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

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference
copyright
date	2025-12-18T09:48:18-06:00	2025-12-18T17:19:42+00:00	Values Differ
description	A profile on the DocumentReference resource for MHD with Comprehensive Metadata Option but without a requirement for contained author, authenticator, or sourcePatientInfo. - 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)	A profile on the DocumentReference resource for MHD with Comprehensive Metadata Option but without a requirement for contained author, authenticator, or sourcePatientInfo. - 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)	Values Differ
experimental
fhirVersion	5.0.0
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001
kind	resource
name	UnContainedComprehensiveDocumentReference
publisher	IHE IT Infrastructure Technical Committee
purpose
status	active
title	MHD DocumentReference Comprehensive UnContained References Option
type	DocumentReference
url	https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UnContained.Comprehensive.DocumentReference
version	5.0.0	5.0.1-current	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
DocumentReference	C	0..*	MinimalDocumentReference	A reference to a document	C	0..*	MinimalDocumentReference	A reference to a document
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (required): IETF language tag for a human language Additional Bindings Purpose ?? Starter		0..1	code	Language of the resource content Binding: ?? (required): IETF language tag for a human language Additional Bindings Purpose ?? Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..0		Extension	?!Σ	0..0		Extension
Slices for identifier	SΣ	1..*	Identifier	Business identifiers for the document Slice: Unordered, Open by value:use	SΣ	1..*	Identifier	Business identifiers for the document Slice: Unordered, Open by value:use
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the DocumentReference	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the DocumentReference
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		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
status	?!Σ	1..1	code	current | superseded | entered-in-error Binding: ?? (required)	?!Σ	1..1	code	current | superseded | entered-in-error Binding: ?? (required)
docStatus	Σ	0..0		registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: ?? (required): Status of the underlying document.	Σ	0..0		registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: ?? (required): Status of the underlying document.
modality	Σ	0..*	CodeableConcept	Imaging modality used Binding: ?? (extensible): Type of acquired data in the instance.	Σ	0..*	CodeableConcept	Imaging modality used Binding: ?? (extensible): Type of acquired data in the instance.
type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: ?? (preferred): Precise type of clinical document.	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: ?? (preferred): Precise type of clinical document.
category	SΣ	1..1	CodeableConcept	Categorization of document Binding: ?? (example): High-level kind of document at a macro level.	SΣ	1..1	CodeableConcept	Categorization of document Binding: ?? (example): High-level kind of document at a macro level.
subject	SΣ	1..1	Reference(Patient)	Who/what is the subject of the document	SΣ	1..1	Reference(Patient)	Who/what is the subject of the document
context	C	0..*	Reference(Appointment | Encounter | EpisodeOfCare)	Context of the document content	C	0..*	Reference(Appointment | Encounter | EpisodeOfCare)	Context of the document content
event		0..*	CodeableReference()	Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented.		0..*	CodeableReference()	Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented.
id		0..1	id	Unique id for inter-element referencing		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	1..1	CodeableConcept	Reference to a concept (by class)	Σ	1..1	CodeableConcept	Reference to a concept (by class)
reference	Σ	0..1	Reference()	Reference to a resource (by instance)	Σ	0..1	Reference()	Reference to a resource (by instance)
bodySite	Σ	0..*	CodeableReference(BodyStructure)	Body part included Binding: ?? (example): SNOMED CT Body site concepts	Σ	0..*	CodeableReference(BodyStructure)	Body part included Binding: ?? (example): SNOMED CT Body site concepts
facilityType	SC	1..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.	SC	1..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.
practiceSetting	SC	1..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).	SC	1..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).
period	SΣ	0..1	Period	Time of service that is being documented	SΣ	0..1	Period	Time of service that is being documented
id		0..1	id	Unique id for inter-element referencing		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
date	SΣ	0..1	instant	When this document reference was created	SΣ	0..1	instant	When this document reference was created
author	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)	Who and/or what authored the document	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)	Who and/or what authored the document
attester		0..1	BackboneElement	Attests to accuracy of the document		0..1	BackboneElement	Attests to accuracy of the document
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: ?? (preferred): The way in which a person authenticated a document.		1..1	CodeableConcept	personal | professional | legal | official Binding: ?? (preferred): The way in which a person authenticated a document.
time		0..1	dateTime	When the document was attested		0..1	dateTime	When the document was attested
party		1..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the document		1..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the document
custodian		0..1	Reference(Organization)	Organization which maintains the document		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents	SΣ	0..*	BackboneElement	Relationships to other documents
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	The relationship type with another document Binding: ?? (extensible): The type of relationship between the documents.	Σ	1..1	CodeableConcept	The relationship type with another document Binding: ?? (extensible): The type of relationship between the documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	markdown	Human-readable description	Σ	0..1	markdown	Human-readable description
securityLabel	SΣ	1..*	CodeableConcept	Document security-tags Binding: ?? (example): Example Security Labels from the Healthcare Privacy and Security Classification System.	SΣ	1..*	CodeableConcept	Document security-tags Binding: ?? (example): Example Security Labels from the Healthcare Privacy and Security Classification System.
content	Σ	1..1	BackboneElement	Document referenced	Σ	1..1	BackboneElement	Document referenced
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	Σ	1..1	Attachment	Where to access the document	Σ	1..1	Attachment	Where to access the document
id		0..1	id	Unique id for inter-element referencing		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	ΣC	1..1	code	Mime 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	ΣC	1..1	code	Mime 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	SΣ	1..1	code	Human language of the content (BCP-47) Binding: ?? (required): IETF language tag for a human language. Additional Bindings Purpose ?? Starter Example General: en-AU	SΣ	1..1	code	Human language of the content (BCP-47) Binding: ?? (required): IETF language tag for a human language. Additional Bindings Purpose ?? Starter Example General: en-AU
data	C	0..0		Data inline, base64ed	C	0..0		Data inline, base64ed
url	Σ	1..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png	Σ	1..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	integer64	Number of bytes of content (if url provided)	Σ	0..1	integer64	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)	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	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	SΣ	1..1	dateTime	Date attachment was first created	SΣ	1..1	dateTime	Date attachment was first created
height		0..1	positiveInt	Height of the image in pixels (photo/video)		0..1	positiveInt	Height of the image in pixels (photo/video)
width		0..1	positiveInt	Width of the image in pixels (photo/video)		0..1	positiveInt	Width of the image in pixels (photo/video)
frames		0..1	positiveInt	Number of frames if > 1 (photo)		0..1	positiveInt	Number of frames if > 1 (photo)
duration		0..1	decimal	Length in seconds (audio / video)		0..1	decimal	Length in seconds (audio / video)
pages		0..1	positiveInt	Number of printed pages		0..1	positiveInt	Number of printed pages
profile	SΣ	1..1	BackboneElement	Content profile rules for the document	SΣ	1..1	BackboneElement	Content profile rules for the document
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for value[x]	Σ	1..1	Coding	Code|uri|canonical Slice: Unordered, Closed by type:$this Binding: ?? (preferred): Document Format Codes.	Σ	1..1	Coding	Code|uri|canonical Slice: Unordered, Closed by type:$this Binding: ?? (preferred): Document Format Codes.
Documentation for this format