Profile Comparison between https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.SimplifiedPublish.DocumentReference vs https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.SimplifiedPublish.DocumentReference

Left:MHD DocumentReference for Simplified Publish (https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.SimplifiedPublish.DocumentReference)
Right:MHD DocumentReference for Simplified Publish (https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.SimplifiedPublish.DocumentReference)

Messages

ErrorStructureDefinition.versionValues for version differ: '4.2.2' vs '5.0.0-current'
InformationStructureDefinition.dateValues for date differ: '2024-05-18T12:31:54-05:00' vs '2025-10-13T19:00:21+00:00'
WarningStructureDefinition.fhirVersionValues for fhirVersion differ: '4.0.1' vs '5.0.0'
InformationStructureDefinition.definitionValues for definition differ: 'A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text.' vs 'A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this 'document' encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference.'
InformationStructureDefinition.commentValues for comment differ: 'The only time that a resource does not have an id is when it is being submitted to the server using a create operation.' vs 'Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.'
InformationStructureDefinition.commentValues for comment differ: 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.' vs 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.'
InformationStructureDefinition.commentValues for comment differ: 'Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.' vs 'Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.'
InformationStructureDefinition.definitionValues for definition differ: 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.' vs 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.'
InformationStructureDefinition.commentValues for comment differ: 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.' vs 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.'
InformationStructureDefinition.shortValues for short differ: 'Additional content defined by implementations' vs 'Extension'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
InformationStructureDefinition.shortValues for short differ: 'Other identifiers for the document' vs 'Business identifiers for the document'
InformationStructureDefinition.definitionValues for definition differ: 'Other identifiers associated with the document, including version independent identifiers.' vs 'Other business identifiers associated with the document, including version independent identifiers.'
WarningDocumentReference.identifierElements differ in definition for mustSupport: 'false' vs 'true'
InformationDocumentReference.identifierElement minimum cardinalities differ: '0' vs '1'
InformationDocumentReference.identifierElement maximum cardinalities differ: '0' vs '1'
ErrorDocumentReference.identifierElement minimum cardinalities conflict: '0..0' vs '1..1': No instances can be valid against both profiles
InformationStructureDefinition.shortValues for short differ: 'preliminary | final | amended | entered-in-error' vs 'registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown'
InformationDocumentReference.typeExample/preferred bindings differ at DocumentReference.type using binding from SimplifiedPublishDocumentReference
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'replaces | transforms | signs | appends' vs 'The relationship type with another document'
InformationStructureDefinition.definitionValues for definition differ: 'A set of Security-Tag codes specifying the level of privacy/security of the Document. Note that DocumentReference.meta.security contains the security labels of the 'reference' to the document, while DocumentReference.securityLabel contains a snapshot of the security labels on the document the reference refers to.' vs 'A set of Security-Tag codes specifying the level of privacy/security of the Document found at DocumentReference.content.attachment.url. Note that DocumentReference.meta.security contains the security labels of the data elements in DocumentReference, while DocumentReference.securityLabel contains the security labels for the document the reference refers to. The distinction recognizes that the document may contain sensitive information, while the DocumentReference is metadata about the document and thus might not be as sensitive as the document. For example: a psychotherapy episode may contain highly sensitive information, while the metadata may simply indicate that some episode happened.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.commentValues for comment differ: 'The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see [Provenance.signature](provenance-definitions.html#Provenance.signature) for mechanism to protect a resource with a digital signature.' vs 'The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see [Provenance.signature](http://hl7.org/fhir/R5/provenance-definitions.html#Provenance.signature) for mechanism to protect a resource with a digital signature.'
InformationStructureDefinition.shortValues for short differ: 'Clinical context of document' vs 'Context of the document content'
InformationStructureDefinition.definitionValues for definition differ: 'The clinical context in which the document was prepared.' vs 'Describes the clinical encounter or type of care that the document content is associated with.'
InformationDocumentReference.contextElement maximum cardinalities differ: '1' vs '2147483647'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/DocumentReference
      .copyright
        .date2024-05-18T12:31:54-05:002025-10-13T19:00:21+00:00
        • Values Differ
        .descriptionA profile on the DocumentReference resource for MHD Simplified Publish constraints. - MHD is based on the [IHE Document Sharing](https://profiles.ihe.net/ITI/HIE-Whitepaper/index.html) model, - the [3:4.1 Abstract Metadata Model](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.1.html#4.1), and - the use defined here is FHIR DocumentReference implementation of the - ebRIM implementation at [3:4.2.3.2 Document Entry](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.2.html#4.2.3.2). - with use-cases and constraints found in [3:4.3 Additional Document Sharing Requirements](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.3.html#4.3) Simplified Publish - Similar to Minimal Metadata constraints - must be status current - must have a patient indicated - uses attachment.data to carry the document, rather than attachment.url - so that the Simplified Publish is a simple POST of the DocumentReference - Document Recipient is expected to extract the .data, use .url
          .experimental
            .fhirVersion4.0.15.0.0
            • Values Differ
            .jurisdiction
              ..jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#001
                .kindresource
                  .nameSimplifiedPublishDocumentReference
                    .publisherIHE IT Infrastructure Technical Committee
                      .purpose
                        .statusactive
                          .titleMHD DocumentReference for Simplified Publish
                            .typeDocumentReference
                              .urlhttps://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.SimplifiedPublish.DocumentReference
                                .version4.2.25.0.0-current
                                • Values Differ

                                Structure

                                NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                .. DocumentReference 0..*DocumentReferenceA reference to a document
                                C0..*DocumentReferenceA reference to a document
                                  ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                                    ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                      ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                        ... language 0..1codeLanguage of the resource content
                                        Binding: ?? (preferred): A human language.
                                        Additional BindingsPurpose
                                        ??Max Binding
                                        0..1codeLanguage of the resource content
                                        Binding: ?? (required): IETF language tag for a human language
                                        Additional BindingsPurpose
                                        ??Starter
                                          ... text 0..1NarrativeText 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..1NarrativeText 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..*ResourceContained, inline Resources
                                            0..*ResourceContained, inline Resources
                                              ... extension 0..*ExtensionAdditional content defined by implementations
                                              0..*ExtensionExtension
                                              Slice: Unordered, Open by value:url
                                                ... modifierExtension ?!0..0?!Σ0..0
                                                  ... masterIdentifier Σ1..1IdentifierMaster Version Specific Identifier
                                                  • Removed this element
                                                  ... identifier Σ0..0SΣ1..1IdentifierBusiness identifiers for the document
                                                  Slice: Unordered, Open by value:use
                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                  • Element minimum cardinalities differ: '0' vs '1'
                                                  • Element maximum cardinalities differ: '0' vs '1'
                                                  • Element minimum cardinalities conflict: '0..0' vs '1..1': No instances can be valid against both profiles
                                                  ... status ?!Σ1..1codecurrent | superseded | entered-in-error
                                                  Binding: ?? (required): The status of the document reference.
                                                  Required Pattern: current
                                                  ?!Σ1..1codecurrent | superseded | entered-in-error
                                                  Binding: ?? (required): The status of the document reference.
                                                  Required Pattern: current
                                                    ... docStatus Σ0..0Σ0..0
                                                      ... type SΣ0..1CodeableConceptKind of document (LOINC if possible)
                                                      Binding: ?? (preferred): Precise type of clinical document.
                                                      SΣ0..1CodeableConceptKind of document (LOINC if possible)
                                                      Binding: ?? (preferred): Precise type of clinical document.
                                                      • Example/preferred bindings differ at DocumentReference.type using binding from SimplifiedPublishDocumentReference
                                                      ... category SΣ0..1CodeableConceptCategorization of document
                                                      Binding: ?? (example): High-level kind of a clinical document at a macro level.
                                                      SΣ0..1CodeableConceptCategorization of document
                                                      Binding: ?? (example): High-level kind of document at a macro level.
                                                        ... subject Σ1..1Reference(Patient)Who/what is the subject of the documentΣ1..1Reference(Patient)Who/what is the subject of the document
                                                          ... date SΣ0..1instantWhen this document reference was createdSΣ0..1instantWhen this document reference was created
                                                            ... author SΣ0..*Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)Who and/or what authored the document
                                                            SΣ0..*Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)Who and/or what authored the document
                                                              ... authenticator 0..1Reference(Practitioner | PractitionerRole | Organization)Who/what authenticated the document
                                                              • Removed this element
                                                              ... custodian 0..1Reference(Organization)Organization which maintains the document0..1Reference(Organization)Organization which maintains the document
                                                                ... relatesTo SΣ0..*BackboneElementRelationships to other documents
                                                                SΣ0..*BackboneElementRelationships to other documents
                                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                                                    0..*ExtensionAdditional content defined by implementations
                                                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                        .... code Σ1..1codereplaces | transforms | signs | appends
                                                                        Binding: ?? (required): The type of relationship between documents.
                                                                        Σ1..1CodeableConceptThe relationship type with another document
                                                                        Binding: ?? (extensible): The type of relationship between the documents.
                                                                          .... target Σ1..1Reference(DocumentReference)Target of the relationshipΣ1..1Reference(DocumentReference)Target of the relationship
                                                                            ... description Σ0..1stringHuman-readable descriptionΣ0..1markdownHuman-readable description
                                                                              ... securityLabel SΣ0..*CodeableConceptDocument security-tags
                                                                              Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
                                                                              SΣ0..*CodeableConceptDocument security-tags
                                                                              Binding: ?? (example): Example Security Labels from the Healthcare Privacy and Security Classification System.
                                                                                ... content Σ1..1BackboneElementDocument referenced
                                                                                Σ1..1BackboneElementDocument referenced
                                                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                    0..*ExtensionAdditional content defined by implementations
                                                                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                        .... attachment Σ1..1AttachmentWhere to access the documentΣ1..1AttachmentWhere to access the document
                                                                                          ..... id 0..1stringUnique id for inter-element referencing0..1idUnique id for inter-element referencing
                                                                                            ..... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                            Slice: Unordered, Open by value:url
                                                                                            0..*ExtensionAdditional content defined by implementations
                                                                                            Slice: Unordered, Open by value:url
                                                                                              ..... contentType Σ1..1codeMime 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
                                                                                              ΣC1..1codeMime type of the content, with charset etc.
                                                                                              Binding: ?? (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
                                                                                              Example General: text/plain; charset=UTF-8, image/png
                                                                                                ..... language SΣ0..1codeHuman language of the content (BCP-47)
                                                                                                Binding: ?? (preferred): A human language.
                                                                                                Additional BindingsPurpose
                                                                                                ??Max Binding

                                                                                                Example General: en-AU
                                                                                                SΣ0..1codeHuman language of the content (BCP-47)
                                                                                                Binding: ?? (required): IETF language tag for a human language.
                                                                                                Additional BindingsPurpose
                                                                                                ??Starter

                                                                                                Example General: en-AU
                                                                                                  ..... data 1..1base64BinaryThe document is contained in the .data element, base64 encodedC1..1base64BinaryThe document is contained in the .data element, base64 encoded
                                                                                                    ..... url Σ0..0Σ0..0
                                                                                                      ..... size Σ0..1unsignedIntNumber of bytes of content (if url provided)Σ0..1integer64Number of bytes of content (if url provided)
                                                                                                        ..... hash Σ0..1base64BinaryHash of the data (sha-1, base64ed)Σ0..1base64BinaryHash of the data (sha-1, base64ed)
                                                                                                          ..... title Σ0..1stringLabel to display in place of the data
                                                                                                          Example General: Official Corporate Logo
                                                                                                          Σ0..1stringLabel to display in place of the data
                                                                                                          Example General: Official Corporate Logo
                                                                                                            ..... creation SΣ0..1dateTimeDate attachment was first createdSΣ0..1dateTimeDate attachment was first created
                                                                                                              ..... height 0..1positiveIntHeight of the image in pixels (photo/video)
                                                                                                              • Added this element
                                                                                                              ..... width 0..1positiveIntWidth of the image in pixels (photo/video)
                                                                                                              • Added this element
                                                                                                              ..... frames 0..1positiveIntNumber of frames if > 1 (photo)
                                                                                                              • Added this element
                                                                                                              ..... duration 0..1decimalLength in seconds (audio / video)
                                                                                                              • Added this element
                                                                                                              ..... pages 0..1positiveIntNumber of printed pages
                                                                                                              • Added this element
                                                                                                              .... format SΣ0..1CodingFormat/content rules for the document
                                                                                                              Binding: ?? (preferred): Document Format Codes.
                                                                                                              • Removed this element
                                                                                                              .... profile SΣ0..1BackboneElementContent profile rules for the document
                                                                                                              • Added this element
                                                                                                              ... context Σ0..1BackboneElementClinical context of documentC0..*Reference(Appointment | Encounter | EpisodeOfCare)Context of the document content
                                                                                                              • Element maximum cardinalities differ: '1' vs '2147483647'
                                                                                                              .... id 0..1stringUnique id for inter-element referencing
                                                                                                              • Removed this element
                                                                                                              .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                              • Removed this element
                                                                                                              .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                              • Removed this element
                                                                                                              .... encounter 0..*Reference(Encounter | EpisodeOfCare)Context of the document content
                                                                                                              • Removed this element
                                                                                                              .... event 0..*CodeableConceptMain clinical acts documented
                                                                                                              Binding: ?? (example): This list of codes represents the main clinical acts being documented.
                                                                                                              • Removed this element
                                                                                                              .... period SΣ0..1PeriodTime of service that is being documented
                                                                                                              • Removed this element
                                                                                                              .... facilityType S0..1CodeableConceptKind of facility where patient was seen
                                                                                                              Binding: ?? (example): XDS Facility Type.
                                                                                                              • Removed this element
                                                                                                              .... practiceSetting S0..1CodeableConceptAdditional 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).
                                                                                                              • Removed this element
                                                                                                              .... sourcePatientInfo S0..1Reference(Patient)Patient demographics from source
                                                                                                              • Removed this element
                                                                                                              .... related 0..*Reference(Resource)Related identifiers or resources
                                                                                                              • Removed this element
                                                                                                              ... version Σ0..1stringAn explicitly assigned identifer of a variation of the content in the DocumentReference
                                                                                                              • Added this element
                                                                                                              ... basedOn 0..*Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | VisionPrescription)Procedure that caused this media to be created
                                                                                                              • Added this element
                                                                                                              ... modality Σ0..*CodeableConceptImaging modality used
                                                                                                              Binding: ?? (extensible): Type of acquired data in the instance.
                                                                                                              • Added this element
                                                                                                              ... event 0..*CodeableReference()Main clinical acts documented
                                                                                                              Binding: ?? (example): This list of codes represents the main clinical acts being documented.
                                                                                                              • Added this element
                                                                                                              ... bodySite Σ0..*CodeableReference(BodyStructure)Body part included
                                                                                                              Binding: ?? (example): SNOMED CT Body site concepts
                                                                                                              • Added this element
                                                                                                              ... facilityType SC0..1CodeableConceptKind of facility where patient was seen
                                                                                                              Binding: ?? (example): XDS Facility Type.
                                                                                                              • Added this element
                                                                                                              ... practiceSetting SC0..1CodeableConceptAdditional 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).
                                                                                                              • Added this element
                                                                                                              ... period SΣ0..1PeriodTime of service that is being documented
                                                                                                              • Added this element
                                                                                                              ... attester 0..1BackboneElementAttests to accuracy of the document
                                                                                                              • Added this element

                                                                                                              doco Documentation for this format