HL7 Europe Imaging Study Report
0.1.0-build - ci-build
150
HL7 Europe Imaging Study Report
0.1.0-build - ci-build
150
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
| Official URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImKeyImageDocumentReference | Version: 0.1.0-build | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: ImKeyImageDocumentReference | ||
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License |
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A document containing key images for a patient. It can refer to a DICOM or non-DICOM image. When referring to a DICOM image, the DocumentReference.content.attachment.url should be a WADO-URI. When referring to a non-DICOM image, the DocumentReference.content.attachment.url should be a direct URL to the image.
When the resource represents a DICOM instance it SHALL contain a the SOP Instance UID in the identifier element. When the resource represents a DICOM series it SHALL contain the Series Instance UID in the identifier element.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  DocumentReference |
C | 0..* | DocumentReferenceEu | 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 extension |
Content/Rules for all slices | |||
   extension:note |
0..1 | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note | |
 extension:view |
0..1 | CodeableConcept | Media.view extension URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/CrossVersionMediaViewExtension Binding: Media View types - placeholder for cross-version extension (required) | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier |
Σ | 0..* | Identifier | Business identifiers for the document Slice: Unordered, Open by value:$this |
 identifier:seriesInstanceUid |
Σ | 0..1 | Identifier | Business identifiers for the document |
  use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
  type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-missing-dicom-terminology | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018 | |
| 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 | |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 |
 value |
ΣC | 1..1 | string | The value that is unique Example General: 123456 |
 identifier:sopClassInstanceUid |
Σ | 0..1 | Identifier | Business identifiers for the document |
 use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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://dicom.nema.org/resources/ontology/DCM | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 112002 | |
| 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 | |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 |
| value |
ΣC | 1..1 | string | The value that is unique Example General: 123456 |
| Slices for 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 Slice: Unordered, Open by type:$this | |
| basedOn:imorderaccession |
0..1 | Reference(ServiceRequest: Imaging Order) | Procedure that caused this media to be created | |
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| identifier |
ΣC | 1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known |
| status |
?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. |
| modality |
Σ | 1..1 | CodeableConcept | Imaging modality used Binding: Modality (extensible): Type of acquired data in the instance. |
| Slices for category |
Σ | 1..* | CodeableConcept | Categorization of document Slice: Unordered, Open by profile:$this Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. |
| category:imkeyimages |
Σ | 1..1 | CodeableConcept | Categorization of document Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. |
 Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
| coding:keyimagecode |
Σ | 1..1 | Coding | Code defined by a terminology system 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: 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: 55113-5 | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
 subject |
Σ | 1..1 | Reference(Patient (EU core)) | Who/what is the subject of the document |
| context |
C | 0..* | Reference(Appointment | Encounter | EpisodeOfCare) | Context of the document content |
| Slices for author |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam) | Who and/or what authored the document Slice: Unordered, Open by profile:$this |
| author:performer |
Σ | 0..* | Reference(PractitionerRole (EU core)) | Who and/or what authored the document |
 Slices for content |
Σ | 1..* | BackboneElement | Document referenced Slice: Unordered, Open by value:extension.value |
 content:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| attachment |
Σ | 1..1 | Attachment | Where to access the document |
| content:thumbnail |
Σ | 0..1 | BackboneElement | Document referenced |
 Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:thumbnail |
1..1 | (Complex) | Thumbnail state URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail" | |
| value[x] |
1..1 | boolean | Value of extension Required Pattern: true | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| attachment |
Σ | 1..1 | Attachment | Where to access the document |
| content:content |
Σ | 1..1 | BackboneElement | Document referenced |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:thumbnail |
1..1 | (Complex) | Thumbnail state URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail" | |
| value[x] |
1..1 | boolean | Value of extension Required Pattern: false | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| attachment |
Σ | 1..1 | Attachment | Where to access the document |
| url |
Σ | 1..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DocumentReference.identifier:seriesInstanceUid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0From the FHIR Standard | |
| DocumentReference.identifier:seriesInstanceUid.type | extensible | Pattern Value: 00080018http://hl7.org/fhir/ValueSet/identifier-typeFrom the FHIR Standard | |
| DocumentReference.identifier:sopClassInstanceUid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0From the FHIR Standard | |
| DocumentReference.identifier:sopClassInstanceUid.type | extensible | Pattern Value: 112002http://hl7.org/fhir/ValueSet/identifier-typeFrom the FHIR Standard | |
| DocumentReference.status | required | DocumentReferenceStatushttp://hl7.org/fhir/ValueSet/document-reference-status|5.0.0From the FHIR Standard | |
| DocumentReference.modality | extensible | Modality (missing link)http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.htmlFrom this IG | |
| DocumentReference.category | example | ReferencedItemCategoryValueSethttp://hl7.org/fhir/ValueSet/referenced-item-categoryFrom the FHIR Standard | |
| DocumentReference.category:imkeyimages | example | ReferencedItemCategoryValueSethttp://hl7.org/fhir/ValueSet/referenced-item-categoryFrom the FHIR Standard |
| 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 DocumentReferenceEu
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DocumentReference |
0..* | DocumentReferenceEu | A reference to a document | |
| Slices for identifier |
0..* | Identifier | Business identifiers for the document Slice: Unordered, Open by value:$this | |
| identifier:seriesInstanceUid |
0..1 | Identifier | Business identifiers for the document | |
| type |
1..1 | CodeableConcept | Description of identifier 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://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-missing-dicom-terminology | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018 | |
| system |
1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 | |
| value |
1..1 | string | The value that is unique | |
| identifier:sopClassInstanceUid |
0..1 | Identifier | Business identifiers for the document | |
| type |
1..1 | CodeableConcept | Description of identifier 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://dicom.nema.org/resources/ontology/DCM | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 112002 | |
| system |
1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 | |
| value |
1..1 | string | The value that is unique | |
| Slices for 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 Slice: Unordered, Open by type:$this | |
| basedOn:imorderaccession |
0..1 | Reference(ServiceRequest: Imaging Order) | Procedure that caused this media to be created | |
| identifier |
1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known | |
| modality |
1..1 | CodeableConcept | Imaging modality used | |
| Slices for category |
1..* | CodeableConcept | Categorization of document Slice: Unordered, Open by profile:$this | |
| category:imkeyimages |
1..1 | CodeableConcept | Categorization of document | |
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | |
| coding:keyimagecode |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 55113-5 | |
| subject |
1..1 | Reference(Patient (EU core)) | Who/what is the subject of the document | |
| Slices for author |
0..* | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam) | Who and/or what authored the document Slice: Unordered, Open by profile:$this | |
| author:performer |
0..* | Reference(PractitionerRole (EU core)) | Who and/or what authored the document | |
| Slices for content |
1..* | BackboneElement | Document referenced Slice: Unordered, Open by value:extension.value | |
| content:thumbnail |
0..1 | BackboneElement | Document referenced | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:thumbnail |
1..1 | (Complex) | Thumbnail state URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail | |
| value[x] |
1..1 | boolean | Value of extension Required Pattern: true | |
| content:content |
1..1 | BackboneElement | Document referenced | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:thumbnail |
1..1 | (Complex) | Thumbnail state URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail | |
| value[x] |
1..1 | boolean | Value of extension Required Pattern: false | |
| attachment |
||||
| url |
1..1 | url | Uri where the data can be found | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DocumentReference |
C | 0..* | DocumentReferenceEu | 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
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:note |
0..1 | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| extension:view |
0..1 | CodeableConcept | Media.view extension URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/CrossVersionMediaViewExtension Binding: Media View types - placeholder for cross-version extension (required) | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
Σ | 0..* | Identifier | Business identifiers for the document Slice: Unordered, Open by value:$this | ||||
| identifier:seriesInstanceUid |
Σ | 0..1 | Identifier | Business identifiers for 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 | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-missing-dicom-terminology | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018 | |||||
| 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 | |||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 | ||||
| value |
ΣC | 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) | ||||
| identifier:sopClassInstanceUid |
Σ | 0..1 | Identifier | Business identifiers for 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 | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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://dicom.nema.org/resources/ontology/DCM | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 112002 | |||||
| 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 | |||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 | ||||
| value |
ΣC | 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) | ||||
| version |
Σ | 0..1 | string | An explicitly assigned identifer of a variation of the content in the DocumentReference | ||||
| Slices for 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 Slice: Unordered, Open by type:$this | |||||
| basedOn:imorderaccession |
0..1 | Reference(ServiceRequest: Imaging Order) | Procedure that caused this media to be created | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| status |
?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. | ||||
| 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 |
Σ | 1..1 | CodeableConcept | Imaging modality used Binding: Modality (extensible): Type of acquired data in the instance. | ||||
| type |
Σ | 0..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Precise type of clinical document. | ||||
| Slices for category |
Σ | 1..* | CodeableConcept | Categorization of document Slice: Unordered, Open by profile:$this Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. | ||||
| category:imkeyimages |
Σ | 1..1 | CodeableConcept | Categorization of document Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
| coding:keyimagecode |
Σ | 1..1 | Coding | Code defined by a terminology system 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: 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: 55113-5 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
Σ | 1..1 | Reference(Patient (EU core)) | Who/what is the subject of the document | ||||
| 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 |
Σ | 0..* | CodeableReference(BodyStructure) | Body part included Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts | ||||
| 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 | ||||
| Slices for author |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam) | Who and/or what authored the document Slice: Unordered, Open by profile:$this | ||||
| author:performer |
Σ | 0..* | Reference(PractitionerRole (EU core)) | Who and/or what authored the document | ||||
| 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 |
0..1 | Reference(Organization) | Organization which maintains the document | |||||
| relatesTo |
Σ | 0..* | BackboneElement | Relationships to other documents | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 1..1 | 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 |
Σ | 0..* | CodeableConcept | Document security-tags Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| Slices for content |
Σ | 1..* | BackboneElement | Document referenced Slice: Unordered, Open by value:extension.value | ||||
| content: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 | ||||
| attachment |
Σ | 1..1 | Attachment | Where to access the document | ||||
| profile |
Σ | 0..* | 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 | ||||
 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) | |||||||
| content:thumbnail |
Σ | 0..1 | BackboneElement | Document referenced | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:thumbnail |
1..1 | (Complex) | Thumbnail state URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail" | |||||
| value[x] |
1..1 | boolean | Value of extension Required Pattern: true | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| attachment |
Σ | 1..1 | Attachment | Where to access the document | ||||
| profile |
Σ | 0..* | 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 | ||||
| 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) | |||||||
| content:content |
Σ | 1..1 | BackboneElement | Document referenced | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:thumbnail |
1..1 | (Complex) | Thumbnail state URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail" | |||||
| value[x] |
1..1 | boolean | Value of extension Required Pattern: false | |||||
| 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 | 0..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 |
Σ | 0..1 | code | Human language of the content (BCP-47) Binding: AllLanguages (required): IETF language tag for a human language.
Example General: en-AU | ||||
| data |
C | 0..1 | base64Binary | Data inline, base64ed | ||||
| url |
Σ | 1..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
| size |
Σ | 0..1 | 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 |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
| 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 | |||||
| profile |
Σ | 0..* | 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 | ||||
| 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) | |||||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI |
| DocumentReference.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| DocumentReference.identifier:seriesInstanceUid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0From the FHIR Standard | |
| DocumentReference.identifier:seriesInstanceUid.type | extensible | Pattern Value: 00080018http://hl7.org/fhir/ValueSet/identifier-typeFrom the FHIR Standard | |
| DocumentReference.identifier:sopClassInstanceUid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0From the FHIR Standard | |
| DocumentReference.identifier:sopClassInstanceUid.type | extensible | Pattern Value: 112002http://hl7.org/fhir/ValueSet/identifier-typeFrom the FHIR Standard | |
| DocumentReference.basedOn:imorderaccession.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | |
| DocumentReference.status | required | DocumentReferenceStatushttp://hl7.org/fhir/ValueSet/document-reference-status|5.0.0From the FHIR Standard | |
| DocumentReference.docStatus | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|5.0.0From the FHIR Standard | |
| DocumentReference.modality | extensible | Modality (missing link)http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.htmlFrom this IG | |
| DocumentReference.type | preferred | FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodesFrom the FHIR Standard | |
| DocumentReference.category | example | ReferencedItemCategoryValueSethttp://hl7.org/fhir/ValueSet/referenced-item-categoryFrom the FHIR Standard | |
| DocumentReference.category:imkeyimages | example | ReferencedItemCategoryValueSethttp://hl7.org/fhir/ValueSet/referenced-item-categoryFrom the FHIR Standard | |
| DocumentReference.event | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
| DocumentReference.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | |
| DocumentReference.facilityType | example | FacilityTypeCodeValueSethttp://hl7.org/fhir/ValueSet/c80-facilitycodesFrom the FHIR Standard | |
| DocumentReference.practiceSetting | example | PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codesFrom the FHIR Standard | |
| DocumentReference.attester.mode | preferred | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-modeFrom the FHIR Standard | |
| DocumentReference.relatesTo.code | extensible | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-typeFrom the FHIR Standard | |
| DocumentReference.securityLabel | example | SecurityLabelExampleshttp://hl7.org/fhir/ValueSet/security-label-examplesFrom the FHIR Standard | |
| DocumentReference.content.profile.value[x] | preferred | HL7FormatCodeshttp://terminology.hl7.org/ValueSet/v3-HL7FormatCodes | |
| DocumentReference.content:thumbnail.profile.value[x] | preferred | HL7FormatCodeshttp://terminology.hl7.org/ValueSet/v3-HL7FormatCodes | |
| DocumentReference.content:content.attachment.contentType | required | MimeTypes(a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|5.0.0From the FHIR Standard | |
| DocumentReference.content:content.attachment.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| DocumentReference.content:content.profile.value[x] | preferred | HL7FormatCodeshttp://terminology.hl7.org/ValueSet/v3-HL7FormatCodes |
| 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 DocumentReferenceEu
Summary
Mandatory: 10 elements(9 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DocumentReference |
C | 0..* | DocumentReferenceEu | 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 extension |
Content/Rules for all slices | |||
| extension:note |
0..1 | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note | |
| extension:view |
0..1 | CodeableConcept | Media.view extension URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/CrossVersionMediaViewExtension Binding: Media View types - placeholder for cross-version extension (required) | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| Slices for identifier |
Σ | 0..* | Identifier | Business identifiers for the document Slice: Unordered, Open by value:$this |
| identifier:seriesInstanceUid |
Σ | 0..1 | Identifier | Business identifiers for the document |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-missing-dicom-terminology | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018 | |
| 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 | |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 |
| value |
ΣC | 1..1 | string | The value that is unique Example General: 123456 |
| identifier:sopClassInstanceUid |
Σ | 0..1 | Identifier | Business identifiers for the document |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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://dicom.nema.org/resources/ontology/DCM | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 112002 | |
| 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 | |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 |
| value |
ΣC | 1..1 | string | The value that is unique Example General: 123456 |
| Slices for 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 Slice: Unordered, Open by type:$this | |
| basedOn:imorderaccession |
0..1 | Reference(ServiceRequest: Imaging Order) | Procedure that caused this media to be created | |
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| identifier |
ΣC | 1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known |
| status |
?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. |
| modality |
Σ | 1..1 | CodeableConcept | Imaging modality used Binding: Modality (extensible): Type of acquired data in the instance. |
| Slices for category |
Σ | 1..* | CodeableConcept | Categorization of document Slice: Unordered, Open by profile:$this Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. |
| category:imkeyimages |
Σ | 1..1 | CodeableConcept | Categorization of document Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. |
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
| coding:keyimagecode |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 55113-5 | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| subject |
Σ | 1..1 | Reference(Patient (EU core)) | Who/what is the subject of the document |
| context |
C | 0..* | Reference(Appointment | Encounter | EpisodeOfCare) | Context of the document content |
| Slices for author |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam) | Who and/or what authored the document Slice: Unordered, Open by profile:$this |
| author:performer |
Σ | 0..* | Reference(PractitionerRole (EU core)) | Who and/or what authored the document |
| Slices for content |
Σ | 1..* | BackboneElement | Document referenced Slice: Unordered, Open by value:extension.value |
| content:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| attachment |
Σ | 1..1 | Attachment | Where to access the document |
| content:thumbnail |
Σ | 0..1 | BackboneElement | Document referenced |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:thumbnail |
1..1 | (Complex) | Thumbnail state URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail" | |
| value[x] |
1..1 | boolean | Value of extension Required Pattern: true | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| attachment |
Σ | 1..1 | Attachment | Where to access the document |
| content:content |
Σ | 1..1 | BackboneElement | Document referenced |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:thumbnail |
1..1 | (Complex) | Thumbnail state URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail" | |
| value[x] |
1..1 | boolean | Value of extension Required Pattern: false | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| attachment |
Σ | 1..1 | Attachment | Where to access the document |
| url |
Σ | 1..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DocumentReference.identifier:seriesInstanceUid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0From the FHIR Standard | |
| DocumentReference.identifier:seriesInstanceUid.type | extensible | Pattern Value: 00080018http://hl7.org/fhir/ValueSet/identifier-typeFrom the FHIR Standard | |
| DocumentReference.identifier:sopClassInstanceUid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0From the FHIR Standard | |
| DocumentReference.identifier:sopClassInstanceUid.type | extensible | Pattern Value: 112002http://hl7.org/fhir/ValueSet/identifier-typeFrom the FHIR Standard | |
| DocumentReference.status | required | DocumentReferenceStatushttp://hl7.org/fhir/ValueSet/document-reference-status|5.0.0From the FHIR Standard | |
| DocumentReference.modality | extensible | Modality (missing link)http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.htmlFrom this IG | |
| DocumentReference.category | example | ReferencedItemCategoryValueSethttp://hl7.org/fhir/ValueSet/referenced-item-categoryFrom the FHIR Standard | |
| DocumentReference.category:imkeyimages | example | ReferencedItemCategoryValueSethttp://hl7.org/fhir/ValueSet/referenced-item-categoryFrom the FHIR Standard |
| 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 DocumentReferenceEu
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DocumentReference |
0..* | DocumentReferenceEu | A reference to a document | |
| Slices for identifier |
0..* | Identifier | Business identifiers for the document Slice: Unordered, Open by value:$this | |
| identifier:seriesInstanceUid |
0..1 | Identifier | Business identifiers for the document | |
| type |
1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-missing-dicom-terminology | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018 | |
| system |
1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 | |
| value |
1..1 | string | The value that is unique | |
| identifier:sopClassInstanceUid |
0..1 | Identifier | Business identifiers for the document | |
| type |
1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 112002 | |
| system |
1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 | |
| value |
1..1 | string | The value that is unique | |
| Slices for basedOn |
0..* | Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | VisionPrescription) | Procedure that caused this media to be created Slice: Unordered, Open by type:$this | |
| basedOn:imorderaccession |
0..1 | Reference(ServiceRequest: Imaging Order) | Procedure that caused this media to be created | |
| identifier |
1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known | |
| modality |
1..1 | CodeableConcept | Imaging modality used | |
| Slices for category |
1..* | CodeableConcept | Categorization of document Slice: Unordered, Open by profile:$this | |
| category:imkeyimages |
1..1 | CodeableConcept | Categorization of document | |
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | |
| coding:keyimagecode |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| 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: 55113-5 | |
| subject |
1..1 | Reference(Patient (EU core)) | Who/what is the subject of the document | |
| Slices for author |
0..* | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam) | Who and/or what authored the document Slice: Unordered, Open by profile:$this | |
| author:performer |
0..* | Reference(PractitionerRole (EU core)) | Who and/or what authored the document | |
| Slices for content |
1..* | BackboneElement | Document referenced Slice: Unordered, Open by value:extension.value | |
| content:thumbnail |
0..1 | BackboneElement | Document referenced | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:thumbnail |
1..1 | (Complex) | Thumbnail state URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail | |
| value[x] |
1..1 | boolean | Value of extension Required Pattern: true | |
| content:content |
1..1 | BackboneElement | Document referenced | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:thumbnail |
1..1 | (Complex) | Thumbnail state URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail | |
| value[x] |
1..1 | boolean | Value of extension Required Pattern: false | |
| attachment |
||||
| url |
1..1 | url | Uri where the data can be found | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DocumentReference |
C | 0..* | DocumentReferenceEu | 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
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:note |
0..1 | Annotation | Additional notes that apply to this resource or element. URL: http://hl7.org/fhir/StructureDefinition/note | |||||
| extension:view |
0..1 | CodeableConcept | Media.view extension URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/CrossVersionMediaViewExtension Binding: Media View types - placeholder for cross-version extension (required) | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| Slices for identifier |
Σ | 0..* | Identifier | Business identifiers for the document Slice: Unordered, Open by value:$this | ||||
| identifier:seriesInstanceUid |
Σ | 0..1 | Identifier | Business identifiers for 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 | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-missing-dicom-terminology | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 00080018 | |||||
| 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 | |||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 | ||||
| value |
ΣC | 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) | ||||
| identifier:sopClassInstanceUid |
Σ | 0..1 | Identifier | Business identifiers for 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 | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 1..1 | CodeableConcept | Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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://dicom.nema.org/resources/ontology/DCM | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 112002 | |||||
| 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 | |||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: urn:ietf:rfc:3986 | ||||
| value |
ΣC | 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) | ||||
| version |
Σ | 0..1 | string | An explicitly assigned identifer of a variation of the content in the DocumentReference | ||||
| Slices for 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 Slice: Unordered, Open by type:$this | |||||
| basedOn:imorderaccession |
0..1 | Reference(ServiceRequest: Imaging Order) | Procedure that caused this media to be created | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| status |
?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. | ||||
| docStatus |
Σ | 0..1 | code | registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: CompositionStatus (required): Status of the underlying document. | ||||
| modality |
Σ | 1..1 | CodeableConcept | Imaging modality used Binding: Modality (extensible): Type of acquired data in the instance. | ||||
| type |
Σ | 0..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Precise type of clinical document. | ||||
| Slices for category |
Σ | 1..* | CodeableConcept | Categorization of document Slice: Unordered, Open by profile:$this Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. | ||||
| category:imkeyimages |
Σ | 1..1 | CodeableConcept | Categorization of document Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
| coding:keyimagecode |
Σ | 1..1 | Coding | Code defined by a terminology system 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: 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: 55113-5 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
Σ | 1..1 | Reference(Patient (EU core)) | Who/what is the subject of the document | ||||
| 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 |
Σ | 0..* | CodeableReference(BodyStructure) | Body part included Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts | ||||
| 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 | ||||
| Slices for author |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam) | Who and/or what authored the document Slice: Unordered, Open by profile:$this | ||||
| author:performer |
Σ | 0..* | Reference(PractitionerRole (EU core)) | Who and/or what authored the document | ||||
| 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 |
0..1 | Reference(Organization) | Organization which maintains the document | |||||
| relatesTo |
Σ | 0..* | BackboneElement | Relationships to other documents | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 1..1 | 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 |
Σ | 0..* | CodeableConcept | Document security-tags Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| Slices for content |
Σ | 1..* | BackboneElement | Document referenced Slice: Unordered, Open by value:extension.value | ||||
| content: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 | ||||
| attachment |
Σ | 1..1 | Attachment | Where to access the document | ||||
| profile |
Σ | 0..* | 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 | ||||
| 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) | |||||||
| content:thumbnail |
Σ | 0..1 | BackboneElement | Document referenced | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:thumbnail |
1..1 | (Complex) | Thumbnail state URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail" | |||||
| value[x] |
1..1 | boolean | Value of extension Required Pattern: true | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| attachment |
Σ | 1..1 | Attachment | Where to access the document | ||||
| profile |
Σ | 0..* | 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 | ||||
| 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) | |||||||
| content:content |
Σ | 1..1 | BackboneElement | Document referenced | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:thumbnail |
1..1 | (Complex) | Thumbnail state URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail" | |||||
| value[x] |
1..1 | boolean | Value of extension Required Pattern: false | |||||
| 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 | 0..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 |
Σ | 0..1 | code | Human language of the content (BCP-47) Binding: AllLanguages (required): IETF language tag for a human language.
Example General: en-AU | ||||
| data |
C | 0..1 | base64Binary | Data inline, base64ed | ||||
| url |
Σ | 1..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
| size |
Σ | 0..1 | 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 |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
| 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 | |||||
| profile |
Σ | 0..* | 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 | ||||
| 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) | |||||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI |
| DocumentReference.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| DocumentReference.identifier:seriesInstanceUid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0From the FHIR Standard | |
| DocumentReference.identifier:seriesInstanceUid.type | extensible | Pattern Value: 00080018http://hl7.org/fhir/ValueSet/identifier-typeFrom the FHIR Standard | |
| DocumentReference.identifier:sopClassInstanceUid.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0From the FHIR Standard | |
| DocumentReference.identifier:sopClassInstanceUid.type | extensible | Pattern Value: 112002http://hl7.org/fhir/ValueSet/identifier-typeFrom the FHIR Standard | |
| DocumentReference.basedOn:imorderaccession.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | |
| DocumentReference.status | required | DocumentReferenceStatushttp://hl7.org/fhir/ValueSet/document-reference-status|5.0.0From the FHIR Standard | |
| DocumentReference.docStatus | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|5.0.0From the FHIR Standard | |
| DocumentReference.modality | extensible | Modality (missing link)http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.htmlFrom this IG | |
| DocumentReference.type | preferred | FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodesFrom the FHIR Standard | |
| DocumentReference.category | example | ReferencedItemCategoryValueSethttp://hl7.org/fhir/ValueSet/referenced-item-categoryFrom the FHIR Standard | |
| DocumentReference.category:imkeyimages | example | ReferencedItemCategoryValueSethttp://hl7.org/fhir/ValueSet/referenced-item-categoryFrom the FHIR Standard | |
| DocumentReference.event | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
| DocumentReference.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | |
| DocumentReference.facilityType | example | FacilityTypeCodeValueSethttp://hl7.org/fhir/ValueSet/c80-facilitycodesFrom the FHIR Standard | |
| DocumentReference.practiceSetting | example | PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codesFrom the FHIR Standard | |
| DocumentReference.attester.mode | preferred | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-modeFrom the FHIR Standard | |
| DocumentReference.relatesTo.code | extensible | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-typeFrom the FHIR Standard | |
| DocumentReference.securityLabel | example | SecurityLabelExampleshttp://hl7.org/fhir/ValueSet/security-label-examplesFrom the FHIR Standard | |
| DocumentReference.content.profile.value[x] | preferred | HL7FormatCodeshttp://terminology.hl7.org/ValueSet/v3-HL7FormatCodes | |
| DocumentReference.content:thumbnail.profile.value[x] | preferred | HL7FormatCodeshttp://terminology.hl7.org/ValueSet/v3-HL7FormatCodes | |
| DocumentReference.content:content.attachment.contentType | required | MimeTypes(a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|5.0.0From the FHIR Standard | |
| DocumentReference.content:content.attachment.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| DocumentReference.content:content.profile.value[x] | preferred | HL7FormatCodeshttp://terminology.hl7.org/ValueSet/v3-HL7FormatCodes |
| 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 DocumentReferenceEu
Summary
Mandatory: 10 elements(9 nested mandatory elements)
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ HL7 Europe. Package hl7.fhir.eu.imaging-r5#0.1.0-build based on FHIR 5.0.0. Generated 2025-09-08
