Patient Cost Transparency Implementation Guide
2.0.0-draft - STU 2 - Draft United States of America flag

Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions

Resource Profile: PCT GFE Packet Document Reference

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-documentreference Version: 2.0.0-draft
Standards status: Trial-use Maturity Level: 1 Computable Name: PCTGFEDocumentReference
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.59

PCT GFE Packet Document Reference that enables searching and subscriptions for GFE Packets.

Usages:

Changes since version 1.1.0:

  • New Content

    • 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 1..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:requestInitiationTime S 1..1 instant Estimate Request instant
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime
    .... extension:gfeServiceLinkingInfo S 0..1 (Complex) GFE Service Linking Information including planned period of service and a GFE linking identifier
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo
    .... extension:procedureOrService S 0..* CodeableConcept Primary Procedures and/or products involved in the estimates
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateProcedureOrService
    Binding: Claim Medical Product or Service Value Set (required)
    .... extension:condition S 0..* CodeableConcept Primary diagnoses involved in the estimates
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition
    Binding: PCT ICD-10 Diagnostic Codes (required)
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier SΣ 0..* Identifier Other identifiers for the document
    ... status ?!SΣ 1..1 code current | superseded | entered-in-error
    Binding: DocumentReferenceStatus (required): The status of the document reference.
    ... docStatus SΣ 1..1 code preliminary | final | amended | entered-in-error
    Binding: CompositionStatus (required): Status of the underlying document.
    ... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
    Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
    Required Pattern: At least the following
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-packet
    ... Slices for category SΣ 1..* CodeableConcept (USCDI) Categorization of document
    Slice: Unordered, Open by value:$this
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    .... category:estimate Σ 1..1 CodeableConcept Estimate category
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

    Required Pattern: At least the following
    ..... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: estimate
    ... subject SΣ 1..1 Reference(HRex Patient Demographics) Who/what is the subject of the document
    ... date ΣC 0..1 instant When this document reference was created
    Constraints: pct-datetime-to-seconds
    ... author Σ 1..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including all Good Faith Estimate (GFE) providers
    ... Slices for relatesTo SΣ 0..* BackboneElement Relationship to other GFE packet. Required if this estimate is replacing another.
    Slice: Unordered, Open by value:code
    .... relatesTo:All Slices Content/Rules for all slices
    ..... 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(DocumentReference) Target of the relationship
    .... relatesTo:replaces SΣ 0..1 BackboneElement Relationship to other GFE packets. Required if this estimate is replacing another.
    ..... 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.
    Required Pattern: replaces
    ..... target Σ 1..1 Reference(DocumentReference) Target of the relationship
    ... content SΣ 1..1 BackboneElement Document referenced
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... attachment SΣC 1..1 Attachment Where to access the document
    Constraints: pct-dr-1
    ..... contentType SΣ 0..1 code Mime type of the content, with charset etc.
    Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
    Example General: text/plain; charset=UTF-8, image/png
    ..... data S 0..1 base64Binary Data inline, base64ed
    ..... url SΣ 0..1 url Uri where the data can be found
    Example General: http://www.acme.com/logo-small.png
    .... format Σ 0..1 Coding Format/content rules for the document
    Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
    Required Pattern: At least the following
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: pct-gfe-packet

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    DocumentReference.statusrequiredDocumentReferenceStatus
    http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
    From the FHIR Standard
    DocumentReference.docStatusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status|4.0.1
    From the FHIR Standard
    DocumentReference.typepreferredPattern Value: gfe-packet
    http://hl7.org/fhir/ValueSet/c80-doc-typecodes
    From the FHIR Standard
    DocumentReference.categoryexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes
    From the FHIR Standard
    DocumentReference.category:estimateexamplePattern Value: estimate
    http://hl7.org/fhir/ValueSet/document-classcodes
    From the FHIR Standard
    DocumentReference.relatesTo.coderequiredDocumentRelationshipType
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    DocumentReference.relatesTo:replaces.coderequiredPattern Value: replaces
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    DocumentReference.content.attachment.contentTyperequiredMime Types(a valid code from urn:ietf:bcp:13)
    http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
    From the FHIR Standard
    DocumentReference.content.formatpreferredPattern Value: pct-gfe-packet
    http://hl7.org/fhir/ValueSet/formatcodes
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorDocumentReferenceIf 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-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceDocumentReferenceA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    pct-datetime-to-secondserrorDocumentReference.dateDatetime must be at least to seconds.
    : $this is dateTime implies $this.toString().length() >= 19
    pct-dr-1errorDocumentReference.content.attachmentDocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.
    : url.exists() or data.exists()

    This structure is derived from DocumentReference

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. DocumentReference 0..* DocumentReference A reference to a document
    ... Slices for extension 1..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:requestInitiationTime S 1..1 instant Estimate Request instant
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime
    .... extension:gfeServiceLinkingInfo S 0..1 (Complex) GFE Service Linking Information including planned period of service and a GFE linking identifier
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo
    .... extension:procedureOrService S 0..* CodeableConcept Primary Procedures and/or products involved in the estimates
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateProcedureOrService
    Binding: Claim Medical Product or Service Value Set (required)
    .... extension:condition S 0..* CodeableConcept Primary diagnoses involved in the estimates
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition
    Binding: PCT ICD-10 Diagnostic Codes (required)
    ... identifier S 0..* Identifier Other identifiers for the document
    ... status S 1..1 code current | superseded | entered-in-error
    ... docStatus S 1..1 code preliminary | final | amended | entered-in-error
    ... type S 1..1 CodeableConcept Kind of document (LOINC if possible)
    Required Pattern: At least the following
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-packet
    ... Slices for category S 1..* CodeableConcept (USCDI) Categorization of document
    Slice: Unordered, Open by value:$this
    .... category:estimate 1..1 CodeableConcept Estimate category
    Required Pattern: At least the following
    ..... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: estimate
    ... subject S 1..1 Reference(HRex Patient Demographics) Who/what is the subject of the document
    ... date C 0..1 instant When this document reference was created
    Constraints: pct-datetime-to-seconds
    ... author 1..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including all Good Faith Estimate (GFE) providers
    ... Slices for relatesTo S 0..* BackboneElement Relationship to other GFE packet. Required if this estimate is replacing another.
    Slice: Unordered, Open by value:code
    .... relatesTo:replaces S 0..1 BackboneElement Relationship to other GFE packets. Required if this estimate is replacing another.
    ..... code 1..1 code replaces | transforms | signs | appends
    Required Pattern: replaces
    ... content S 1..1 BackboneElement Document referenced
    .... attachment SC 1..1 Attachment Where to access the document
    Constraints: pct-dr-1
    ..... contentType S 0..1 code Mime type of the content, with charset etc.
    ..... data S 0..1 base64Binary Data inline, base64ed
    ..... url S 0..1 url Uri where the data can be found
    .... format 0..1 Coding Format/content rules for the document
    Required Pattern: At least the following
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: pct-gfe-packet

    doco Documentation for this format

    Constraints

    IdGradePath(s)DetailsRequirements
    pct-datetime-to-secondserrorDocumentReference.dateDatetime must be at least to seconds.
    : $this is dateTime implies $this.toString().length() >= 19
    pct-dr-1errorDocumentReference.content.attachmentDocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.
    : url.exists() or data.exists()
    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
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 1..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:requestInitiationTime S 1..1 instant Estimate Request instant
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime
    .... extension:gfeServiceLinkingInfo S 0..1 (Complex) GFE Service Linking Information including planned period of service and a GFE linking identifier
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo
    .... extension:procedureOrService S 0..* CodeableConcept Primary Procedures and/or products involved in the estimates
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateProcedureOrService
    Binding: Claim Medical Product or Service Value Set (required)
    .... extension:condition S 0..* CodeableConcept Primary diagnoses involved in the estimates
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition
    Binding: PCT ICD-10 Diagnostic Codes (required)
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... masterIdentifier Σ 0..1 Identifier Master Version Specific Identifier
    ... identifier SΣ 0..* Identifier Other identifiers for the document
    ... status ?!SΣ 1..1 code current | superseded | entered-in-error
    Binding: DocumentReferenceStatus (required): The status of the document reference.
    ... docStatus SΣ 1..1 code preliminary | final | amended | entered-in-error
    Binding: CompositionStatus (required): Status of the underlying document.
    ... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
    Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
    Required Pattern: At least the following
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ..... version 0..1 string Version of the system - if relevant
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-packet
    ..... display 0..1 string Representation defined by the system
    ..... userSelected 0..1 boolean If this coding was chosen directly by the user
    .... text 0..1 string Plain text representation of the concept
    ... Slices for category SΣ 1..* CodeableConcept (USCDI) Categorization of document
    Slice: Unordered, Open by value:$this
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    .... category:estimate Σ 1..1 CodeableConcept Estimate category
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

    Required Pattern: At least the following
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ...... version 0..1 string Version of the system - if relevant
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: estimate
    ...... display 0..1 string Representation defined by the system
    ...... userSelected 0..1 boolean If this coding was chosen directly by the user
    ..... text 0..1 string Plain text representation of the concept
    ... subject SΣ 1..1 Reference(HRex Patient Demographics) Who/what is the subject of the document
    ... date ΣC 0..1 instant When this document reference was created
    Constraints: pct-datetime-to-seconds
    ... author Σ 1..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including all Good Faith Estimate (GFE) providers
    ... authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what authenticated the document
    ... custodian 0..1 Reference(Organization) Organization which maintains the document
    ... Slices for relatesTo SΣ 0..* BackboneElement Relationship to other GFE packet. Required if this estimate is replacing another.
    Slice: Unordered, Open by value:code
    .... relatesTo:All Slices Content/Rules for all slices
    ..... 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(DocumentReference) Target of the relationship
    .... relatesTo:replaces SΣ 0..1 BackboneElement Relationship to other GFE packets. Required if this estimate is replacing another.
    ..... 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.
    Required Pattern: replaces
    ..... target Σ 1..1 Reference(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 SΣ 1..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 SΣC 1..1 Attachment Where to access the document
    Constraints: pct-dr-1
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... contentType SΣ 0..1 code Mime type of the content, with charset etc.
    Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
    Example General: text/plain; charset=UTF-8, image/png
    ..... language Σ 0..1 code Human language of the content (BCP-47)
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding

    Example General: en-AU
    ..... data S 0..1 base64Binary Data inline, base64ed
    ..... url SΣ 0..1 url Uri where the data can be found
    Example General: http://www.acme.com/logo-small.png
    ..... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
    ..... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
    ..... title Σ 0..1 string Label to display in place of the data
    Example General: Official Corporate Logo
    ..... creation Σ 0..1 dateTime Date attachment was first created
    .... format Σ 0..1 Coding Format/content rules for the document
    Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
    Required Pattern: At least the following
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ..... version 0..1 string Version of the system - if relevant
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: pct-gfe-packet
    ..... display 0..1 string Representation defined by the system
    ..... userSelected 0..1 boolean If this coding was chosen directly by the user
    ... 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: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
    .... period Σ 0..1 Period Time of service that is being documented
    .... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
    Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
    .... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
    Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
    .... sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
    .... related 0..* Reference(Resource) Related identifiers or resources

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    DocumentReference.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    From the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    DocumentReference.statusrequiredDocumentReferenceStatus
    http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
    From the FHIR Standard
    DocumentReference.docStatusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status|4.0.1
    From the FHIR Standard
    DocumentReference.typepreferredPattern Value: gfe-packet
    http://hl7.org/fhir/ValueSet/c80-doc-typecodes
    From the FHIR Standard
    DocumentReference.categoryexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes
    From the FHIR Standard
    DocumentReference.category:estimateexamplePattern Value: estimate
    http://hl7.org/fhir/ValueSet/document-classcodes
    From the FHIR Standard
    DocumentReference.relatesTo.coderequiredDocumentRelationshipType
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    DocumentReference.relatesTo:replaces.coderequiredPattern Value: replaces
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    DocumentReference.securityLabelextensibleAll Security Labels
    http://hl7.org/fhir/ValueSet/security-labels
    From the FHIR Standard
    DocumentReference.content.attachment.contentTyperequiredMime Types(a valid code from urn:ietf:bcp:13)
    http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
    From the FHIR Standard
    DocumentReference.content.attachment.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    From the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    DocumentReference.content.formatpreferredPattern Value: pct-gfe-packet
    http://hl7.org/fhir/ValueSet/formatcodes
    From the FHIR Standard
    DocumentReference.context.eventexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    DocumentReference.context.facilityTypeexampleFacilityTypeCodeValueSet
    http://hl7.org/fhir/ValueSet/c80-facilitycodes
    From the FHIR Standard
    DocumentReference.context.practiceSettingexamplePracticeSettingCodeValueSet
    http://hl7.org/fhir/ValueSet/c80-practice-codes
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorDocumentReferenceIf 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-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceDocumentReferenceA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    pct-datetime-to-secondserrorDocumentReference.dateDatetime must be at least to seconds.
    : $this is dateTime implies $this.toString().length() >= 19
    pct-dr-1errorDocumentReference.content.attachmentDocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.
    : url.exists() or data.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 1..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:requestInitiationTime S 1..1 instant Estimate Request instant
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime
    .... extension:gfeServiceLinkingInfo S 0..1 (Complex) GFE Service Linking Information including planned period of service and a GFE linking identifier
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo
    .... extension:procedureOrService S 0..* CodeableConcept Primary Procedures and/or products involved in the estimates
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateProcedureOrService
    Binding: Claim Medical Product or Service Value Set (required)
    .... extension:condition S 0..* CodeableConcept Primary diagnoses involved in the estimates
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition
    Binding: PCT ICD-10 Diagnostic Codes (required)
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier SΣ 0..* Identifier Other identifiers for the document
    ... status ?!SΣ 1..1 code current | superseded | entered-in-error
    Binding: DocumentReferenceStatus (required): The status of the document reference.
    ... docStatus SΣ 1..1 code preliminary | final | amended | entered-in-error
    Binding: CompositionStatus (required): Status of the underlying document.
    ... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
    Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
    Required Pattern: At least the following
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-packet
    ... Slices for category SΣ 1..* CodeableConcept (USCDI) Categorization of document
    Slice: Unordered, Open by value:$this
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    .... category:estimate Σ 1..1 CodeableConcept Estimate category
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

    Required Pattern: At least the following
    ..... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: estimate
    ... subject SΣ 1..1 Reference(HRex Patient Demographics) Who/what is the subject of the document
    ... date ΣC 0..1 instant When this document reference was created
    Constraints: pct-datetime-to-seconds
    ... author Σ 1..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including all Good Faith Estimate (GFE) providers
    ... Slices for relatesTo SΣ 0..* BackboneElement Relationship to other GFE packet. Required if this estimate is replacing another.
    Slice: Unordered, Open by value:code
    .... relatesTo:All Slices Content/Rules for all slices
    ..... 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(DocumentReference) Target of the relationship
    .... relatesTo:replaces SΣ 0..1 BackboneElement Relationship to other GFE packets. Required if this estimate is replacing another.
    ..... 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.
    Required Pattern: replaces
    ..... target Σ 1..1 Reference(DocumentReference) Target of the relationship
    ... content SΣ 1..1 BackboneElement Document referenced
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... attachment SΣC 1..1 Attachment Where to access the document
    Constraints: pct-dr-1
    ..... contentType SΣ 0..1 code Mime type of the content, with charset etc.
    Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
    Example General: text/plain; charset=UTF-8, image/png
    ..... data S 0..1 base64Binary Data inline, base64ed
    ..... url SΣ 0..1 url Uri where the data can be found
    Example General: http://www.acme.com/logo-small.png
    .... format Σ 0..1 Coding Format/content rules for the document
    Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
    Required Pattern: At least the following
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: pct-gfe-packet

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    DocumentReference.statusrequiredDocumentReferenceStatus
    http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
    From the FHIR Standard
    DocumentReference.docStatusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status|4.0.1
    From the FHIR Standard
    DocumentReference.typepreferredPattern Value: gfe-packet
    http://hl7.org/fhir/ValueSet/c80-doc-typecodes
    From the FHIR Standard
    DocumentReference.categoryexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes
    From the FHIR Standard
    DocumentReference.category:estimateexamplePattern Value: estimate
    http://hl7.org/fhir/ValueSet/document-classcodes
    From the FHIR Standard
    DocumentReference.relatesTo.coderequiredDocumentRelationshipType
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    DocumentReference.relatesTo:replaces.coderequiredPattern Value: replaces
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    DocumentReference.content.attachment.contentTyperequiredMime Types(a valid code from urn:ietf:bcp:13)
    http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
    From the FHIR Standard
    DocumentReference.content.formatpreferredPattern Value: pct-gfe-packet
    http://hl7.org/fhir/ValueSet/formatcodes
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorDocumentReferenceIf 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-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceDocumentReferenceA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    pct-datetime-to-secondserrorDocumentReference.dateDatetime must be at least to seconds.
    : $this is dateTime implies $this.toString().length() >= 19
    pct-dr-1errorDocumentReference.content.attachmentDocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.
    : url.exists() or data.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 1..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:requestInitiationTime S 1..1 instant Estimate Request instant
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime
    .... extension:gfeServiceLinkingInfo S 0..1 (Complex) GFE Service Linking Information including planned period of service and a GFE linking identifier
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo
    .... extension:procedureOrService S 0..* CodeableConcept Primary Procedures and/or products involved in the estimates
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateProcedureOrService
    Binding: Claim Medical Product or Service Value Set (required)
    .... extension:condition S 0..* CodeableConcept Primary diagnoses involved in the estimates
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition
    Binding: PCT ICD-10 Diagnostic Codes (required)
    ... identifier S 0..* Identifier Other identifiers for the document
    ... status S 1..1 code current | superseded | entered-in-error
    ... docStatus S 1..1 code preliminary | final | amended | entered-in-error
    ... type S 1..1 CodeableConcept Kind of document (LOINC if possible)
    Required Pattern: At least the following
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-packet
    ... Slices for category S 1..* CodeableConcept (USCDI) Categorization of document
    Slice: Unordered, Open by value:$this
    .... category:estimate 1..1 CodeableConcept Estimate category
    Required Pattern: At least the following
    ..... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: estimate
    ... subject S 1..1 Reference(HRex Patient Demographics) Who/what is the subject of the document
    ... date C 0..1 instant When this document reference was created
    Constraints: pct-datetime-to-seconds
    ... author 1..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including all Good Faith Estimate (GFE) providers
    ... Slices for relatesTo S 0..* BackboneElement Relationship to other GFE packet. Required if this estimate is replacing another.
    Slice: Unordered, Open by value:code
    .... relatesTo:replaces S 0..1 BackboneElement Relationship to other GFE packets. Required if this estimate is replacing another.
    ..... code 1..1 code replaces | transforms | signs | appends
    Required Pattern: replaces
    ... content S 1..1 BackboneElement Document referenced
    .... attachment SC 1..1 Attachment Where to access the document
    Constraints: pct-dr-1
    ..... contentType S 0..1 code Mime type of the content, with charset etc.
    ..... data S 0..1 base64Binary Data inline, base64ed
    ..... url S 0..1 url Uri where the data can be found
    .... format 0..1 Coding Format/content rules for the document
    Required Pattern: At least the following
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: pct-gfe-packet

    doco Documentation for this format

    Constraints

    IdGradePath(s)DetailsRequirements
    pct-datetime-to-secondserrorDocumentReference.dateDatetime must be at least to seconds.
    : $this is dateTime implies $this.toString().length() >= 19
    pct-dr-1errorDocumentReference.content.attachmentDocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.
    : url.exists() or data.exists()

    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
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 1..* Extension Extension
    Slice: Unordered, Open by value:url
    .... extension:requestInitiationTime S 1..1 instant Estimate Request instant
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime
    .... extension:gfeServiceLinkingInfo S 0..1 (Complex) GFE Service Linking Information including planned period of service and a GFE linking identifier
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo
    .... extension:procedureOrService S 0..* CodeableConcept Primary Procedures and/or products involved in the estimates
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateProcedureOrService
    Binding: Claim Medical Product or Service Value Set (required)
    .... extension:condition S 0..* CodeableConcept Primary diagnoses involved in the estimates
    URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition
    Binding: PCT ICD-10 Diagnostic Codes (required)
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... masterIdentifier Σ 0..1 Identifier Master Version Specific Identifier
    ... identifier SΣ 0..* Identifier Other identifiers for the document
    ... status ?!SΣ 1..1 code current | superseded | entered-in-error
    Binding: DocumentReferenceStatus (required): The status of the document reference.
    ... docStatus SΣ 1..1 code preliminary | final | amended | entered-in-error
    Binding: CompositionStatus (required): Status of the underlying document.
    ... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
    Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
    Required Pattern: At least the following
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ..... version 0..1 string Version of the system - if relevant
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-packet
    ..... display 0..1 string Representation defined by the system
    ..... userSelected 0..1 boolean If this coding was chosen directly by the user
    .... text 0..1 string Plain text representation of the concept
    ... Slices for category SΣ 1..* CodeableConcept (USCDI) Categorization of document
    Slice: Unordered, Open by value:$this
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
    .... category:estimate Σ 1..1 CodeableConcept Estimate category
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

    Required Pattern: At least the following
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ...... version 0..1 string Version of the system - if relevant
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: estimate
    ...... display 0..1 string Representation defined by the system
    ...... userSelected 0..1 boolean If this coding was chosen directly by the user
    ..... text 0..1 string Plain text representation of the concept
    ... subject SΣ 1..1 Reference(HRex Patient Demographics) Who/what is the subject of the document
    ... date ΣC 0..1 instant When this document reference was created
    Constraints: pct-datetime-to-seconds
    ... author Σ 1..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including all Good Faith Estimate (GFE) providers
    ... authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what authenticated the document
    ... custodian 0..1 Reference(Organization) Organization which maintains the document
    ... Slices for relatesTo SΣ 0..* BackboneElement Relationship to other GFE packet. Required if this estimate is replacing another.
    Slice: Unordered, Open by value:code
    .... relatesTo:All Slices Content/Rules for all slices
    ..... 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(DocumentReference) Target of the relationship
    .... relatesTo:replaces SΣ 0..1 BackboneElement Relationship to other GFE packets. Required if this estimate is replacing another.
    ..... 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.
    Required Pattern: replaces
    ..... target Σ 1..1 Reference(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 SΣ 1..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 SΣC 1..1 Attachment Where to access the document
    Constraints: pct-dr-1
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... contentType SΣ 0..1 code Mime type of the content, with charset etc.
    Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
    Example General: text/plain; charset=UTF-8, image/png
    ..... language Σ 0..1 code Human language of the content (BCP-47)
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding

    Example General: en-AU
    ..... data S 0..1 base64Binary Data inline, base64ed
    ..... url SΣ 0..1 url Uri where the data can be found
    Example General: http://www.acme.com/logo-small.png
    ..... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
    ..... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
    ..... title Σ 0..1 string Label to display in place of the data
    Example General: Official Corporate Logo
    ..... creation Σ 0..1 dateTime Date attachment was first created
    .... format Σ 0..1 Coding Format/content rules for the document
    Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
    Required Pattern: At least the following
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ..... version 0..1 string Version of the system - if relevant
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: pct-gfe-packet
    ..... display 0..1 string Representation defined by the system
    ..... userSelected 0..1 boolean If this coding was chosen directly by the user
    ... 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: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
    .... period Σ 0..1 Period Time of service that is being documented
    .... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
    Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
    .... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
    Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
    .... sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
    .... related 0..* Reference(Resource) Related identifiers or resources

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    DocumentReference.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    From the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    DocumentReference.statusrequiredDocumentReferenceStatus
    http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
    From the FHIR Standard
    DocumentReference.docStatusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status|4.0.1
    From the FHIR Standard
    DocumentReference.typepreferredPattern Value: gfe-packet
    http://hl7.org/fhir/ValueSet/c80-doc-typecodes
    From the FHIR Standard
    DocumentReference.categoryexampleDocumentClassValueSet
    http://hl7.org/fhir/ValueSet/document-classcodes
    From the FHIR Standard
    DocumentReference.category:estimateexamplePattern Value: estimate
    http://hl7.org/fhir/ValueSet/document-classcodes
    From the FHIR Standard
    DocumentReference.relatesTo.coderequiredDocumentRelationshipType
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    DocumentReference.relatesTo:replaces.coderequiredPattern Value: replaces
    http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    From the FHIR Standard
    DocumentReference.securityLabelextensibleAll Security Labels
    http://hl7.org/fhir/ValueSet/security-labels
    From the FHIR Standard
    DocumentReference.content.attachment.contentTyperequiredMime Types(a valid code from urn:ietf:bcp:13)
    http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
    From the FHIR Standard
    DocumentReference.content.attachment.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    From the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    DocumentReference.content.formatpreferredPattern Value: pct-gfe-packet
    http://hl7.org/fhir/ValueSet/formatcodes
    From the FHIR Standard
    DocumentReference.context.eventexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    DocumentReference.context.facilityTypeexampleFacilityTypeCodeValueSet
    http://hl7.org/fhir/ValueSet/c80-facilitycodes
    From the FHIR Standard
    DocumentReference.context.practiceSettingexamplePracticeSettingCodeValueSet
    http://hl7.org/fhir/ValueSet/c80-practice-codes
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorDocumentReferenceIf 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-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceDocumentReferenceA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    pct-datetime-to-secondserrorDocumentReference.dateDatetime must be at least to seconds.
    : $this is dateTime implies $this.toString().length() >= 19
    pct-dr-1errorDocumentReference.content.attachmentDocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present.
    : url.exists() or data.exists()

     

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