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
Mappings for the DocumentReferenceKeyImageEuImaging resource profile.
| Name | Workflow Pattern | FiveWs Pattern Mapping | FHIR Composition | RIM Mapping | XDS metadata equivalent | CDA (R2) | HL7 V2 Mapping |
 DocumentReference |
Event |
infrastructure.documents |
when describing a Composition |
- Entity
- Role
- or Act
- Document[classCode="DOC" and moodCode="EVN"]
|
DocumentEntry |
when describing a CDA |
|
  DocumentReference / id |
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  DocumentReference / meta |
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  DocumentReference / implicitRules |
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  DocumentReference / language |
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  DocumentReference / text |
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Act.text? |
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  DocumentReference / contained |
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N/A |
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  DocumentReference / extension |
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N/A |
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  DocumentReference / modifierExtension |
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N/A |
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  DocumentReference / Slices for identifier |
Event.identifier |
FiveWs.identifier |
Composition.identifier |
.id / .setId |
- DocumentEntry.entryUUID
- DocumentEntry.uniqueId
|
ClinicalDocument/id |
TXA-12 |
   DocumentReference / Slices for identifier / identifier:seriesInstanceUid |
Event.identifier |
FiveWs.identifier |
Composition.identifier |
.id / .setId |
- DocumentEntry.entryUUID
- DocumentEntry.uniqueId
|
ClinicalDocument/id |
TXA-12 |
    DocumentReference / Slices for identifier / identifier:seriesInstanceUid / id |
|
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n/a |
|
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    DocumentReference / Slices for identifier / identifier:seriesInstanceUid / extension |
|
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n/a |
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    DocumentReference / Slices for identifier / identifier:seriesInstanceUid / use |
|
|
|
Role.code or implied by context |
|
|
N/A |
    DocumentReference / Slices for identifier / identifier:seriesInstanceUid / type |
|
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|
Role.code or implied by context |
|
|
CX.5 |
    DocumentReference / Slices for identifier / identifier:seriesInstanceUid / system |
|
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II.root or Role.id.root |
|
|
CX.4 / EI-2-4 |
    DocumentReference / Slices for identifier / identifier:seriesInstanceUid / value |
|
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II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
|
|
CX.1 / EI.1 |
    DocumentReference / Slices for identifier / identifier:seriesInstanceUid / period |
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|
Role.effectiveTime or implied by context |
|
|
CX.7 + CX.8 |
    DocumentReference / Slices for identifier / identifier:seriesInstanceUid / assigner |
|
|
|
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
|
|
|
   DocumentReference / Slices for identifier / identifier:sopClassInstanceUid |
Event.identifier |
FiveWs.identifier |
Composition.identifier |
.id / .setId |
- DocumentEntry.entryUUID
- DocumentEntry.uniqueId
|
ClinicalDocument/id |
TXA-12 |
    DocumentReference / Slices for identifier / identifier:sopClassInstanceUid / id |
|
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n/a |
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    DocumentReference / Slices for identifier / identifier:sopClassInstanceUid / extension |
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n/a |
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    DocumentReference / Slices for identifier / identifier:sopClassInstanceUid / use |
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Role.code or implied by context |
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N/A |
    DocumentReference / Slices for identifier / identifier:sopClassInstanceUid / type |
|
|
|
Role.code or implied by context |
|
|
CX.5 |
    DocumentReference / Slices for identifier / identifier:sopClassInstanceUid / system |
|
|
|
II.root or Role.id.root |
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|
CX.4 / EI-2-4 |
    DocumentReference / Slices for identifier / identifier:sopClassInstanceUid / value |
|
|
|
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
|
|
CX.1 / EI.1 |
    DocumentReference / Slices for identifier / identifier:sopClassInstanceUid / period |
|
|
|
Role.effectiveTime or implied by context |
|
|
CX.7 + CX.8 |
    DocumentReference / Slices for identifier / identifier:sopClassInstanceUid / assigner |
|
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|
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
|
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|
   DocumentReference / Slices for identifier / identifier:studyInstanceUid |
Event.identifier |
FiveWs.identifier |
Composition.identifier |
.id / .setId |
- DocumentEntry.entryUUID
- DocumentEntry.uniqueId
|
ClinicalDocument/id |
TXA-12 |
    DocumentReference / Slices for identifier / identifier:studyInstanceUid / id |
|
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n/a |
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    DocumentReference / Slices for identifier / identifier:studyInstanceUid / extension |
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n/a |
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    DocumentReference / Slices for identifier / identifier:studyInstanceUid / use |
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Role.code or implied by context |
|
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N/A |
    DocumentReference / Slices for identifier / identifier:studyInstanceUid / type |
|
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|
Role.code or implied by context |
|
|
CX.5 |
    DocumentReference / Slices for identifier / identifier:studyInstanceUid / system |
|
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|
II.root or Role.id.root |
|
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CX.4 / EI-2-4 |
    DocumentReference / Slices for identifier / identifier:studyInstanceUid / value |
|
|
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II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
|
|
CX.1 / EI.1 |
    DocumentReference / Slices for identifier / identifier:studyInstanceUid / period |
|
|
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Role.effectiveTime or implied by context |
|
|
CX.7 + CX.8 |
    DocumentReference / Slices for identifier / identifier:studyInstanceUid / assigner |
|
|
|
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
|
|
|
  DocumentReference / version |
|
FiveWs.version |
Composition.version |
|
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|
  DocumentReference / Slices for basedOn |
|
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|
.outboundRelationship[typeCode=FLFS].target |
DocumentEntry.referenceIdList |
|
|
   DocumentReference / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession |
|
|
|
.outboundRelationship[typeCode=FLFS].target |
DocumentEntry.referenceIdList |
|
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    DocumentReference / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession / id |
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n/a |
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    DocumentReference / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession / extension |
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n/a |
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    DocumentReference / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession / reference |
|
|
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N/A |
|
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    DocumentReference / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession / type |
|
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N/A |
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    DocumentReference / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession / identifier |
|
|
|
.identifier |
|
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    DocumentReference / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession / display |
|
|
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N/A |
|
|
|
  DocumentReference / status |
Event.status |
FiveWs.status |
|
- .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument"
- .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument"
- .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"
|
DocumentEntry.availabilityStatus |
|
TXA-19 |
  DocumentReference / docStatus |
|
FiveWs.status |
Composition.status |
.statusCode |
|
|
TXA-17 |
  DocumentReference / modality |
|
FiveWs.class |
|
|
|
|
|
  DocumentReference / type |
Event.code |
FiveWs.what[x] |
Composition.type |
./code |
DocumentEntry.typeCode |
- ClinicalDocument/code/@code
The typeCode should be mapped from the ClinicalDocument/code element to a set of document type codes configured in the affinity domain. One suggested coding system to use for typeCode is LOINC
- in which case the mapping step can be omitted.
|
TXA-2 |
  DocumentReference / Slices for category |
|
FiveWs.what[x] |
Composition.category |
- .outboundRelationship[typeCode="COMP].target[classCode="LIST"
- moodCode="EVN"].code
|
DocumentEntry.classCode |
- Derived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service
- based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code
|
|
   DocumentReference / Slices for category / category:imkeyimages |
|
FiveWs.what[x] |
Composition.category |
- .outboundRelationship[typeCode="COMP].target[classCode="LIST"
- moodCode="EVN"].code
|
DocumentEntry.classCode |
- Derived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service
- based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code
|
|
    DocumentReference / Slices for category / category:imkeyimages / id |
|
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|
n/a |
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    DocumentReference / Slices for category / category:imkeyimages / extension |
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n/a |
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    DocumentReference / Slices for category / category:imkeyimages / Slices for coding |
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    DocumentReference / Slices for category / category:imkeyimages / Slices for coding |
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     DocumentReference / Slices for category / category:imkeyimages / Slices for coding / coding:keyimagecode |
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    DocumentReference / Slices for category / category:imkeyimages / text |
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./originalText[mediaType/code="text/plain"]/data |
|
|
C*E.9. But note many systems use C*E.2 for this |
  DocumentReference / subject |
Event.subject |
FiveWs.subject[x] |
Composition.subject |
.participation[typeCode="SBJ"].role[typeCode="PAT"] |
DocumentEntry.patientId |
ClinicalDocument/recordTarget/ |
PID-3 (No standard way to define a Practitioner or Group subject in HL7 V2 MDM message) |
  DocumentReference / context |
Event.encounter |
FiveWs.context |
Composition.encounter |
- unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]
- priorityNumber)/target[moodCode="EVN" and classCode=("ENC"
- "PCPR") and isNormalAct])
|
|
|
|
  DocumentReference / event |
|
|
Composition.event.detail |
.code |
DocumentEntry.referenceIdList |
|
|
  DocumentReference / bodySite |
|
|
|
.targetSiteCode |
|
|
|
  DocumentReference / facilityType |
|
|
usually from a mapping to a local ValueSet |
.participation[typeCode="LOC"].role[classCode="DSDLOC"].code |
DocumentEntry.healthcareFacilityTypeCode |
usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code |
|
  DocumentReference / practiceSetting |
|
|
usually from a mapping to a local ValueSet |
.participation[typeCode="LOC"].role[classCode="DSDLOC"].code |
DocumentEntry.practiceSettingCode |
usually from a mapping to a local ValueSet |
|
  DocumentReference / period |
|
|
Composition.event.period |
.effectiveTime |
- DocumentEntry.serviceStartTime
- DocumentEntry.serviceStopTime
|
ClinicalDocument/documentationOf/
serviceEvent/effectiveTime/low/
@value --> ClinicalDocument/documentationOf/
serviceEvent/effectiveTime/high/
@value |
|
  DocumentReference / date |
Event.occurrence[x] |
FiveWs.recorded |
Composition.date |
.availabilityTime[type="TS"] |
|
|
|
  DocumentReference / Slices for author |
Event.performer.actor |
|
Composition.author |
.participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
DocumentEntry.author |
ClinicalDocument/author |
TXA-9 (No standard way to indicate a Device in HL7 V2 MDM message) |
   DocumentReference / Slices for author / author:performer |
Event.performer.actor |
|
Composition.author |
.participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
DocumentEntry.author |
ClinicalDocument/author |
TXA-9 (No standard way to indicate a Device in HL7 V2 MDM message) |
  DocumentReference / attester |
Event.performer.actor |
|
Composition.attester |
.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"] |
DocumentEntry.legalAuthenticator |
.authenticator/.legalAuthenticator |
|
   DocumentReference / attester / id |
|
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n/a |
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   DocumentReference / attester / extension |
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|
n/a |
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   DocumentReference / attester / modifierExtension |
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N/A |
|
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|
   DocumentReference / attester / mode |
|
|
Composition.attester.mode |
unique(./modeCode) |
|
implied by .authenticator/.legalAuthenticator |
|
   DocumentReference / attester / time |
|
|
Composition.attester.time |
./time[type="TS" and isNormalDatatype()] |
|
.authenticator.time |
|
   DocumentReference / attester / party |
|
FiveWs.witness |
Composition.attester.party |
- ./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV"
- "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]
|
|
.authenticator.assignedEnttty |
TXA-10 |
  DocumentReference / custodian |
Event.performer.actor |
|
Composition.custodian |
.participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"] |
|
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|
  DocumentReference / relatesTo |
|
|
Composition.relatesTo |
.outboundRelationship |
DocumentEntry Associations |
|
|
   DocumentReference / relatesTo / id |
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|
n/a |
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   DocumentReference / relatesTo / extension |
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n/a |
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   DocumentReference / relatesTo / modifierExtension |
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N/A |
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   DocumentReference / relatesTo / code |
|
|
Composition.relatesTo.type |
.outboundRelationship.typeCode |
DocumentEntry Associations type |
ClinicalDocument/relatedDocument/typeCode |
|
   DocumentReference / relatesTo / target |
|
|
Composition.relatesTo.resourceReference |
- .target[classCode="DOC"
- moodCode="EVN"].id
|
DocumentEntry Associations reference |
ClinicalDocument/relatedDocument/parentDocument |
|
  DocumentReference / description |
|
|
|
.outboundRelationship[typeCode="SUBJ"].target.text |
DocumentEntry.comments |
|
TXA-25 |
  DocumentReference / securityLabel |
|
|
Bundle.meta.security |
.confidentialityCode |
DocumentEntry.confidentialityCode |
ClinicalDocument/confidentialityCode/@code |
TXA-18 |
  DocumentReference / Slices for content |
|
|
Bundle(Composition+*) |
document.text |
|
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   DocumentReference / Slices for content / content:All Slices |
|
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    DocumentReference / Slices for content / content:All Slices / id |
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n/a |
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    DocumentReference / Slices for content / content:All Slices / extension |
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n/a |
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    DocumentReference / Slices for content / content:All Slices / modifierExtension |
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N/A |
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    DocumentReference / Slices for content / content:All Slices / attachment |
|
|
- Composition.language
-
Composition.title
-
Composition.date
|
document.text |
- DocumentEntry.mimeType
- DocumentEntry.languageCode
- DocumentEntry.URI
- DocumentEntry.size
- DocumentEntry.hash
- DocumentEntry.title
- DocumentEntry.creationTime
|
- ClinicalDocument/languageCode
- ClinicalDocument/title
- ClinicalDocument/date
|
TXA-3 for mime type |
    DocumentReference / Slices for content / content:All Slices / profile |
|
|
Composition.meta.profile |
document.text |
DocumentEntry.formatCode |
derived from the IHE Profile or Implementation Guide templateID |
|
     DocumentReference / Slices for content / content:All Slices / profile / id |
|
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|
n/a |
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     DocumentReference / Slices for content / content:All Slices / profile / extension |
|
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|
n/a |
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     DocumentReference / Slices for content / content:All Slices / profile / modifierExtension |
|
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N/A |
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     DocumentReference / Slices for content / content:All Slices / profile / value[x] |
|
|
Composition.meta.profile |
document.text |
DocumentEntry.formatCode |
derived from the IHE Profile or Implementation Guide templateID |
|
   DocumentReference / Slices for content / content:thumbnail |
|
|
Bundle(Composition+*) |
document.text |
|
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    DocumentReference / Slices for content / content:thumbnail / id |
|
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n/a |
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    DocumentReference / Slices for content / content:thumbnail / Slices for extension |
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    DocumentReference / Slices for content / content:thumbnail / Slices for extension |
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     DocumentReference / Slices for content / content:thumbnail / Slices for extension / extension:thumbnail |
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      DocumentReference / Slices for content / content:thumbnail / Slices for extension / extension:thumbnail / id |
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n/a |
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      DocumentReference / Slices for content / content:thumbnail / Slices for extension / extension:thumbnail / extension |
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      DocumentReference / Slices for content / content:thumbnail / Slices for extension / extension:thumbnail / url |
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N/A |
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      DocumentReference / Slices for content / content:thumbnail / Slices for extension / extension:thumbnail / value[x] |
|
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N/A |
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    DocumentReference / Slices for content / content:thumbnail / modifierExtension |
|
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N/A |
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    DocumentReference / Slices for content / content:thumbnail / attachment |
|
|
- Composition.language
-
Composition.title
-
Composition.date
|
document.text |
- DocumentEntry.mimeType
- DocumentEntry.languageCode
- DocumentEntry.URI
- DocumentEntry.size
- DocumentEntry.hash
- DocumentEntry.title
- DocumentEntry.creationTime
|
- ClinicalDocument/languageCode
- ClinicalDocument/title
- ClinicalDocument/date
|
TXA-3 for mime type |
    DocumentReference / Slices for content / content:thumbnail / profile |
|
|
Composition.meta.profile |
document.text |
DocumentEntry.formatCode |
derived from the IHE Profile or Implementation Guide templateID |
|
     DocumentReference / Slices for content / content:thumbnail / profile / id |
|
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|
n/a |
|
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     DocumentReference / Slices for content / content:thumbnail / profile / extension |
|
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|
n/a |
|
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     DocumentReference / Slices for content / content:thumbnail / profile / modifierExtension |
|
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|
N/A |
|
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|
     DocumentReference / Slices for content / content:thumbnail / profile / value[x] |
|
|
Composition.meta.profile |
document.text |
DocumentEntry.formatCode |
derived from the IHE Profile or Implementation Guide templateID |
|
   DocumentReference / Slices for content / content:content |
|
|
Bundle(Composition+*) |
document.text |
|
|
|
    DocumentReference / Slices for content / content:content / id |
|
|
|
n/a |
|
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|
    DocumentReference / Slices for content / content:content / Slices for extension |
|
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    DocumentReference / Slices for content / content:content / Slices for extension |
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     DocumentReference / Slices for content / content:content / Slices for extension / extension:thumbnail |
|
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      DocumentReference / Slices for content / content:content / Slices for extension / extension:thumbnail / id |
|
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|
n/a |
|
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|
      DocumentReference / Slices for content / content:content / Slices for extension / extension:thumbnail / extension |
|
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      DocumentReference / Slices for content / content:content / Slices for extension / extension:thumbnail / url |
|
|
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N/A |
|
|
|
      DocumentReference / Slices for content / content:content / Slices for extension / extension:thumbnail / value[x] |
|
|
|
N/A |
|
|
|
    DocumentReference / Slices for content / content:content / modifierExtension |
|
|
|
N/A |
|
|
|
    DocumentReference / Slices for content / content:content / attachment |
|
|
- Composition.language
-
Composition.title
-
Composition.date
|
document.text |
- DocumentEntry.mimeType
- DocumentEntry.languageCode
- DocumentEntry.URI
- DocumentEntry.size
- DocumentEntry.hash
- DocumentEntry.title
- DocumentEntry.creationTime
|
- ClinicalDocument/languageCode
- ClinicalDocument/title
- ClinicalDocument/date
|
TXA-3 for mime type |
     DocumentReference / Slices for content / content:content / attachment / id |
|
|
|
n/a |
|
|
|
     DocumentReference / Slices for content / content:content / attachment / extension |
|
|
|
n/a |
|
|
|
     DocumentReference / Slices for content / content:content / attachment / contentType |
|
|
|
|
|
|
ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used |
     DocumentReference / Slices for content / content:content / attachment / language |
|
|
|
./language |
|
|
|
     DocumentReference / Slices for content / content:content / attachment / data |
|
|
|
./data |
|
|
ED.5 |
     DocumentReference / Slices for content / content:content / attachment / url |
|
|
|
./reference/literal |
|
|
RP.1+RP.2 - if they refer to a URL (see v2.6) |
     DocumentReference / Slices for content / content:content / attachment / size |
|
|
|
N/A (needs data type R3 proposal) |
|
|
|
     DocumentReference / Slices for content / content:content / attachment / hash |
|
|
|
:ED/integrityCheckAlgorithm="SHA-1"] |
|
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|
     DocumentReference / Slices for content / content:content / attachment / title |
|
|
|
./title/data |
|
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     DocumentReference / Slices for content / content:content / attachment / creation |
|
|
|
N/A (needs data type R3 proposal) |
|
|
|
     DocumentReference / Slices for content / content:content / attachment / height |
|
|
|
- .outboundRelationship[typeCode="COMP].target[classCode="OBS"
- moodCode="EVN"
- code="<CODE>"].value
|
|
|
|
     DocumentReference / Slices for content / content:content / attachment / width |
|
|
|
- .outboundRelationship[typeCode="COMP].target[classCode="OBS"
- moodCode="EVN"
- code="<CODE>"].value
|
|
|
|
     DocumentReference / Slices for content / content:content / attachment / frames |
|
|
|
- .outboundRelationship[typeCode="COMP].target[classCode="OBS"
- moodCode="EVN"
- code="<CODE>"].value
|
|
|
|
     DocumentReference / Slices for content / content:content / attachment / duration |
|
|
|
- .outboundRelationship[typeCode="COMP].target[classCode="OBS"
- moodCode="EVN"
- code="<CODE>"].value
|
|
|
|
     DocumentReference / Slices for content / content:content / attachment / pages |
|
|
|
|
|
|
|
    DocumentReference / Slices for content / content:content / profile |
|
|
Composition.meta.profile |
document.text |
DocumentEntry.formatCode |
derived from the IHE Profile or Implementation Guide templateID |
|
     DocumentReference / Slices for content / content:content / profile / id |
|
|
|
n/a |
|
|
|
     DocumentReference / Slices for content / content:content / profile / extension |
|
|
|
n/a |
|
|
|
     DocumentReference / Slices for content / content:content / profile / modifierExtension |
|
|
|
N/A |
|
|
|
     DocumentReference / Slices for content / content:content / profile / value[x] |
|
|
Composition.meta.profile |
document.text |
DocumentEntry.formatCode |
derived from the IHE Profile or Implementation Guide templateID |
|
Documentation for this format |