Profile Comparison between http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-data-file vs http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-data-file

Left:Genomic Data File (http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-data-file)
Right:Genomic Data File (http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-data-file)

Messages

ErrorStructureDefinition.versionValues for version differ: '3.0.0' vs '4.0.0-ballot'
InformationStructureDefinition.dateValues for date differ: '2024-12-12T20:43:36+00:00' vs '2025-10-16T23:38:27+00:00'
WarningStructureDefinition.fhirVersionValues for fhirVersion differ: '4.0.1' vs '6.0.0-ballot3'
InformationStructureDefinition.definitionValues for definition differ: 'A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text.' vs 'A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this 'document' encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference.'
InformationStructureDefinition.commentValues for comment differ: 'The only time that a resource does not have an id is when it is being submitted to the server using a create operation.' vs 'Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.'
InformationStructureDefinition.commentValues for comment differ: 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.' vs 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.'
InformationStructureDefinition.commentValues for comment differ: 'Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.' vs 'Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.'
InformationStructureDefinition.definitionValues for definition differ: 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.' vs 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.'
InformationStructureDefinition.commentValues for comment differ: 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.' vs 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an [additional resource](http://build.fhir.org/resource.html#additional).'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'Other identifiers for the document' vs 'Business identifiers for the document'
InformationStructureDefinition.definitionValues for definition differ: 'Other identifiers associated with the document, including version independent identifiers.' vs 'Business identifiers assigned to this document reference by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server.'
InformationStructureDefinition.definitionValues for definition differ: 'The status of this document reference.' vs 'The current state of the document reference.'
InformationStructureDefinition.shortValues for short differ: 'preliminary | final | amended | entered-in-error' vs 'registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown'
InformationDocumentReference.typeExample/preferred bindings differ at DocumentReference.type using binding from GenomicDataFile
InformationStructureDefinition.commentValues for comment differ: 'Referencing/indexing time is used for tracking, organizing versions and searching.' vs 'Referencing/indexing time is used for tracking, organizing versions and searching. Provide the most precise timestamp available.'
InformationStructureDefinition.commentValues for comment differ: 'Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant).' vs 'Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant). Using Group is only allowed in the circumstance where the group represents a family or a household, and should not represent groups of Practitioners.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'replaces | transforms | signs | appends' vs 'The relationship type with another document'
InformationStructureDefinition.definitionValues for definition differ: 'A set of Security-Tag codes specifying the level of privacy/security of the Document. Note that DocumentReference.meta.security contains the security labels of the 'reference' to the document, while DocumentReference.securityLabel contains a snapshot of the security labels on the document the reference refers to.' vs 'A set of Security-Tag codes specifying the level of privacy/security of the Document found at DocumentReference.content.attachment.url. Note that DocumentReference.meta.security contains the security labels of the data elements in DocumentReference, while DocumentReference.securityLabel contains the security labels for the document the reference refers to. The distinction recognizes that the document may contain sensitive information, while the DocumentReference is metadata about the document and thus might not be as sensitive as the document. For example: a psychotherapy episode may contain highly sensitive information, while the metadata may simply indicate that some episode happened.'
InformationStructureDefinition.definitionValues for definition differ: 'The document and format referenced. There may be multiple content element repetitions, each with a different format.' vs 'The document and format referenced. If there are multiple content element repetitions, these must all represent the same document in different format, or attachment metadata.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'Clinical context of document' vs 'Encounter the document reference is part of'
InformationStructureDefinition.definitionValues for definition differ: 'The clinical context in which the document was prepared.' vs 'The Encounter during which this document reference was created or to which the creation of this record is tightly associated.'
InformationStructureDefinition.commentValues for comment differ: 'These values are primarily added to help with searching for interesting/relevant documents.' vs 'This will typically be the encounter the document reference was created during, but some document references may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission lab tests).'
InformationDocumentReference.contextElement maximum cardinalities differ: '1' vs '2147483647'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/DocumentReference
      .copyright
        .date2024-12-12T20:43:36+00:002025-10-16T23:38:27+00:00
        • Values Differ
        .descriptionA profile of DocumentReference used to represent a genomics file.
          .experimental
            .fhirVersion4.0.16.0.0-ballot3
            • Values Differ
            .jurisdiction
              ..jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#001
                .kindresource
                  .nameGenomicDataFile
                    .publisherHL7 International / Clinical Genomics
                      .purpose
                        .statusactive
                          .titleGenomic Data File
                            .typeDocumentReference
                              .urlhttp://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-data-file
                                .version3.0.04.0.0-ballot
                                • Values Differ

                                Structure

                                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                .. DocumentReference 0..*DocumentReferenceA reference to a document
                                C0..*DocumentReferenceA reference to a document
                                  ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                                    ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                      ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                        ... language 0..1codeLanguage of the resource content
                                        Binding: ?? (preferred): A human language.
                                        Additional BindingsPurpose
                                        ??Max Binding
                                        0..1codeLanguage of the resource content
                                        Binding: ?? (required): IETF language tag for a human language
                                        Additional BindingsPurpose
                                        ??Starter
                                          ... text 0..1NarrativeText summary of the resource, for human interpretation
                                          This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                          0..1NarrativeText summary of the resource, for human interpretation
                                          This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                            ... contained 0..*ResourceContained, inline Resources
                                            0..*ResourceContained, inline Resources
                                              ... extension 0..*ExtensionAdditional content defined by implementations
                                              0..*ExtensionAdditional content defined by implementations
                                                ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                                ?!Σ0..*ExtensionExtensions that cannot be ignored
                                                  ... masterIdentifier Σ0..1IdentifierMaster Version Specific Identifier
                                                  • Removed this element
                                                  ... identifier Σ0..*IdentifierOther identifiers for the document
                                                  Σ0..*IdentifierBusiness identifiers for the document
                                                    ... status ?!Σ1..1codecurrent | superseded | entered-in-error
                                                    Binding: ?? (required): The status of the document reference.
                                                    ?!Σ1..1codecurrent | superseded | entered-in-error
                                                    Binding: ?? (required): The status of the document reference.
                                                      ... docStatus Σ0..1codepreliminary | final | amended | entered-in-error
                                                      Binding: ?? (required): Status of the underlying document.
                                                      ?!Σ0..1coderegistered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
                                                      Binding: ?? (required): Status of the underlying document.
                                                        ... type Σ0..1CodeableConceptKind of document (LOINC if possible)
                                                        Binding: ?? (preferred): Precise type of clinical document.
                                                        Σ0..1CodeableConceptKind of document (LOINC if possible)
                                                        Binding: ?? (preferred): Precise type of clinical document.
                                                        • Example/preferred bindings differ at DocumentReference.type using binding from GenomicDataFile
                                                        ... category Σ0..*CodeableConceptCategorization of document
                                                        Binding: ?? (example): High-level kind of a clinical document at a macro level.
                                                        Σ0..*CodeableConceptCategorization of document
                                                        Binding: ?? (example): High-level kind of document at a macro level.
                                                          ... subject Σ0..1Reference(Patient | Practitioner | Group | Device)Who/what is the subject of the documentΣ0..1Reference(Resource)Who/what is the subject of the document
                                                            ... date Σ0..1instantWhen this document reference was createdΣ0..1dateTimeWhen this document reference was created
                                                              ... author Σ0..*Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)Who and/or what authored the document
                                                              Σ0..*Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam | Group)Who and/or what authored the document
                                                                ... authenticator 0..1Reference(Practitioner | PractitionerRole | Organization)Who/what authenticated the document
                                                                • Removed this element
                                                                ... custodian 0..1Reference(Organization)Organization which maintains the document0..1Reference(Organization)Organization which maintains the document
                                                                  ... relatesTo Σ0..*BackboneElementRelationships to other documents
                                                                  Σ0..*BackboneElementRelationships to other documents
                                                                    .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                      .... extension 0..*ExtensionAdditional content defined by implementations
                                                                      0..*ExtensionAdditional content defined by implementations
                                                                        .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                        ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                          .... code Σ1..1codereplaces | transforms | signs | appends
                                                                          Binding: ?? (required): The type of relationship between documents.
                                                                          Σ1..1CodeableConceptThe relationship type with another document
                                                                          Binding: ?? (extensible): The type of relationship between the documents.
                                                                            .... target Σ1..1Reference(DocumentReference)Target of the relationshipΣ1..1Reference(DocumentReference)Target of the relationship
                                                                              ... description Σ0..1stringHuman-readable description to provide guidance on how the file was generatedΣ0..1markdownHuman-readable description to provide guidance on how the file was generated
                                                                                ... securityLabel Σ0..*CodeableConceptDocument security-tags
                                                                                Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
                                                                                Σ0..*CodeableConceptDocument security-tags
                                                                                Binding: ?? (example): Example Security Labels from the Healthcare Privacy and Security Classification System.
                                                                                  ... content Σ1..*BackboneElementDocument referenced
                                                                                  Σ1..*BackboneElementDocument referenced
                                                                                    .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                      .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                      0..*ExtensionAdditional content defined by implementations
                                                                                        .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                        ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                          .... attachment Σ1..1AttachmentWhere to access the documentΣ1..1AttachmentWhere to access the document
                                                                                            .... format Σ0..1CodingFormat/content rules for the document
                                                                                            Binding: ?? (preferred): Document Format Codes.
                                                                                            • Removed this element
                                                                                            .... profile Σ0..*BackboneElementContent profile rules for the document
                                                                                            • Added this element
                                                                                            ... context Σ0..1BackboneElementClinical context of documentΣC0..*Reference(Appointment | Encounter | EpisodeOfCare)Encounter the document reference is part of
                                                                                            • Element maximum cardinalities differ: '1' vs '2147483647'
                                                                                            .... id 0..1stringUnique id for inter-element referencing
                                                                                            • Removed this element
                                                                                            .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                            • Removed this element
                                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                            • Removed this element
                                                                                            .... encounter 0..*Reference(Encounter | EpisodeOfCare)Context of the document content
                                                                                            • Removed this element
                                                                                            .... event 0..*CodeableConceptMain clinical acts documented
                                                                                            Binding: ?? (example): This list of codes represents the main clinical acts being documented.
                                                                                            • Removed this element
                                                                                            .... period Σ0..1PeriodTime of service that is being documented
                                                                                            • Removed this element
                                                                                            .... facilityType 0..1CodeableConceptKind of facility where patient was seen
                                                                                            Binding: ?? (example): XDS Facility Type.
                                                                                            • Removed this element
                                                                                            .... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
                                                                                            Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).
                                                                                            • Removed this element
                                                                                            .... sourcePatientInfo 0..1Reference(Patient)Patient demographics from source
                                                                                            • Removed this element
                                                                                            .... related 0..*Reference(Genomic Report)Related identifiers or resources
                                                                                            • Removed this element
                                                                                            ... version Σ0..1stringAn explicitly assigned identifier of a variation of the content in the DocumentReference
                                                                                            • Added this element
                                                                                            ... basedOn 0..*Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | VisionPrescription)Procedure that caused this media to be created
                                                                                            • Added this element
                                                                                            ... modality Σ0..*CodeableConceptImaging modality used
                                                                                            Binding: ?? (extensible): Type of acquired data in the instance.
                                                                                            • Added this element
                                                                                            ... event 0..*CodeableReference(Resource)Main clinical acts documented
                                                                                            Binding: ?? (example): This list of codes represents the main clinical acts being documented.
                                                                                            • Added this element
                                                                                            ... related 0..*Reference(Genomic Report)Related identifiers or resources associated with the document reference
                                                                                            • Added this element
                                                                                            ... bodySite Σ0..*CodeableReference(BodyStructure)Body part included
                                                                                            Binding: ?? (example): SNOMED CT Body site concepts
                                                                                            • Added this element
                                                                                            ... facilityType C0..1CodeableConceptKind of facility where patient was seen
                                                                                            Binding: ?? (example): XDS Facility Type.
                                                                                            • Added this element
                                                                                            ... practiceSetting C0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
                                                                                            Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).
                                                                                            • Added this element
                                                                                            ... period Σ0..1PeriodTime of service that is being documented
                                                                                            • Added this element
                                                                                            ... attester 0..*BackboneElementAttests to accuracy of the document
                                                                                            • Added this element

                                                                                            doco Documentation for this format