MedComIHEXDSMetadata, published by MedCom. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/medcomdk/dk-medcom-xds-documents/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: PHADDKDocumentReference

A profile stating the rules, when exchanging a CDA Personal Health Attachment Document (PHAD-DK).

Usages:

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

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	MedComContainedDocumentReference	A reference to a document
id	SΣ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
Slices for extension	S	2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:All Slices				Content/Rules for all slices
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	identifies the meaning of the extension
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
value[x]:valueCoding		0..1	Coding	Value of extension Binding: IHE HomeCommunityId (required)
value[x]:valueString		0..1	string	Value of extension Required Pattern: 1.0.0
extension:versionid	S	1..1	string	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
extension:homeCommunityid	S	1..1	Coding	MedCom XDS HomeCommunityID URL: https://medcomfhir.dk/ig/ihexdsmetadata/StructureDefinition/medcom-xds-homecommunityid-extension
masterIdentifier	SΣ	1..1	UniqueIdIdentifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
Slices for identifier	SΣ	1..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID	SΣ	1..1	EntryUUIDIdentifier	[DocumentEntry.entryUUID] Identifier for the document
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣC	1..1	string	The value that is unique Constraints: mhd-startswithuuid, medcom-uuid Example General: 123456
status	?!SΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated Binding: MHD DocumentReference status codes (required)
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document Binding: IHE TypeCode (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56446-8
display		1..1	string	Representation defined by the system Fixed Value: Personal health attachment Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	SΣ	1..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
category	SΣ	1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document Binding: IHE ClassCode (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.208.184.100.9
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 001
display		1..1	string	Representation defined by the system Fixed Value: Klinisk rapport
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
subject	SΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document
date	SΣ	0..1	instant	When this document reference was created
Slices for author	SΣ	1..2	Reference(MedComDocumentOrganization | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile(3.5.0) | Device) {b}	[DocumentEntry.author] The slice author:institution ensures one mandatory organizational author. Any author element that does not match this slice is interpreted as an author person. Slice: Unordered, Open by profile:$this.resolve()
author:institution	SΣ	1..1	Reference(MedComDocumentOrganization)	The organization who authored the document.
authenticator	S	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.legalAuthenticator] Who 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	1..1	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
content	SΣ	1..1	BackboneElement	Document referenced
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣ	1..1	Attachment	Where to access the document
contentType	SΣ	1..1	code	​[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-mimeType-VS (required) Required Pattern: text/xml
language	SΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content Binding: IHE LanguageCode (extensible) Example General: en-AU
url	SΣ	1..1	url	[DocumentEntry.URI] URI where the data can be found. Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content.
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1)
title	SΣ	1..1	string	[DocumentEntry.title] The readable title of the document. Example General: Official Corporate Logo
creation	SΣC	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created Constraints: medcom-datetime-has-time-zulu
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document Binding: IHE FormatCode (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.208.184.100.10
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:ad:dk:medcom:phad-v1.0:full
display		1..1	string	Representation defined by the system Fixed Value: DK CPD schema
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
context	SΣ	1..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	S	0..*	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented. Binding: ActCode (3.0.0) (example)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
period	SΣ	0..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented.
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	1..1	CodeableConcept	[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen. Binding: IHE HealthcareFacilityTypeCode (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
practiceSetting	S	1..1	CodeableConcept	[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty). Binding: IHE PracticeSettingCode (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
sourcePatientInfo	S	1..1	Reference(MedComDocumentPatient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
related	S	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.text.​status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
DocumentReference.extension.​value[x]:valueCoding	Base	required	IHE HomeCommunityId	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.masterIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DocumentReference.identifier:entryUUID.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DocumentReference.status	Base	required	MHD DocumentReference status codes	📦4.2.3	Mobile access to Health Documents v4.2
DocumentReference.type	Base	required	IHE TypeCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.category	Base	extensible	IHE ClassCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
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	​ http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-mimeType-VS	Not State	Unknown
DocumentReference.content.​attachment.language	Base	extensible	IHE LanguageCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.content.​format	Base	required	IHE FormatCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.0
DocumentReference.context.​facilityType	Base	required	IHE HealthcareFacilityTypeCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.context.​practiceSetting	Base	required	IHE PracticeSettingCode	📦1.0.1	Dk Terminology for XDS Metadata vnull

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()
medcom-datetime-has-time-zulu	error	DocumentReference.content.attachment.creation	dateTime must include date, time, and time zone.	$this.toString().matches('^[0-9]{4}-(0[1-9]|1[0-2])-(0[1-9]|[12][0-9]|3[01])T([01][0-9]|2[0-3]):[0-5][0-9]:[0-5][0-9]([.][0-9]+)?Z$')
medcom-uuid	error	DocumentReference.identifier:entryUUID.value	The value shall correspond to the structure of an UUID	$this.matches('(?i)^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[45][0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')
mhd-startswithuuid	error	DocumentReference.identifier:entryUUID.value	value must start with urn:uuid:	startsWith('urn:uuid:')
txt-1	error	DocumentReference.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	DocumentReference.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

This structure is derived from MedComContainedDocumentReference

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	MedComContainedDocumentReference	A reference to a document
extension		2..*	Extension	Extension
extension		0..0		Extension
Slices for value[x]		0..1	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueCoding		0..1	Coding	Value of extension Binding: IHE HomeCommunityId (required)
value[x]:valueString		0..1	string	Value of extension Required Pattern: 1.0.0
type		1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56446-8
display		1..1	string	Representation defined by the system Fixed Value: Personal health attachment Document
category		1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.208.184.100.9
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 001
display		1..1	string	Representation defined by the system Fixed Value: Klinisk rapport
content
attachment
contentType		1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Required Pattern: text/xml
format		1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.208.184.100.10
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:ad:dk:medcom:phad-v1.0:full
display		1..1	string	Representation defined by the system Fixed Value: DK CPD schema
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.extension.​value[x]:valueCoding	Base	required	IHE HomeCommunityId	📦1.0.1	Dk Terminology for XDS Metadata vnull

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	MedComContainedDocumentReference	A reference to a document
id	SΣ	1..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	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
Slices for extension	S	2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	identifies the meaning of the extension
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
value[x]:valueCoding		0..1	Coding	Value of extension Binding: IHE HomeCommunityId (required)
value[x]:valueString		0..1	string	Value of extension Required Pattern: 1.0.0
extension:versionid	S	1..1	string	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
extension:homeCommunityid	S	1..1	Coding	MedCom XDS HomeCommunityID URL: https://medcomfhir.dk/ig/ihexdsmetadata/StructureDefinition/medcom-xds-homecommunityid-extension
masterIdentifier	SΣ	1..1	UniqueIdIdentifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
Slices for identifier	SΣ	1..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID	SΣ	1..1	EntryUUIDIdentifier	[DocumentEntry.entryUUID] Identifier for 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
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣC	1..1	string	The value that is unique Constraints: mhd-startswithuuid, medcom-uuid Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated Binding: MHD DocumentReference status codes (required)
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document Binding: IHE TypeCode (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56446-8
display		1..1	string	Representation defined by the system Fixed Value: Personal health attachment Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category	SΣ	1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document Binding: IHE ClassCode (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.208.184.100.9
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 001
display		1..1	string	Representation defined by the system Fixed Value: Klinisk rapport
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document
date	SΣ	0..1	instant	When this document reference was created
Slices for author	SΣ	1..2	Reference(MedComDocumentOrganization | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile(3.5.0) | Device) {b}	[DocumentEntry.author] The slice author:institution ensures one mandatory organizational author. Any author element that does not match this slice is interpreted as an author person. Slice: Unordered, Open by profile:$this.resolve()
author:institution	SΣ	1..1	Reference(MedComDocumentOrganization)	The organization who authored the document.
authenticator	S	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.legalAuthenticator] Who 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	1..1	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
content	SΣ	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	SΣ	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	SΣ	1..1	code	​[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-mimeType-VS (required) Required Pattern: text/xml
language	SΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content Binding: IHE LanguageCode (extensible) Example General: en-AU
url	SΣ	1..1	url	[DocumentEntry.URI] URI where the data can be found. Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content.
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1)
title	SΣ	1..1	string	[DocumentEntry.title] The readable title of the document. Example General: Official Corporate Logo
creation	SΣC	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created Constraints: medcom-datetime-has-time-zulu
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document Binding: IHE FormatCode (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.208.184.100.10
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:ad:dk:medcom:phad-v1.0:full
display		1..1	string	Representation defined by the system Fixed Value: DK CPD schema
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
context	SΣ	1..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	S	0..*	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented. Binding: ActCode (3.0.0) (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period	SΣ	0..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] 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	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	1..1	CodeableConcept	[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen. Binding: IHE HealthcareFacilityTypeCode (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
practiceSetting	S	1..1	CodeableConcept	[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty). Binding: IHE PracticeSettingCode (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
sourcePatientInfo	S	1..1	Reference(MedComDocumentPatient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
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	SΣC	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	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
related	S	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] 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.text.​status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
DocumentReference.extension.​value[x]:valueCoding	Base	required	IHE HomeCommunityId	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.masterIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DocumentReference.masterIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DocumentReference.identifier:entryUUID.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DocumentReference.identifier:entryUUID.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DocumentReference.status	Base	required	MHD DocumentReference status codes	📦4.2.3	Mobile access to Health Documents v4.2
DocumentReference.type	Base	required	IHE TypeCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.category	Base	extensible	IHE ClassCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
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	​ http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-mimeType-VS	Not State	Unknown
DocumentReference.content.​attachment.language	Base	extensible	IHE LanguageCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.content.​format	Base	required	IHE FormatCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.0
DocumentReference.context.​facilityType	Base	required	IHE HealthcareFacilityTypeCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.context.​practiceSetting	Base	required	IHE PracticeSettingCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
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()
medcom-datetime-has-time-zulu	error	DocumentReference.content.attachment.creation	dateTime must include date, time, and time zone.	$this.toString().matches('^[0-9]{4}-(0[1-9]|1[0-2])-(0[1-9]|[12][0-9]|3[01])T([01][0-9]|2[0-3]):[0-5][0-9]:[0-5][0-9]([.][0-9]+)?Z$')
medcom-uuid	error	DocumentReference.identifier:entryUUID.value	The value shall correspond to the structure of an UUID	$this.matches('(?i)^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[45][0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')
mhd-startswithuuid	error	DocumentReference.identifier:entryUUID.value	value must start with urn:uuid:	startsWith('urn:uuid:')
txt-1	error	DocumentReference.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	DocumentReference.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

This structure is derived from MedComContainedDocumentReference

Summary

Prohibited: 1 element

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DocumentReference.extension.value[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	MedComContainedDocumentReference	A reference to a document
id	SΣ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
Slices for extension	S	2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:All Slices				Content/Rules for all slices
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	identifies the meaning of the extension
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
value[x]:valueCoding		0..1	Coding	Value of extension Binding: IHE HomeCommunityId (required)
value[x]:valueString		0..1	string	Value of extension Required Pattern: 1.0.0
extension:versionid	S	1..1	string	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
extension:homeCommunityid	S	1..1	Coding	MedCom XDS HomeCommunityID URL: https://medcomfhir.dk/ig/ihexdsmetadata/StructureDefinition/medcom-xds-homecommunityid-extension
masterIdentifier	SΣ	1..1	UniqueIdIdentifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
Slices for identifier	SΣ	1..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID	SΣ	1..1	EntryUUIDIdentifier	[DocumentEntry.entryUUID] Identifier for the document
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣC	1..1	string	The value that is unique Constraints: mhd-startswithuuid, medcom-uuid Example General: 123456
status	?!SΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated Binding: MHD DocumentReference status codes (required)
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document Binding: IHE TypeCode (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56446-8
display		1..1	string	Representation defined by the system Fixed Value: Personal health attachment Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	SΣ	1..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
category	SΣ	1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document Binding: IHE ClassCode (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.208.184.100.9
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 001
display		1..1	string	Representation defined by the system Fixed Value: Klinisk rapport
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
subject	SΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document
date	SΣ	0..1	instant	When this document reference was created
Slices for author	SΣ	1..2	Reference(MedComDocumentOrganization | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile(3.5.0) | Device) {b}	[DocumentEntry.author] The slice author:institution ensures one mandatory organizational author. Any author element that does not match this slice is interpreted as an author person. Slice: Unordered, Open by profile:$this.resolve()
author:institution	SΣ	1..1	Reference(MedComDocumentOrganization)	The organization who authored the document.
authenticator	S	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.legalAuthenticator] Who 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	1..1	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
content	SΣ	1..1	BackboneElement	Document referenced
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣ	1..1	Attachment	Where to access the document
contentType	SΣ	1..1	code	​[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-mimeType-VS (required) Required Pattern: text/xml
language	SΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content Binding: IHE LanguageCode (extensible) Example General: en-AU
url	SΣ	1..1	url	[DocumentEntry.URI] URI where the data can be found. Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content.
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1)
title	SΣ	1..1	string	[DocumentEntry.title] The readable title of the document. Example General: Official Corporate Logo
creation	SΣC	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created Constraints: medcom-datetime-has-time-zulu
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document Binding: IHE FormatCode (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.208.184.100.10
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:ad:dk:medcom:phad-v1.0:full
display		1..1	string	Representation defined by the system Fixed Value: DK CPD schema
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
context	SΣ	1..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	S	0..*	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented. Binding: ActCode (3.0.0) (example)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
period	SΣ	0..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented.
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	1..1	CodeableConcept	[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen. Binding: IHE HealthcareFacilityTypeCode (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
practiceSetting	S	1..1	CodeableConcept	[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty). Binding: IHE PracticeSettingCode (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
sourcePatientInfo	S	1..1	Reference(MedComDocumentPatient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
related	S	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.text.​status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
DocumentReference.extension.​value[x]:valueCoding	Base	required	IHE HomeCommunityId	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.masterIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DocumentReference.identifier:entryUUID.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DocumentReference.status	Base	required	MHD DocumentReference status codes	📦4.2.3	Mobile access to Health Documents v4.2
DocumentReference.type	Base	required	IHE TypeCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.category	Base	extensible	IHE ClassCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
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	​ http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-mimeType-VS	Not State	Unknown
DocumentReference.content.​attachment.language	Base	extensible	IHE LanguageCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.content.​format	Base	required	IHE FormatCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.0
DocumentReference.context.​facilityType	Base	required	IHE HealthcareFacilityTypeCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.context.​practiceSetting	Base	required	IHE PracticeSettingCode	📦1.0.1	Dk Terminology for XDS Metadata vnull

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()
medcom-datetime-has-time-zulu	error	DocumentReference.content.attachment.creation	dateTime must include date, time, and time zone.	$this.toString().matches('^[0-9]{4}-(0[1-9]|1[0-2])-(0[1-9]|[12][0-9]|3[01])T([01][0-9]|2[0-3]):[0-5][0-9]:[0-5][0-9]([.][0-9]+)?Z$')
medcom-uuid	error	DocumentReference.identifier:entryUUID.value	The value shall correspond to the structure of an UUID	$this.matches('(?i)^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[45][0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')
mhd-startswithuuid	error	DocumentReference.identifier:entryUUID.value	value must start with urn:uuid:	startsWith('urn:uuid:')
txt-1	error	DocumentReference.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	DocumentReference.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

Differential View

This structure is derived from MedComContainedDocumentReference

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	MedComContainedDocumentReference	A reference to a document
extension		2..*	Extension	Extension
extension		0..0		Extension
Slices for value[x]		0..1	base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueCoding		0..1	Coding	Value of extension Binding: IHE HomeCommunityId (required)
value[x]:valueString		0..1	string	Value of extension Required Pattern: 1.0.0
type		1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56446-8
display		1..1	string	Representation defined by the system Fixed Value: Personal health attachment Document
category		1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.208.184.100.9
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 001
display		1..1	string	Representation defined by the system Fixed Value: Klinisk rapport
content
attachment
contentType		1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Required Pattern: text/xml
format		1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.208.184.100.10
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:ad:dk:medcom:phad-v1.0:full
display		1..1	string	Representation defined by the system Fixed Value: DK CPD schema
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.extension.​value[x]:valueCoding	Base	required	IHE HomeCommunityId	📦1.0.1	Dk Terminology for XDS Metadata vnull

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	MedComContainedDocumentReference	A reference to a document
id	SΣ	1..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	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
Slices for extension	S	2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	identifies the meaning of the extension
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
value[x]:valueCoding		0..1	Coding	Value of extension Binding: IHE HomeCommunityId (required)
value[x]:valueString		0..1	string	Value of extension Required Pattern: 1.0.0
extension:versionid	S	1..1	string	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
extension:homeCommunityid	S	1..1	Coding	MedCom XDS HomeCommunityID URL: https://medcomfhir.dk/ig/ihexdsmetadata/StructureDefinition/medcom-xds-homecommunityid-extension
masterIdentifier	SΣ	1..1	UniqueIdIdentifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
Slices for identifier	SΣ	1..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID	SΣ	1..1	EntryUUIDIdentifier	[DocumentEntry.entryUUID] Identifier for 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
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣC	1..1	string	The value that is unique Constraints: mhd-startswithuuid, medcom-uuid Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated Binding: MHD DocumentReference status codes (required)
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document Binding: IHE TypeCode (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 56446-8
display		1..1	string	Representation defined by the system Fixed Value: Personal health attachment Document
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category	SΣ	1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document Binding: IHE ClassCode (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.208.184.100.9
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 001
display		1..1	string	Representation defined by the system Fixed Value: Klinisk rapport
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document
date	SΣ	0..1	instant	When this document reference was created
Slices for author	SΣ	1..2	Reference(MedComDocumentOrganization | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile(3.5.0) | Device) {b}	[DocumentEntry.author] The slice author:institution ensures one mandatory organizational author. Any author element that does not match this slice is interpreted as an author person. Slice: Unordered, Open by profile:$this.resolve()
author:institution	SΣ	1..1	Reference(MedComDocumentOrganization)	The organization who authored the document.
authenticator	S	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.legalAuthenticator] Who 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	1..1	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
content	SΣ	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	SΣ	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	SΣ	1..1	code	​[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-mimeType-VS (required) Required Pattern: text/xml
language	SΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content Binding: IHE LanguageCode (extensible) Example General: en-AU
url	SΣ	1..1	url	[DocumentEntry.URI] URI where the data can be found. Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content.
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1)
title	SΣ	1..1	string	[DocumentEntry.title] The readable title of the document. Example General: Official Corporate Logo
creation	SΣC	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created Constraints: medcom-datetime-has-time-zulu
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document Binding: IHE FormatCode (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.208.184.100.10
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:ad:dk:medcom:phad-v1.0:full
display		1..1	string	Representation defined by the system Fixed Value: DK CPD schema
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
context	SΣ	1..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	S	0..*	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented. Binding: ActCode (3.0.0) (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period	SΣ	0..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] 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	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	1..1	CodeableConcept	[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen. Binding: IHE HealthcareFacilityTypeCode (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
practiceSetting	S	1..1	CodeableConcept	[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty). Binding: IHE PracticeSettingCode (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
sourcePatientInfo	S	1..1	Reference(MedComDocumentPatient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
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	SΣC	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	SΣ	1..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
related	S	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] 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.text.​status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
DocumentReference.extension.​value[x]:valueCoding	Base	required	IHE HomeCommunityId	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.masterIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DocumentReference.masterIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DocumentReference.identifier:entryUUID.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DocumentReference.identifier:entryUUID.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
DocumentReference.status	Base	required	MHD DocumentReference status codes	📦4.2.3	Mobile access to Health Documents v4.2
DocumentReference.type	Base	required	IHE TypeCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.category	Base	extensible	IHE ClassCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
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	​ http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-mimeType-VS	Not State	Unknown
DocumentReference.content.​attachment.language	Base	extensible	IHE LanguageCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.content.​format	Base	required	IHE FormatCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.0
DocumentReference.context.​facilityType	Base	required	IHE HealthcareFacilityTypeCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
DocumentReference.context.​practiceSetting	Base	required	IHE PracticeSettingCode	📦1.0.1	Dk Terminology for XDS Metadata vnull
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()
medcom-datetime-has-time-zulu	error	DocumentReference.content.attachment.creation	dateTime must include date, time, and time zone.	$this.toString().matches('^[0-9]{4}-(0[1-9]|1[0-2])-(0[1-9]|[12][0-9]|3[01])T([01][0-9]|2[0-3]):[0-5][0-9]:[0-5][0-9]([.][0-9]+)?Z$')
medcom-uuid	error	DocumentReference.identifier:entryUUID.value	The value shall correspond to the structure of an UUID	$this.matches('(?i)^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[45][0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')
mhd-startswithuuid	error	DocumentReference.identifier:entryUUID.value	value must start with urn:uuid:	startsWith('urn:uuid:')
txt-1	error	DocumentReference.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	DocumentReference.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

This structure is derived from MedComContainedDocumentReference

Summary

Prohibited: 1 element

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DocumentReference.extension.value[x]