Profile Comparison between http://fhir.ch/ig/ch-elm/StructureDefinition/PublishDocumentReference vs http://fhir.ch/ig/ch-elm/StructureDefinition/PublishDocumentReference

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/DocumentReference
copyright	CC0-1.0
date	2025-08-13T07:08:59+00:00	2025-09-19T11:42:26+00:00	Values Differ
description	A profile on the DocumentReference resource with publication constraints: - must be status current - must have an identifier - uses attachment.url to carry the document as a contained resource - validation according to http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-document
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#CH
kind	resource
name	PublishDocumentReference
publisher	Federal Office of Public Health FOPH
purpose
status	active
title	DocumentReference for sending the report
type	DocumentReference
url	http://fhir.ch/ig/ch-elm/StructureDefinition/PublishDocumentReference
version	1.11.0	1.12.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
DocumentReference		0..*	DocumentReference	A reference to a document		0..*	DocumentReference	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
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: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding	Example/preferred bindings differ at DocumentReference.language using binding from PublishDocumentReference
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
Slices for contained		1..*	Resource	Contained, inline Resources Slice: Unordered, Open by profile:$this		1..*	Resource	Contained, inline Resources Slice: Unordered, Open by profile:$this
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..0			?!	0..0
masterIdentifier	Σ	0..1	Identifier	Master Version Specific Identifier	Σ	0..1	Identifier	Master Version Specific Identifier
identifier	Σ	1..1	Identifier	Other identifiers for the document	Σ	1..1	Identifier	Other identifiers for the document
status	?!Σ	1..1	code	current | superseded | entered-in-error Binding: ?? (required): The status of the document reference. Required Pattern: current	?!Σ	1..1	code	current | superseded | entered-in-error Binding: ?? (required): The status of the document reference. Required Pattern: current
docStatus	Σ	0..0			Σ	0..0
type	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: ?? (preferred): Precise type of clinical document.	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: ?? (preferred): Precise type of clinical document.	Example/preferred bindings differ at DocumentReference.type using binding from PublishDocumentReference
category	Σ	0..*	CodeableConcept	Categorization of document Binding: ?? (example): High-level kind of a clinical document at a macro level.	Σ	0..*	CodeableConcept	Categorization of document Binding: ?? (example): High-level kind of a clinical document at a macro level.
subject	Σ	0..1	Reference(Patient | Practitioner | Group | Device)	Who/what is the subject of the document	Σ	0..1	Reference(Patient | Practitioner | Group | Device)	Who/what is the subject of the document
date	SΣ	0..1	instant	When this document reference was created	SΣ	0..1	instant	When this document reference was created
author	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)	Who and/or what authored the document	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)	Who and/or what authored the document
authenticator		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who/what authenticated the document		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who/what authenticated 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	code	replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents.	Σ	1..1	code	replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description	Σ	0..1	string	Human-readable description
securityLabel	SΣ	0..*	CodeableConcept	Document security-tags Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	SΣ	0..*	CodeableConcept	Document security-tags Binding: ?? (extensible): 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	ΣC	1..1	Attachment	Where to access the document Constraints: ch-elm-resolveableurl	ΣC	1..1	Attachment	Where to access the document Constraints: ch-elm-resolveableurl
id		0..1	string	Unique id for inter-element referencing		0..1	string	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	Σ	0..1	code	Mime 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	Σ	0..1	code	Mime 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
language	SΣ	0..1	code	Human language of the content (BCP-47) Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding Example General: en-AU	SΣ	0..1	code	Human language of the content (BCP-47) Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding Example General: en-AU	Example/preferred bindings differ at DocumentReference.content.attachment.language using binding from PublishDocumentReference
data		0..1	base64Binary	Data inline, base64ed		0..1	base64Binary	Data inline, base64ed
url	Σ	1..1	url	The document is referenced by this url, contained in the DocumentReference Example General: http://www.acme.com/logo-small.png	Σ	1..1	url	The document is referenced by this url, contained in the DocumentReference Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)	Σ	0..1	unsignedInt	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	0..1	dateTime	Date attachment was first created	SΣ	0..1	dateTime	Date attachment was first created
format	Σ	0..1	Coding	Format/content rules for the document Binding: ?? (preferred): Document Format Codes.	Σ	0..1	Coding	Format/content rules for the document Binding: ?? (preferred): Document Format Codes.	Example/preferred bindings differ at DocumentReference.content.format using binding from PublishDocumentReference
context	Σ	0..1	BackboneElement	Clinical context of document	Σ	0..1	BackboneElement	Clinical context of 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
encounter		0..*	Reference(Encounter | EpisodeOfCare)	Context of the document content		0..*	Reference(Encounter | EpisodeOfCare)	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.		0..*	CodeableConcept	Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	Time of service that is being documented	Σ	0..1	Period	Time of service that is being documented
facilityType		0..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.		0..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.
practiceSetting		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).		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		0..1	Reference(Patient)	Patient demographics from source		0..1	Reference(Patient)	Patient demographics from source
related		0..*	Reference(Resource)	Related identifiers or resources		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format