EU Imaging Report R5, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r5/ and changes regularly. See the Directory of published versions

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

Resource Profile: EEHRxF MHD DocumentReference Profile for Imaging Reports

Usages:

• Examples for this Profile: DocumentReference/DocumentReferenceSemiStructured, DocumentReference/DocumentReferenceStructuredReport and DocumentReference/RenderableFormatWithBasicMetadata

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference	C	0..*	DocumentReference	A reference to a document Constraints: docRef-1, docRef-2
DocumentReference.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DocumentReference.contained		0..*	Resource	Contained, inline Resources
DocumentReference.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
DocumentReference.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference.
DocumentReference.modality	Σ This element is included in summaries.	1..*	CodeableConcept	Imaging modality used Binding: Modality (extensible): Type of acquired data in the instance.
DocumentReference.type	Σ This element is included in summaries.	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: FHIRDocumentTypeCodes (preferred): Precise type of clinical document.
DocumentReference.type.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.type.Slices for coding.coding:imaging-report	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
DocumentReference.type.Slices for coding.coding:imaging-report.id		0..1	string	Unique id for inter-element referencing
DocumentReference.type.Slices for coding.coding:imaging-report.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.type.Slices for coding.coding:imaging-report.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DocumentReference.type.Slices for coding.coding:imaging-report.version		0..1	string	Version of the system - if relevant
DocumentReference.type.Slices for coding.coding:imaging-report.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85430-7
DocumentReference.type.Slices for coding.coding:imaging-report.display		0..1	string	Representation defined by the system
DocumentReference.type.Slices for coding.coding:imaging-report.userSelected		0..1	boolean	If this coding was chosen directly by the user
DocumentReference.category	Σ This element is included in summaries.	1..1	CodeableConcept	Categorization of document Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level.
DocumentReference.category.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.category.Slices for coding.coding:priority-area	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
DocumentReference.category.Slices for coding.coding:priority-area.id		0..1	string	Unique id for inter-element referencing
DocumentReference.category.Slices for coding.coding:priority-area.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.category.Slices for coding.coding:priority-area.system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
DocumentReference.category.Slices for coding.coding:priority-area.version		0..1	string	Version of the system - if relevant
DocumentReference.category.Slices for coding.coding:priority-area.code		1..1	code	Symbol in syntax defined by the system Fixed Value: Medical-Imaging
DocumentReference.category.Slices for coding.coding:priority-area.display		0..1	string	Representation defined by the system
DocumentReference.category.Slices for coding.coding:priority-area.userSelected		0..1	boolean	If this coding was chosen directly by the user
DocumentReference.subject	Σ This element is included in summaries.	1..1	Reference(Patient (EU core))	Who/what is the subject of the document
DocumentReference.context	C	0..*	Reference(Appointment | Encounter | EpisodeOfCare)	Context of the document content
DocumentReference.bodySite	Σ This element is included in summaries.	0..*	CodeableReference(BodyStructure)	The anatomical region of the patient that is the focus of the imaging manifest, concept field is required. Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
DocumentReference.bodySite.concept	Σ This element is included in summaries.	1..1	CodeableConcept	Reference to a concept (by class)
DocumentReference.bodySite.concept.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Binding: ValueSet: Anatomical Region (extensible)
DocumentReference.practiceSetting	C	0..1	CodeableConcept	Clinical specialty (e.g., radiology, laboratory) - SHOULD be used for lab vs imaging differentiation Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
DocumentReference.date	Σ This element is included in summaries.	1..1	instant	When this document reference was created
DocumentReference.custodian		0..1	Reference(Organization (EU core))	Organization that manages the Imaging Report
DocumentReference.content	Σ This element is included in summaries.	1..1	BackboneElement	Document referenced
DocumentReference.content.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment	Σ This element is included in summaries.	1..1	Attachment	Where to access the document
DocumentReference.content.Slices for profile	Σ This element is included in summaries.	1..*	BackboneElement	Content profile rules for the document Slice: Unordered, Open by value:value Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.content.Slices for profile.profile:All Slices				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.Slices for profile.profile:All Slices.value[x]	Σ This element is included in summaries.	1..1		Code|uri|canonical Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
DocumentReference.content.Slices for profile.profile:All Slices.value[x].valueCoding			Coding
DocumentReference.content.Slices for profile.profile:All Slices.value[x].valueUri			uri
DocumentReference.content.Slices for profile.profile:All Slices.value[x].valueCanonical			canonical(Any)
DocumentReference.content.Slices for profile.profile:bundle-report	Σ This element is included in summaries.	0..1	BackboneElement	Content profile rules for the document
DocumentReference.content.Slices for profile.profile:bundle-report.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x]	Σ This element is included in summaries.	1..1		Code|uri|canonical Slice: Unordered, Closed by type:$this Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].valueCoding			Coding
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].valueUri			uri
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].valueCanonical			canonical(Any)
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x]				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].value[x]:valueCanonical	Σ This element is included in summaries.	0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/BundleReportEuImaging
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata	Σ This element is included in summaries.	0..1	BackboneElement	Content profile rules for the document
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x]	Σ This element is included in summaries.	1..1		Code|uri|canonical Slice: Unordered, Closed by type:$this Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].valueCoding			Coding
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].valueUri			uri
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].valueCanonical			canonical(Any)
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x]				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].value[x]:valueCanonical	Σ This element is included in summaries.	0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/BundleReportMinimalMetadataEuImaging
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.status	Base	required	DocumentReferenceStatus	📍5.0.0	FHIR Std.
DocumentReference.modality	Base	extensible	Modality	📦2025.3.20250714	DICOM v2025c
DocumentReference.type	Base	preferred	FHIR Document Type Codes	📍5.0.0	FHIR Std.
DocumentReference.category	Base	example	Referenced Item Category Value Set	📍5.0.0	FHIR Std.
DocumentReference.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.
DocumentReference.bodySite.​concept.coding	Base	extensible	ValueSet: Anatomical Region	📦1.0.0-ballot	This IG
DocumentReference.practiceSetting	Base	example	Practice Setting Code Value Set	📍5.0.0	FHIR Std.
DocumentReference.content.​profile.value[x]	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report.​value[x]	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report.​value[x]:valueCoding	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report.​value[x]:valueUri	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report-minimal-metadata.​value[x]	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report-minimal-metadata.​value[x]:valueCoding	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report-minimal-metadata.​value[x]:valueUri	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
docRef-1	warning	DocumentReference	facilityType SHALL only be present if context is not an encounter	facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2	warning	DocumentReference	practiceSetting SHALL only be present if context is not present	practiceSetting.empty() or context.where(resolve() is Encounter).empty()
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 DocumentReference

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	DocumentReference	A reference to a document
DocumentReference.modality		1..*	CodeableConcept	Imaging modality used
DocumentReference.type		1..1	CodeableConcept	Type of Imaging Diagnostic Report
DocumentReference.type.Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.type.Slices for coding.coding:imaging-report		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
DocumentReference.type.Slices for coding.coding:imaging-report.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DocumentReference.type.Slices for coding.coding:imaging-report.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85430-7
DocumentReference.category		1..1	CodeableConcept	Categorization of document
DocumentReference.category.Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.category.Slices for coding.coding:priority-area		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
DocumentReference.category.Slices for coding.coding:priority-area.system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
DocumentReference.category.Slices for coding.coding:priority-area.code		1..1	code	Symbol in syntax defined by the system Fixed Value: Medical-Imaging
DocumentReference.subject		1..1	Reference(Patient (EU core))	Who/what is the subject of the document
DocumentReference.bodySite		0..*	CodeableReference(BodyStructure)	The anatomical region of the patient that is the focus of the imaging manifest, concept field is required.
DocumentReference.bodySite.concept		1..1	CodeableConcept	Reference to a concept (by class)
DocumentReference.bodySite.concept.coding		0..*	Coding	Code defined by a terminology system Binding: ValueSet: Anatomical Region (extensible)
DocumentReference.practiceSetting		0..1	CodeableConcept	Clinical specialty (e.g., radiology, laboratory) - SHOULD be used for lab vs imaging differentiation
DocumentReference.date		1..1	instant	When this document reference was created
DocumentReference.custodian		0..1	Reference(Organization (EU core))	Organization that manages the Imaging Report
DocumentReference.content		1..1	BackboneElement	Document referenced
DocumentReference.content.Slices for profile		1..*	BackboneElement	Content profile rules for the document Slice: Unordered, Open by value:value Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.content.Slices for profile.profile:bundle-report		0..1	BackboneElement	Content profile rules for the document
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x]		1..1	Coding, uri, canonical()	Code|uri|canonical Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x]				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].value[x]:valueCanonical		0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/BundleReportEuImaging
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata		0..1	BackboneElement	Content profile rules for the document
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x]		1..1	Coding, uri, canonical()	Code|uri|canonical Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x]				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].value[x]:valueCanonical		0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/BundleReportMinimalMetadataEuImaging
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.bodySite.​concept.coding	Base	extensible	ValueSet: Anatomical Region	📦1.0.0-ballot	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference	C	0..*	DocumentReference	A reference to a document Constraints: docRef-1, docRef-2
DocumentReference.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
DocumentReference.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
DocumentReference.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DocumentReference.language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
DocumentReference.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
DocumentReference.contained		0..*	Resource	Contained, inline Resources
DocumentReference.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
DocumentReference.identifier	Σ This element is included in summaries.	0..*	Identifier	Business identifiers for the document
DocumentReference.version	Σ This element is included in summaries.	0..1	string	An explicitly assigned identifer of a variation of the content in the DocumentReference
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
DocumentReference.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference.
DocumentReference.docStatus	Σ This element is included in summaries.	0..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): Status of the underlying document.
DocumentReference.modality	Σ This element is included in summaries.	1..*	CodeableConcept	Imaging modality used Binding: Modality (extensible): Type of acquired data in the instance.
DocumentReference.type	Σ This element is included in summaries.	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: FHIRDocumentTypeCodes (preferred): Precise type of clinical document.
DocumentReference.type.id		0..1	id	Unique id for inter-element referencing
DocumentReference.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DocumentReference.type.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.type.Slices for coding.coding:imaging-report	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
DocumentReference.type.Slices for coding.coding:imaging-report.id		0..1	string	Unique id for inter-element referencing
DocumentReference.type.Slices for coding.coding:imaging-report.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.type.Slices for coding.coding:imaging-report.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DocumentReference.type.Slices for coding.coding:imaging-report.version		0..1	string	Version of the system - if relevant
DocumentReference.type.Slices for coding.coding:imaging-report.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85430-7
DocumentReference.type.Slices for coding.coding:imaging-report.display		0..1	string	Representation defined by the system
DocumentReference.type.Slices for coding.coding:imaging-report.userSelected		0..1	boolean	If this coding was chosen directly by the user
DocumentReference.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
DocumentReference.category	Σ This element is included in summaries.	1..1	CodeableConcept	Categorization of document Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level.
DocumentReference.category.id		0..1	id	Unique id for inter-element referencing
DocumentReference.category.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DocumentReference.category.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.category.Slices for coding.coding:priority-area	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
DocumentReference.category.Slices for coding.coding:priority-area.id		0..1	string	Unique id for inter-element referencing
DocumentReference.category.Slices for coding.coding:priority-area.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.category.Slices for coding.coding:priority-area.system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
DocumentReference.category.Slices for coding.coding:priority-area.version		0..1	string	Version of the system - if relevant
DocumentReference.category.Slices for coding.coding:priority-area.code		1..1	code	Symbol in syntax defined by the system Fixed Value: Medical-Imaging
DocumentReference.category.Slices for coding.coding:priority-area.display		0..1	string	Representation defined by the system
DocumentReference.category.Slices for coding.coding:priority-area.userSelected		0..1	boolean	If this coding was chosen directly by the user
DocumentReference.category.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
DocumentReference.subject	Σ This element is included in summaries.	1..1	Reference(Patient (EU core))	Who/what is the subject of the document
DocumentReference.context	C	0..*	Reference(Appointment | Encounter | EpisodeOfCare)	Context of the document content
DocumentReference.event		0..*	CodeableReference()	Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
DocumentReference.bodySite	Σ This element is included in summaries.	0..*	CodeableReference(BodyStructure)	The anatomical region of the patient that is the focus of the imaging manifest, concept field is required. Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
DocumentReference.bodySite.id		0..1	id	Unique id for inter-element referencing
DocumentReference.bodySite.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DocumentReference.bodySite.concept	Σ This element is included in summaries.	1..1	CodeableConcept	Reference to a concept (by class)
DocumentReference.bodySite.concept.id		0..1	id	Unique id for inter-element referencing
DocumentReference.bodySite.concept.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DocumentReference.bodySite.concept.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Binding: ValueSet: Anatomical Region (extensible)
DocumentReference.bodySite.concept.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
DocumentReference.bodySite.reference	Σ This element is included in summaries.	0..1	Reference()	Reference to a resource (by instance)
DocumentReference.facilityType	C	0..1	CodeableConcept	Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
DocumentReference.practiceSetting	C	0..1	CodeableConcept	Clinical specialty (e.g., radiology, laboratory) - SHOULD be used for lab vs imaging differentiation Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
DocumentReference.period	Σ This element is included in summaries.	0..1	Period	Time of service that is being documented
DocumentReference.date	Σ This element is included in summaries.	1..1	instant	When this document reference was created
DocumentReference.author	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)	Who and/or what authored the document
DocumentReference.attester		0..*	BackboneElement	Attests to accuracy of the document
DocumentReference.attester.id		0..1	string	Unique id for inter-element referencing
DocumentReference.attester.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.attester.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.attester.mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a document.
DocumentReference.attester.time		0..1	dateTime	When the document was attested
DocumentReference.attester.party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the document
DocumentReference.custodian		0..1	Reference(Organization (EU core))	Organization that manages the Imaging Report
DocumentReference.relatesTo	Σ This element is included in summaries.	0..*	BackboneElement	Relationships to other documents
DocumentReference.relatesTo.id		0..1	string	Unique id for inter-element referencing
DocumentReference.relatesTo.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.relatesTo.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.relatesTo.code	Σ This element is included in summaries.	1..1	CodeableConcept	The relationship type with another document Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.
DocumentReference.relatesTo.target	Σ This element is included in summaries.	1..1	Reference(DocumentReference)	Target of the relationship
DocumentReference.description	Σ This element is included in summaries.	0..1	markdown	Human-readable description
DocumentReference.securityLabel	Σ This element is included in summaries.	0..*	CodeableConcept	Document security-tags Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System.
DocumentReference.content	Σ This element is included in summaries.	1..1	BackboneElement	Document referenced
DocumentReference.content.id		0..1	string	Unique id for inter-element referencing
DocumentReference.content.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.content.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment	Σ This element is included in summaries.	1..1	Attachment	Where to access the document
DocumentReference.content.Slices for profile	Σ This element is included in summaries.	1..*	BackboneElement	Content profile rules for the document Slice: Unordered, Open by value:value Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.content.Slices for profile.profile:All Slices				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:All Slices.id		0..1	string	Unique id for inter-element referencing
DocumentReference.content.Slices for profile.profile:All Slices.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.content.Slices for profile.profile:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.Slices for profile.profile:All Slices.value[x]	Σ This element is included in summaries.	1..1		Code|uri|canonical Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
DocumentReference.content.Slices for profile.profile:All Slices.value[x].valueCoding			Coding
DocumentReference.content.Slices for profile.profile:All Slices.value[x].valueUri			uri
DocumentReference.content.Slices for profile.profile:All Slices.value[x].valueCanonical			canonical(Any)
DocumentReference.content.Slices for profile.profile:bundle-report	Σ This element is included in summaries.	0..1	BackboneElement	Content profile rules for the document
DocumentReference.content.Slices for profile.profile:bundle-report.id		0..1	string	Unique id for inter-element referencing
DocumentReference.content.Slices for profile.profile:bundle-report.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.content.Slices for profile.profile:bundle-report.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x]	Σ This element is included in summaries.	1..1		Code|uri|canonical Slice: Unordered, Closed by type:$this Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].valueCoding			Coding
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].valueUri			uri
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].valueCanonical			canonical(Any)
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x]				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].value[x]:valueCanonical	Σ This element is included in summaries.	0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/BundleReportEuImaging
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata	Σ This element is included in summaries.	0..1	BackboneElement	Content profile rules for the document
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.id		0..1	string	Unique id for inter-element referencing
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x]	Σ This element is included in summaries.	1..1		Code|uri|canonical Slice: Unordered, Closed by type:$this Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].valueCoding			Coding
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].valueUri			uri
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].valueCanonical			canonical(Any)
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x]				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].value[x]:valueCanonical	Σ This element is included in summaries.	0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/BundleReportMinimalMetadataEuImaging
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.language	Base	required	All Languages	📍5.0.0	FHIR Std.
DocumentReference.status	Base	required	DocumentReferenceStatus	📍5.0.0	FHIR Std.
DocumentReference.docStatus	Base	required	Composition Status	📍5.0.0	FHIR Std.
DocumentReference.modality	Base	extensible	Modality	📦2025.3.20250714	DICOM v2025c
DocumentReference.type	Base	preferred	FHIR Document Type Codes	📍5.0.0	FHIR Std.
DocumentReference.category	Base	example	Referenced Item Category Value Set	📍5.0.0	FHIR Std.
DocumentReference.event	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.1
DocumentReference.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.
DocumentReference.bodySite.​concept.coding	Base	extensible	ValueSet: Anatomical Region	📦1.0.0-ballot	This IG
DocumentReference.facilityType	Base	example	Facility Type Code Value Set	📍5.0.0	FHIR Std.
DocumentReference.practiceSetting	Base	example	Practice Setting Code Value Set	📍5.0.0	FHIR Std.
DocumentReference.attester.​mode	Base	preferred	Composition Attestation Mode	📍5.0.0	FHIR Std.
DocumentReference.relatesTo.​code	Base	extensible	Document Relationship Type	📍5.0.0	FHIR Std.
DocumentReference.securityLabel	Base	example	Example set of Security Labels	📍5.0.0	FHIR Std.
DocumentReference.content.​profile.value[x]	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report.​value[x]	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report.​value[x]:valueCoding	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report.​value[x]:valueUri	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report-minimal-metadata.​value[x]	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report-minimal-metadata.​value[x]:valueCoding	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report-minimal-metadata.​value[x]:valueUri	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
docRef-1	warning	DocumentReference	facilityType SHALL only be present if context is not an encounter	facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2	warning	DocumentReference	practiceSetting SHALL only be present if context is not present	practiceSetting.empty() or context.where(resolve() is Encounter).empty()
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 DocumentReference

Summary

Mandatory: 10 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

• Patient (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core)
• Organization (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu-core)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DocumentReference.type.coding
• The element 1 is sliced based on the value of DocumentReference.category.coding
• The element 1 is sliced based on the value of DocumentReference.content.profile
• The element 1 is sliced based on the value of DocumentReference.content.profile.value[x]

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference	C	0..*	DocumentReference	A reference to a document Constraints: docRef-1, docRef-2
DocumentReference.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DocumentReference.contained		0..*	Resource	Contained, inline Resources
DocumentReference.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
DocumentReference.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference.
DocumentReference.modality	Σ This element is included in summaries.	1..*	CodeableConcept	Imaging modality used Binding: Modality (extensible): Type of acquired data in the instance.
DocumentReference.type	Σ This element is included in summaries.	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: FHIRDocumentTypeCodes (preferred): Precise type of clinical document.
DocumentReference.type.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.type.Slices for coding.coding:imaging-report	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
DocumentReference.type.Slices for coding.coding:imaging-report.id		0..1	string	Unique id for inter-element referencing
DocumentReference.type.Slices for coding.coding:imaging-report.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.type.Slices for coding.coding:imaging-report.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DocumentReference.type.Slices for coding.coding:imaging-report.version		0..1	string	Version of the system - if relevant
DocumentReference.type.Slices for coding.coding:imaging-report.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85430-7
DocumentReference.type.Slices for coding.coding:imaging-report.display		0..1	string	Representation defined by the system
DocumentReference.type.Slices for coding.coding:imaging-report.userSelected		0..1	boolean	If this coding was chosen directly by the user
DocumentReference.category	Σ This element is included in summaries.	1..1	CodeableConcept	Categorization of document Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level.
DocumentReference.category.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.category.Slices for coding.coding:priority-area	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
DocumentReference.category.Slices for coding.coding:priority-area.id		0..1	string	Unique id for inter-element referencing
DocumentReference.category.Slices for coding.coding:priority-area.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.category.Slices for coding.coding:priority-area.system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
DocumentReference.category.Slices for coding.coding:priority-area.version		0..1	string	Version of the system - if relevant
DocumentReference.category.Slices for coding.coding:priority-area.code		1..1	code	Symbol in syntax defined by the system Fixed Value: Medical-Imaging
DocumentReference.category.Slices for coding.coding:priority-area.display		0..1	string	Representation defined by the system
DocumentReference.category.Slices for coding.coding:priority-area.userSelected		0..1	boolean	If this coding was chosen directly by the user
DocumentReference.subject	Σ This element is included in summaries.	1..1	Reference(Patient (EU core))	Who/what is the subject of the document
DocumentReference.context	C	0..*	Reference(Appointment | Encounter | EpisodeOfCare)	Context of the document content
DocumentReference.bodySite	Σ This element is included in summaries.	0..*	CodeableReference(BodyStructure)	The anatomical region of the patient that is the focus of the imaging manifest, concept field is required. Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
DocumentReference.bodySite.concept	Σ This element is included in summaries.	1..1	CodeableConcept	Reference to a concept (by class)
DocumentReference.bodySite.concept.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Binding: ValueSet: Anatomical Region (extensible)
DocumentReference.practiceSetting	C	0..1	CodeableConcept	Clinical specialty (e.g., radiology, laboratory) - SHOULD be used for lab vs imaging differentiation Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
DocumentReference.date	Σ This element is included in summaries.	1..1	instant	When this document reference was created
DocumentReference.custodian		0..1	Reference(Organization (EU core))	Organization that manages the Imaging Report
DocumentReference.content	Σ This element is included in summaries.	1..1	BackboneElement	Document referenced
DocumentReference.content.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment	Σ This element is included in summaries.	1..1	Attachment	Where to access the document
DocumentReference.content.Slices for profile	Σ This element is included in summaries.	1..*	BackboneElement	Content profile rules for the document Slice: Unordered, Open by value:value Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.content.Slices for profile.profile:All Slices				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.Slices for profile.profile:All Slices.value[x]	Σ This element is included in summaries.	1..1		Code|uri|canonical Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
DocumentReference.content.Slices for profile.profile:All Slices.value[x].valueCoding			Coding
DocumentReference.content.Slices for profile.profile:All Slices.value[x].valueUri			uri
DocumentReference.content.Slices for profile.profile:All Slices.value[x].valueCanonical			canonical(Any)
DocumentReference.content.Slices for profile.profile:bundle-report	Σ This element is included in summaries.	0..1	BackboneElement	Content profile rules for the document
DocumentReference.content.Slices for profile.profile:bundle-report.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x]	Σ This element is included in summaries.	1..1		Code|uri|canonical Slice: Unordered, Closed by type:$this Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].valueCoding			Coding
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].valueUri			uri
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].valueCanonical			canonical(Any)
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x]				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].value[x]:valueCanonical	Σ This element is included in summaries.	0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/BundleReportEuImaging
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata	Σ This element is included in summaries.	0..1	BackboneElement	Content profile rules for the document
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x]	Σ This element is included in summaries.	1..1		Code|uri|canonical Slice: Unordered, Closed by type:$this Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].valueCoding			Coding
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].valueUri			uri
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].valueCanonical			canonical(Any)
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x]				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].value[x]:valueCanonical	Σ This element is included in summaries.	0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/BundleReportMinimalMetadataEuImaging
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.status	Base	required	DocumentReferenceStatus	📍5.0.0	FHIR Std.
DocumentReference.modality	Base	extensible	Modality	📦2025.3.20250714	DICOM v2025c
DocumentReference.type	Base	preferred	FHIR Document Type Codes	📍5.0.0	FHIR Std.
DocumentReference.category	Base	example	Referenced Item Category Value Set	📍5.0.0	FHIR Std.
DocumentReference.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.
DocumentReference.bodySite.​concept.coding	Base	extensible	ValueSet: Anatomical Region	📦1.0.0-ballot	This IG
DocumentReference.practiceSetting	Base	example	Practice Setting Code Value Set	📍5.0.0	FHIR Std.
DocumentReference.content.​profile.value[x]	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report.​value[x]	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report.​value[x]:valueCoding	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report.​value[x]:valueUri	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report-minimal-metadata.​value[x]	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report-minimal-metadata.​value[x]:valueCoding	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report-minimal-metadata.​value[x]:valueUri	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
docRef-1	warning	DocumentReference	facilityType SHALL only be present if context is not an encounter	facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2	warning	DocumentReference	practiceSetting SHALL only be present if context is not present	practiceSetting.empty() or context.where(resolve() is Encounter).empty()
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 DocumentReference

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	DocumentReference	A reference to a document
DocumentReference.modality		1..*	CodeableConcept	Imaging modality used
DocumentReference.type		1..1	CodeableConcept	Type of Imaging Diagnostic Report
DocumentReference.type.Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.type.Slices for coding.coding:imaging-report		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
DocumentReference.type.Slices for coding.coding:imaging-report.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DocumentReference.type.Slices for coding.coding:imaging-report.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85430-7
DocumentReference.category		1..1	CodeableConcept	Categorization of document
DocumentReference.category.Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.category.Slices for coding.coding:priority-area		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
DocumentReference.category.Slices for coding.coding:priority-area.system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
DocumentReference.category.Slices for coding.coding:priority-area.code		1..1	code	Symbol in syntax defined by the system Fixed Value: Medical-Imaging
DocumentReference.subject		1..1	Reference(Patient (EU core))	Who/what is the subject of the document
DocumentReference.bodySite		0..*	CodeableReference(BodyStructure)	The anatomical region of the patient that is the focus of the imaging manifest, concept field is required.
DocumentReference.bodySite.concept		1..1	CodeableConcept	Reference to a concept (by class)
DocumentReference.bodySite.concept.coding		0..*	Coding	Code defined by a terminology system Binding: ValueSet: Anatomical Region (extensible)
DocumentReference.practiceSetting		0..1	CodeableConcept	Clinical specialty (e.g., radiology, laboratory) - SHOULD be used for lab vs imaging differentiation
DocumentReference.date		1..1	instant	When this document reference was created
DocumentReference.custodian		0..1	Reference(Organization (EU core))	Organization that manages the Imaging Report
DocumentReference.content		1..1	BackboneElement	Document referenced
DocumentReference.content.Slices for profile		1..*	BackboneElement	Content profile rules for the document Slice: Unordered, Open by value:value Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.content.Slices for profile.profile:bundle-report		0..1	BackboneElement	Content profile rules for the document
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x]		1..1	Coding, uri, canonical()	Code|uri|canonical Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x]				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].value[x]:valueCanonical		0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/BundleReportEuImaging
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata		0..1	BackboneElement	Content profile rules for the document
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x]		1..1	Coding, uri, canonical()	Code|uri|canonical Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x]				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].value[x]:valueCanonical		0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/BundleReportMinimalMetadataEuImaging
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.bodySite.​concept.coding	Base	extensible	ValueSet: Anatomical Region	📦1.0.0-ballot	This IG

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference	C	0..*	DocumentReference	A reference to a document Constraints: docRef-1, docRef-2
DocumentReference.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
DocumentReference.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
DocumentReference.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DocumentReference.language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
DocumentReference.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
DocumentReference.contained		0..*	Resource	Contained, inline Resources
DocumentReference.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
DocumentReference.identifier	Σ This element is included in summaries.	0..*	Identifier	Business identifiers for the document
DocumentReference.version	Σ This element is included in summaries.	0..1	string	An explicitly assigned identifer of a variation of the content in the DocumentReference
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
DocumentReference.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference.
DocumentReference.docStatus	Σ This element is included in summaries.	0..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): Status of the underlying document.
DocumentReference.modality	Σ This element is included in summaries.	1..*	CodeableConcept	Imaging modality used Binding: Modality (extensible): Type of acquired data in the instance.
DocumentReference.type	Σ This element is included in summaries.	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: FHIRDocumentTypeCodes (preferred): Precise type of clinical document.
DocumentReference.type.id		0..1	id	Unique id for inter-element referencing
DocumentReference.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DocumentReference.type.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.type.Slices for coding.coding:imaging-report	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
DocumentReference.type.Slices for coding.coding:imaging-report.id		0..1	string	Unique id for inter-element referencing
DocumentReference.type.Slices for coding.coding:imaging-report.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.type.Slices for coding.coding:imaging-report.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DocumentReference.type.Slices for coding.coding:imaging-report.version		0..1	string	Version of the system - if relevant
DocumentReference.type.Slices for coding.coding:imaging-report.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85430-7
DocumentReference.type.Slices for coding.coding:imaging-report.display		0..1	string	Representation defined by the system
DocumentReference.type.Slices for coding.coding:imaging-report.userSelected		0..1	boolean	If this coding was chosen directly by the user
DocumentReference.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
DocumentReference.category	Σ This element is included in summaries.	1..1	CodeableConcept	Categorization of document Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level.
DocumentReference.category.id		0..1	id	Unique id for inter-element referencing
DocumentReference.category.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DocumentReference.category.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.category.Slices for coding.coding:priority-area	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
DocumentReference.category.Slices for coding.coding:priority-area.id		0..1	string	Unique id for inter-element referencing
DocumentReference.category.Slices for coding.coding:priority-area.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.category.Slices for coding.coding:priority-area.system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
DocumentReference.category.Slices for coding.coding:priority-area.version		0..1	string	Version of the system - if relevant
DocumentReference.category.Slices for coding.coding:priority-area.code		1..1	code	Symbol in syntax defined by the system Fixed Value: Medical-Imaging
DocumentReference.category.Slices for coding.coding:priority-area.display		0..1	string	Representation defined by the system
DocumentReference.category.Slices for coding.coding:priority-area.userSelected		0..1	boolean	If this coding was chosen directly by the user
DocumentReference.category.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
DocumentReference.subject	Σ This element is included in summaries.	1..1	Reference(Patient (EU core))	Who/what is the subject of the document
DocumentReference.context	C	0..*	Reference(Appointment | Encounter | EpisodeOfCare)	Context of the document content
DocumentReference.event		0..*	CodeableReference()	Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
DocumentReference.bodySite	Σ This element is included in summaries.	0..*	CodeableReference(BodyStructure)	The anatomical region of the patient that is the focus of the imaging manifest, concept field is required. Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
DocumentReference.bodySite.id		0..1	id	Unique id for inter-element referencing
DocumentReference.bodySite.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DocumentReference.bodySite.concept	Σ This element is included in summaries.	1..1	CodeableConcept	Reference to a concept (by class)
DocumentReference.bodySite.concept.id		0..1	id	Unique id for inter-element referencing
DocumentReference.bodySite.concept.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DocumentReference.bodySite.concept.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Binding: ValueSet: Anatomical Region (extensible)
DocumentReference.bodySite.concept.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
DocumentReference.bodySite.reference	Σ This element is included in summaries.	0..1	Reference()	Reference to a resource (by instance)
DocumentReference.facilityType	C	0..1	CodeableConcept	Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
DocumentReference.practiceSetting	C	0..1	CodeableConcept	Clinical specialty (e.g., radiology, laboratory) - SHOULD be used for lab vs imaging differentiation Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
DocumentReference.period	Σ This element is included in summaries.	0..1	Period	Time of service that is being documented
DocumentReference.date	Σ This element is included in summaries.	1..1	instant	When this document reference was created
DocumentReference.author	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)	Who and/or what authored the document
DocumentReference.attester		0..*	BackboneElement	Attests to accuracy of the document
DocumentReference.attester.id		0..1	string	Unique id for inter-element referencing
DocumentReference.attester.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.attester.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.attester.mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a document.
DocumentReference.attester.time		0..1	dateTime	When the document was attested
DocumentReference.attester.party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the document
DocumentReference.custodian		0..1	Reference(Organization (EU core))	Organization that manages the Imaging Report
DocumentReference.relatesTo	Σ This element is included in summaries.	0..*	BackboneElement	Relationships to other documents
DocumentReference.relatesTo.id		0..1	string	Unique id for inter-element referencing
DocumentReference.relatesTo.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.relatesTo.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.relatesTo.code	Σ This element is included in summaries.	1..1	CodeableConcept	The relationship type with another document Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.
DocumentReference.relatesTo.target	Σ This element is included in summaries.	1..1	Reference(DocumentReference)	Target of the relationship
DocumentReference.description	Σ This element is included in summaries.	0..1	markdown	Human-readable description
DocumentReference.securityLabel	Σ This element is included in summaries.	0..*	CodeableConcept	Document security-tags Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System.
DocumentReference.content	Σ This element is included in summaries.	1..1	BackboneElement	Document referenced
DocumentReference.content.id		0..1	string	Unique id for inter-element referencing
DocumentReference.content.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.content.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment	Σ This element is included in summaries.	1..1	Attachment	Where to access the document
DocumentReference.content.Slices for profile	Σ This element is included in summaries.	1..*	BackboneElement	Content profile rules for the document Slice: Unordered, Open by value:value Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DocumentReference.content.Slices for profile.profile:All Slices				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:All Slices.id		0..1	string	Unique id for inter-element referencing
DocumentReference.content.Slices for profile.profile:All Slices.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.content.Slices for profile.profile:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.Slices for profile.profile:All Slices.value[x]	Σ This element is included in summaries.	1..1		Code|uri|canonical Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
DocumentReference.content.Slices for profile.profile:All Slices.value[x].valueCoding			Coding
DocumentReference.content.Slices for profile.profile:All Slices.value[x].valueUri			uri
DocumentReference.content.Slices for profile.profile:All Slices.value[x].valueCanonical			canonical(Any)
DocumentReference.content.Slices for profile.profile:bundle-report	Σ This element is included in summaries.	0..1	BackboneElement	Content profile rules for the document
DocumentReference.content.Slices for profile.profile:bundle-report.id		0..1	string	Unique id for inter-element referencing
DocumentReference.content.Slices for profile.profile:bundle-report.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.content.Slices for profile.profile:bundle-report.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x]	Σ This element is included in summaries.	1..1		Code|uri|canonical Slice: Unordered, Closed by type:$this Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].valueCoding			Coding
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].valueUri			uri
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].valueCanonical			canonical(Any)
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x]				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:bundle-report.Slices for value[x].value[x]:valueCanonical	Σ This element is included in summaries.	0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/BundleReportEuImaging
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata	Σ This element is included in summaries.	0..1	BackboneElement	Content profile rules for the document
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.id		0..1	string	Unique id for inter-element referencing
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.extension		0..*	Extension	Additional content defined by implementations
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x]	Σ This element is included in summaries.	1..1		Code|uri|canonical Slice: Unordered, Closed by type:$this Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].valueCoding			Coding
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].valueUri			uri
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].valueCanonical			canonical(Any)
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x]				Content/Rules for all slices
DocumentReference.content.Slices for profile.profile:bundle-report-minimal-metadata.Slices for value[x].value[x]:valueCanonical	Σ This element is included in summaries.	0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/BundleReportMinimalMetadataEuImaging
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.language	Base	required	All Languages	📍5.0.0	FHIR Std.
DocumentReference.status	Base	required	DocumentReferenceStatus	📍5.0.0	FHIR Std.
DocumentReference.docStatus	Base	required	Composition Status	📍5.0.0	FHIR Std.
DocumentReference.modality	Base	extensible	Modality	📦2025.3.20250714	DICOM v2025c
DocumentReference.type	Base	preferred	FHIR Document Type Codes	📍5.0.0	FHIR Std.
DocumentReference.category	Base	example	Referenced Item Category Value Set	📍5.0.0	FHIR Std.
DocumentReference.event	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.1
DocumentReference.bodySite	Base	example	SNOMED CT Body Structures	📍5.0.0	FHIR Std.
DocumentReference.bodySite.​concept.coding	Base	extensible	ValueSet: Anatomical Region	📦1.0.0-ballot	This IG
DocumentReference.facilityType	Base	example	Facility Type Code Value Set	📍5.0.0	FHIR Std.
DocumentReference.practiceSetting	Base	example	Practice Setting Code Value Set	📍5.0.0	FHIR Std.
DocumentReference.attester.​mode	Base	preferred	Composition Attestation Mode	📍5.0.0	FHIR Std.
DocumentReference.relatesTo.​code	Base	extensible	Document Relationship Type	📍5.0.0	FHIR Std.
DocumentReference.securityLabel	Base	example	Example set of Security Labels	📍5.0.0	FHIR Std.
DocumentReference.content.​profile.value[x]	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report.​value[x]	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report.​value[x]:valueCoding	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report.​value[x]:valueUri	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report-minimal-metadata.​value[x]	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report-minimal-metadata.​value[x]:valueCoding	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1
DocumentReference.content.​profile:bundle-report-minimal-metadata.​value[x]:valueUri	Base	preferred	HL7 ValueSet of Format Codes for use with Document Sharing	📦2.1.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
docRef-1	warning	DocumentReference	facilityType SHALL only be present if context is not an encounter	facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2	warning	DocumentReference	practiceSetting SHALL only be present if context is not present	practiceSetting.empty() or context.where(resolve() is Encounter).empty()
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 DocumentReference

Summary

Mandatory: 10 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

• Patient (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core)
• Organization (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu-core)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DocumentReference.type.coding
• The element 1 is sliced based on the value of DocumentReference.category.coding
• The element 1 is sliced based on the value of DocumentReference.content.profile
• The element 1 is sliced based on the value of DocumentReference.content.profile.value[x]

Maturity: 1