Scope and Usage

The Danish Core MinimalDocumentReference profile is intended to encapsulate the data model of a DocumentReference as used in a Danish context of Document sharing, whether it is FHIR or CDA Documents and whether it is native XDS infrastructure or used in an MHD context IHE MHD DocumentReference Minimal specification 4.2.2.

Conformance to IHE and Danish XDS Context

This profile inherits from an IHE profile, which have MustSupport assigned to quite a few elements. While this is not the behaviour we normally support in the Danish Core-IG, we accept it in this case, as we are not inheriting from a pure FHIR Core resource, but an already profiled resource. Consequently, we conform to the approach of IHE and follow their direction of using a DocumentReference profile in a strict XDS/MHD context rather than in a general context. In doing so, we have also constrained this profile to the Danish XDS environment hosted by Sundhedsdatastyrelsen (soon Digital Sundhed Danmark). This means constraining the cardinality of both Author and Subject (Patient) to be required.

Inheritance or imposing

Normally, when a DK Core profile is derived from a FHIR Core resource, derivation is applied. When "deriving" from another profiled FHIR resource, the DK Core profile would normally impose that profile. In this case, the profile is derived directly from the IHE profile, as this approach better reflects the intended use. If the profile had instead imposed the IHE profile, it would have been necessary to document the justification for conforming in that manner. To fully understand the background and structure of this profile, readers should consult the IHE documentation for the MinimalDocumentReference profile. The profile conforms to the IHE MinimalDocumentReference profile but does not redefine or extend it as a separate IHE profile instance.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	MinimalDocumentReference	A reference to a document
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionid		1..1	string	Specifies the version of the DocumentReference profile for a standard. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
masterIdentifier		1..1	UniqueIdIdentifier	An identifier intended for computation
Slices for identifier	SΣ	0..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID		0..*	EntryUUIDIdentifier	An identifier intended for computation
status	?!Σ	1..1	code	current | superseded | entered-in-error Binding: MHD DocumentReference status codes (required)
type	SΣ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
category	SΣ	0..1	CodeableConcept	Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Danish Core Patient Profile)	Who/what is the subject of the document
date	SΣ	0..1	instant	When this document reference was created
author	SΣ	1..*	Reference(Danish Core Patient Profile | Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Related Person Profile | Danish Core Organization Profile | Device)	Who and/or what authored the document
authenticator		0..1	Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile)	Who/what authenticated the document
relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents
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(DocumentReference)	Target of the relationship
securityLabel	SΣ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	Σ	1..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	Σ	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. Example General: text/plain; charset=UTF-8, image/png
language	SΣ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding 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
creation	SΣ	0..1	dateTime	Date attachment was first created
format	SΣ	0..1	Coding	Format/content rules for the document Binding: IHE ValueSet of Format Codes for use with Document Sharing (preferred)
context	Σ	0..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event		0..*	CodeableConcept	Main clinical acts documented Binding: ActCode (3.0.0) (example)
period	SΣ	0..1	Period	Time of service that is being documented
facilityType	S	0..1	CodeableConcept	Kind of facility where patient was seen Binding: DK SOR Organization Type (extensible)
practiceSetting	S	0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: DK SOR Practice Setting Code (extensible)
sourcePatientInfo	S	0..1	Reference(Danish Core Patient Profile)	Patient demographics from source
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.status	Base	required	MHD DocumentReference status codes	📦4.2.2	Mobile access to Health Documents v4.2
DocumentReference.type	Base	preferred	Document Type Value Set	📦4.0.1	FHIR Std.
DocumentReference.category	Base	example	Document Class Value Set	📦4.0.1	FHIR Std.
DocumentReference.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.securityLabel	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
DocumentReference.content.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content.​attachment.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
DocumentReference.content.​format	Base	preferred	IHE ValueSet of Format Codes for use with Document Sharing	📦1.2.0	IHE FormatCode Vocabulary v1.2
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.0
DocumentReference.context.​facilityType	Base	extensible	DK SOR Organization Type	📦3.5.0	This IG
DocumentReference.context.​practiceSetting	Base	extensible	DK SOR Practice Setting Code	📦3.5.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DocumentReference	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MinimalDocumentReference

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	MinimalDocumentReference	A reference to a document
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionid		1..1	string	Specifies the version of the DocumentReference profile for a standard. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
subject		1..1	Reference(Danish Core Patient Profile)	Who/what is the subject of the document
author		1..*	Reference(Danish Core Patient Profile | Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Related Person Profile | Danish Core Organization Profile | Device)	Who and/or what authored the document
authenticator		0..1	Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile)	Who/what authenticated the document
context
event		0..*	CodeableConcept	Main clinical acts documented Binding: ActCode (3.0.0) (example)
facilityType		0..1	CodeableConcept	Kind of facility where patient was seen Binding: DK SOR Organization Type (extensible)
practiceSetting		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: DK SOR Practice Setting Code (extensible)
sourcePatientInfo		0..1	Reference(Danish Core Patient Profile)	Patient demographics from source
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.0
DocumentReference.context.​facilityType	Base	extensible	DK SOR Organization Type	📦3.5.0	This IG
DocumentReference.context.​practiceSetting	Base	extensible	DK SOR Practice Setting Code	📦3.5.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	MinimalDocumentReference	A reference to a document
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionid		1..1	string	Specifies the version of the DocumentReference profile for a standard. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
masterIdentifier		1..1	UniqueIdIdentifier	An identifier intended for computation
Slices for identifier	SΣ	0..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID		0..*	EntryUUIDIdentifier	An identifier intended for computation
status	?!Σ	1..1	code	current | superseded | entered-in-error Binding: MHD DocumentReference status codes (required)
type	SΣ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
category	SΣ	0..1	CodeableConcept	Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Danish Core Patient Profile)	Who/what is the subject of the document
date	SΣ	0..1	instant	When this document reference was created
author	SΣ	1..*	Reference(Danish Core Patient Profile | Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Related Person Profile | Danish Core Organization Profile | Device)	Who and/or what authored the document
authenticator		0..1	Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile)	Who/what authenticated the document
custodian		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	SΣ	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(DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description
securityLabel	SΣ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	Σ	1..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	Σ	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. Example General: text/plain; charset=UTF-8, image/png
language	SΣ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding 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
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	SΣ	0..1	dateTime	Date attachment was first created
format	SΣ	0..1	Coding	Format/content rules for the document Binding: IHE ValueSet of Format Codes for use with Document Sharing (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(Encounter | EpisodeOfCare)	Context of the document content
event		0..*	CodeableConcept	Main clinical acts documented Binding: ActCode (3.0.0) (example)
period	SΣ	0..1	Period	Time of service that is being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	0..1	CodeableConcept	Kind of facility where patient was seen Binding: DK SOR Organization Type (extensible)
practiceSetting	S	0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: DK SOR Practice Setting Code (extensible)
sourcePatientInfo	S	0..1	Reference(Danish Core Patient Profile)	Patient demographics from source
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	0..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
related		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.meta.​security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
DocumentReference.meta.​tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
DocumentReference.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
DocumentReference.status	Base	required	MHD DocumentReference status codes	📦4.2.2	Mobile access to Health Documents v4.2
DocumentReference.type	Base	preferred	Document Type Value Set	📦4.0.1	FHIR Std.
DocumentReference.category	Base	example	Document Class Value Set	📦4.0.1	FHIR Std.
DocumentReference.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.securityLabel	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
DocumentReference.content.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content.​attachment.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
DocumentReference.content.​format	Base	preferred	IHE ValueSet of Format Codes for use with Document Sharing	📦1.2.0	IHE FormatCode Vocabulary v1.2
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.0
DocumentReference.context.​facilityType	Base	extensible	DK SOR Organization Type	📦3.5.0	This IG
DocumentReference.context.​practiceSetting	Base	extensible	DK SOR Practice Setting Code	📦3.5.0	This IG
DocumentReference.context.​sourcePatientInfo.type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DocumentReference	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	MinimalDocumentReference	A reference to a document
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionid		1..1	string	Specifies the version of the DocumentReference profile for a standard. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
masterIdentifier		1..1	UniqueIdIdentifier	An identifier intended for computation
Slices for identifier	SΣ	0..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID		0..*	EntryUUIDIdentifier	An identifier intended for computation
status	?!Σ	1..1	code	current | superseded | entered-in-error Binding: MHD DocumentReference status codes (required)
type	SΣ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
category	SΣ	0..1	CodeableConcept	Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Danish Core Patient Profile)	Who/what is the subject of the document
date	SΣ	0..1	instant	When this document reference was created
author	SΣ	1..*	Reference(Danish Core Patient Profile | Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Related Person Profile | Danish Core Organization Profile | Device)	Who and/or what authored the document
authenticator		0..1	Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile)	Who/what authenticated the document
relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents
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(DocumentReference)	Target of the relationship
securityLabel	SΣ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	Σ	1..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	Σ	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. Example General: text/plain; charset=UTF-8, image/png
language	SΣ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding 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
creation	SΣ	0..1	dateTime	Date attachment was first created
format	SΣ	0..1	Coding	Format/content rules for the document Binding: IHE ValueSet of Format Codes for use with Document Sharing (preferred)
context	Σ	0..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event		0..*	CodeableConcept	Main clinical acts documented Binding: ActCode (3.0.0) (example)
period	SΣ	0..1	Period	Time of service that is being documented
facilityType	S	0..1	CodeableConcept	Kind of facility where patient was seen Binding: DK SOR Organization Type (extensible)
practiceSetting	S	0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: DK SOR Practice Setting Code (extensible)
sourcePatientInfo	S	0..1	Reference(Danish Core Patient Profile)	Patient demographics from source
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.status	Base	required	MHD DocumentReference status codes	📦4.2.2	Mobile access to Health Documents v4.2
DocumentReference.type	Base	preferred	Document Type Value Set	📦4.0.1	FHIR Std.
DocumentReference.category	Base	example	Document Class Value Set	📦4.0.1	FHIR Std.
DocumentReference.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.securityLabel	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
DocumentReference.content.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content.​attachment.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
DocumentReference.content.​format	Base	preferred	IHE ValueSet of Format Codes for use with Document Sharing	📦1.2.0	IHE FormatCode Vocabulary v1.2
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.0
DocumentReference.context.​facilityType	Base	extensible	DK SOR Organization Type	📦3.5.0	This IG
DocumentReference.context.​practiceSetting	Base	extensible	DK SOR Practice Setting Code	📦3.5.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DocumentReference	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from MinimalDocumentReference

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	MinimalDocumentReference	A reference to a document
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionid		1..1	string	Specifies the version of the DocumentReference profile for a standard. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
subject		1..1	Reference(Danish Core Patient Profile)	Who/what is the subject of the document
author		1..*	Reference(Danish Core Patient Profile | Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Related Person Profile | Danish Core Organization Profile | Device)	Who and/or what authored the document
authenticator		0..1	Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile)	Who/what authenticated the document
context
event		0..*	CodeableConcept	Main clinical acts documented Binding: ActCode (3.0.0) (example)
facilityType		0..1	CodeableConcept	Kind of facility where patient was seen Binding: DK SOR Organization Type (extensible)
practiceSetting		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: DK SOR Practice Setting Code (extensible)
sourcePatientInfo		0..1	Reference(Danish Core Patient Profile)	Patient demographics from source
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.0
DocumentReference.context.​facilityType	Base	extensible	DK SOR Organization Type	📦3.5.0	This IG
DocumentReference.context.​practiceSetting	Base	extensible	DK SOR Practice Setting Code	📦3.5.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	MinimalDocumentReference	A reference to a document
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionid		1..1	string	Specifies the version of the DocumentReference profile for a standard. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
masterIdentifier		1..1	UniqueIdIdentifier	An identifier intended for computation
Slices for identifier	SΣ	0..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID		0..*	EntryUUIDIdentifier	An identifier intended for computation
status	?!Σ	1..1	code	current | superseded | entered-in-error Binding: MHD DocumentReference status codes (required)
type	SΣ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
category	SΣ	0..1	CodeableConcept	Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	SΣ	1..1	Reference(Danish Core Patient Profile)	Who/what is the subject of the document
date	SΣ	0..1	instant	When this document reference was created
author	SΣ	1..*	Reference(Danish Core Patient Profile | Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Related Person Profile | Danish Core Organization Profile | Device)	Who and/or what authored the document
authenticator		0..1	Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile)	Who/what authenticated the document
custodian		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	SΣ	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(DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description
securityLabel	SΣ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	Σ	1..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	Σ	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. Example General: text/plain; charset=UTF-8, image/png
language	SΣ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding 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
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	SΣ	0..1	dateTime	Date attachment was first created
format	SΣ	0..1	Coding	Format/content rules for the document Binding: IHE ValueSet of Format Codes for use with Document Sharing (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(Encounter | EpisodeOfCare)	Context of the document content
event		0..*	CodeableConcept	Main clinical acts documented Binding: ActCode (3.0.0) (example)
period	SΣ	0..1	Period	Time of service that is being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	0..1	CodeableConcept	Kind of facility where patient was seen Binding: DK SOR Organization Type (extensible)
practiceSetting	S	0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: DK SOR Practice Setting Code (extensible)
sourcePatientInfo	S	0..1	Reference(Danish Core Patient Profile)	Patient demographics from source
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	0..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
related		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.meta.​security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
DocumentReference.meta.​tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
DocumentReference.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
DocumentReference.status	Base	required	MHD DocumentReference status codes	📦4.2.2	Mobile access to Health Documents v4.2
DocumentReference.type	Base	preferred	Document Type Value Set	📦4.0.1	FHIR Std.
DocumentReference.category	Base	example	Document Class Value Set	📦4.0.1	FHIR Std.
DocumentReference.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.securityLabel	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
DocumentReference.content.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content.​attachment.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
DocumentReference.content.​format	Base	preferred	IHE ValueSet of Format Codes for use with Document Sharing	📦1.2.0	IHE FormatCode Vocabulary v1.2
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.0
DocumentReference.context.​facilityType	Base	extensible	DK SOR Organization Type	📦3.5.0	This IG
DocumentReference.context.​practiceSetting	Base	extensible	DK SOR Practice Setting Code	📦3.5.0	This IG
DocumentReference.context.​sourcePatientInfo.type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DocumentReference	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MinimalDocumentReference

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

• Danish Core Patient Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-patient)
• Danish Core Practitioner Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-practitioner)
• Danish Core PractitionerRole Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-practitioner-role)
• Danish Core Related Person Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-related-person)
• Danish Core Organization Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-organization)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version