CH Core (R4)
5.0.0-ci-build - ci-build Switzerland flag

CH Core (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-core/ and changes regularly. See the Directory of published versions

Resource Profile: CH Core DocumentReference EPR

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-documentreference-epr Version: 5.0.0-ci-build
Active as of 2024-04-12 Computable Name: CHCoreDocumentReferenceEPR

Copyright/Legal: CC0-1.0

Definition of the DocumentReference resource for use in the context of the electronic patient record (EPR).

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

This structure is derived from CHCoreDocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* CHCoreDocumentReference CH Core DocumentReference EPR
... type 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (extensible)
... category 1..* CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (extensible)
... subject 1..1 Reference(CH Core Patient EPR) Who/what is the subject of the document
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... author 1..* Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) Who and/or what authored the document
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... authenticator 0..1 Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR) Who/what authenticated the document
... custodian 0..1 Reference(CH Core Organization EPR) Organization which maintains the document
... securityLabel 1..* CodeableConcept Document security-tags
... content
.... attachment
..... contentType C 1..1 code Mime type of the content, with charset etc.
ch-docref-2: The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
..... language 1..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (extensible)
..... url 1..1 url Uri where the data can be found
.... format 1..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (extensible)
... context
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (extensible)
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (extensible)
.... sourcePatientInfo 0..1 Reference(CH Core Patient EPR) Patient demographics from source

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DocumentReference.typeextensibleDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
DocumentReference.categoryextensibleDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
DocumentReference.content.attachment.languageextensibleDocumentEntryLanguageCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode
DocumentReference.content.formatextensibleDocumentEntryFormatCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode
DocumentReference.context.facilityTypeextensibleDocumentEntryHealthcareFacilityTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.healthcareFacilityTypeCode
DocumentReference.context.practiceSettingextensibleDocumentEntryPracticeSettingCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.practiceSettingCode

Constraints

IdGradePath(s)DetailsRequirements
ch-docref-2warningDocumentReference.content.attachment.contentTypeThe codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
: memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* CHCoreDocumentReference CH Core DocumentReference EPR
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

... category Σ 1..* CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (extensible)
... subject Σ 1..1 Reference(CH Core Patient EPR) Who/what is the subject of the document
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... date Σ 1..1 instant When this document reference was created
... author Σ 1..* Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) Who and/or what authored the document
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... authenticator 0..1 Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR) Who/what authenticated the document
... custodian 0..1 Reference(CH Core Organization EPR) Organization which maintains the document
... securityLabel Σ 1..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (extensible)
... content Σ 1..* BackboneElement Document referenced
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Where to access the document
..... contentType ΣC 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


ch-docref-1: The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
ch-docref-2: The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
Example General: text/plain; charset=UTF-8, image/png
..... language Σ 1..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (extensible)
Example General: en-AU
..... url Σ 1..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... format Σ 1..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (extensible)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
from the FHIR Standard
DocumentReference.typeextensibleDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
DocumentReference.categoryextensibleDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
DocumentReference.securityLabelextensibleDocumentEntryConfidentialityCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode
DocumentReference.content.attachment.contentTyperequiredMime Types (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DocumentReference.content.attachment.languageextensibleDocumentEntryLanguageCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode
DocumentReference.content.formatextensibleDocumentEntryFormatCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode

Constraints

IdGradePath(s)DetailsRequirements
ch-docref-1warningDocumentReference.content.attachment.contentTypeThe codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
: memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
ch-docref-2warningDocumentReference.content.attachment.contentTypeThe codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
: memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* CHCoreDocumentReference CH Core DocumentReference EPR
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Master Version Specific Identifier
... identifier Σ 0..* Identifier Other identifiers for the document
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

... docStatus Σ 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.

... type Σ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (extensible)
... category Σ 1..* CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (extensible)
... subject Σ 1..1 Reference(CH Core Patient EPR) Who/what is the subject of the document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... date Σ 1..1 instant When this document reference was created
... author Σ 1..* Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) Who and/or what authored the document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... authenticator 0..1 Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR) Who/what authenticated the document
... custodian 0..1 Reference(CH Core Organization EPR) Organization which maintains the document
... relatesTo Σ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target Σ 1..1 Reference(CH Core DocumentReference) Target of the relationship
... description Σ 0..1 string Human-readable description
... securityLabel Σ 1..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (extensible)
... content Σ 1..* BackboneElement Document referenced
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Where to access the document
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType ΣC 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


ch-docref-1: The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
ch-docref-2: The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
Example General: text/plain; charset=UTF-8, image/png
..... language Σ 1..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (extensible)
Example General: en-AU
..... data 0..1 base64Binary Data inline, base64ed
..... url Σ 1..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
..... creation Σ 0..1 dateTime Date attachment was first created
.... format Σ 1..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (extensible)
... context Σ 0..1 BackboneElement Clinical context of document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter 0..* Reference(CH Core Encounter | EpisodeOfCare) Context of the document content
.... event 0..* CodeableConcept Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period Time of service that is being documented
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (extensible)
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (extensible)
.... sourcePatientInfo 0..1 Reference(CH Core Patient EPR) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DocumentReference.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
from the FHIR Standard
DocumentReference.docStatusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
DocumentReference.typeextensibleDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
DocumentReference.categoryextensibleDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
DocumentReference.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
DocumentReference.author.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
DocumentReference.securityLabelextensibleDocumentEntryConfidentialityCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode
DocumentReference.content.attachment.contentTyperequiredMime Types (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DocumentReference.content.attachment.languageextensibleDocumentEntryLanguageCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode
DocumentReference.content.formatextensibleDocumentEntryFormatCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode
DocumentReference.context.eventexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityTypeextensibleDocumentEntryHealthcareFacilityTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.healthcareFacilityTypeCode
DocumentReference.context.practiceSettingextensibleDocumentEntryPracticeSettingCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.practiceSettingCode

Constraints

IdGradePath(s)DetailsRequirements
ch-docref-1warningDocumentReference.content.attachment.contentTypeThe codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
: memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
ch-docref-2warningDocumentReference.content.attachment.contentTypeThe codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
: memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from CHCoreDocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* CHCoreDocumentReference CH Core DocumentReference EPR
... type 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (extensible)
... category 1..* CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (extensible)
... subject 1..1 Reference(CH Core Patient EPR) Who/what is the subject of the document
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... author 1..* Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) Who and/or what authored the document
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... authenticator 0..1 Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR) Who/what authenticated the document
... custodian 0..1 Reference(CH Core Organization EPR) Organization which maintains the document
... securityLabel 1..* CodeableConcept Document security-tags
... content
.... attachment
..... contentType C 1..1 code Mime type of the content, with charset etc.
ch-docref-2: The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
..... language 1..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (extensible)
..... url 1..1 url Uri where the data can be found
.... format 1..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (extensible)
... context
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (extensible)
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (extensible)
.... sourcePatientInfo 0..1 Reference(CH Core Patient EPR) Patient demographics from source

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DocumentReference.typeextensibleDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
DocumentReference.categoryextensibleDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
DocumentReference.content.attachment.languageextensibleDocumentEntryLanguageCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode
DocumentReference.content.formatextensibleDocumentEntryFormatCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode
DocumentReference.context.facilityTypeextensibleDocumentEntryHealthcareFacilityTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.healthcareFacilityTypeCode
DocumentReference.context.practiceSettingextensibleDocumentEntryPracticeSettingCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.practiceSettingCode

Constraints

IdGradePath(s)DetailsRequirements
ch-docref-2warningDocumentReference.content.attachment.contentTypeThe codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
: memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* CHCoreDocumentReference CH Core DocumentReference EPR
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

... category Σ 1..* CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (extensible)
... subject Σ 1..1 Reference(CH Core Patient EPR) Who/what is the subject of the document
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... date Σ 1..1 instant When this document reference was created
... author Σ 1..* Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) Who and/or what authored the document
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... authenticator 0..1 Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR) Who/what authenticated the document
... custodian 0..1 Reference(CH Core Organization EPR) Organization which maintains the document
... securityLabel Σ 1..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (extensible)
... content Σ 1..* BackboneElement Document referenced
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Where to access the document
..... contentType ΣC 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


ch-docref-1: The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
ch-docref-2: The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
Example General: text/plain; charset=UTF-8, image/png
..... language Σ 1..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (extensible)
Example General: en-AU
..... url Σ 1..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... format Σ 1..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (extensible)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
from the FHIR Standard
DocumentReference.typeextensibleDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
DocumentReference.categoryextensibleDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
DocumentReference.securityLabelextensibleDocumentEntryConfidentialityCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode
DocumentReference.content.attachment.contentTyperequiredMime Types (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DocumentReference.content.attachment.languageextensibleDocumentEntryLanguageCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode
DocumentReference.content.formatextensibleDocumentEntryFormatCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode

Constraints

IdGradePath(s)DetailsRequirements
ch-docref-1warningDocumentReference.content.attachment.contentTypeThe codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
: memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
ch-docref-2warningDocumentReference.content.attachment.contentTypeThe codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
: memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* CHCoreDocumentReference CH Core DocumentReference EPR
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Master Version Specific Identifier
... identifier Σ 0..* Identifier Other identifiers for the document
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

... docStatus Σ 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.

... type Σ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (extensible)
... category Σ 1..* CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (extensible)
... subject Σ 1..1 Reference(CH Core Patient EPR) Who/what is the subject of the document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... date Σ 1..1 instant When this document reference was created
... author Σ 1..* Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) Who and/or what authored the document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... authenticator 0..1 Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR) Who/what authenticated the document
... custodian 0..1 Reference(CH Core Organization EPR) Organization which maintains the document
... relatesTo Σ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target Σ 1..1 Reference(CH Core DocumentReference) Target of the relationship
... description Σ 0..1 string Human-readable description
... securityLabel Σ 1..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (extensible)
... content Σ 1..* BackboneElement Document referenced
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Where to access the document
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType ΣC 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


ch-docref-1: The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
ch-docref-2: The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
Example General: text/plain; charset=UTF-8, image/png
..... language Σ 1..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (extensible)
Example General: en-AU
..... data 0..1 base64Binary Data inline, base64ed
..... url Σ 1..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
..... creation Σ 0..1 dateTime Date attachment was first created
.... format Σ 1..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (extensible)
... context Σ 0..1 BackboneElement Clinical context of document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter 0..* Reference(CH Core Encounter | EpisodeOfCare) Context of the document content
.... event 0..* CodeableConcept Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period Time of service that is being documented
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (extensible)
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (extensible)
.... sourcePatientInfo 0..1 Reference(CH Core Patient EPR) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DocumentReference.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
from the FHIR Standard
DocumentReference.docStatusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
DocumentReference.typeextensibleDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
DocumentReference.categoryextensibleDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
DocumentReference.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
DocumentReference.author.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
DocumentReference.securityLabelextensibleDocumentEntryConfidentialityCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode
DocumentReference.content.attachment.contentTyperequiredMime Types (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DocumentReference.content.attachment.languageextensibleDocumentEntryLanguageCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode
DocumentReference.content.formatextensibleDocumentEntryFormatCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode
DocumentReference.context.eventexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityTypeextensibleDocumentEntryHealthcareFacilityTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.healthcareFacilityTypeCode
DocumentReference.context.practiceSettingextensibleDocumentEntryPracticeSettingCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.practiceSettingCode

Constraints

IdGradePath(s)DetailsRequirements
ch-docref-1warningDocumentReference.content.attachment.contentTypeThe codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
: memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
ch-docref-2warningDocumentReference.content.attachment.contentTypeThe codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
: memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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