Profile Comparison between http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImKeyImageDocumentReference vs http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImKeyImageDocumentReference

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/DocumentReference
copyright	Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).
date	2025-09-23T16:33:53+02:00	2025-09-30T11:40:14+00:00	Values Differ
description	A document containing key images for a patient. It can refer to a DICOM or non-DICOM image. When referring to a DICOM image, the DocumentReference.content.attachment.url should be a WADO-URI. When referring to a non-DICOM image, the DocumentReference.content.attachment.url should be a direct URL to the image. When the resource represents a DICOM instance it SHALL contain a the SOP Instance UID in the identifier element. When the resource represents a DICOM series it SHALL contain the Series Instance UID in the identifier element.
experimental
fhirVersion	5.0.0
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#150
kind	resource
name	ImKeyImageDocumentReference
publisher	HL7 Europe
purpose
status	draft
title	DocumentReference: Key Image
type	DocumentReference
url	http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImKeyImageDocumentReference
version	0.1.0-snapshot1	0.1.1-build	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
DocumentReference	C	0..*	DocumentReference	A reference to a document	C	0..*	DocumentReference	A reference to a document
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (required): IETF language tag for a human language Additional Bindings Purpose ?? Starter		0..1	code	Language of the resource content Binding: ?? (required): IETF language tag for a human language Additional Bindings Purpose ?? Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business identifiers for the document Slice: Unordered, Open by value:$this	Σ	0..*	Identifier	Business identifiers for the document Slice: Unordered, Open by value:$this
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the DocumentReference	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the DocumentReference
Slices for 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 Slice: Unordered, Open by type:$this		0..*	Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | VisionPrescription)	Procedure that caused this media to be created Slice: Unordered, Open by type:$this
status	?!Σ	1..1	code	current | superseded | entered-in-error Binding: ?? (required): The status of the document reference.	?!Σ	1..1	code	current | superseded | entered-in-error Binding: ?? (required): The status of the document reference.
docStatus	Σ	0..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: ?? (required): Status of the underlying document.	Σ	0..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: ?? (required): Status of the underlying document.
modality	Σ	1..1	CodeableConcept	Imaging modality used Binding: ?? (extensible): Type of acquired data in the instance.	Σ	1..1	CodeableConcept	Imaging modality used Binding: ?? (extensible): Type of acquired data in the instance.
type	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: ?? (preferred): Precise type of clinical document.	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: ?? (preferred): Precise type of clinical document.
Slices for category	Σ	1..*	CodeableConcept	Categorization of document Slice: Unordered, Open by profile:$this Binding: ?? (example): High-level kind of document at a macro level.	Σ	1..*	CodeableConcept	Categorization of document Slice: Unordered, Open by profile:$this Binding: ?? (example): High-level kind of document at a macro level.
subject	Σ	1..1	Reference(http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core)	Who/what is the subject of the document	Σ	1..1	Reference(Patient (EU core))	Who/what is the subject of the document	Type Mismatch: Reference([CanonicalType[http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core]])
context	C	0..*	Reference(Appointment | Encounter | EpisodeOfCare)	Context of the document content	C	0..*	Reference(Appointment | Encounter | EpisodeOfCare)	Context of the document content
event		0..*	CodeableReference()	Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented.		0..*	CodeableReference()	Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented.
bodySite	Σ	0..*	CodeableReference(BodyStructure)	Body part included Binding: ?? (example): SNOMED CT Body site concepts	Σ	0..*	CodeableReference(BodyStructure)	Body part included Binding: ?? (example): SNOMED CT Body site concepts
facilityType	C	0..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.	C	0..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.
practiceSetting	C	0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).	C	0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).
period	Σ	0..1	Period	Time of service that is being documented	Σ	0..1	Period	Time of service that is being documented
date	Σ	0..1	instant	When this document reference was created	Σ	0..1	instant	When this document reference was created
Slices for author	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)	Who and/or what authored the document Slice: Unordered, Open by profile:$this	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)	Who and/or what authored the document Slice: Unordered, Open by profile:$this
attester		0..*	BackboneElement	Attests to accuracy of the document		0..*	BackboneElement	Attests to accuracy of the document
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: ?? (preferred): The way in which a person authenticated a document.		1..1	CodeableConcept	personal | professional | legal | official Binding: ?? (preferred): The way in which a person authenticated a document.
time		0..1	dateTime	When the document was attested		0..1	dateTime	When the document was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the document		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the document
custodian		0..1	Reference(Organization)	Organization which maintains the document		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	Σ	0..*	BackboneElement	Relationships to other documents	Σ	0..*	BackboneElement	Relationships to other documents
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	The relationship type with another document Binding: ?? (extensible): The type of relationship between the documents.	Σ	1..1	CodeableConcept	The relationship type with another document Binding: ?? (extensible): The type of relationship between the documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	markdown	Human-readable description	Σ	0..1	markdown	Human-readable description
securityLabel	Σ	0..*	CodeableConcept	Document security-tags Binding: ?? (example): Example Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	CodeableConcept	Document security-tags Binding: ?? (example): Example Security Labels from the Healthcare Privacy and Security Classification System.
Slices for content	Σ	1..*	BackboneElement	Document referenced Slice: Unordered, Open by value:extension.value	Σ	1..*	BackboneElement	Document referenced Slice: Unordered, Open by value:extension.value
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	Σ	1..1	Attachment	Where to access the document	Σ	1..1	Attachment	Where to access the document
profile	Σ	0..*	BackboneElement	Content profile rules for the document	Σ	0..*	BackboneElement	Content profile rules for the document
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]	Σ	1..1	Coding, uri, canonical()	Code|uri|canonical Binding: ?? (preferred): Document Format Codes.	Σ	1..1	Coding, uri, canonical()	Code|uri|canonical Binding: ?? (preferred): Document Format Codes.
Documentation for this format