HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/oijauregui/ehdsimaging/ and changes regularly. See the Directory of published versions

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Resource Profile: Report Obligations for ImReportIheMhdDocumentReference

Report Obligations for ImReportIheMhdDocumentReference

Usages:

• Examples for this Profile: DocumentReference/iheMdhDocumentReference-knee-mri-example

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	C	0..*	ImReportMhdDocumentReference	A reference to a document Constraints: docRef-1, docRef-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for identifier	Σ	1..*	Identifier	Business identifiers for the document Slice: Unordered, Open by value:system
identifier:entry-uuid	OΣ	1..1	IheMhdEntryUUIDIdentifier	Business identifiers for the document Obligations Actor SHALL:populate-if-known Imaging study report provider
status	?!OΣ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. Obligations Actor SHALL:populate Imaging study report provider
modality	OΣ	1..*	CodeableConcept	Imaging modality used Binding: Modality (extensible): Type of acquired data in the instance. Obligations Actor SHALL:populate Imaging study report provider
type	OΣ	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: HL7 EU Imaging Report Types (preferred) Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for category	OΣ	1..*	CodeableConcept	Categorization of document Slice: Unordered, Open by value:$this Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. Obligations Actor SHALL:populate-if-known Imaging study report provider
category:imaging	Σ	1..1	CodeableConcept	Categorization of document Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. 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: 18748-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	OΣ	1..1	Reference(Resource)	Who/what is the subject of the document Obligations Actor SHALL:populate-if-known Imaging study report provider
context	C	0..*	Reference(Appointment | Encounter | EpisodeOfCare)	Context of the document content
bodySite	OΣ	0..*	CodeableReference(BodyStructure)	Body part included Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Obligations Actor SHALL:populate Imaging study report provider
author	OΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)	Who and/or what authored the document Obligations Actor SHALL:populate-if-known Imaging study report provider
custodian	O	0..1	Reference(Organization (EU base))	Organization that manages the Imaging Report Obligations Actor SHALL:populate-if-known Imaging study report provider
relatesTo	OΣ	0..*	BackboneElement	Relationships to other documents Obligations Actor SHALL:populate-if-known Imaging study report provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	The relationship type with another document Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
securityLabel	OΣ	0..*	CodeableConcept	Document security-tags Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System. Obligations Actor SHALL:populate-if-known Imaging study report provider
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	ΣC	1..1	code	Mime type of the content, with charset etc. Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Example General: text/plain; charset=UTF-8, image/png
language	OΣ	0..1	code	Human language of the content (BCP-47) Binding: AllLanguages (required): IETF language tag for a human language. Additional Bindings Purpose CommonLanguages Starter Example General: en-AU Obligations Actor SHALL:populate Imaging study report provider
creation	OΣ	0..1	dateTime	Date attachment was first created Obligations Actor SHALL:populate Imaging study report provider
Slices for profile	Σ	1..*	BackboneElement	Content profile rules for the document Slice: Unordered, Open by value:value
profile:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]	Σ	1..1		Code|uri|canonical Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
valueCoding			Coding
valueUri			uri
valueCanonical			canonical(Any)
profile:hl7eu-imaging-report	Σ	1..1	BackboneElement	Content profile rules for the document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for value[x]	Σ	1..1		Code|uri|canonical Slice: Unordered, Open by type:$this Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
valueCoding			Coding
valueUri			uri
valueCanonical			canonical(Any)
value[x]:valueCanonical	Σ	0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImReport
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|5.0.0 From the FHIR Standard
DocumentReference.modality	extensible	​Modality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html From this IG
DocumentReference.type	preferred	ImImagingReportTypesEuVS http://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVS From this IG
DocumentReference.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
DocumentReference.category:imaging	example	Pattern Value: LOINC Code 18748-4 http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
DocumentReference.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
DocumentReference.relatesTo.code	extensible	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type From the FHIR Standard
DocumentReference.securityLabel	example	SecurityLabelExamples http://hl7.org/fhir/ValueSet/security-label-examples From the FHIR Standard
DocumentReference.content.attachment.contentType	required	MimeTypes(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 From the FHIR Standard
DocumentReference.content.attachment.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
DocumentReference.content.profile.value[x]	preferred	HL7FormatCodes http://terminology.hl7.org/ValueSet/v3-HL7FormatCodes
DocumentReference.content.profile:hl7eu-imaging-report.value[x]	preferred	HL7FormatCodes http://terminology.hl7.org/ValueSet/v3-HL7FormatCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
docRef-1	warning	DocumentReference	facilityType SHALL only be present if context is not an encounter : facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2	warning	DocumentReference	practiceSetting SHALL only be present if context is not present : practiceSetting.empty() or context.where(resolve() is Encounter).empty()
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 ImReportMhdDocumentReference

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	ImReportMhdDocumentReference	A reference to a document
Slices for identifier				Content/Rules for all slices
identifier:entry-uuid	O	1..1	IheMhdEntryUUIDIdentifier	Business identifiers for the document Obligations Actor SHALL:populate-if-known Imaging study report provider
status	O	1..1	code	current | superseded | entered-in-error Obligations Actor SHALL:populate Imaging study report provider
modality	O	1..*	CodeableConcept	Imaging modality used Obligations Actor SHALL:populate Imaging study report provider
type	O	1..1	CodeableConcept	Type of Imaging Diagnostic Report Obligations Actor SHALL:populate-if-known Imaging study report provider
category	O	1..*	CodeableConcept	Categorization of document Obligations Actor SHALL:populate-if-known Imaging study report provider
subject	O	1..1	Reference(Resource)	Who/what is the subject of the document Obligations Actor SHALL:populate-if-known Imaging study report provider
bodySite	O	0..*	CodeableReference(BodyStructure)	Body part included Obligations Actor SHALL:populate Imaging study report provider
author	O	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)	Who and/or what authored the document Obligations Actor SHALL:populate-if-known Imaging study report provider
custodian	O	0..1	Reference(Organization (EU base))	Organization that manages the Imaging Report Obligations Actor SHALL:populate-if-known Imaging study report provider
relatesTo	O	0..*	BackboneElement	Relationships to other documents Obligations Actor SHALL:populate-if-known Imaging study report provider
securityLabel	O	0..*	CodeableConcept	Document security-tags Obligations Actor SHALL:populate-if-known Imaging study report provider
content
attachment
language	O	0..1	code	Human language of the content (BCP-47) Obligations Actor SHALL:populate Imaging study report provider
creation	O	0..1	dateTime	Date attachment was first created Obligations Actor SHALL:populate Imaging study report provider
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference	C	0..*	ImReportMhdDocumentReference	A reference to a document Constraints: docRef-1, docRef-2
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
Slices for identifier	Σ	1..*	Identifier	Business identifiers for the document Slice: Unordered, Open by value:system
identifier:entry-uuid	OΣ	1..1	IheMhdEntryUUIDIdentifier	Business identifiers for the document Obligations Actor SHALL:populate-if-known Imaging study report provider
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the DocumentReference
basedOn		0..*	Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | VisionPrescription)	Procedure that caused this media to be created
status	?!OΣ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. Obligations Actor SHALL:populate Imaging study report provider
docStatus	Σ	0..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): Status of the underlying document.
modality	OΣ	1..*	CodeableConcept	Imaging modality used Binding: Modality (extensible): Type of acquired data in the instance. Obligations Actor SHALL:populate Imaging study report provider
type	OΣ	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: HL7 EU Imaging Report Types (preferred) Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for category	OΣ	1..*	CodeableConcept	Categorization of document Slice: Unordered, Open by value:$this Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. Obligations Actor SHALL:populate-if-known Imaging study report provider
category:imaging	Σ	1..1	CodeableConcept	Categorization of document Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. 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: 18748-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	OΣ	1..1	Reference(Resource)	Who/what is the subject of the document Obligations Actor SHALL:populate-if-known Imaging study report provider
context	C	0..*	Reference(Appointment | Encounter | EpisodeOfCare)	Context of the document content
event		0..*	CodeableReference()	Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
bodySite	OΣ	0..*	CodeableReference(BodyStructure)	Body part included Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Obligations Actor SHALL:populate Imaging study report provider
facilityType	C	0..1	CodeableConcept	Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
practiceSetting	C	0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
period	Σ	0..1	Period	Time of service that is being documented
date	Σ	0..1	instant	When this document reference was created
author	OΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)	Who and/or what authored the document Obligations Actor SHALL:populate-if-known Imaging study report provider
attester		0..*	BackboneElement	Attests to accuracy of the 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
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a document.
time		0..1	dateTime	When the document was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the document
custodian	O	0..1	Reference(Organization (EU base))	Organization that manages the Imaging Report Obligations Actor SHALL:populate-if-known Imaging study report provider
relatesTo	OΣ	0..*	BackboneElement	Relationships to other documents Obligations Actor SHALL:populate-if-known Imaging study report provider
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	CodeableConcept	The relationship type with another document Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	markdown	Human-readable description
securityLabel	OΣ	0..*	CodeableConcept	Document security-tags Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System. Obligations Actor SHALL:populate-if-known Imaging study report provider
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	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	ΣC	1..1	code	Mime type of the content, with charset etc. Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Example General: text/plain; charset=UTF-8, image/png
language	OΣ	0..1	code	Human language of the content (BCP-47) Binding: AllLanguages (required): IETF language tag for a human language. Additional Bindings Purpose CommonLanguages Starter Example General: en-AU Obligations Actor SHALL:populate Imaging study report provider
data	C	0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	integer64	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	OΣ	0..1	dateTime	Date attachment was first created Obligations Actor SHALL:populate Imaging study report provider
height		0..1	positiveInt	Height of the image in pixels (photo/video)
width		0..1	positiveInt	Width of the image in pixels (photo/video)
frames		0..1	positiveInt	Number of frames if > 1 (photo)
duration		0..1	decimal	Length in seconds (audio / video)
pages		0..1	positiveInt	Number of printed pages
Slices for profile	Σ	1..*	BackboneElement	Content profile rules for the document Slice: Unordered, Open by value:value
profile:All Slices				Content/Rules for all slices
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
value[x]	Σ	1..1		Code|uri|canonical Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
valueCoding			Coding
valueUri			uri
valueCanonical			canonical(Any)
profile:hl7eu-imaging-report	Σ	1..1	BackboneElement	Content profile rules for the 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
Slices for value[x]	Σ	1..1		Code|uri|canonical Slice: Unordered, Open by type:$this Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
valueCoding			Coding
valueUri			uri
valueCanonical			canonical(Any)
value[x]:valueCanonical	Σ	0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImReport
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DocumentReference.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|5.0.0 From the FHIR Standard
DocumentReference.docStatus	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 From the FHIR Standard
DocumentReference.modality	extensible	​Modality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html From this IG
DocumentReference.type	preferred	ImImagingReportTypesEuVS http://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVS From this IG
DocumentReference.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
DocumentReference.category:imaging	example	Pattern Value: LOINC Code 18748-4 http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
DocumentReference.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
DocumentReference.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes From the FHIR Standard
DocumentReference.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes From the FHIR Standard
DocumentReference.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
DocumentReference.relatesTo.code	extensible	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type From the FHIR Standard
DocumentReference.securityLabel	example	SecurityLabelExamples http://hl7.org/fhir/ValueSet/security-label-examples From the FHIR Standard
DocumentReference.content.attachment.contentType	required	MimeTypes(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 From the FHIR Standard
DocumentReference.content.attachment.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
DocumentReference.content.profile.value[x]	preferred	HL7FormatCodes http://terminology.hl7.org/ValueSet/v3-HL7FormatCodes
DocumentReference.content.profile:hl7eu-imaging-report.value[x]	preferred	HL7FormatCodes http://terminology.hl7.org/ValueSet/v3-HL7FormatCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
docRef-1	warning	DocumentReference	facilityType SHALL only be present if context is not an encounter : facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2	warning	DocumentReference	practiceSetting SHALL only be present if context is not present : practiceSetting.empty() or context.where(resolve() is Encounter).empty()
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 ImReportMhdDocumentReference

Summary

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference	C	0..*	ImReportMhdDocumentReference	A reference to a document Constraints: docRef-1, docRef-2
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for identifier	Σ	1..*	Identifier	Business identifiers for the document Slice: Unordered, Open by value:system
identifier:entry-uuid	OΣ	1..1	IheMhdEntryUUIDIdentifier	Business identifiers for the document Obligations Actor SHALL:populate-if-known Imaging study report provider
status	?!OΣ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. Obligations Actor SHALL:populate Imaging study report provider
modality	OΣ	1..*	CodeableConcept	Imaging modality used Binding: Modality (extensible): Type of acquired data in the instance. Obligations Actor SHALL:populate Imaging study report provider
type	OΣ	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: HL7 EU Imaging Report Types (preferred) Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for category	OΣ	1..*	CodeableConcept	Categorization of document Slice: Unordered, Open by value:$this Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. Obligations Actor SHALL:populate-if-known Imaging study report provider
category:imaging	Σ	1..1	CodeableConcept	Categorization of document Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. 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: 18748-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	OΣ	1..1	Reference(Resource)	Who/what is the subject of the document Obligations Actor SHALL:populate-if-known Imaging study report provider
context	C	0..*	Reference(Appointment | Encounter | EpisodeOfCare)	Context of the document content
bodySite	OΣ	0..*	CodeableReference(BodyStructure)	Body part included Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Obligations Actor SHALL:populate Imaging study report provider
author	OΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)	Who and/or what authored the document Obligations Actor SHALL:populate-if-known Imaging study report provider
custodian	O	0..1	Reference(Organization (EU base))	Organization that manages the Imaging Report Obligations Actor SHALL:populate-if-known Imaging study report provider
relatesTo	OΣ	0..*	BackboneElement	Relationships to other documents Obligations Actor SHALL:populate-if-known Imaging study report provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	The relationship type with another document Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
securityLabel	OΣ	0..*	CodeableConcept	Document security-tags Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System. Obligations Actor SHALL:populate-if-known Imaging study report provider
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	ΣC	1..1	code	Mime type of the content, with charset etc. Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Example General: text/plain; charset=UTF-8, image/png
language	OΣ	0..1	code	Human language of the content (BCP-47) Binding: AllLanguages (required): IETF language tag for a human language. Additional Bindings Purpose CommonLanguages Starter Example General: en-AU Obligations Actor SHALL:populate Imaging study report provider
creation	OΣ	0..1	dateTime	Date attachment was first created Obligations Actor SHALL:populate Imaging study report provider
Slices for profile	Σ	1..*	BackboneElement	Content profile rules for the document Slice: Unordered, Open by value:value
profile:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value[x]	Σ	1..1		Code|uri|canonical Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
valueCoding			Coding
valueUri			uri
valueCanonical			canonical(Any)
profile:hl7eu-imaging-report	Σ	1..1	BackboneElement	Content profile rules for the document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for value[x]	Σ	1..1		Code|uri|canonical Slice: Unordered, Open by type:$this Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
valueCoding			Coding
valueUri			uri
valueCanonical			canonical(Any)
value[x]:valueCanonical	Σ	0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImReport
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|5.0.0 From the FHIR Standard
DocumentReference.modality	extensible	​Modality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html From this IG
DocumentReference.type	preferred	ImImagingReportTypesEuVS http://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVS From this IG
DocumentReference.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
DocumentReference.category:imaging	example	Pattern Value: LOINC Code 18748-4 http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
DocumentReference.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
DocumentReference.relatesTo.code	extensible	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type From the FHIR Standard
DocumentReference.securityLabel	example	SecurityLabelExamples http://hl7.org/fhir/ValueSet/security-label-examples From the FHIR Standard
DocumentReference.content.attachment.contentType	required	MimeTypes(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 From the FHIR Standard
DocumentReference.content.attachment.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
DocumentReference.content.profile.value[x]	preferred	HL7FormatCodes http://terminology.hl7.org/ValueSet/v3-HL7FormatCodes
DocumentReference.content.profile:hl7eu-imaging-report.value[x]	preferred	HL7FormatCodes http://terminology.hl7.org/ValueSet/v3-HL7FormatCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
docRef-1	warning	DocumentReference	facilityType SHALL only be present if context is not an encounter : facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2	warning	DocumentReference	practiceSetting SHALL only be present if context is not present : practiceSetting.empty() or context.where(resolve() is Encounter).empty()
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 ImReportMhdDocumentReference

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	ImReportMhdDocumentReference	A reference to a document
Slices for identifier				Content/Rules for all slices
identifier:entry-uuid	O	1..1	IheMhdEntryUUIDIdentifier	Business identifiers for the document Obligations Actor SHALL:populate-if-known Imaging study report provider
status	O	1..1	code	current | superseded | entered-in-error Obligations Actor SHALL:populate Imaging study report provider
modality	O	1..*	CodeableConcept	Imaging modality used Obligations Actor SHALL:populate Imaging study report provider
type	O	1..1	CodeableConcept	Type of Imaging Diagnostic Report Obligations Actor SHALL:populate-if-known Imaging study report provider
category	O	1..*	CodeableConcept	Categorization of document Obligations Actor SHALL:populate-if-known Imaging study report provider
subject	O	1..1	Reference(Resource)	Who/what is the subject of the document Obligations Actor SHALL:populate-if-known Imaging study report provider
bodySite	O	0..*	CodeableReference(BodyStructure)	Body part included Obligations Actor SHALL:populate Imaging study report provider
author	O	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)	Who and/or what authored the document Obligations Actor SHALL:populate-if-known Imaging study report provider
custodian	O	0..1	Reference(Organization (EU base))	Organization that manages the Imaging Report Obligations Actor SHALL:populate-if-known Imaging study report provider
relatesTo	O	0..*	BackboneElement	Relationships to other documents Obligations Actor SHALL:populate-if-known Imaging study report provider
securityLabel	O	0..*	CodeableConcept	Document security-tags Obligations Actor SHALL:populate-if-known Imaging study report provider
content
attachment
language	O	0..1	code	Human language of the content (BCP-47) Obligations Actor SHALL:populate Imaging study report provider
creation	O	0..1	dateTime	Date attachment was first created Obligations Actor SHALL:populate Imaging study report provider
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference	C	0..*	ImReportMhdDocumentReference	A reference to a document Constraints: docRef-1, docRef-2
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
Slices for identifier	Σ	1..*	Identifier	Business identifiers for the document Slice: Unordered, Open by value:system
identifier:entry-uuid	OΣ	1..1	IheMhdEntryUUIDIdentifier	Business identifiers for the document Obligations Actor SHALL:populate-if-known Imaging study report provider
version	Σ	0..1	string	An explicitly assigned identifer of a variation of the content in the DocumentReference
basedOn		0..*	Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | VisionPrescription)	Procedure that caused this media to be created
status	?!OΣ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. Obligations Actor SHALL:populate Imaging study report provider
docStatus	Σ	0..1	code	registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): Status of the underlying document.
modality	OΣ	1..*	CodeableConcept	Imaging modality used Binding: Modality (extensible): Type of acquired data in the instance. Obligations Actor SHALL:populate Imaging study report provider
type	OΣ	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: HL7 EU Imaging Report Types (preferred) Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for category	OΣ	1..*	CodeableConcept	Categorization of document Slice: Unordered, Open by value:$this Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. Obligations Actor SHALL:populate-if-known Imaging study report provider
category:imaging	Σ	1..1	CodeableConcept	Categorization of document Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. 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: 18748-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	OΣ	1..1	Reference(Resource)	Who/what is the subject of the document Obligations Actor SHALL:populate-if-known Imaging study report provider
context	C	0..*	Reference(Appointment | Encounter | EpisodeOfCare)	Context of the document content
event		0..*	CodeableReference()	Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
bodySite	OΣ	0..*	CodeableReference(BodyStructure)	Body part included Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts Obligations Actor SHALL:populate Imaging study report provider
facilityType	C	0..1	CodeableConcept	Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
practiceSetting	C	0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
period	Σ	0..1	Period	Time of service that is being documented
date	Σ	0..1	instant	When this document reference was created
author	OΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)	Who and/or what authored the document Obligations Actor SHALL:populate-if-known Imaging study report provider
attester		0..*	BackboneElement	Attests to accuracy of the 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
mode		1..1	CodeableConcept	personal | professional | legal | official Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a document.
time		0..1	dateTime	When the document was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the document
custodian	O	0..1	Reference(Organization (EU base))	Organization that manages the Imaging Report Obligations Actor SHALL:populate-if-known Imaging study report provider
relatesTo	OΣ	0..*	BackboneElement	Relationships to other documents Obligations Actor SHALL:populate-if-known Imaging study report provider
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	CodeableConcept	The relationship type with another document Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	markdown	Human-readable description
securityLabel	OΣ	0..*	CodeableConcept	Document security-tags Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System. Obligations Actor SHALL:populate-if-known Imaging study report provider
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	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	ΣC	1..1	code	Mime type of the content, with charset etc. Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049) Example General: text/plain; charset=UTF-8, image/png
language	OΣ	0..1	code	Human language of the content (BCP-47) Binding: AllLanguages (required): IETF language tag for a human language. Additional Bindings Purpose CommonLanguages Starter Example General: en-AU Obligations Actor SHALL:populate Imaging study report provider
data	C	0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	integer64	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	OΣ	0..1	dateTime	Date attachment was first created Obligations Actor SHALL:populate Imaging study report provider
height		0..1	positiveInt	Height of the image in pixels (photo/video)
width		0..1	positiveInt	Width of the image in pixels (photo/video)
frames		0..1	positiveInt	Number of frames if > 1 (photo)
duration		0..1	decimal	Length in seconds (audio / video)
pages		0..1	positiveInt	Number of printed pages
Slices for profile	Σ	1..*	BackboneElement	Content profile rules for the document Slice: Unordered, Open by value:value
profile:All Slices				Content/Rules for all slices
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
value[x]	Σ	1..1		Code|uri|canonical Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
valueCoding			Coding
valueUri			uri
valueCanonical			canonical(Any)
profile:hl7eu-imaging-report	Σ	1..1	BackboneElement	Content profile rules for the 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
Slices for value[x]	Σ	1..1		Code|uri|canonical Slice: Unordered, Open by type:$this Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
valueCoding			Coding
valueUri			uri
valueCanonical			canonical(Any)
value[x]:valueCanonical	Σ	0..1	canonical()	Code|uri|canonical Required Pattern: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImReport
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DocumentReference.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|5.0.0 From the FHIR Standard
DocumentReference.docStatus	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|5.0.0 From the FHIR Standard
DocumentReference.modality	extensible	​Modality (missing link) http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html From this IG
DocumentReference.type	preferred	ImImagingReportTypesEuVS http://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVS From this IG
DocumentReference.category	example	ReferencedItemCategoryValueSet http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
DocumentReference.category:imaging	example	Pattern Value: LOINC Code 18748-4 http://hl7.org/fhir/ValueSet/referenced-item-category From the FHIR Standard
DocumentReference.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
DocumentReference.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes From the FHIR Standard
DocumentReference.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes From the FHIR Standard
DocumentReference.attester.mode	preferred	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode From the FHIR Standard
DocumentReference.relatesTo.code	extensible	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type From the FHIR Standard
DocumentReference.securityLabel	example	SecurityLabelExamples http://hl7.org/fhir/ValueSet/security-label-examples From the FHIR Standard
DocumentReference.content.attachment.contentType	required	MimeTypes(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 From the FHIR Standard
DocumentReference.content.attachment.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
DocumentReference.content.profile.value[x]	preferred	HL7FormatCodes http://terminology.hl7.org/ValueSet/v3-HL7FormatCodes
DocumentReference.content.profile:hl7eu-imaging-report.value[x]	preferred	HL7FormatCodes http://terminology.hl7.org/ValueSet/v3-HL7FormatCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
docRef-1	warning	DocumentReference	facilityType SHALL only be present if context is not an encounter : facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2	warning	DocumentReference	practiceSetting SHALL only be present if context is not present : practiceSetting.empty() or context.where(resolve() is Encounter).empty()
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 ImReportMhdDocumentReference

Summary

Maturity: 1

Other representations of profile: CSV, Excel, Schematron