| Left: | US Core ADI DocumentReference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-adi-documentreference) |
| Right: | US Core ADI DocumentReference Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-adi-documentreference) |
| Error | StructureDefinition.version | Values for version differ: '8.0.1' vs '10.0.0-ballot' |
| Warning | DocumentReference.authenticator | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/DocumentReference | ||
| copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
| |
| date | 2023-10-17 | ||
| description | The US Core Advance Directive Information (ADI) DocumentReference Profile inherits from the FHIR [DocumentReference](https://hl7.org/fhir/R4/documentreference.html) resource; refer to it for scope and usage definitions. This profile and the [US Core Observation ADI Documentation Profile](StructureDefinition-us-core-observation-adi-documentation.html) meet the [U.S. Core Data for Interoperability (USCDI)](https://www.healthit.gov/isp/united-states-core-data-interoperability-uscdi) *Advance Directive Observation* Data Element requirements. It sets minimum expectations for searching and fetching patient Advance Directive Information (ADI) documents using the DocumentReference resource. Examples of advance healthcare directive documents include physician order for life sustaining treatment (POLST), do not resuscitate order (DNR), and medical power of attorney. In addition to the document contents, it communicates the type of advance directive document, the author, the verifier, and other properties. To represent whether advance directive documents exist for a patient, see the US Core Observation ADI Documentation Profile. This profile sets minimum expectations for searching and fetching patient ADI documents using the DocumentReference resource. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | The US Core Advance Directive Information (ADI) DocumentReference Profile inherits from the FHIR [DocumentReference](https://hl7.org/fhir/R4/documentreference.html) resource; refer to it for scope and usage definitions. It sets minimum expectations for searching and fetching patient Advance Directive Information (ADI) documents using the DocumentReference resource. Examples of advance healthcare directive documents include physician order for life sustaining treatment (POLST), do not resuscitate order (DNR), and Living Will. In addition to the document contents, it communicates the type of advance directive document, the author, the verifier, and other properties. To represent whether advance directive documents exist for a patient, see the [US Core Observation ADI Documentation Profile](StructureDefinition-us-core-observation-adi-documentation.html). This profile sets minimum expectations for searching and fetching patient ADI documents using the DocumentReference resource. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. |
|
| experimental | false | ||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreADIDocumentReferenceProfile | ||
| publisher | HL7 International / Cross-Group Projects | ||
| purpose | |||
| status | active | ||
| title | US Core ADI DocumentReference Profile | ||
| type | DocumentReference | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-adi-documentreference | ||
| version | 8.0.1 | 10.0.0-ballot |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 DocumentReference | 0..* | DocumentReference | A reference to a document | 0..* | DocumentReference | A reference to a document | |||||||||||
 id | 0..1 | id | Logical id of this artifact | 0..1 | id | Logical id of this artifact | |||||||||||
| meta | 0..1 | Meta | Metadata about the resource | 0..1 | Meta | Metadata about the resource | |||||||||||
| implicitRules | 0..1 | uri | A set of rules under which this content was created | 0..1 | uri | A set of rules under which this content was created | |||||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| 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 | 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 | 0..* | Resource | Contained, inline Resources | |||||||||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
 modifierExtension | 0..* | Extension | Extensions that cannot be ignored | 0..* | Extension | Extensions that cannot be ignored | |||||||||||
| masterIdentifier | 0..1 | Identifier | Master Version Specific Identifier | 0..1 | Identifier | Master Version Specific Identifier | |||||||||||
| identifier | 0..* | Identifier | Other identifiers for the document | 0..* | Identifier | Other identifiers for the document | |||||||||||
| status | 1..1 | code | current | superseded | entered-in-error Binding: ?? (required) | 1..1 | code | current | superseded | entered-in-error Binding: ?? (required) | |||||||||||
| docStatus | 0..1 | code | preliminary | final | amended | entered-in-error Binding: ?? (required): Status of the underlying document. | 0..1 | code | preliminary | final | amended | entered-in-error Binding: ?? (required): Status of the underlying document. | |||||||||||
| type | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: ?? (extensible): Advance Directives Content Type | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: ?? (extensible): Advance Directives Content Type | |||||||||||
| Slices for category | 1..* | CodeableConcept | Categorization of document Slice: Unordered, Open by value:$this Binding: ?? (example): High-level kind of a clinical document at a macro level. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | 1..* | CodeableConcept | Categorization of document Slice: Unordered, Open by value:$this Binding: ?? (example): High-level kind of a clinical document at a macro level. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| subject | 1..1 | Reference(US Core Patient Profile | Practitioner | Group | Device) | Who/what is the subject of the document | 1..1 | Reference(US Core Patient Profile) | Who/what is the subject of the document | |||||||||||
| date | 0..1 | instant | When this document reference was created | 0..1 | instant | When this document reference was created | |||||||||||
| author | 0..* | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device) | Who and/or what authored the document | 0..* | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile) | Who and/or what authored the document | |||||||||||
| authenticator | 0..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core PractitionerRole Profile) | Who/what authenticated the document | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Who/what authenticated the document |
| ||||||||||
| custodian | 0..1 | Reference(Organization) | Organization which maintains the document | 0..1 | Reference(Organization) | Organization which maintains the document | |||||||||||
| relatesTo | 0..* | BackboneElement | Relationships to other documents | 0..* | BackboneElement | Relationships to other documents | |||||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code | 1..1 | code | replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents. | 1..1 | code | replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents. | |||||||||||
| target | 1..1 | Reference(DocumentReference) | Target of the relationship | 1..1 | Reference(DocumentReference) | Target of the relationship | |||||||||||
| description | 0..1 | string | Human-readable description | 0..1 | string | Human-readable description | |||||||||||
| securityLabel | 0..* | CodeableConcept | Document security-tags Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | 0..* | CodeableConcept | Document security-tags Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||||||||
| content | 1..* | BackboneElement | Document referenced | 1..* | BackboneElement | Document referenced | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| attachment | C | 1..1 | Attachment | Where to access the document Constraints: us-core-6 | C | 1..1 | Attachment | Where to access the document Constraints: us-core-6 | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| contentType | 0..1 | code | Mime type of the content, with charset etc. Binding: ?? (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png | 0..1 | code | Mime type of the content, with charset etc. Binding: ?? (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png | |||||||||||
| language | 0..1 | code | Human language of the content (BCP-47) Binding: ?? (preferred): A human language.
Example General: en-AU | 0..1 | code | Human language of the content (BCP-47) Binding: ?? (preferred): A human language.
Example General: en-AU | |||||||||||
| data | C | 0..1 | base64Binary | Data inline, base64ed | C | 0..1 | base64Binary | Data inline, base64ed | |||||||||
| url | C | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | C | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | |||||||||
| size | 0..1 | unsignedInt | Number of bytes of content (if url provided) | 0..1 | unsignedInt | Number of bytes of content (if url provided) | |||||||||||
| hash | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | |||||||||||
| title | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | |||||||||||
| creation | 0..1 | dateTime | Date attachment was first created | 0..1 | dateTime | Date attachment was first created | |||||||||||
| format | 0..1 | Coding | Format/content rules for the document Binding: ?? (extensible) | 0..1 | Coding | Format/content rules for the document Binding: ?? (extensible) | |||||||||||
| context | 0..1 | BackboneElement | Clinical context of document | 0..1 | BackboneElement | Clinical context of document | |||||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| encounter | 0..* | Reference(Encounter | EpisodeOfCare) | Context of the document content | 0..* | Reference(Encounter | EpisodeOfCare) | Context of the document content | |||||||||||
| event | 0..* | CodeableConcept | Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented. | 0..* | CodeableConcept | Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented. | |||||||||||
| period | 0..1 | Period | Time of service that is being documented | 0..1 | Period | Time of service that is being documented | |||||||||||
| facilityType | 0..1 | CodeableConcept | Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type. | 0..1 | CodeableConcept | Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type. | |||||||||||
| practiceSetting | 0..1 | CodeableConcept | Additional 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). | 0..1 | CodeableConcept | Additional 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). | |||||||||||
| sourcePatientInfo | 0..1 | Reference(Patient) | Patient demographics from source | 0..1 | Reference(Patient) | Patient demographics from source | |||||||||||
| related | 0..* | Reference(Resource) | Related identifiers or resources | 0..* | Reference(Resource) | Related identifiers or resources | |||||||||||
| Documentation for this format | |||||||||||||||||