Mobile access to Health Documents (MHD)
4.2.1-current - ci-build
Mobile access to Health Documents (MHD), published by IHE IT Infrastructure Technical Committee. This is not an authorized publication; it is the continuous build for version 4.2.1-current). This version is based on the current content of https://github.com/IHE/ITI.MHD/ and changes regularly. See the Directory of published versions
Official URL: https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.SimplifiedPublish.DocumentReference | Version: 4.2.1-current | |||
Active as of 2023-04-26 | Computable Name: SimplifiedPublishDocumentReference |
A profile on the DocumentReference resource for MHD Simplified Publish constraints.
Simplified Publish
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DocumentReference
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | DocumentReference | A reference to a document | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | Identifier | Master Version Specific Identifier | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | code | current | superseded | entered-in-error Required Pattern: current | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | S | 0..1 | CodeableConcept | Kind of document (LOINC if possible) |
![]() ![]() ![]() | S | 0..1 | CodeableConcept | Categorization of document |
![]() ![]() ![]() | 1..1 | Reference(Patient) | Who/what is the subject of the document | |
![]() ![]() ![]() | S | 0..1 | instant | When this document reference was created |
![]() ![]() ![]() | S | 0..* | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) | Who and/or what authored the document |
![]() ![]() ![]() | S | 0..* | BackboneElement | Relationships to other documents |
![]() ![]() ![]() | S | 0..* | CodeableConcept | Document security-tags |
![]() ![]() ![]() | 1..1 | BackboneElement | Document referenced | |
![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() | 1..1 | code | Mime type of the content, with charset etc. | |
![]() ![]() ![]() ![]() ![]() | S | 0..1 | code | Human language of the content (BCP-47) |
![]() ![]() ![]() ![]() ![]() | 1..1 | base64Binary | The document is contained in the .data element, base64 encoded | |
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() ![]() | S | 0..1 | dateTime | Date attachment was first created |
![]() ![]() ![]() ![]() | S | 0..1 | Coding | Format/content rules for the document |
![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() | S | 0..1 | Period | Time of service that is being documented |
![]() ![]() ![]() ![]() | S | 0..1 | CodeableConcept | Kind of facility where patient was seen |
![]() ![]() ![]() ![]() | S | 0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) |
![]() ![]() ![]() ![]() | S | 0..1 | Reference(Patient) | Patient demographics from source |
![]() |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | DocumentReference | A reference to a document | |||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | Σ | 1..1 | Identifier | Master Version Specific Identifier | ||||
![]() ![]() ![]() | ?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. Required Pattern: current | ||||
![]() ![]() ![]() | SΣ | 0..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document. | ||||
![]() ![]() ![]() | SΣ | 0..1 | CodeableConcept | Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
![]() ![]() ![]() | Σ | 1..1 | Reference(Patient) | Who/what is the subject of the document | ||||
![]() ![]() ![]() | SΣ | 0..1 | instant | When this document reference was created | ||||
![]() ![]() ![]() | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) | Who and/or what authored the document | ||||
![]() ![]() ![]() | SΣ | 0..* | BackboneElement | Relationships to other documents | ||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | Reference(DocumentReference) | Target of the relationship | ||||
![]() ![]() ![]() | SΣ | 0..* | CodeableConcept | Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
![]() ![]() ![]() | Σ | 1..1 | BackboneElement | Document referenced | ||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | Attachment | Where to access the document | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 1..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 | ||||
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
![]() ![]() ![]() ![]() ![]() | 1..1 | base64Binary | The document is contained in the .data element, base64 encoded | |||||
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | dateTime | Date attachment was first created | ||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Coding | Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes. | ||||
![]() ![]() ![]() | Σ | 0..1 | BackboneElement | Clinical context of document | ||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Period | Time of service that is being documented | ||||
![]() ![]() ![]() ![]() | S | 0..1 | CodeableConcept | Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type. | ||||
![]() ![]() ![]() ![]() | S | 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). | ||||
![]() ![]() ![]() ![]() | S | 0..1 | Reference(Patient) | Patient demographics from source | ||||
![]() |
Path | Conformance | ValueSet / Code | ||||
DocumentReference.status | required | Pattern: current | ||||
DocumentReference.type | preferred | DocumentTypeValueSet | ||||
DocumentReference.category | example | DocumentClassValueSet | ||||
DocumentReference.relatesTo.code | required | DocumentRelationshipType | ||||
DocumentReference.securityLabel | extensible | All Security Labels | ||||
DocumentReference.content.attachment.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13 ) | ||||
DocumentReference.content.attachment.language | preferred | CommonLanguages
| ||||
DocumentReference.content.format | preferred | DocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem ) | ||||
DocumentReference.context.facilityType | example | FacilityTypeCodeValueSet | ||||
DocumentReference.context.practiceSetting | example | PracticeSettingCodeValueSet |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | DocumentReference | A reference to a document | |||||
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | Σ | 1..1 | Identifier | Master Version Specific Identifier | ||||
![]() ![]() ![]() | ?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. Required Pattern: current | ||||
![]() ![]() ![]() | SΣ | 0..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document. | ||||
![]() ![]() ![]() | SΣ | 0..1 | CodeableConcept | Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
![]() ![]() ![]() | Σ | 1..1 | Reference(Patient) | Who/what is the subject of the document | ||||
![]() ![]() ![]() | SΣ | 0..1 | instant | When this document reference was created | ||||
![]() ![]() ![]() | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) | Who and/or what authored the document | ||||
![]() ![]() ![]() | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Who/what authenticated the document | |||||
![]() ![]() ![]() | 0..1 | Reference(Organization) | Organization which maintains the document | |||||
![]() ![]() ![]() | SΣ | 0..* | BackboneElement | Relationships to other documents | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | Reference(DocumentReference) | Target of the relationship | ||||
![]() ![]() ![]() | Σ | 0..1 | string | Human-readable description | ||||
![]() ![]() ![]() | SΣ | 0..* | CodeableConcept | Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
![]() ![]() ![]() | Σ | 1..1 | BackboneElement | Document referenced | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | Attachment | Where to access the document | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | Σ | 1..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 | ||||
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
![]() ![]() ![]() ![]() ![]() | 1..1 | base64Binary | The document is contained in the .data element, base64 encoded | |||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | dateTime | Date attachment was first created | ||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Coding | Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes. | ||||
![]() ![]() ![]() | Σ | 0..1 | BackboneElement | Clinical context of document | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 0..* | Reference(Encounter | EpisodeOfCare) | Context of the document content | |||||
![]() ![]() ![]() ![]() | 0..* | CodeableConcept | Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | |||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Period | Time of service that is being documented | ||||
![]() ![]() ![]() ![]() | S | 0..1 | CodeableConcept | Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type. | ||||
![]() ![]() ![]() ![]() | S | 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). | ||||
![]() ![]() ![]() ![]() | S | 0..1 | Reference(Patient) | Patient demographics from source | ||||
![]() ![]() ![]() ![]() | 0..* | Reference(Resource) | Related identifiers or resources | |||||
![]() |
Path | Conformance | ValueSet / Code | ||||
DocumentReference.language | preferred | CommonLanguages
| ||||
DocumentReference.status | required | Pattern: current | ||||
DocumentReference.type | preferred | DocumentTypeValueSet | ||||
DocumentReference.category | example | DocumentClassValueSet | ||||
DocumentReference.relatesTo.code | required | DocumentRelationshipType | ||||
DocumentReference.securityLabel | extensible | All Security Labels | ||||
DocumentReference.content.attachment.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13 ) | ||||
DocumentReference.content.attachment.language | preferred | CommonLanguages
| ||||
DocumentReference.content.format | preferred | DocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem ) | ||||
DocumentReference.context.event | example | ActCode | ||||
DocumentReference.context.facilityType | example | FacilityTypeCodeValueSet | ||||
DocumentReference.context.practiceSetting | example | PracticeSettingCodeValueSet |
This structure is derived from DocumentReference
Differential View
This structure is derived from DocumentReference
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | DocumentReference | A reference to a document | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | Identifier | Master Version Specific Identifier | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | code | current | superseded | entered-in-error Required Pattern: current | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | S | 0..1 | CodeableConcept | Kind of document (LOINC if possible) |
![]() ![]() ![]() | S | 0..1 | CodeableConcept | Categorization of document |
![]() ![]() ![]() | 1..1 | Reference(Patient) | Who/what is the subject of the document | |
![]() ![]() ![]() | S | 0..1 | instant | When this document reference was created |
![]() ![]() ![]() | S | 0..* | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) | Who and/or what authored the document |
![]() ![]() ![]() | S | 0..* | BackboneElement | Relationships to other documents |
![]() ![]() ![]() | S | 0..* | CodeableConcept | Document security-tags |
![]() ![]() ![]() | 1..1 | BackboneElement | Document referenced | |
![]() ![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() ![]() | 1..1 | code | Mime type of the content, with charset etc. | |
![]() ![]() ![]() ![]() ![]() | S | 0..1 | code | Human language of the content (BCP-47) |
![]() ![]() ![]() ![]() ![]() | 1..1 | base64Binary | The document is contained in the .data element, base64 encoded | |
![]() ![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() ![]() | S | 0..1 | dateTime | Date attachment was first created |
![]() ![]() ![]() ![]() | S | 0..1 | Coding | Format/content rules for the document |
![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() | S | 0..1 | Period | Time of service that is being documented |
![]() ![]() ![]() ![]() | S | 0..1 | CodeableConcept | Kind of facility where patient was seen |
![]() ![]() ![]() ![]() | S | 0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) |
![]() ![]() ![]() ![]() | S | 0..1 | Reference(Patient) | Patient demographics from source |
![]() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | DocumentReference | A reference to a document | |||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | Σ | 1..1 | Identifier | Master Version Specific Identifier | ||||
![]() ![]() ![]() | ?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. Required Pattern: current | ||||
![]() ![]() ![]() | SΣ | 0..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document. | ||||
![]() ![]() ![]() | SΣ | 0..1 | CodeableConcept | Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
![]() ![]() ![]() | Σ | 1..1 | Reference(Patient) | Who/what is the subject of the document | ||||
![]() ![]() ![]() | SΣ | 0..1 | instant | When this document reference was created | ||||
![]() ![]() ![]() | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) | Who and/or what authored the document | ||||
![]() ![]() ![]() | SΣ | 0..* | BackboneElement | Relationships to other documents | ||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | Reference(DocumentReference) | Target of the relationship | ||||
![]() ![]() ![]() | SΣ | 0..* | CodeableConcept | Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
![]() ![]() ![]() | Σ | 1..1 | BackboneElement | Document referenced | ||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | Attachment | Where to access the document | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 1..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 | ||||
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
![]() ![]() ![]() ![]() ![]() | 1..1 | base64Binary | The document is contained in the .data element, base64 encoded | |||||
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | dateTime | Date attachment was first created | ||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Coding | Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes. | ||||
![]() ![]() ![]() | Σ | 0..1 | BackboneElement | Clinical context of document | ||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Period | Time of service that is being documented | ||||
![]() ![]() ![]() ![]() | S | 0..1 | CodeableConcept | Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type. | ||||
![]() ![]() ![]() ![]() | S | 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). | ||||
![]() ![]() ![]() ![]() | S | 0..1 | Reference(Patient) | Patient demographics from source | ||||
![]() |
Path | Conformance | ValueSet / Code | ||||
DocumentReference.status | required | Pattern: current | ||||
DocumentReference.type | preferred | DocumentTypeValueSet | ||||
DocumentReference.category | example | DocumentClassValueSet | ||||
DocumentReference.relatesTo.code | required | DocumentRelationshipType | ||||
DocumentReference.securityLabel | extensible | All Security Labels | ||||
DocumentReference.content.attachment.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13 ) | ||||
DocumentReference.content.attachment.language | preferred | CommonLanguages
| ||||
DocumentReference.content.format | preferred | DocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem ) | ||||
DocumentReference.context.facilityType | example | FacilityTypeCodeValueSet | ||||
DocumentReference.context.practiceSetting | example | PracticeSettingCodeValueSet |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | DocumentReference | A reference to a document | |||||
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | Σ | 1..1 | Identifier | Master Version Specific Identifier | ||||
![]() ![]() ![]() | ?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. Required Pattern: current | ||||
![]() ![]() ![]() | SΣ | 0..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document. | ||||
![]() ![]() ![]() | SΣ | 0..1 | CodeableConcept | Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
![]() ![]() ![]() | Σ | 1..1 | Reference(Patient) | Who/what is the subject of the document | ||||
![]() ![]() ![]() | SΣ | 0..1 | instant | When this document reference was created | ||||
![]() ![]() ![]() | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) | Who and/or what authored the document | ||||
![]() ![]() ![]() | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Who/what authenticated the document | |||||
![]() ![]() ![]() | 0..1 | Reference(Organization) | Organization which maintains the document | |||||
![]() ![]() ![]() | SΣ | 0..* | BackboneElement | Relationships to other documents | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | Reference(DocumentReference) | Target of the relationship | ||||
![]() ![]() ![]() | Σ | 0..1 | string | Human-readable description | ||||
![]() ![]() ![]() | SΣ | 0..* | CodeableConcept | Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
![]() ![]() ![]() | Σ | 1..1 | BackboneElement | Document referenced | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 1..1 | Attachment | Where to access the document | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | Σ | 1..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 | ||||
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
![]() ![]() ![]() ![]() ![]() | 1..1 | base64Binary | The document is contained in the .data element, base64 encoded | |||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | dateTime | Date attachment was first created | ||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Coding | Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes. | ||||
![]() ![]() ![]() | Σ | 0..1 | BackboneElement | Clinical context of document | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 0..* | Reference(Encounter | EpisodeOfCare) | Context of the document content | |||||
![]() ![]() ![]() ![]() | 0..* | CodeableConcept | Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | |||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Period | Time of service that is being documented | ||||
![]() ![]() ![]() ![]() | S | 0..1 | CodeableConcept | Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type. | ||||
![]() ![]() ![]() ![]() | S | 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). | ||||
![]() ![]() ![]() ![]() | S | 0..1 | Reference(Patient) | Patient demographics from source | ||||
![]() ![]() ![]() ![]() | 0..* | Reference(Resource) | Related identifiers or resources | |||||
![]() |
Path | Conformance | ValueSet / Code | ||||
DocumentReference.language | preferred | CommonLanguages
| ||||
DocumentReference.status | required | Pattern: current | ||||
DocumentReference.type | preferred | DocumentTypeValueSet | ||||
DocumentReference.category | example | DocumentClassValueSet | ||||
DocumentReference.relatesTo.code | required | DocumentRelationshipType | ||||
DocumentReference.securityLabel | extensible | All Security Labels | ||||
DocumentReference.content.attachment.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13 ) | ||||
DocumentReference.content.attachment.language | preferred | CommonLanguages
| ||||
DocumentReference.content.format | preferred | DocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem ) | ||||
DocumentReference.context.event | example | ActCode | ||||
DocumentReference.context.facilityType | example | FacilityTypeCodeValueSet | ||||
DocumentReference.context.practiceSetting | example | PracticeSettingCodeValueSet |
This structure is derived from DocumentReference
Other representations of profile: CSV, Excel, Schematron