## Union of https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference and https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference

This is the set of resources that conform to either of the profiles MHD DocumentReference Minimal (https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference) and MHD DocumentReference Minimal (https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference). E.g. what you have to deal with if you get resources conforming to one of them

### Structure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DocumentReference | C | 0..* |  | A reference to a document Constraints: docRef-1, docRef-2
meta | Σ | 0..1 | Meta | Metadata about the resource
extension |  | 0..* | Extension | Additional content defined by implementations
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | 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.
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".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: ?? (required): left: IETF language tag for a human language; right: A human language.
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | left: Extension; right: Additional content defined by implementations
identifier | S Σ | 1..* | Identifier | left: Business identifiers for the document; right: Other identifiers for the document
version | 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
status | ?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: ?? (required)
modality | Σ | 0..* | CodeableConcept | Imaging modality used Binding: ?? (extensible): Type of acquired data in the instance.
type | S Σ | 0..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: ?? (preferred): Precise type of clinical document.
category | S Σ | 0..1 | CodeableConcept | Categorization of document Binding: ?? (example): left: High-level kind of document at a macro level.; right: High-level kind of a clinical document at a macro level.
subject | S Σ | 0..1 | Reference(Patient) | Who/what is the subject of the document
context |  | 0..* |  | left: Context of the document content; right: Clinical context of document
contextAll Types |  |  |  | Content/Rules for all Types
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
encounter |  | 0..* | Reference(Encounter|4.0.1 | EpisodeOfCare|4.0.1) | Context of the document content
event |  | 0..* | CodeableConcept | Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented.
period | S Σ | 0..1 | Period | Time of service that is being documented
facilityType | S | 0..1 | CodeableConcept | Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.
practiceSetting | S | 0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).
sourcePatientInfo | S | 0..1 | Reference(Patient|4.0.1) | Patient demographics from source
related |  | 0..* | Reference(Resource|4.0.1) | Related identifiers or resources
context |  |  | Reference(Appointment | Encounter | EpisodeOfCare) |
context |  |  | BackboneElement |
event |  | 0..* | CodeableReference() | Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented.
bodySite | Σ | 0..* | CodeableReference(BodyStructure) | Body part included Binding: ?? (example): SNOMED CT Body site concepts
facilityType | S C | 0..1 | CodeableConcept | Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.
practiceSetting | S C | 0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).
period | S Σ | 0..1 | Period | Time of service that is being documented
date | S Σ | 0..1 | instant | When this document reference was created
author | S Σ | 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
custodian |  | 0..1 | Reference(Organization) | Organization which maintains the document
relatesTo | S Σ | 0..* | BackboneElement | Relationships to other documents
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 |  | left: The relationship type with another document; right: replaces | transforms | signs | appends Binding: ?? (extensible): left: The type of relationship between the documents.; right: The type of relationship between documents.
code |  |  | CodeableConcept |
code |  |  | code |
target | Σ | 1..1 | Reference(DocumentReference) | Target of the relationship
description | Σ | 0..1 |  | Human-readable description
description |  |  | markdown |
description |  |  | string |
securityLabel | S Σ | 0..* | CodeableConcept | Document security-tags Binding: ?? (extensible): left: Example Security Labels from the Healthcare Privacy and Security Classification System.; right: Security Labels from the Healthcare Privacy and Security Classification System.
content | Σ | 1..1 | BackboneElement | Document referenced
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
attachment | Σ | 1..1 | Attachment | Where to access the document
extension |  | 0..* | Extension | Additional content defined by implementations
contentType | Σ | 1..1 | code | Mime type of the content, with charset etc. Binding: ?? (required): left: BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049); right: The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language | S Σ | 0..1 | code | Human language of the content (BCP-47) Binding: ?? (required): left: IETF language tag for a human language.; right: A human language. Example General: en-AU
url | Σ | 1..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size | Σ | 0..1 |  | Number of bytes of content (if url provided)
size |  |  | integer64 |
size |  |  | unsignedInt |
hash | Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed)
title | Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo
creation | S Σ | 0..1 | dateTime | Date attachment was first created
height |  | 0..1 | positiveInt | Height of the image in pixels (photo/video)
width |  | 0..1 | positiveInt | Width of the image in pixels (photo/video)
frames |  | 0..1 | positiveInt | Number of frames if > 1 (photo)
duration |  | 0..1 | decimal | Length in seconds (audio / video)
pages |  | 0..1 | positiveInt | Number of printed pages
profile | S Σ | 0..1 | BackboneElement | Content profile rules for the document
format | S Σ | 0..1 | Coding | Format/content rules for the document Binding: ?? (preferred)
masterIdentifier | Σ | 0..1 | Identifier | Master Version Specific Identifier
authenticator |  | 0..1 | Reference(Practitioner|4.0.1 | PractitionerRole|4.0.1 | Organization|4.0.1) | Who/what authenticated the document
Documentation for this format