CH Core (R4)
3.0.0 - STU3 Switzerland flag

This page is part of the CH Core (R4) (v3.0.0: STU 3) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: CH Core DocumentReference EPR

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-documentreference-epr Version: 3.0.0
Active as of 2019-11-14 Computable Name: CHCoreDocumentReferenceEPR

Copyright/Legal: CC-BY-SA-4.0

Base definition for a document reference in the context of the electronic patient record (EPR).

Usage:

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

Formal Views of Profile Content

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

This structure is derived from CHCoreDocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*CHCoreDocumentReferenceCH Core DocumentReference EPR
... status 1..1codecurrent | superseded | entered-in-error
... type 1..1CodeableConceptKind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (required): Precise type of clinical document.

... category 1..*CodeableConceptCategorization of document
Binding: DocumentEntry.classCode (required): High-level kind of a clinical document at a macro level.

.... reference 1..1stringLiteral reference, Relative, internal or absolute URL
... date 1..1instantWhen this document reference was created
... author 1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)Who and/or what authored the document
.... reference 1..1stringLiteral reference, Relative, internal or absolute URL
... authenticator 0..1Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR)Who/what authenticated the document
... custodian 0..1Reference(CH Core Organization EPR)Organization which maintains the document
... securityLabel 1..*CodeableConceptDocument security-tags
Binding: DocumentEntry.confidentialityCode (required): Security Labels from the Healthcare Privacy and Security Classification System.

... content 1..*BackboneElementDocument referenced
.... attachment 1..1AttachmentWhere to access the document
..... contentType 1..1codeMime type of the content, with charset etc.
Binding: DocumentEntry.mimeType (required)
..... language 1..1codeHuman language of the content (BCP-47)
Binding: DocumentEntry.languageCode (required)
..... url 1..1urlUri where the data can be found
.... format 1..1CodingFormat/content rules for the document
Binding: DocumentEntry.formatCode (required): Document Format Codes.

... context 0..1BackboneElementClinical context of document
.... facilityType 0..1CodeableConceptKind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (required): XDS Facility Type.

.... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (required): Additional details about where the content was created (e.g. clinical specialty).

.... sourcePatientInfo 0..1Reference(CH Core Patient EPR)Patient demographics from source

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
DocumentReference.typerequiredDocumentEntryTypeCode
DocumentReference.categoryrequiredDocumentEntryClassCode
DocumentReference.securityLabelrequiredDocumentEntryConfidentialityCode
DocumentReference.content.attachment.contentTyperequiredDocumentEntryMimeType
DocumentReference.content.attachment.languagerequiredDocumentEntryLanguageCode
DocumentReference.content.formatrequiredDocumentEntryFormatCode
DocumentReference.context.facilityTyperequiredDocumentEntryHealthcareFacilityTypeCode
DocumentReference.context.practiceSettingrequiredDocumentEntryPracticeSettingCode
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*CHCoreDocumentReferenceCH Core DocumentReference EPR
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codecurrent | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

... category Σ1..*CodeableConceptCategorization of document
Binding: DocumentEntry.classCode (required): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(CH Core Patient EPR)Who/what is the subject of the document
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... date Σ1..1instantWhen this document reference was created
... author Σ1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)Who and/or what authored the document
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... authenticator 0..1Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR)Who/what authenticated the document
... custodian 0..1Reference(CH Core Organization EPR)Organization which maintains the document
... securityLabel Σ1..*CodeableConceptDocument security-tags
Binding: DocumentEntry.confidentialityCode (required): Security Labels from the Healthcare Privacy and Security Classification System.


... content Σ1..*BackboneElementDocument referenced
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... attachment Σ1..1AttachmentWhere to access the document
..... contentType ΣC1..1codeMime type of the content, with charset etc.
Binding: DocumentEntry.mimeType (required)
Example General: text/plain; charset=UTF-8, image/png
..... language Σ1..1codeHuman language of the content (BCP-47)
Binding: DocumentEntry.languageCode (required)
Example General: en-AU
..... url Σ1..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... format Σ1..1CodingFormat/content rules for the document
Binding: DocumentEntry.formatCode (required): Document Format Codes.

... context Σ0..1BackboneElementClinical context of document
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... facilityType 0..1CodeableConceptKind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (required): XDS Facility Type.

.... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (required): Additional details about where the content was created (e.g. clinical specialty).

.... sourcePatientInfo 0..1Reference(CH Core Patient EPR)Patient demographics from source

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
DocumentReference.statusrequiredDocumentReferenceStatus
DocumentReference.typerequiredDocumentEntryTypeCode
DocumentReference.categoryrequiredDocumentEntryClassCode
DocumentReference.securityLabelrequiredDocumentEntryConfidentialityCode
DocumentReference.content.attachment.contentTyperequiredDocumentEntryMimeType
DocumentReference.content.attachment.languagerequiredDocumentEntryLanguageCode
DocumentReference.content.formatrequiredDocumentEntryFormatCode
DocumentReference.context.facilityTyperequiredDocumentEntryHealthcareFacilityTypeCode
DocumentReference.context.practiceSettingrequiredDocumentEntryPracticeSettingCode

Constraints

IdGradePath(s)DetailsRequirements
ch-docref-1warningDocumentReference.content.attachment.contentTypeThe following ValueSet is preferred: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.mimeType
: exists()
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*CHCoreDocumentReferenceCH Core DocumentReference EPR
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... masterIdentifier Σ0..1IdentifierMaster Version Specific Identifier
... identifier Σ0..*IdentifierOther identifiers for the document
... status ?!Σ1..1codecurrent | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

... docStatus Σ0..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.

... type Σ1..1CodeableConceptKind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (required): Precise type of clinical document.

... category Σ1..*CodeableConceptCategorization of document
Binding: DocumentEntry.classCode (required): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(CH Core Patient EPR)Who/what is the subject of the document
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... date Σ1..1instantWhen this document reference was created
... author Σ1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)Who and/or what authored the document
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... authenticator 0..1Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR)Who/what authenticated the document
... custodian 0..1Reference(CH Core Organization EPR)Organization which maintains the document
... relatesTo Σ0..*BackboneElementRelationships to other documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target Σ1..1Reference(CH Core DocumentReference)Target of the relationship
... description Σ0..1stringHuman-readable description
... securityLabel Σ1..*CodeableConceptDocument security-tags
Binding: DocumentEntry.confidentialityCode (required): Security Labels from the Healthcare Privacy and Security Classification System.


... content Σ1..*BackboneElementDocument referenced
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... attachment Σ1..1AttachmentWhere to access the document
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType ΣC1..1codeMime type of the content, with charset etc.
Binding: DocumentEntry.mimeType (required)
Example General: text/plain; charset=UTF-8, image/png
..... language Σ1..1codeHuman language of the content (BCP-47)
Binding: DocumentEntry.languageCode (required)
Example General: en-AU
..... data 0..1base64BinaryData inline, base64ed
..... url Σ1..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ0..1unsignedIntNumber of bytes of content (if url provided)
..... hash Σ0..1base64BinaryHash of the data (sha-1, base64ed)
..... title Σ0..1stringLabel to display in place of the data
Example General: Official Corporate Logo
..... creation Σ0..1dateTimeDate attachment was first created
.... format Σ1..1CodingFormat/content rules for the document
Binding: DocumentEntry.formatCode (required): Document Format Codes.

... context Σ0..1BackboneElementClinical context of document
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... encounter 0..*Reference(CH Core Encounter | EpisodeOfCare)Context of the document content
.... event 0..*CodeableConceptMain clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodTime of service that is being documented
.... facilityType 0..1CodeableConceptKind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (required): XDS Facility Type.

.... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (required): Additional details about where the content was created (e.g. clinical specialty).

.... sourcePatientInfo 0..1Reference(CH Core Patient EPR)Patient demographics from source
.... related 0..*Reference(Resource)Related identifiers or resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
DocumentReference.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
DocumentReference.statusrequiredDocumentReferenceStatus
DocumentReference.docStatusrequiredCompositionStatus
DocumentReference.typerequiredDocumentEntryTypeCode
DocumentReference.categoryrequiredDocumentEntryClassCode
DocumentReference.subject.typeextensibleResourceType
DocumentReference.author.typeextensibleResourceType
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
DocumentReference.securityLabelrequiredDocumentEntryConfidentialityCode
DocumentReference.content.attachment.contentTyperequiredDocumentEntryMimeType
DocumentReference.content.attachment.languagerequiredDocumentEntryLanguageCode
DocumentReference.content.formatrequiredDocumentEntryFormatCode
DocumentReference.context.eventexampleActCode
DocumentReference.context.facilityTyperequiredDocumentEntryHealthcareFacilityTypeCode
DocumentReference.context.practiceSettingrequiredDocumentEntryPracticeSettingCode

Constraints

IdGradePath(s)DetailsRequirements
ch-docref-1warningDocumentReference.content.attachment.contentTypeThe following ValueSet is preferred: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.mimeType
: exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from CHCoreDocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*CHCoreDocumentReferenceCH Core DocumentReference EPR
... status 1..1codecurrent | superseded | entered-in-error
... type 1..1CodeableConceptKind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (required): Precise type of clinical document.

... category 1..*CodeableConceptCategorization of document
Binding: DocumentEntry.classCode (required): High-level kind of a clinical document at a macro level.

.... reference 1..1stringLiteral reference, Relative, internal or absolute URL
... date 1..1instantWhen this document reference was created
... author 1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)Who and/or what authored the document
.... reference 1..1stringLiteral reference, Relative, internal or absolute URL
... authenticator 0..1Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR)Who/what authenticated the document
... custodian 0..1Reference(CH Core Organization EPR)Organization which maintains the document
... securityLabel 1..*CodeableConceptDocument security-tags
Binding: DocumentEntry.confidentialityCode (required): Security Labels from the Healthcare Privacy and Security Classification System.

... content 1..*BackboneElementDocument referenced
.... attachment 1..1AttachmentWhere to access the document
..... contentType 1..1codeMime type of the content, with charset etc.
Binding: DocumentEntry.mimeType (required)
..... language 1..1codeHuman language of the content (BCP-47)
Binding: DocumentEntry.languageCode (required)
..... url 1..1urlUri where the data can be found
.... format 1..1CodingFormat/content rules for the document
Binding: DocumentEntry.formatCode (required): Document Format Codes.

... context 0..1BackboneElementClinical context of document
.... facilityType 0..1CodeableConceptKind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (required): XDS Facility Type.

.... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (required): Additional details about where the content was created (e.g. clinical specialty).

.... sourcePatientInfo 0..1Reference(CH Core Patient EPR)Patient demographics from source

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
DocumentReference.typerequiredDocumentEntryTypeCode
DocumentReference.categoryrequiredDocumentEntryClassCode
DocumentReference.securityLabelrequiredDocumentEntryConfidentialityCode
DocumentReference.content.attachment.contentTyperequiredDocumentEntryMimeType
DocumentReference.content.attachment.languagerequiredDocumentEntryLanguageCode
DocumentReference.content.formatrequiredDocumentEntryFormatCode
DocumentReference.context.facilityTyperequiredDocumentEntryHealthcareFacilityTypeCode
DocumentReference.context.practiceSettingrequiredDocumentEntryPracticeSettingCode

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*CHCoreDocumentReferenceCH Core DocumentReference EPR
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codecurrent | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

... category Σ1..*CodeableConceptCategorization of document
Binding: DocumentEntry.classCode (required): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(CH Core Patient EPR)Who/what is the subject of the document
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... date Σ1..1instantWhen this document reference was created
... author Σ1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)Who and/or what authored the document
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
... authenticator 0..1Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR)Who/what authenticated the document
... custodian 0..1Reference(CH Core Organization EPR)Organization which maintains the document
... securityLabel Σ1..*CodeableConceptDocument security-tags
Binding: DocumentEntry.confidentialityCode (required): Security Labels from the Healthcare Privacy and Security Classification System.


... content Σ1..*BackboneElementDocument referenced
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... attachment Σ1..1AttachmentWhere to access the document
..... contentType ΣC1..1codeMime type of the content, with charset etc.
Binding: DocumentEntry.mimeType (required)
Example General: text/plain; charset=UTF-8, image/png
..... language Σ1..1codeHuman language of the content (BCP-47)
Binding: DocumentEntry.languageCode (required)
Example General: en-AU
..... url Σ1..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... format Σ1..1CodingFormat/content rules for the document
Binding: DocumentEntry.formatCode (required): Document Format Codes.

... context Σ0..1BackboneElementClinical context of document
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... facilityType 0..1CodeableConceptKind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (required): XDS Facility Type.

.... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (required): Additional details about where the content was created (e.g. clinical specialty).

.... sourcePatientInfo 0..1Reference(CH Core Patient EPR)Patient demographics from source

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
DocumentReference.statusrequiredDocumentReferenceStatus
DocumentReference.typerequiredDocumentEntryTypeCode
DocumentReference.categoryrequiredDocumentEntryClassCode
DocumentReference.securityLabelrequiredDocumentEntryConfidentialityCode
DocumentReference.content.attachment.contentTyperequiredDocumentEntryMimeType
DocumentReference.content.attachment.languagerequiredDocumentEntryLanguageCode
DocumentReference.content.formatrequiredDocumentEntryFormatCode
DocumentReference.context.facilityTyperequiredDocumentEntryHealthcareFacilityTypeCode
DocumentReference.context.practiceSettingrequiredDocumentEntryPracticeSettingCode

Constraints

IdGradePath(s)DetailsRequirements
ch-docref-1warningDocumentReference.content.attachment.contentTypeThe following ValueSet is preferred: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.mimeType
: exists()
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*CHCoreDocumentReferenceCH Core DocumentReference EPR
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... masterIdentifier Σ0..1IdentifierMaster Version Specific Identifier
... identifier Σ0..*IdentifierOther identifiers for the document
... status ?!Σ1..1codecurrent | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

... docStatus Σ0..1codepreliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.

... type Σ1..1CodeableConceptKind of document (LOINC if possible)
Binding: DocumentEntry.typeCode (required): Precise type of clinical document.

... category Σ1..*CodeableConceptCategorization of document
Binding: DocumentEntry.classCode (required): High-level kind of a clinical document at a macro level.


... subject Σ1..1Reference(CH Core Patient EPR)Who/what is the subject of the document
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... date Σ1..1instantWhen this document reference was created
... author Σ1..*Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson)Who and/or what authored the document
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... authenticator 0..1Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR)Who/what authenticated the document
... custodian 0..1Reference(CH Core Organization EPR)Organization which maintains the document
... relatesTo Σ0..*BackboneElementRelationships to other documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target Σ1..1Reference(CH Core DocumentReference)Target of the relationship
... description Σ0..1stringHuman-readable description
... securityLabel Σ1..*CodeableConceptDocument security-tags
Binding: DocumentEntry.confidentialityCode (required): Security Labels from the Healthcare Privacy and Security Classification System.


... content Σ1..*BackboneElementDocument referenced
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... attachment Σ1..1AttachmentWhere to access the document
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType ΣC1..1codeMime type of the content, with charset etc.
Binding: DocumentEntry.mimeType (required)
Example General: text/plain; charset=UTF-8, image/png
..... language Σ1..1codeHuman language of the content (BCP-47)
Binding: DocumentEntry.languageCode (required)
Example General: en-AU
..... data 0..1base64BinaryData inline, base64ed
..... url Σ1..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ0..1unsignedIntNumber of bytes of content (if url provided)
..... hash Σ0..1base64BinaryHash of the data (sha-1, base64ed)
..... title Σ0..1stringLabel to display in place of the data
Example General: Official Corporate Logo
..... creation Σ0..1dateTimeDate attachment was first created
.... format Σ1..1CodingFormat/content rules for the document
Binding: DocumentEntry.formatCode (required): Document Format Codes.

... context Σ0..1BackboneElementClinical context of document
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... encounter 0..*Reference(CH Core Encounter | EpisodeOfCare)Context of the document content
.... event 0..*CodeableConceptMain clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodTime of service that is being documented
.... facilityType 0..1CodeableConceptKind of facility where patient was seen
Binding: DocumentEntry.healthcareFacilityTypeCode (required): XDS Facility Type.

.... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
Binding: DocumentEntry.practiceSettingCode (required): Additional details about where the content was created (e.g. clinical specialty).

.... sourcePatientInfo 0..1Reference(CH Core Patient EPR)Patient demographics from source
.... related 0..*Reference(Resource)Related identifiers or resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
DocumentReference.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
DocumentReference.statusrequiredDocumentReferenceStatus
DocumentReference.docStatusrequiredCompositionStatus
DocumentReference.typerequiredDocumentEntryTypeCode
DocumentReference.categoryrequiredDocumentEntryClassCode
DocumentReference.subject.typeextensibleResourceType
DocumentReference.author.typeextensibleResourceType
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
DocumentReference.securityLabelrequiredDocumentEntryConfidentialityCode
DocumentReference.content.attachment.contentTyperequiredDocumentEntryMimeType
DocumentReference.content.attachment.languagerequiredDocumentEntryLanguageCode
DocumentReference.content.formatrequiredDocumentEntryFormatCode
DocumentReference.context.eventexampleActCode
DocumentReference.context.facilityTyperequiredDocumentEntryHealthcareFacilityTypeCode
DocumentReference.context.practiceSettingrequiredDocumentEntryPracticeSettingCode

Constraints

IdGradePath(s)DetailsRequirements
ch-docref-1warningDocumentReference.content.attachment.contentTypeThe following ValueSet is preferred: http://fhir.ch/ig/ch-epr-term/ValueSet/DocumentEntry.mimeType
: exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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