Document Subscription for Mobile (DSUBm), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 1.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.DSUBm/ and changes regularly. See the Directory of published versions

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Resource Profile: Subscription for DocumentReference Patient-Dependent with DocumentReference Subscription for Minimal Update Option

Resource Subscription for DSUBm profile for DocumentReference with the indication of the patient

• the criteria element SHALL contain the URL of a canonical instance of SubscriptionTopic for creation, deletion and update only in the “status” of a DocumentReference

Usage:

• Examples for this Resource Profile: Subscription/ex-DocumentReference-PatientDependent-Subscription-MinUpdt

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from BackportSubscription

Name	Flags	Card.	Type	Description & Constraints
Subscription		0..*	BackportSubscription	Server push subscription criteria
criteria		1..1	string	Canonical URL for the SubscriptionTopic. Required Pattern: https://profiles.ihe.net/ITI/DSUBm/SubscriptionTopic/DSUBm-SubscriptionTopic-DocReference-PatientDependent-MinUpdate
extension	C	0..*	Extension	The criteria.extension SHALL have at least one of the patient or patient.identifier parameter as a subscription criteria. DocumentReference-PatientDependent: the Subscription for DocumentReference SHALL include the resource DocumentReference and the patient parameter
channel
type		1..1	code	rest-hook | websocket | email | sms | message Required Pattern: rest-hook
endpoint	S	1..1	url	The endpoint SHOULD be the endpoint that the Resource Notification Recipient is receiving the notifications.
payload		1..1	code	MIME type to send, or omit for no payload Binding: DSUBm payload admitted Value Set (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Subscription.channel.payload	required	DSUBmPayload https://profiles.ihe.net/ITI/DSUBm/ValueSet/payload-content-value-set from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
DocumentReference-PatientDependent	error	Subscription.criteria.extension	the Subscription for DocumentReference SHALL include the resource DocumentReference and the patient parameter : value.contains('DocumentReference?') and value.contains('patient')

Name	Flags	Card.	Type	Description & Constraints
Subscription		0..*	BackportSubscription	Server push subscription criteria
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	requested | active | error | off Binding: SubscriptionStatus (required): The status of a subscription.
reason	Σ	1..1	string	Description of why this subscription was created
criteria	SΣ	1..1	string	Canonical URL for the SubscriptionTopic. Required Pattern: https://profiles.ihe.net/ITI/DSUBm/SubscriptionTopic/DSUBm-SubscriptionTopic-DocReference-PatientDependent-MinUpdate
Slices for extension	C	0..*	Extension	The criteria.extension SHALL have at least one of the patient or patient.identifier parameter as a subscription criteria. Slice: Unordered, Open by value:url DocumentReference-PatientDependent: the Subscription for DocumentReference SHALL include the resource DocumentReference and the patient parameter
filterCriteria	SΣ	0..*	string	Filtering critiera applied to events URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-filter-criteria
channel	Σ	1..1	BackboneElement	The channel on which to report matches to the criteria
Slices for extension				Content/Rules for all slices
heartbeatPeriod		0..1	unsignedInt	Interval in seconds to send 'heartbeat' notification URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-heartbeat-period
timeout		0..1	unsignedInt	Timeout in seconds to attempt notification delivery URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-timeout
maxCount		0..1	positiveInt	Maximum number of triggering resources included in notification bundles URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-max-count
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	code	rest-hook | websocket | email | sms | message Binding: SubscriptionChannelType (required): The type of method used to execute a subscription. Required Pattern: rest-hook
Slices for extension				Content/Rules for all slices
customChannelType	SΣ	0..1	Coding	Extended channel type for notifications URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-channel-type
endpoint	SΣ	1..1	url	The endpoint SHOULD be the endpoint that the Resource Notification Recipient is receiving the notifications.
payload	Σ	1..1	code	MIME type to send, or omit for no payload Binding: DSUBm payload admitted Value Set (required)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
content	SΣ	1..1	code	Notification content level URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-payload-content Binding: Backported R5 Subscription Content Value Set (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Subscription.status	required	SubscriptionStatus http://hl7.org/fhir/ValueSet/subscription-status|4.0.0 from the FHIR Standard
Subscription.channel.type	required	Pattern: rest-hook http://hl7.org/fhir/ValueSet/subscription-channel-type|4.0.0 from the FHIR Standard
Subscription.channel.payload	required	DSUBmPayload https://profiles.ihe.net/ITI/DSUBm/ValueSet/payload-content-value-set from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
DocumentReference-PatientDependent	error	Subscription.criteria.extension	the Subscription for DocumentReference SHALL include the resource DocumentReference and the patient parameter : value.contains('DocumentReference?') and value.contains('patient')

Name	Flags	Card.	Type	Description & Constraints
Subscription		0..*	BackportSubscription	Server push subscription criteria
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	requested | active | error | off Binding: SubscriptionStatus (required): The status of a subscription.
contact	Σ	0..*	ContactPoint	Contact details for source (e.g. troubleshooting)
end	Σ	0..1	instant	When to automatically delete the subscription
reason	Σ	1..1	string	Description of why this subscription was created
criteria	SΣ	1..1	string	Canonical URL for the SubscriptionTopic. Required Pattern: https://profiles.ihe.net/ITI/DSUBm/SubscriptionTopic/DSUBm-SubscriptionTopic-DocReference-PatientDependent-MinUpdate
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension	C	0..*	Extension	The criteria.extension SHALL have at least one of the patient or patient.identifier parameter as a subscription criteria. Slice: Unordered, Open by value:url DocumentReference-PatientDependent: the Subscription for DocumentReference SHALL include the resource DocumentReference and the patient parameter
filterCriteria	SΣ	0..*	string	Filtering critiera applied to events URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-filter-criteria
value		0..1	string	Primitive value for string Max Length: 1048576
error	Σ	0..1	string	Latest error note
channel	Σ	1..1	BackboneElement	The channel on which to report matches to the criteria
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
heartbeatPeriod		0..1	unsignedInt	Interval in seconds to send 'heartbeat' notification URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-heartbeat-period
timeout		0..1	unsignedInt	Timeout in seconds to attempt notification delivery URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-timeout
maxCount		0..1	positiveInt	Maximum number of triggering resources included in notification bundles URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-max-count
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	code	rest-hook | websocket | email | sms | message Binding: SubscriptionChannelType (required): The type of method used to execute a subscription. Required Pattern: rest-hook
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
customChannelType	SΣ	0..1	Coding	Extended channel type for notifications URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-channel-type
value		0..1	code	Primitive value for code
endpoint	SΣ	1..1	url	The endpoint SHOULD be the endpoint that the Resource Notification Recipient is receiving the notifications.
payload	Σ	1..1	code	MIME type to send, or omit for no payload Binding: DSUBm payload admitted Value Set (required)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
content	SΣ	1..1	code	Notification content level URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-payload-content Binding: Backported R5 Subscription Content Value Set (required)
value		0..1	code	Primitive value for code
header	Σ	0..*	string	Usage depends on the channel type
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Subscription.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Subscription.status	required	SubscriptionStatus http://hl7.org/fhir/ValueSet/subscription-status|4.0.0 from the FHIR Standard
Subscription.channel.type	required	Pattern: rest-hook http://hl7.org/fhir/ValueSet/subscription-channel-type|4.0.0 from the FHIR Standard
Subscription.channel.payload	required	DSUBmPayload https://profiles.ihe.net/ITI/DSUBm/ValueSet/payload-content-value-set from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
DocumentReference-PatientDependent	error	Subscription.criteria.extension	the Subscription for DocumentReference SHALL include the resource DocumentReference and the patient parameter : value.contains('DocumentReference?') and value.contains('patient')

This structure is derived from BackportSubscription

Summary

Mandatory: 1 element
Must-Support: 1 element

Differential View

This structure is derived from BackportSubscription

Name	Flags	Card.	Type	Description & Constraints
Subscription		0..*	BackportSubscription	Server push subscription criteria
criteria		1..1	string	Canonical URL for the SubscriptionTopic. Required Pattern: https://profiles.ihe.net/ITI/DSUBm/SubscriptionTopic/DSUBm-SubscriptionTopic-DocReference-PatientDependent-MinUpdate
extension	C	0..*	Extension	The criteria.extension SHALL have at least one of the patient or patient.identifier parameter as a subscription criteria. DocumentReference-PatientDependent: the Subscription for DocumentReference SHALL include the resource DocumentReference and the patient parameter
channel
type		1..1	code	rest-hook | websocket | email | sms | message Required Pattern: rest-hook
endpoint	S	1..1	url	The endpoint SHOULD be the endpoint that the Resource Notification Recipient is receiving the notifications.
payload		1..1	code	MIME type to send, or omit for no payload Binding: DSUBm payload admitted Value Set (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Subscription.channel.payload	required	DSUBmPayload https://profiles.ihe.net/ITI/DSUBm/ValueSet/payload-content-value-set from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
DocumentReference-PatientDependent	error	Subscription.criteria.extension	the Subscription for DocumentReference SHALL include the resource DocumentReference and the patient parameter : value.contains('DocumentReference?') and value.contains('patient')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Subscription		0..*	BackportSubscription	Server push subscription criteria
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	requested | active | error | off Binding: SubscriptionStatus (required): The status of a subscription.
reason	Σ	1..1	string	Description of why this subscription was created
criteria	SΣ	1..1	string	Canonical URL for the SubscriptionTopic. Required Pattern: https://profiles.ihe.net/ITI/DSUBm/SubscriptionTopic/DSUBm-SubscriptionTopic-DocReference-PatientDependent-MinUpdate
Slices for extension	C	0..*	Extension	The criteria.extension SHALL have at least one of the patient or patient.identifier parameter as a subscription criteria. Slice: Unordered, Open by value:url DocumentReference-PatientDependent: the Subscription for DocumentReference SHALL include the resource DocumentReference and the patient parameter
filterCriteria	SΣ	0..*	string	Filtering critiera applied to events URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-filter-criteria
channel	Σ	1..1	BackboneElement	The channel on which to report matches to the criteria
Slices for extension				Content/Rules for all slices
heartbeatPeriod		0..1	unsignedInt	Interval in seconds to send 'heartbeat' notification URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-heartbeat-period
timeout		0..1	unsignedInt	Timeout in seconds to attempt notification delivery URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-timeout
maxCount		0..1	positiveInt	Maximum number of triggering resources included in notification bundles URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-max-count
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	code	rest-hook | websocket | email | sms | message Binding: SubscriptionChannelType (required): The type of method used to execute a subscription. Required Pattern: rest-hook
Slices for extension				Content/Rules for all slices
customChannelType	SΣ	0..1	Coding	Extended channel type for notifications URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-channel-type
endpoint	SΣ	1..1	url	The endpoint SHOULD be the endpoint that the Resource Notification Recipient is receiving the notifications.
payload	Σ	1..1	code	MIME type to send, or omit for no payload Binding: DSUBm payload admitted Value Set (required)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
content	SΣ	1..1	code	Notification content level URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-payload-content Binding: Backported R5 Subscription Content Value Set (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Subscription.status	required	SubscriptionStatus http://hl7.org/fhir/ValueSet/subscription-status|4.0.0 from the FHIR Standard
Subscription.channel.type	required	Pattern: rest-hook http://hl7.org/fhir/ValueSet/subscription-channel-type|4.0.0 from the FHIR Standard
Subscription.channel.payload	required	DSUBmPayload https://profiles.ihe.net/ITI/DSUBm/ValueSet/payload-content-value-set from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
DocumentReference-PatientDependent	error	Subscription.criteria.extension	the Subscription for DocumentReference SHALL include the resource DocumentReference and the patient parameter : value.contains('DocumentReference?') and value.contains('patient')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Subscription		0..*	BackportSubscription	Server push subscription criteria
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): IETF language tag Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources dom-r4b: Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	requested | active | error | off Binding: SubscriptionStatus (required): The status of a subscription.
contact	Σ	0..*	ContactPoint	Contact details for source (e.g. troubleshooting)
end	Σ	0..1	instant	When to automatically delete the subscription
reason	Σ	1..1	string	Description of why this subscription was created
criteria	SΣ	1..1	string	Canonical URL for the SubscriptionTopic. Required Pattern: https://profiles.ihe.net/ITI/DSUBm/SubscriptionTopic/DSUBm-SubscriptionTopic-DocReference-PatientDependent-MinUpdate
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension	C	0..*	Extension	The criteria.extension SHALL have at least one of the patient or patient.identifier parameter as a subscription criteria. Slice: Unordered, Open by value:url DocumentReference-PatientDependent: the Subscription for DocumentReference SHALL include the resource DocumentReference and the patient parameter
filterCriteria	SΣ	0..*	string	Filtering critiera applied to events URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-filter-criteria
value		0..1	string	Primitive value for string Max Length: 1048576
error	Σ	0..1	string	Latest error note
channel	Σ	1..1	BackboneElement	The channel on which to report matches to the criteria
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
heartbeatPeriod		0..1	unsignedInt	Interval in seconds to send 'heartbeat' notification URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-heartbeat-period
timeout		0..1	unsignedInt	Timeout in seconds to attempt notification delivery URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-timeout
maxCount		0..1	positiveInt	Maximum number of triggering resources included in notification bundles URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-max-count
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	code	rest-hook | websocket | email | sms | message Binding: SubscriptionChannelType (required): The type of method used to execute a subscription. Required Pattern: rest-hook
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
customChannelType	SΣ	0..1	Coding	Extended channel type for notifications URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-channel-type
value		0..1	code	Primitive value for code
endpoint	SΣ	1..1	url	The endpoint SHOULD be the endpoint that the Resource Notification Recipient is receiving the notifications.
payload	Σ	1..1	code	MIME type to send, or omit for no payload Binding: DSUBm payload admitted Value Set (required)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
content	SΣ	1..1	code	Notification content level URL: http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-payload-content Binding: Backported R5 Subscription Content Value Set (required)
value		0..1	code	Primitive value for code
header	Σ	0..*	string	Usage depends on the channel type
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Subscription.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Subscription.status	required	SubscriptionStatus http://hl7.org/fhir/ValueSet/subscription-status|4.0.0 from the FHIR Standard
Subscription.channel.type	required	Pattern: rest-hook http://hl7.org/fhir/ValueSet/subscription-channel-type|4.0.0 from the FHIR Standard
Subscription.channel.payload	required	DSUBmPayload https://profiles.ihe.net/ITI/DSUBm/ValueSet/payload-content-value-set from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
DocumentReference-PatientDependent	error	Subscription.criteria.extension	the Subscription for DocumentReference SHALL include the resource DocumentReference and the patient parameter : value.contains('DocumentReference?') and value.contains('patient')

This structure is derived from BackportSubscription

Summary

Mandatory: 1 element
Must-Support: 1 element

Other representations of profile: CSV, Excel, Schematron