CH EPR FHIR (R4)
5.0.0-ci-build - ci-build Switzerland flag

CH EPR FHIR (R4), published by eHealth Suisse. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ehealthsuisse/ch-epr-fhir/ and changes regularly. See the Directory of published versions

Resource Profile: CH MHD DocumentReference Comprehensive

Official URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-mhd-documentreference-comprehensive Version: 5.0.0-ci-build
Active as of 2025-10-09 Computable Name: CHMhdDocumentReferenceComprehensive

Copyright/Legal: CC0-1.0

CH MHD Profile on CH Core DocumentReference

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* CHCoreDocumentReference CH Core DocumentReference
Constraints: ch-mhd
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:deletionStatus S 0..1 Coding Deletion status of the document
URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-deletionstatus
Binding: DocumentEntry.Ext.EprDeletionStatus (required)
.... extension:originalProviderRole S 1..1 Coding Original ProviderRole: This extra metadata attribute SHALL be set by the Document Source actor to the role value of the current user and SHALL NOT be updated by Update Initiator or Document Administrator actors.
URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-author-authorrole
Binding: DocumentEntry.originalProviderRole (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Other identifiers for the document
... status ?!SΣ 1..1 code current | superseded
Binding: DocumentReferenceStatus (required): The status of the document reference.
... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (required)
... category SΣ 1..1 CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (required)
... subject SΣ 1..1 Reference(CH Core Patient | CH Core Practitioner | Group | Device) Who/what is the subject of the document
.... identifier Σ 1..1 EPRSPIDIdentifier Logical reference, when literal reference is not known
... author SΣ 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | CH Core RelatedPerson) {c} Who and/or what authored the document
... authenticator 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) {c} Who/what authenticated the document
... relatesTo SΣ 0..* BackboneElement Relationships to other documents
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target Σ 1..1 Reference(CH Core DocumentReference) Target of the relationship
... description SΣ 0..1 string Human-readable description
... securityLabel SΣ 1..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (required)
... content Σ 1..1 BackboneElement Document referenced
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment SΣ 1..1 Attachment Where to access the document
..... contentType SΣC 1..1 code Mime type of the content, with charset etc.
Binding: DocumentEntry.mimeType (required)
Constraints: ch-docref-1
Example General: text/plain; charset=UTF-8, image/png
..... language SΣ 1..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (required)
Example General: en-AU
..... url SΣ 1..1 url The ITI-68 endpoint to use, or a reference to the Binary resource in the Bundle.
Example General: http://www.acme.com/logo-small.png
..... size SΣ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash SΣ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title SΣ 1..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
.... format SΣ 1..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (required): Document Format Codes.
... context Σ 1..1 BackboneElement Clinical context of document
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... event S 0..* CodeableConcept Main clinical acts documented
Binding: DocumentEntry.eventCodeList (required)
.... period SΣ 0..1 Period Time of service that is being documented
.... facilityType S 1..1 CodeableConcept Kind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (required): XDS Facility Type.
.... practiceSetting S 1..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (required): Additional details about where the content was created (e.g. clinical specialty).
.... sourcePatientInfo S 1..1 Reference(CH Core Patient) {c} Patient demographics from source
.... Slices for related 0..* Reference(Resource) Related identifiers or resources
Slice: Unordered, Open by value:identifier
..... related:StudyInstanceUID S 0..1 Reference(Resource) Related identifiers or resources
...... identifier SΣ 0..1 DicomStudyInstanceUidIdentifier Requirements on XDS-I.b (Swiss context): When a Imaging Document Source provides a document to the Document Repository, it must provide the StudyInstanceUID, found in the to be registered KOS object, in the referenceIdList (urn:ihe:iti:xds:2013:referenceIdList) attribute of the documentEntry metadata.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base required DocumentEntry.typeCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.category Base required DocumentEntry.classCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base required DocumentEntry.confidentialityCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​attachment.contentType Base required DocumentEntry.mimeType 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​attachment.language Base required DocumentEntry.languageCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​format Base required DocumentEntry.formatCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​event Base required DocumentEntry.eventCodeList 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​facilityType Base required DocumentEntry.healthcareFacilityTypeCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​practiceSetting Base required DocumentEntry.practiceSettingCode 📦3.3.0-ci-build CH Term v3.3

Constraints

Id Grade Path(s) Description Expression
ch-docref-1 warning DocumentReference.content.attachment.contentType The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
ch-mhd error DocumentReference The DocumentReference needs to conform to IHE.MHD.Comprehensive.DocumentReference conformsTo('https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference')
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from CHCoreDocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* CHCoreDocumentReference CH Core DocumentReference
Constraints: ch-mhd
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:deletionStatus S 0..1 Coding Deletion status of the document
URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-deletionstatus
Binding: DocumentEntry.Ext.EprDeletionStatus (required)
.... extension:originalProviderRole S 1..1 Coding Original ProviderRole: This extra metadata attribute SHALL be set by the Document Source actor to the role value of the current user and SHALL NOT be updated by Update Initiator or Document Administrator actors.
URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-author-authorrole
Binding: DocumentEntry.originalProviderRole (required)
... masterIdentifier S 1..1 UniqueIdIdentifier Master Version Specific Identifier
... identifier S 0..* Identifier Other identifiers for the document
... docStatus 0..0
... type S 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (required)
... category S 1..1 CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (required)
... subject S 1..1 Reference(CH Core Patient | CH Core Practitioner | Group | Device) Who/what is the subject of the document
.... identifier 1..1 EPRSPIDIdentifier Logical reference, when literal reference is not known
... author S 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | CH Core RelatedPerson) {c} Who and/or what authored the document
... authenticator 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) {c} Who/what authenticated the document
... custodian 0..0
... relatesTo S 0..* BackboneElement Relationships to other documents
... description S 0..1 string Human-readable description
... securityLabel S 1..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (required)
... content 1..1 BackboneElement Document referenced
.... attachment S 1..1 Attachment Where to access the document
..... contentType S 1..1 code Mime type of the content, with charset etc.
Binding: DocumentEntry.mimeType (required)
..... language S 1..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (required)
..... data 0..0
..... url S 1..1 url The ITI-68 endpoint to use, or a reference to the Binary resource in the Bundle.
..... size S 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash S 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title S 1..1 string Label to display in place of the data
..... creation S 1..1 dateTime Date attachment was first created
.... format S 1..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (required): Document Format Codes.
... context 1..1 BackboneElement Clinical context of document
.... event S 0..* CodeableConcept Main clinical acts documented
Binding: DocumentEntry.eventCodeList (required)
.... period S 0..1 Period Time of service that is being documented
.... facilityType S 1..1 CodeableConcept Kind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (required): XDS Facility Type.
.... practiceSetting S 1..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (required): Additional details about where the content was created (e.g. clinical specialty).
.... sourcePatientInfo S 1..1 Reference(CH Core Patient) {c} Patient demographics from source
.... Slices for related 0..* Reference(Resource) Related identifiers or resources
Slice: Unordered, Open by value:identifier
..... related:StudyInstanceUID S 0..1 Reference(Resource) Related identifiers or resources
...... identifier S 0..1 DicomStudyInstanceUidIdentifier Requirements on XDS-I.b (Swiss context): When a Imaging Document Source provides a document to the Document Repository, it must provide the StudyInstanceUID, found in the to be registered KOS object, in the referenceIdList (urn:ihe:iti:xds:2013:referenceIdList) attribute of the documentEntry metadata.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.type Base required DocumentEntry.typeCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.category Base required DocumentEntry.classCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.securityLabel Base required DocumentEntry.confidentialityCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​attachment.contentType Base required DocumentEntry.mimeType 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​attachment.language Base required DocumentEntry.languageCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​format Base required DocumentEntry.formatCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​event Base required DocumentEntry.eventCodeList 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​facilityType Base required DocumentEntry.healthcareFacilityTypeCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​practiceSetting Base required DocumentEntry.practiceSettingCode 📦3.3.0-ci-build CH Term v3.3

Constraints

Id Grade Path(s) Description Expression
ch-mhd error DocumentReference The DocumentReference needs to conform to IHE.MHD.Comprehensive.DocumentReference conformsTo('https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference')
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* CHCoreDocumentReference CH Core DocumentReference
Constraints: ch-mhd
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:deletionStatus S 0..1 Coding Deletion status of the document
URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-deletionstatus
Binding: DocumentEntry.Ext.EprDeletionStatus (required)
.... extension:originalProviderRole S 1..1 Coding Original ProviderRole: This extra metadata attribute SHALL be set by the Document Source actor to the role value of the current user and SHALL NOT be updated by Update Initiator or Document Administrator actors.
URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-author-authorrole
Binding: DocumentEntry.originalProviderRole (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier SΣ 1..1 UniqueIdIdentifier Master Version Specific Identifier
... identifier SΣ 0..* Identifier Other identifiers for the document
... status ?!SΣ 1..1 code current | superseded
Binding: DocumentReferenceStatus (required): The status of the document reference.
... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (required)
... category SΣ 1..1 CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (required)
... subject SΣ 1..1 Reference(CH Core Patient | CH Core Practitioner | Group | Device) Who/what is the subject of the document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 1..1 EPRSPIDIdentifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... date Σ 0..1 instant When this document reference was created
... author SΣ 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | CH Core RelatedPerson) {c} Who and/or what authored the document
... authenticator 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) {c} Who/what authenticated the document
... relatesTo SΣ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target Σ 1..1 Reference(CH Core DocumentReference) Target of the relationship
... description SΣ 0..1 string Human-readable description
... securityLabel SΣ 1..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (required)
... content Σ 1..1 BackboneElement Document referenced
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment SΣ 1..1 Attachment Where to access the document
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType SΣC 1..1 code Mime type of the content, with charset etc.
Binding: DocumentEntry.mimeType (required)
Constraints: ch-docref-1
Example General: text/plain; charset=UTF-8, image/png
..... language SΣ 1..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (required)
Example General: en-AU
..... url SΣ 1..1 url The ITI-68 endpoint to use, or a reference to the Binary resource in the Bundle.
Example General: http://www.acme.com/logo-small.png
..... size SΣ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash SΣ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title SΣ 1..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
.... format SΣ 1..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (required): Document Format Codes.
... context Σ 1..1 BackboneElement Clinical context of document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter 0..* Reference(CH Core Encounter | EpisodeOfCare) Context of the document content
.... event S 0..* CodeableConcept Main clinical acts documented
Binding: DocumentEntry.eventCodeList (required)
.... period SΣ 0..1 Period Time of service that is being documented
.... facilityType S 1..1 CodeableConcept Kind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (required): XDS Facility Type.
.... practiceSetting S 1..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (required): Additional details about where the content was created (e.g. clinical specialty).
.... sourcePatientInfo S 1..1 Reference(CH Core Patient) {c} Patient demographics from source
.... Slices for related 0..* Reference(Resource) Related identifiers or resources
Slice: Unordered, Open by value:identifier
..... related:StudyInstanceUID S 0..1 Reference(Resource) Related identifiers or resources
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
...... identifier SΣ 0..1 DicomStudyInstanceUidIdentifier Requirements on XDS-I.b (Swiss context): When a Imaging Document Source provides a document to the Document Repository, it must provide the StudyInstanceUID, found in the to be registered KOS object, in the referenceIdList (urn:ihe:iti:xds:2013:referenceIdList) attribute of the documentEntry metadata.
...... display Σ 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base required DocumentEntry.typeCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.category Base required DocumentEntry.classCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base required DocumentEntry.confidentialityCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​attachment.contentType Base required DocumentEntry.mimeType 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​attachment.language Base required DocumentEntry.languageCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​format Base required DocumentEntry.formatCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​event Base required DocumentEntry.eventCodeList 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​facilityType Base required DocumentEntry.healthcareFacilityTypeCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​practiceSetting Base required DocumentEntry.practiceSettingCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​related:StudyInstanceUID.​type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ch-docref-1 warning DocumentReference.content.attachment.contentType The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
ch-mhd error DocumentReference The DocumentReference needs to conform to IHE.MHD.Comprehensive.DocumentReference conformsTo('https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference')
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* CHCoreDocumentReference CH Core DocumentReference
Constraints: ch-mhd
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:deletionStatus S 0..1 Coding Deletion status of the document
URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-deletionstatus
Binding: DocumentEntry.Ext.EprDeletionStatus (required)
.... extension:originalProviderRole S 1..1 Coding Original ProviderRole: This extra metadata attribute SHALL be set by the Document Source actor to the role value of the current user and SHALL NOT be updated by Update Initiator or Document Administrator actors.
URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-author-authorrole
Binding: DocumentEntry.originalProviderRole (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Other identifiers for the document
... status ?!SΣ 1..1 code current | superseded
Binding: DocumentReferenceStatus (required): The status of the document reference.
... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (required)
... category SΣ 1..1 CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (required)
... subject SΣ 1..1 Reference(CH Core Patient | CH Core Practitioner | Group | Device) Who/what is the subject of the document
.... identifier Σ 1..1 EPRSPIDIdentifier Logical reference, when literal reference is not known
... author SΣ 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | CH Core RelatedPerson) {c} Who and/or what authored the document
... authenticator 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) {c} Who/what authenticated the document
... relatesTo SΣ 0..* BackboneElement Relationships to other documents
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target Σ 1..1 Reference(CH Core DocumentReference) Target of the relationship
... description SΣ 0..1 string Human-readable description
... securityLabel SΣ 1..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (required)
... content Σ 1..1 BackboneElement Document referenced
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment SΣ 1..1 Attachment Where to access the document
..... contentType SΣC 1..1 code Mime type of the content, with charset etc.
Binding: DocumentEntry.mimeType (required)
Constraints: ch-docref-1
Example General: text/plain; charset=UTF-8, image/png
..... language SΣ 1..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (required)
Example General: en-AU
..... url SΣ 1..1 url The ITI-68 endpoint to use, or a reference to the Binary resource in the Bundle.
Example General: http://www.acme.com/logo-small.png
..... size SΣ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash SΣ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title SΣ 1..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
.... format SΣ 1..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (required): Document Format Codes.
... context Σ 1..1 BackboneElement Clinical context of document
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... event S 0..* CodeableConcept Main clinical acts documented
Binding: DocumentEntry.eventCodeList (required)
.... period SΣ 0..1 Period Time of service that is being documented
.... facilityType S 1..1 CodeableConcept Kind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (required): XDS Facility Type.
.... practiceSetting S 1..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (required): Additional details about where the content was created (e.g. clinical specialty).
.... sourcePatientInfo S 1..1 Reference(CH Core Patient) {c} Patient demographics from source
.... Slices for related 0..* Reference(Resource) Related identifiers or resources
Slice: Unordered, Open by value:identifier
..... related:StudyInstanceUID S 0..1 Reference(Resource) Related identifiers or resources
...... identifier SΣ 0..1 DicomStudyInstanceUidIdentifier Requirements on XDS-I.b (Swiss context): When a Imaging Document Source provides a document to the Document Repository, it must provide the StudyInstanceUID, found in the to be registered KOS object, in the referenceIdList (urn:ihe:iti:xds:2013:referenceIdList) attribute of the documentEntry metadata.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base required DocumentEntry.typeCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.category Base required DocumentEntry.classCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base required DocumentEntry.confidentialityCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​attachment.contentType Base required DocumentEntry.mimeType 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​attachment.language Base required DocumentEntry.languageCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​format Base required DocumentEntry.formatCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​event Base required DocumentEntry.eventCodeList 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​facilityType Base required DocumentEntry.healthcareFacilityTypeCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​practiceSetting Base required DocumentEntry.practiceSettingCode 📦3.3.0-ci-build CH Term v3.3

Constraints

Id Grade Path(s) Description Expression
ch-docref-1 warning DocumentReference.content.attachment.contentType The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
ch-mhd error DocumentReference The DocumentReference needs to conform to IHE.MHD.Comprehensive.DocumentReference conformsTo('https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference')
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from CHCoreDocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* CHCoreDocumentReference CH Core DocumentReference
Constraints: ch-mhd
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:deletionStatus S 0..1 Coding Deletion status of the document
URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-deletionstatus
Binding: DocumentEntry.Ext.EprDeletionStatus (required)
.... extension:originalProviderRole S 1..1 Coding Original ProviderRole: This extra metadata attribute SHALL be set by the Document Source actor to the role value of the current user and SHALL NOT be updated by Update Initiator or Document Administrator actors.
URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-author-authorrole
Binding: DocumentEntry.originalProviderRole (required)
... masterIdentifier S 1..1 UniqueIdIdentifier Master Version Specific Identifier
... identifier S 0..* Identifier Other identifiers for the document
... docStatus 0..0
... type S 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (required)
... category S 1..1 CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (required)
... subject S 1..1 Reference(CH Core Patient | CH Core Practitioner | Group | Device) Who/what is the subject of the document
.... identifier 1..1 EPRSPIDIdentifier Logical reference, when literal reference is not known
... author S 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | CH Core RelatedPerson) {c} Who and/or what authored the document
... authenticator 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) {c} Who/what authenticated the document
... custodian 0..0
... relatesTo S 0..* BackboneElement Relationships to other documents
... description S 0..1 string Human-readable description
... securityLabel S 1..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (required)
... content 1..1 BackboneElement Document referenced
.... attachment S 1..1 Attachment Where to access the document
..... contentType S 1..1 code Mime type of the content, with charset etc.
Binding: DocumentEntry.mimeType (required)
..... language S 1..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (required)
..... data 0..0
..... url S 1..1 url The ITI-68 endpoint to use, or a reference to the Binary resource in the Bundle.
..... size S 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash S 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title S 1..1 string Label to display in place of the data
..... creation S 1..1 dateTime Date attachment was first created
.... format S 1..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (required): Document Format Codes.
... context 1..1 BackboneElement Clinical context of document
.... event S 0..* CodeableConcept Main clinical acts documented
Binding: DocumentEntry.eventCodeList (required)
.... period S 0..1 Period Time of service that is being documented
.... facilityType S 1..1 CodeableConcept Kind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (required): XDS Facility Type.
.... practiceSetting S 1..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (required): Additional details about where the content was created (e.g. clinical specialty).
.... sourcePatientInfo S 1..1 Reference(CH Core Patient) {c} Patient demographics from source
.... Slices for related 0..* Reference(Resource) Related identifiers or resources
Slice: Unordered, Open by value:identifier
..... related:StudyInstanceUID S 0..1 Reference(Resource) Related identifiers or resources
...... identifier S 0..1 DicomStudyInstanceUidIdentifier Requirements on XDS-I.b (Swiss context): When a Imaging Document Source provides a document to the Document Repository, it must provide the StudyInstanceUID, found in the to be registered KOS object, in the referenceIdList (urn:ihe:iti:xds:2013:referenceIdList) attribute of the documentEntry metadata.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.type Base required DocumentEntry.typeCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.category Base required DocumentEntry.classCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.securityLabel Base required DocumentEntry.confidentialityCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​attachment.contentType Base required DocumentEntry.mimeType 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​attachment.language Base required DocumentEntry.languageCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​format Base required DocumentEntry.formatCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​event Base required DocumentEntry.eventCodeList 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​facilityType Base required DocumentEntry.healthcareFacilityTypeCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​practiceSetting Base required DocumentEntry.practiceSettingCode 📦3.3.0-ci-build CH Term v3.3

Constraints

Id Grade Path(s) Description Expression
ch-mhd error DocumentReference The DocumentReference needs to conform to IHE.MHD.Comprehensive.DocumentReference conformsTo('https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference')

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* CHCoreDocumentReference CH Core DocumentReference
Constraints: ch-mhd
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:deletionStatus S 0..1 Coding Deletion status of the document
URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-deletionstatus
Binding: DocumentEntry.Ext.EprDeletionStatus (required)
.... extension:originalProviderRole S 1..1 Coding Original ProviderRole: This extra metadata attribute SHALL be set by the Document Source actor to the role value of the current user and SHALL NOT be updated by Update Initiator or Document Administrator actors.
URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/ch-ext-author-authorrole
Binding: DocumentEntry.originalProviderRole (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier SΣ 1..1 UniqueIdIdentifier Master Version Specific Identifier
... identifier SΣ 0..* Identifier Other identifiers for the document
... status ?!SΣ 1..1 code current | superseded
Binding: DocumentReferenceStatus (required): The status of the document reference.
... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (required)
... category SΣ 1..1 CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (required)
... subject SΣ 1..1 Reference(CH Core Patient | CH Core Practitioner | Group | Device) Who/what is the subject of the document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 1..1 EPRSPIDIdentifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... date Σ 0..1 instant When this document reference was created
... author SΣ 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | CH Core RelatedPerson) {c} Who and/or what authored the document
... authenticator 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) {c} Who/what authenticated the document
... relatesTo SΣ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target Σ 1..1 Reference(CH Core DocumentReference) Target of the relationship
... description SΣ 0..1 string Human-readable description
... securityLabel SΣ 1..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (required)
... content Σ 1..1 BackboneElement Document referenced
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment SΣ 1..1 Attachment Where to access the document
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType SΣC 1..1 code Mime type of the content, with charset etc.
Binding: DocumentEntry.mimeType (required)
Constraints: ch-docref-1
Example General: text/plain; charset=UTF-8, image/png
..... language SΣ 1..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (required)
Example General: en-AU
..... url SΣ 1..1 url The ITI-68 endpoint to use, or a reference to the Binary resource in the Bundle.
Example General: http://www.acme.com/logo-small.png
..... size SΣ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash SΣ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title SΣ 1..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
.... format SΣ 1..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (required): Document Format Codes.
... context Σ 1..1 BackboneElement Clinical context of document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter 0..* Reference(CH Core Encounter | EpisodeOfCare) Context of the document content
.... event S 0..* CodeableConcept Main clinical acts documented
Binding: DocumentEntry.eventCodeList (required)
.... period SΣ 0..1 Period Time of service that is being documented
.... facilityType S 1..1 CodeableConcept Kind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (required): XDS Facility Type.
.... practiceSetting S 1..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (required): Additional details about where the content was created (e.g. clinical specialty).
.... sourcePatientInfo S 1..1 Reference(CH Core Patient) {c} Patient demographics from source
.... Slices for related 0..* Reference(Resource) Related identifiers or resources
Slice: Unordered, Open by value:identifier
..... related:StudyInstanceUID S 0..1 Reference(Resource) Related identifiers or resources
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
...... identifier SΣ 0..1 DicomStudyInstanceUidIdentifier Requirements on XDS-I.b (Swiss context): When a Imaging Document Source provides a document to the Document Repository, it must provide the StudyInstanceUID, found in the to be registered KOS object, in the referenceIdList (urn:ihe:iti:xds:2013:referenceIdList) attribute of the documentEntry metadata.
...... display Σ 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base required DocumentEntry.typeCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.category Base required DocumentEntry.classCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base required DocumentEntry.confidentialityCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​attachment.contentType Base required DocumentEntry.mimeType 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​attachment.language Base required DocumentEntry.languageCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.content.​format Base required DocumentEntry.formatCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​event Base required DocumentEntry.eventCodeList 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​facilityType Base required DocumentEntry.healthcareFacilityTypeCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​practiceSetting Base required DocumentEntry.practiceSettingCode 📦3.3.0-ci-build CH Term v3.3
DocumentReference.context.​related:StudyInstanceUID.​type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ch-docref-1 warning DocumentReference.content.attachment.contentType The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
ch-mhd error DocumentReference The DocumentReference needs to conform to IHE.MHD.Comprehensive.DocumentReference conformsTo('https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference')
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron