eHealth Infrastructure
6.0.2 - release Denmark flag

eHealth Infrastructure, published by Den telemedicinske infrastruktur (eHealth Infrastructure). This guide is not an authorized publication; it is the continuous build for version 6.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fut-infrastructure/implementation-guide/ and changes regularly. See the Directory of published versions

Resource Profile: ehealth-transformation-documentreference

Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-transformation-documentreference Version: 6.0.2
Active as of 2025-10-30 Computable Name: ehealth-transformation-documentreference

Introduction

A DocumentReference resource is used to describe a document that is made available to a healthcare system. A document is some sequence of bytes that is identifiable, establishes its own context (e.g., what subject, author, etc. can be displayed to the user), and has defined update management. The DocumentReference resource can be used with any document format that has a recognized mime type and that conforms to this definition.

The eHealth Infrastructure has multiple profiles for DocumentReference, each with their own purpose. Generally, DocumentReference resources are used in document indexing systems, such as IHE XDS , and are used to refer to:

  • CDA documents in FHIR systems
  • FHIR documents stored elsewhere (i.e. registry/repository following the XDS model)
  • PDF documents , and even digital records of faxes where sufficient information is available
  • Other kinds of documents, such as records of prescriptions

The eHealth Transformation DocumentReference is used to store CDA documents in the FHIR system or refer to those stored in an XDS modelled repository (i.e. registry/repository following the XDS model).

Scope and Usage

The eHealth Transformation DocumentReference resource is stored solely in the Document-Transformation service. However, the Document-Query service, which is used to query and retrieve CDA documents from national document sharing infrastructure, will return the found document metadata and documents in the form of an eHealth Transformation DocumentReference resource.

​The resources stored in the Document-Transformation service are CDA document representations of FHIR resources in the eHealth infrastructure, such as Observation, QuestionnaireResponses, Appointments and Questionnaires. Upon approval a resource can be transformed to a CDA format and shared to an XDS repository. The DocumentReference resource will then contain a reference to the document in the XDS repository.

To support the expression of the document lifecycle in the external system as well as the lifecycle of the internal sharing process, the eHealth Transformation profile of DocumentReference has the following extensions:

  • ehealth-manuallydeprecated-type - to indicate whether the document is manually deprecated.
  • ehelth-document-sharing-state - to indicate the state of the document in relation to sharing it to an XDS repository.

Document sharing states

For the purpose of sharing documents to the XDS repository, the DocumentReference has a collection of states to express where in the document-sharing process the document is and why it is there.

There are 4 overall states expressing where in the sharing process the document is, and a further 11 sub-states to express th reason why the document is in the given state.

The states defined in the system http://ehealth.sundhed.dk/cs/document-sharing-state and are stored in the DocumentReference using the ehelth-document-sharing-state extension.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:manuallyDeprecated 0..1 boolean Ehealth Document manually deprecated
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-manuallydeprecated-type
.... extension:documentSharingState 0..* Coding Where in the sharing process the document is, and the reason why
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state
Binding: Document Sharing State (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... type Σ 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: Document Type (required)
... category Σ 0..1 CodeableConcept Categorization of document
Binding: Document Class (required)
... subject Σ 0..1 Reference(ehealth-patient | ehealth-practitioner | Group | ehealth-device) {r} Who/what is the subject of the document
... author Σ 0..* Reference(ehealth-practitioner | ehealth-organization | ehealth-device | ehealth-patient | ehealth-relatedperson) {r} Who and/or what authored the document
... authenticator 0..1 Reference(ehealth-practitioner | ehealth-organization) {r} Who/what authenticated the document
... custodian 0..1 Reference(ehealth-organization) {r} Organization which maintains the document
... content Σ 1..* BackboneElement Document referenced
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Where to access the document
.... format Σ 0..1 Coding Format/content rules for the document
Binding: FormatCodes (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base required Document Type 📦6.0.2 This IG
DocumentReference.category Base required Document Class 📦6.0.2 This IG
DocumentReference.content.​format Base required FormatCodes 📦6.0.2 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:manuallyDeprecated 0..1 boolean Ehealth Document manually deprecated
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-manuallydeprecated-type
.... extension:documentSharingState 0..* Coding Where in the sharing process the document is, and the reason why
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state
Binding: Document Sharing State (required)
... type 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: Document Type (required)
... category 0..1 CodeableConcept Categorization of document
Binding: Document Class (required)
... author 0..* Reference(ehealth-practitioner | ehealth-organization | ehealth-device | ehealth-patient | ehealth-relatedperson) {r} Who and/or what authored the document
... authenticator 0..1 Reference(ehealth-practitioner | ehealth-organization) {r} Who/what authenticated the document
... custodian 0..1 Reference(ehealth-organization) {r} Organization which maintains the document
... relatesTo
.... target 1..1 Reference(ehealth-documentreference) Target of the relationship
... content
.... format 0..1 Coding Format/content rules for the document
Binding: FormatCodes (required)
... context
.... event 0..* CodeableConcept Main clinical acts documented
Binding: Event Type Codes (required)
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: Facility Type Codes (required)
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: Practice Setting Codes (required)
.... sourcePatientInfo 0..1 Reference(ehealth-patient) Patient demographics from source

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.type Base required Document Type 📦6.0.2 This IG
DocumentReference.category Base required Document Class 📦6.0.2 This IG
DocumentReference.content.​format Base required FormatCodes 📦6.0.2 This IG
DocumentReference.context.​event Base required Event Type Codes 📦6.0.2 This IG
DocumentReference.context.​facilityType Base required Facility Type Codes 📦6.0.2 This IG
DocumentReference.context.​practiceSetting Base required Practice Setting Codes 📦6.0.2 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... 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
... text 0..1 Narrative Text 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..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:manuallyDeprecated 0..1 boolean Ehealth Document manually deprecated
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-manuallydeprecated-type
.... extension:documentSharingState 0..* Coding Where in the sharing process the document is, and the reason why
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state
Binding: Document Sharing State (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Master Version Specific Identifier
... identifier Σ 0..* Identifier Other identifiers for the document
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
... docStatus Σ 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.
... type Σ 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: Document Type (required)
... category Σ 0..1 CodeableConcept Categorization of document
Binding: Document Class (required)
... subject Σ 0..1 Reference(ehealth-patient | ehealth-practitioner | Group | ehealth-device) {r} Who/what is the subject of the document
... date Σ 0..1 instant When this document reference was created
... author Σ 0..* Reference(ehealth-practitioner | ehealth-organization | ehealth-device | ehealth-patient | ehealth-relatedperson) {r} Who and/or what authored the document
... authenticator 0..1 Reference(ehealth-practitioner | ehealth-organization) {r} Who/what authenticated the document
... custodian 0..1 Reference(ehealth-organization) {r} Organization which maintains the document
... relatesTo Σ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target Σ 1..1 Reference(ehealth-documentreference) Target of the relationship
... description Σ 0..1 string Human-readable description
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... content Σ 1..* BackboneElement Document referenced
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Where to access the document
.... format Σ 0..1 Coding Format/content rules for the document
Binding: FormatCodes (required)
... context Σ 0..1 BackboneElement Clinical context of document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter 0..* Reference(Encounter | EpisodeOfCare) Context of the document content
.... event 0..* CodeableConcept Main clinical acts documented
Binding: Event Type Codes (required)
.... period Σ 0..1 Period Time of service that is being documented
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: Facility Type Codes (required)
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: Practice Setting Codes (required)
.... sourcePatientInfo 0..1 Reference(ehealth-patient) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.docStatus Base required CompositionStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base required Document Type 📦6.0.2 This IG
DocumentReference.category Base required Document Class 📦6.0.2 This IG
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​format Base required FormatCodes 📦6.0.2 This IG
DocumentReference.context.​event Base required Event Type Codes 📦6.0.2 This IG
DocumentReference.context.​facilityType Base required Facility Type Codes 📦6.0.2 This IG
DocumentReference.context.​practiceSetting Base required Practice Setting Codes 📦6.0.2 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:manuallyDeprecated 0..1 boolean Ehealth Document manually deprecated
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-manuallydeprecated-type
.... extension:documentSharingState 0..* Coding Where in the sharing process the document is, and the reason why
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state
Binding: Document Sharing State (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... type Σ 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: Document Type (required)
... category Σ 0..1 CodeableConcept Categorization of document
Binding: Document Class (required)
... subject Σ 0..1 Reference(ehealth-patient | ehealth-practitioner | Group | ehealth-device) {r} Who/what is the subject of the document
... author Σ 0..* Reference(ehealth-practitioner | ehealth-organization | ehealth-device | ehealth-patient | ehealth-relatedperson) {r} Who and/or what authored the document
... authenticator 0..1 Reference(ehealth-practitioner | ehealth-organization) {r} Who/what authenticated the document
... custodian 0..1 Reference(ehealth-organization) {r} Organization which maintains the document
... content Σ 1..* BackboneElement Document referenced
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Where to access the document
.... format Σ 0..1 Coding Format/content rules for the document
Binding: FormatCodes (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base required Document Type 📦6.0.2 This IG
DocumentReference.category Base required Document Class 📦6.0.2 This IG
DocumentReference.content.​format Base required FormatCodes 📦6.0.2 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:manuallyDeprecated 0..1 boolean Ehealth Document manually deprecated
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-manuallydeprecated-type
.... extension:documentSharingState 0..* Coding Where in the sharing process the document is, and the reason why
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state
Binding: Document Sharing State (required)
... type 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: Document Type (required)
... category 0..1 CodeableConcept Categorization of document
Binding: Document Class (required)
... author 0..* Reference(ehealth-practitioner | ehealth-organization | ehealth-device | ehealth-patient | ehealth-relatedperson) {r} Who and/or what authored the document
... authenticator 0..1 Reference(ehealth-practitioner | ehealth-organization) {r} Who/what authenticated the document
... custodian 0..1 Reference(ehealth-organization) {r} Organization which maintains the document
... relatesTo
.... target 1..1 Reference(ehealth-documentreference) Target of the relationship
... content
.... format 0..1 Coding Format/content rules for the document
Binding: FormatCodes (required)
... context
.... event 0..* CodeableConcept Main clinical acts documented
Binding: Event Type Codes (required)
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: Facility Type Codes (required)
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: Practice Setting Codes (required)
.... sourcePatientInfo 0..1 Reference(ehealth-patient) Patient demographics from source

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.type Base required Document Type 📦6.0.2 This IG
DocumentReference.category Base required Document Class 📦6.0.2 This IG
DocumentReference.content.​format Base required FormatCodes 📦6.0.2 This IG
DocumentReference.context.​event Base required Event Type Codes 📦6.0.2 This IG
DocumentReference.context.​facilityType Base required Facility Type Codes 📦6.0.2 This IG
DocumentReference.context.​practiceSetting Base required Practice Setting Codes 📦6.0.2 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... 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
... text 0..1 Narrative Text 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..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:manuallyDeprecated 0..1 boolean Ehealth Document manually deprecated
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-manuallydeprecated-type
.... extension:documentSharingState 0..* Coding Where in the sharing process the document is, and the reason why
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state
Binding: Document Sharing State (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Master Version Specific Identifier
... identifier Σ 0..* Identifier Other identifiers for the document
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
... docStatus Σ 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.
... type Σ 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: Document Type (required)
... category Σ 0..1 CodeableConcept Categorization of document
Binding: Document Class (required)
... subject Σ 0..1 Reference(ehealth-patient | ehealth-practitioner | Group | ehealth-device) {r} Who/what is the subject of the document
... date Σ 0..1 instant When this document reference was created
... author Σ 0..* Reference(ehealth-practitioner | ehealth-organization | ehealth-device | ehealth-patient | ehealth-relatedperson) {r} Who and/or what authored the document
... authenticator 0..1 Reference(ehealth-practitioner | ehealth-organization) {r} Who/what authenticated the document
... custodian 0..1 Reference(ehealth-organization) {r} Organization which maintains the document
... relatesTo Σ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target Σ 1..1 Reference(ehealth-documentreference) Target of the relationship
... description Σ 0..1 string Human-readable description
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... content Σ 1..* BackboneElement Document referenced
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Where to access the document
.... format Σ 0..1 Coding Format/content rules for the document
Binding: FormatCodes (required)
... context Σ 0..1 BackboneElement Clinical context of document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter 0..* Reference(Encounter | EpisodeOfCare) Context of the document content
.... event 0..* CodeableConcept Main clinical acts documented
Binding: Event Type Codes (required)
.... period Σ 0..1 Period Time of service that is being documented
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: Facility Type Codes (required)
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: Practice Setting Codes (required)
.... sourcePatientInfo 0..1 Reference(ehealth-patient) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.docStatus Base required CompositionStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base required Document Type 📦6.0.2 This IG
DocumentReference.category Base required Document Class 📦6.0.2 This IG
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​format Base required FormatCodes 📦6.0.2 This IG
DocumentReference.context.​event Base required Event Type Codes 📦6.0.2 This IG
DocumentReference.context.​facilityType Base required Facility Type Codes 📦6.0.2 This IG
DocumentReference.context.​practiceSetting Base required Practice Setting Codes 📦6.0.2 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron