the extension.
    
    Includes all fields of `uri`.
    
*   `value` (_string_) Specifies the value of the extension.

### base64Binary

Specifies base64ed content data up to 2 MB. There is performance degradation beyond that limit.

Type: `string`.

Pattern: ^(\[A-Za-z0-9+/\]{4})\*(\[A-Za-z0-9+/\]{2}==|\[A-Za-z0-9+/\]{3}=)?$.

### decimal

Specifies the rational numbers that have a decimal representation. See below about the precision of the number. Regex: -?(0|\[1-9\]\[0-9\]\*)(.\[0-9\]+)?(\[eE\]\[+-\]?\[0-9\]+)?

Type: `number`.