eHealth Infrastructure, published by Den telemedicinske infrastruktur (eHealth Infrastructure). This guide is not an authorized publication; it is the continuous build for version 3.4.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fut-infrastructure/implementation-guide/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: ehealth-transformation-documentreference

Usage:

• CapabilityStatements using this Resource Profile: document-transformation
• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	ehealth-documentreference	A reference to a document dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:manuallyDeprecated		0..1	boolean	Ehealth Document manually deprecated URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-manuallydeprecated-type ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:useContext		0..*	UsageContext	The context that the content is intended to support URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-useContext ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:documentSharingState		0..*	Coding	Where in the sharing process the document is, and the reason why URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state Binding: Document Sharing State (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. ele-1: All FHIR elements must have a @value or children
category	Σ	0..1	CodeableConcept	Categorization of document Binding: Document Class (required) ele-1: All FHIR elements must have a @value or children
content	Σ	1..*	BackboneElement	Document referenced ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
attachment	Σ	1..1	Attachment	Where to access the document ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 from the FHIR Standard
DocumentReference.category	required	DocumentClass http://ehealth.sundhed.dk/vs/document-class from this IG

This structure is derived from ehealth-documentreference

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	ehealth-documentreference	A reference to a document
Slices for extension				Content/Rules for all slices
extension:documentSharingState		0..*	Coding	Where in the sharing process the document is, and the reason why URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state Binding: Document Sharing State (required)
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	ehealth-documentreference	A reference to a document
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:manuallyDeprecated		0..1	boolean	Ehealth Document manually deprecated URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-manuallydeprecated-type
extension:useContext		0..*	UsageContext	The context that the content is intended to support URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-useContext
extension:documentSharingState		0..*	Coding	Where in the sharing process the document is, and the reason why URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state Binding: Document Sharing State (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	Σ	0..1	Identifier	Master Version Specific Identifier
identifier	Σ	0..*	Identifier	Other identifiers for the document
status	?!Σ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference.
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document.
type	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: Document Type (required)
category	Σ	0..1	CodeableConcept	Categorization of document Binding: Document Class (required)
subject	Σ	0..1	Reference(ehealth-patient | ehealth-practitioner | Group | ehealth-device) {r}	Who/what is the subject of the document
date	Σ	0..1	instant	When this document reference was created
author	Σ	0..*	Reference(ehealth-practitioner | ehealth-organization | ehealth-device | ehealth-patient | ehealth-relatedperson) {r}	Who and/or what authored the document
authenticator		0..1	Reference(ehealth-practitioner | ehealth-organization) {r}	Who/what authenticated the document
custodian		0..1	Reference(ehealth-organization) {r}	Organization which maintains the document
relatesTo	Σ	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(ehealth-documentreference)	Target of the relationship
description	Σ	0..1	string	Human-readable description
securityLabel	Σ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	Σ	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	Σ	1..1	Attachment	Where to access the document
format	Σ	0..1	Coding	Format/content rules for the document Binding: FormatCodes (required)
context	Σ	0..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(Encounter | EpisodeOfCare)	Context of the document content
event		0..*	CodeableConcept	Main clinical acts documented Binding: Event Type Codes (required)
period	Σ	0..1	Period	Time of service that is being documented
facilityType		0..1	CodeableConcept	Kind of facility where patient was seen Binding: Facility Type Codes (required)
practiceSetting		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: Practice Setting Codes (required)
sourcePatientInfo		0..1	Reference(ehealth-patient)	Patient demographics from source
related		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 from the FHIR Standard
DocumentReference.docStatus	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
DocumentReference.type	required	DocumentType http://ehealth.sundhed.dk/vs/document-type from this IG
DocumentReference.category	required	DocumentClass http://ehealth.sundhed.dk/vs/document-class from this IG
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
DocumentReference.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
DocumentReference.content.format	required	FormatCodes http://ehealth.sundhed.dk/vs/format-codes from this IG
DocumentReference.context.event	required	EventTypeCodes http://ehealth.sundhed.dk/vs/event-type-codes from this IG
DocumentReference.context.facilityType	required	FacilityTypeCodes http://ehealth.sundhed.dk/vs/facility-type-codes from this IG
DocumentReference.context.practiceSetting	required	PracticeSettingCodes http://ehealth.sundhed.dk/vs/practice-setting-codes from this IG

This structure is derived from ehealth-documentreference

Summary

Extensions

This structure refers to these extensions:

• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	ehealth-documentreference	A reference to a document dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:manuallyDeprecated		0..1	boolean	Ehealth Document manually deprecated URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-manuallydeprecated-type ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:useContext		0..*	UsageContext	The context that the content is intended to support URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-useContext ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:documentSharingState		0..*	Coding	Where in the sharing process the document is, and the reason why URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state Binding: Document Sharing State (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. ele-1: All FHIR elements must have a @value or children
category	Σ	0..1	CodeableConcept	Categorization of document Binding: Document Class (required) ele-1: All FHIR elements must have a @value or children
content	Σ	1..*	BackboneElement	Document referenced ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
attachment	Σ	1..1	Attachment	Where to access the document ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 from the FHIR Standard
DocumentReference.category	required	DocumentClass http://ehealth.sundhed.dk/vs/document-class from this IG

Differential View

This structure is derived from ehealth-documentreference

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	ehealth-documentreference	A reference to a document
Slices for extension				Content/Rules for all slices
extension:documentSharingState		0..*	Coding	Where in the sharing process the document is, and the reason why URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state Binding: Document Sharing State (required)
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	ehealth-documentreference	A reference to a document
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:manuallyDeprecated		0..1	boolean	Ehealth Document manually deprecated URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-manuallydeprecated-type
extension:useContext		0..*	UsageContext	The context that the content is intended to support URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-useContext
extension:documentSharingState		0..*	Coding	Where in the sharing process the document is, and the reason why URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state Binding: Document Sharing State (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	Σ	0..1	Identifier	Master Version Specific Identifier
identifier	Σ	0..*	Identifier	Other identifiers for the document
status	?!Σ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference.
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document.
type	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: Document Type (required)
category	Σ	0..1	CodeableConcept	Categorization of document Binding: Document Class (required)
subject	Σ	0..1	Reference(ehealth-patient | ehealth-practitioner | Group | ehealth-device) {r}	Who/what is the subject of the document
date	Σ	0..1	instant	When this document reference was created
author	Σ	0..*	Reference(ehealth-practitioner | ehealth-organization | ehealth-device | ehealth-patient | ehealth-relatedperson) {r}	Who and/or what authored the document
authenticator		0..1	Reference(ehealth-practitioner | ehealth-organization) {r}	Who/what authenticated the document
custodian		0..1	Reference(ehealth-organization) {r}	Organization which maintains the document
relatesTo	Σ	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(ehealth-documentreference)	Target of the relationship
description	Σ	0..1	string	Human-readable description
securityLabel	Σ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	Σ	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	Σ	1..1	Attachment	Where to access the document
format	Σ	0..1	Coding	Format/content rules for the document Binding: FormatCodes (required)
context	Σ	0..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(Encounter | EpisodeOfCare)	Context of the document content
event		0..*	CodeableConcept	Main clinical acts documented Binding: Event Type Codes (required)
period	Σ	0..1	Period	Time of service that is being documented
facilityType		0..1	CodeableConcept	Kind of facility where patient was seen Binding: Facility Type Codes (required)
practiceSetting		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: Practice Setting Codes (required)
sourcePatientInfo		0..1	Reference(ehealth-patient)	Patient demographics from source
related		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 from the FHIR Standard
DocumentReference.docStatus	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
DocumentReference.type	required	DocumentType http://ehealth.sundhed.dk/vs/document-type from this IG
DocumentReference.category	required	DocumentClass http://ehealth.sundhed.dk/vs/document-class from this IG
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
DocumentReference.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
DocumentReference.content.format	required	FormatCodes http://ehealth.sundhed.dk/vs/format-codes from this IG
DocumentReference.context.event	required	EventTypeCodes http://ehealth.sundhed.dk/vs/event-type-codes from this IG
DocumentReference.context.facilityType	required	FacilityTypeCodes http://ehealth.sundhed.dk/vs/facility-type-codes from this IG
DocumentReference.context.practiceSetting	required	PracticeSettingCodes http://ehealth.sundhed.dk/vs/practice-setting-codes from this IG

This structure is derived from ehealth-documentreference

Summary

Extensions

This structure refers to these extensions:

• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-document-sharing-state

Other representations of profile: CSV, Excel, Schematron