CH Core (R4)
6.0.0-ballot-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 6.0.0-ballot-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

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-documentreference Version: 6.0.0-ballot-ci-build
Active as of 2024-12-18 Computable Name: CHCoreDocumentReference

Copyright/Legal: CC0-1.0

Base definition of the DocumentReference resource for use in Swiss specific use cases.

Usage:

Formal Views of Profile Content

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

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* DocumentReference CH Core DocumentReference
... status 1..1 code current | superseded | entered-in-error
... type 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (preferred)
... category 0..* CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (preferred)
... author 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | RelatedPerson) Who and/or what authored the document
... authenticator 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Who/what authenticated the document
... custodian 0..1 Reference(CH Core Organization) Organization which maintains the document
... relatesTo
.... target 1..1 Reference(CH Core DocumentReference) Target of the relationship
... securityLabel 0..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (extensible)
... content
.... attachment
..... contentType C 0..1 code Mime type of the content, with charset etc.
ch-docref-1: The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
..... language 0..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (preferred)
.... format 0..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (preferred)
... context
.... encounter 0..* Reference(CH Core Encounter | EpisodeOfCare) Context of the document content
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (preferred)
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (preferred)
.... sourcePatientInfo 0..1 Reference(CH Core Patient) Patient demographics from source

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DocumentReference.typepreferredDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
DocumentReference.categorypreferredDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
DocumentReference.securityLabelextensibleDocumentEntryConfidentialityCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode
DocumentReference.content.attachment.languagepreferredDocumentEntryLanguageCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode
DocumentReference.content.formatpreferredDocumentEntryFormatCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode
DocumentReference.context.facilityTypepreferredDocumentEntryHealthcareFacilityTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.healthcareFacilityTypeCode
DocumentReference.context.practiceSettingpreferredDocumentEntryPracticeSettingCode
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')
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* DocumentReference CH Core DocumentReference
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.


ele-1: All FHIR elements must have a @value or children
... category Σ 0..* CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (preferred)
ele-1: All FHIR elements must have a @value or children
... subject Σ 0..1 Reference(CH Core Patient | CH Core Practitioner | Group | Device) Who/what is the subject of the document
ele-1: All FHIR elements must have a @value or children
... author Σ 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | RelatedPerson) Who and/or what authored the document
ele-1: All FHIR elements must have a @value or children
... authenticator 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Who/what authenticated the document
ele-1: All FHIR elements must have a @value or children
... custodian 0..1 Reference(CH Core Organization) Organization which maintains the document
ele-1: All FHIR elements must have a @value or children
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (extensible)
ele-1: All FHIR elements must have a @value or children
... content Σ 1..* BackboneElement Document referenced
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... attachment Σ 1..1 Attachment Where to access the document
ele-1: All FHIR elements must have a @value or children
..... contentType ΣC 0..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.


ele-1: All FHIR elements must have a @value or children
ch-docref-1: The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
Example General: text/plain; charset=UTF-8, image/png
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (preferred)
ele-1: All FHIR elements must have a @value or children
Example General: en-AU
.... format Σ 0..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (preferred)
ele-1: All FHIR elements must have a @value or children

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.typepreferredDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
DocumentReference.categorypreferredDocumentEntryClassCode
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.languagepreferredDocumentEntryLanguageCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode
DocumentReference.content.formatpreferredDocumentEntryFormatCode
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')
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..* DocumentReference CH Core DocumentReference
... 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 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (preferred)
... category Σ 0..* CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (preferred)
... subject Σ 0..1 Reference(CH Core Patient | CH Core Practitioner | Group | Device) Who/what is the subject of the document
... date Σ 0..1 instant When this document reference was created
... author Σ 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | RelatedPerson) Who and/or what authored the document
... authenticator 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Who/what authenticated the document
... custodian 0..1 Reference(CH Core Organization) 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 0..* 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 0..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
Example General: text/plain; charset=UTF-8, image/png
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (preferred)
Example General: en-AU
..... data 0..1 base64Binary Data inline, base64ed
..... url Σ 0..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 0..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (preferred)
... 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 (preferred)
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (preferred)
.... sourcePatientInfo 0..1 Reference(CH Core Patient) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DocumentReference.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
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.typepreferredDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
DocumentReference.categorypreferredDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
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.languagepreferredDocumentEntryLanguageCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode
DocumentReference.content.formatpreferredDocumentEntryFormatCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode
DocumentReference.context.eventexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityTypepreferredDocumentEntryHealthcareFacilityTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.healthcareFacilityTypeCode
DocumentReference.context.practiceSettingpreferredDocumentEntryPracticeSettingCode
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')
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 DocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* DocumentReference CH Core DocumentReference
... status 1..1 code current | superseded | entered-in-error
... type 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (preferred)
... category 0..* CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (preferred)
... author 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | RelatedPerson) Who and/or what authored the document
... authenticator 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Who/what authenticated the document
... custodian 0..1 Reference(CH Core Organization) Organization which maintains the document
... relatesTo
.... target 1..1 Reference(CH Core DocumentReference) Target of the relationship
... securityLabel 0..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (extensible)
... content
.... attachment
..... contentType C 0..1 code Mime type of the content, with charset etc.
ch-docref-1: The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
..... language 0..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (preferred)
.... format 0..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (preferred)
... context
.... encounter 0..* Reference(CH Core Encounter | EpisodeOfCare) Context of the document content
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (preferred)
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (preferred)
.... sourcePatientInfo 0..1 Reference(CH Core Patient) Patient demographics from source

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DocumentReference.typepreferredDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
DocumentReference.categorypreferredDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
DocumentReference.securityLabelextensibleDocumentEntryConfidentialityCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode
DocumentReference.content.attachment.languagepreferredDocumentEntryLanguageCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode
DocumentReference.content.formatpreferredDocumentEntryFormatCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode
DocumentReference.context.facilityTypepreferredDocumentEntryHealthcareFacilityTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.healthcareFacilityTypeCode
DocumentReference.context.practiceSettingpreferredDocumentEntryPracticeSettingCode
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')

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* DocumentReference CH Core DocumentReference
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.


ele-1: All FHIR elements must have a @value or children
... category Σ 0..* CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (preferred)
ele-1: All FHIR elements must have a @value or children
... subject Σ 0..1 Reference(CH Core Patient | CH Core Practitioner | Group | Device) Who/what is the subject of the document
ele-1: All FHIR elements must have a @value or children
... author Σ 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | RelatedPerson) Who and/or what authored the document
ele-1: All FHIR elements must have a @value or children
... authenticator 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Who/what authenticated the document
ele-1: All FHIR elements must have a @value or children
... custodian 0..1 Reference(CH Core Organization) Organization which maintains the document
ele-1: All FHIR elements must have a @value or children
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: DocumentEntry.confidentialityCode (extensible)
ele-1: All FHIR elements must have a @value or children
... content Σ 1..* BackboneElement Document referenced
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... attachment Σ 1..1 Attachment Where to access the document
ele-1: All FHIR elements must have a @value or children
..... contentType ΣC 0..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.


ele-1: All FHIR elements must have a @value or children
ch-docref-1: The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType
Example General: text/plain; charset=UTF-8, image/png
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (preferred)
ele-1: All FHIR elements must have a @value or children
Example General: en-AU
.... format Σ 0..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (preferred)
ele-1: All FHIR elements must have a @value or children

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.typepreferredDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
DocumentReference.categorypreferredDocumentEntryClassCode
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.languagepreferredDocumentEntryLanguageCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode
DocumentReference.content.formatpreferredDocumentEntryFormatCode
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')
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..* DocumentReference CH Core DocumentReference
... 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 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (preferred)
... category Σ 0..* CodeableConcept Categorization of document
Binding: DocumentEntry.classCode (preferred)
... subject Σ 0..1 Reference(CH Core Patient | CH Core Practitioner | Group | Device) Who/what is the subject of the document
... date Σ 0..1 instant When this document reference was created
... author Σ 0..* Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | RelatedPerson) Who and/or what authored the document
... authenticator 0..1 Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization) Who/what authenticated the document
... custodian 0..1 Reference(CH Core Organization) 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 0..* 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 0..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
Example General: text/plain; charset=UTF-8, image/png
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: DocumentEntry.languageCode (preferred)
Example General: en-AU
..... data 0..1 base64Binary Data inline, base64ed
..... url Σ 0..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 0..1 Coding Format/content rules for the document
Binding: DocumentEntry.formatCode (preferred)
... 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 (preferred)
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (preferred)
.... sourcePatientInfo 0..1 Reference(CH Core Patient) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DocumentReference.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
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.typepreferredDocumentEntryTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode
DocumentReference.categorypreferredDocumentEntryClassCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode
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.languagepreferredDocumentEntryLanguageCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode
DocumentReference.content.formatpreferredDocumentEntryFormatCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode
DocumentReference.context.eventexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityTypepreferredDocumentEntryHealthcareFacilityTypeCode
http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.healthcareFacilityTypeCode
DocumentReference.context.practiceSettingpreferredDocumentEntryPracticeSettingCode
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')
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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