CH Core (R4)
5.0.0-ballot - ballot
CH Core (R4)
5.0.0-ballot - ballot
This page is part of the CH Core (R4) (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-documentreference-epr | Version: 5.0.0-ballot | |||
| Active as of 2024-05-16 | Computable Name: CHCoreDocumentReferenceEPR | |||
Copyright/Legal: CC0-1.0 |
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Definition of the DocumentReference resource for use in the context of the electronic patient record (EPR).
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHCoreDocumentReference
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  DocumentReference |
0..* | CHCoreDocumentReference | CH Core DocumentReference EPR | |
  type |
1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: DocumentEntry.typeCode (extensible) | |
| category |
1..* | CodeableConcept | Categorization of document Binding: DocumentEntry.classCode (extensible) | |
  subject |
1..1 | Reference(CH Core Patient EPR) | Who/what is the subject of the document | |
  reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| date |
1..1 | instant | When 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..1 | string | Literal reference, Relative, internal or absolute URL | |
| authenticator |
0..1 | Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR) | Who/what authenticated the document | |
| custodian |
0..1 | Reference(CH Core Organization EPR) | Organization which maintains the document | |
| securityLabel |
1..* | CodeableConcept | Document security-tags | |
| content |
||||
| attachment |
||||
| contentType |
C | 1..1 | code | Mime type of the content, with charset etc. ch-docref-2: The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType |
| language |
1..1 | code | Human language of the content (BCP-47) Binding: DocumentEntry.languageCode (extensible) | |
| url |
1..1 | url | Uri where the data can be found | |
| format |
1..1 | Coding | Format/content rules for the document Binding: DocumentEntry.formatCode (extensible) | |
 context |
||||
 facilityType |
0..1 | CodeableConcept | Kind of facility where patient was seen Binding: DocumentEntry.healthcareFacilityTypeCode (extensible) | |
| practiceSetting |
0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding: DocumentEntry.practiceSettingCode (extensible) | |
| sourcePatientInfo |
0..1 | Reference(CH Core Patient EPR) | Patient demographics from source | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DocumentReference.type | extensible | DocumentEntryTypeCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode | |
| DocumentReference.category | extensible | DocumentEntryClassCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode | |
| DocumentReference.content.attachment.language | extensible | DocumentEntryLanguageCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode | |
| DocumentReference.content.format | extensible | DocumentEntryFormatCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode | |
| DocumentReference.context.facilityType | extensible | DocumentEntryHealthcareFacilityTypeCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.healthcareFacilityTypeCode | |
| DocumentReference.context.practiceSetting | extensible | DocumentEntryPracticeSettingCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.practiceSettingCode |
| Id | Grade | Path(s) | Details | Requirements |
| ch-docref-2 | warning | DocumentReference.content.attachment.contentType | The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType : memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType') |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DocumentReference |
0..* | CHCoreDocumentReference | CH Core DocumentReference EPR | |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. |
 type |
Σ | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: DocumentEntry.typeCode (extensible) |
| category |
Σ | 1..* | CodeableConcept | Categorization of document Binding: DocumentEntry.classCode (extensible) |
| subject |
Σ | 1..1 | Reference(CH Core Patient EPR) | Who/what is the subject of the document |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| date |
Σ | 1..1 | instant | When this document reference was created |
| author |
Σ | 1..* | Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) | Who and/or what authored the document |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| authenticator |
0..1 | Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR) | Who/what authenticated the document | |
| custodian |
0..1 | Reference(CH Core Organization EPR) | Organization which maintains the document | |
| securityLabel |
Σ | 1..* | CodeableConcept | Document security-tags Binding: DocumentEntry.confidentialityCode (extensible) |
| content |
Σ | 1..* | BackboneElement | Document referenced |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| attachment |
Σ | 1..1 | Attachment | Where to access the document |
| contentType |
ΣC | 1..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. ch-docref-1: The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType ch-docref-2: The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType Example General: text/plain; charset=UTF-8, image/png |
| language |
Σ | 1..1 | code | Human language of the content (BCP-47) Binding: DocumentEntry.languageCode (extensible) Example General: en-AU |
| url |
Σ | 1..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png |
| format |
Σ | 1..1 | Coding | Format/content rules for the document Binding: DocumentEntry.formatCode (extensible) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DocumentReference.status | required | DocumentReferenceStatushttp://hl7.org/fhir/ValueSet/document-reference-status|4.0.1from the FHIR Standard | |
| DocumentReference.type | extensible | DocumentEntryTypeCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode | |
| DocumentReference.category | extensible | DocumentEntryClassCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode | |
| DocumentReference.securityLabel | extensible | DocumentEntryConfidentialityCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode | |
| DocumentReference.content.attachment.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | |
| DocumentReference.content.attachment.language | extensible | DocumentEntryLanguageCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode | |
| DocumentReference.content.format | extensible | DocumentEntryFormatCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode |
| Id | Grade | Path(s) | Details | Requirements |
| ch-docref-1 | warning | DocumentReference.content.attachment.contentType | The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType : memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType') | |
| ch-docref-2 | warning | DocumentReference.content.attachment.contentType | The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType : memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType') | |
| dom-2 | error | DocumentReference | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DocumentReference | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DocumentReference | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| DocumentReference |
0..* | CHCoreDocumentReference | CH Core DocumentReference EPR | |||||
| 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: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| masterIdentifier |
Σ | 0..1 | Identifier | Master Version Specific Identifier | ||||
| identifier |
Σ | 0..* | Identifier | Other identifiers for the document | ||||
| status |
?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. | ||||
| docStatus |
Σ | 0..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document. | ||||
| type |
Σ | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: DocumentEntry.typeCode (extensible) | ||||
| category |
Σ | 1..* | CodeableConcept | Categorization of document Binding: DocumentEntry.classCode (extensible) | ||||
| subject |
Σ | 1..1 | Reference(CH Core Patient EPR) | Who/what is the subject of the document | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| date |
Σ | 1..1 | instant | When this document reference was created | ||||
| author |
Σ | 1..* | Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) | Who and/or what authored the document | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| authenticator |
0..1 | Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR) | Who/what authenticated the document | |||||
| custodian |
0..1 | Reference(CH Core Organization EPR) | 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 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | ||||
| target |
Σ | 1..1 | Reference(CH Core DocumentReference) | Target of the relationship | ||||
| description |
Σ | 0..1 | string | Human-readable description | ||||
| securityLabel |
Σ | 1..* | CodeableConcept | Document security-tags Binding: DocumentEntry.confidentialityCode (extensible) | ||||
| content |
Σ | 1..* | BackboneElement | Document referenced | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| attachment |
Σ | 1..1 | Attachment | Where to access the document | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
ΣC | 1..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. ch-docref-1: The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType ch-docref-2: The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType Example General: text/plain; charset=UTF-8, image/png | ||||
| language |
Σ | 1..1 | code | Human language of the content (BCP-47) Binding: DocumentEntry.languageCode (extensible) Example General: en-AU | ||||
| data |
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 | unsignedInt | Number of bytes of content (if url provided) | ||||
| hash |
Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
| title |
Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
| creation |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
| format |
Σ | 1..1 | Coding | Format/content rules for the document Binding: DocumentEntry.formatCode (extensible) | ||||
| context |
Σ | 0..1 | BackboneElement | Clinical context of document | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| encounter |
0..* | Reference(CH Core Encounter | EpisodeOfCare) | Context of the document content | |||||
| event |
0..* | CodeableConcept | Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | |||||
| period |
Σ | 0..1 | Period | Time of service that is being documented | ||||
| facilityType |
0..1 | CodeableConcept | Kind of facility where patient was seen Binding: DocumentEntry.healthcareFacilityTypeCode (extensible) | |||||
| practiceSetting |
0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding: DocumentEntry.practiceSettingCode (extensible) | |||||
| sourcePatientInfo |
0..1 | Reference(CH Core Patient EPR) | Patient demographics from source | |||||
| related |
0..* | Reference(Resource) | Related identifiers or resources | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| DocumentReference.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DocumentReference.status | required | DocumentReferenceStatushttp://hl7.org/fhir/ValueSet/document-reference-status|4.0.1from the FHIR Standard | ||||
| DocumentReference.docStatus | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| DocumentReference.type | extensible | DocumentEntryTypeCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode | ||||
| DocumentReference.category | extensible | DocumentEntryClassCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode | ||||
| DocumentReference.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| DocumentReference.author.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| DocumentReference.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| DocumentReference.securityLabel | extensible | DocumentEntryConfidentialityCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode | ||||
| DocumentReference.content.attachment.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | ||||
| DocumentReference.content.attachment.language | extensible | DocumentEntryLanguageCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode | ||||
| DocumentReference.content.format | extensible | DocumentEntryFormatCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode | ||||
| DocumentReference.context.event | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| DocumentReference.context.facilityType | extensible | DocumentEntryHealthcareFacilityTypeCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.healthcareFacilityTypeCode | ||||
| DocumentReference.context.practiceSetting | extensible | DocumentEntryPracticeSettingCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.practiceSettingCode |
| Id | Grade | Path(s) | Details | Requirements |
| ch-docref-1 | warning | DocumentReference.content.attachment.contentType | The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType : memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType') | |
| ch-docref-2 | warning | DocumentReference.content.attachment.contentType | The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType : memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType') | |
| dom-2 | error | DocumentReference | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DocumentReference | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DocumentReference | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from CHCoreDocumentReference
Summary
Mandatory: 12 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from CHCoreDocumentReference
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DocumentReference |
0..* | CHCoreDocumentReference | CH Core DocumentReference EPR | |
| type |
1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: DocumentEntry.typeCode (extensible) | |
| category |
1..* | CodeableConcept | Categorization of document Binding: DocumentEntry.classCode (extensible) | |
| subject |
1..1 | Reference(CH Core Patient EPR) | Who/what is the subject of the document | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| date |
1..1 | instant | When 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..1 | string | Literal reference, Relative, internal or absolute URL | |
| authenticator |
0..1 | Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR) | Who/what authenticated the document | |
| custodian |
0..1 | Reference(CH Core Organization EPR) | Organization which maintains the document | |
| securityLabel |
1..* | CodeableConcept | Document security-tags | |
| content |
||||
| attachment |
||||
| contentType |
C | 1..1 | code | Mime type of the content, with charset etc. ch-docref-2: The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType |
| language |
1..1 | code | Human language of the content (BCP-47) Binding: DocumentEntry.languageCode (extensible) | |
| url |
1..1 | url | Uri where the data can be found | |
| format |
1..1 | Coding | Format/content rules for the document Binding: DocumentEntry.formatCode (extensible) | |
| context |
||||
| facilityType |
0..1 | CodeableConcept | Kind of facility where patient was seen Binding: DocumentEntry.healthcareFacilityTypeCode (extensible) | |
| practiceSetting |
0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding: DocumentEntry.practiceSettingCode (extensible) | |
| sourcePatientInfo |
0..1 | Reference(CH Core Patient EPR) | Patient demographics from source | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DocumentReference.type | extensible | DocumentEntryTypeCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode | |
| DocumentReference.category | extensible | DocumentEntryClassCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode | |
| DocumentReference.content.attachment.language | extensible | DocumentEntryLanguageCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode | |
| DocumentReference.content.format | extensible | DocumentEntryFormatCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode | |
| DocumentReference.context.facilityType | extensible | DocumentEntryHealthcareFacilityTypeCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.healthcareFacilityTypeCode | |
| DocumentReference.context.practiceSetting | extensible | DocumentEntryPracticeSettingCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.practiceSettingCode |
| Id | Grade | Path(s) | Details | Requirements |
| ch-docref-2 | warning | DocumentReference.content.attachment.contentType | The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType : memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType') |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DocumentReference |
0..* | CHCoreDocumentReference | CH Core DocumentReference EPR | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. |
| type |
Σ | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: DocumentEntry.typeCode (extensible) |
| category |
Σ | 1..* | CodeableConcept | Categorization of document Binding: DocumentEntry.classCode (extensible) |
| subject |
Σ | 1..1 | Reference(CH Core Patient EPR) | Who/what is the subject of the document |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| date |
Σ | 1..1 | instant | When this document reference was created |
| author |
Σ | 1..* | Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) | Who and/or what authored the document |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| authenticator |
0..1 | Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR) | Who/what authenticated the document | |
| custodian |
0..1 | Reference(CH Core Organization EPR) | Organization which maintains the document | |
| securityLabel |
Σ | 1..* | CodeableConcept | Document security-tags Binding: DocumentEntry.confidentialityCode (extensible) |
| content |
Σ | 1..* | BackboneElement | Document referenced |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| attachment |
Σ | 1..1 | Attachment | Where to access the document |
| contentType |
ΣC | 1..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. ch-docref-1: The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType ch-docref-2: The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType Example General: text/plain; charset=UTF-8, image/png |
| language |
Σ | 1..1 | code | Human language of the content (BCP-47) Binding: DocumentEntry.languageCode (extensible) Example General: en-AU |
| url |
Σ | 1..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png |
| format |
Σ | 1..1 | Coding | Format/content rules for the document Binding: DocumentEntry.formatCode (extensible) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DocumentReference.status | required | DocumentReferenceStatushttp://hl7.org/fhir/ValueSet/document-reference-status|4.0.1from the FHIR Standard | |
| DocumentReference.type | extensible | DocumentEntryTypeCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode | |
| DocumentReference.category | extensible | DocumentEntryClassCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode | |
| DocumentReference.securityLabel | extensible | DocumentEntryConfidentialityCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode | |
| DocumentReference.content.attachment.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | |
| DocumentReference.content.attachment.language | extensible | DocumentEntryLanguageCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode | |
| DocumentReference.content.format | extensible | DocumentEntryFormatCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode |
| Id | Grade | Path(s) | Details | Requirements |
| ch-docref-1 | warning | DocumentReference.content.attachment.contentType | The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType : memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType') | |
| ch-docref-2 | warning | DocumentReference.content.attachment.contentType | The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType : memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType') | |
| dom-2 | error | DocumentReference | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DocumentReference | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DocumentReference | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| DocumentReference |
0..* | CHCoreDocumentReference | CH Core DocumentReference EPR | |||||
| 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: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| masterIdentifier |
Σ | 0..1 | Identifier | Master Version Specific Identifier | ||||
| identifier |
Σ | 0..* | Identifier | Other identifiers for the document | ||||
| status |
?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. | ||||
| docStatus |
Σ | 0..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document. | ||||
| type |
Σ | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: DocumentEntry.typeCode (extensible) | ||||
| category |
Σ | 1..* | CodeableConcept | Categorization of document Binding: DocumentEntry.classCode (extensible) | ||||
| subject |
Σ | 1..1 | Reference(CH Core Patient EPR) | Who/what is the subject of the document | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| date |
Σ | 1..1 | instant | When this document reference was created | ||||
| author |
Σ | 1..* | Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | Device | CH Core Patient EPR | RelatedPerson) | Who and/or what authored the document | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| authenticator |
0..1 | Reference(CH Core Practitioner EPR | CH Core PractitionerRole EPR | CH Core Organization EPR) | Who/what authenticated the document | |||||
| custodian |
0..1 | Reference(CH Core Organization EPR) | 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 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | ||||
| target |
Σ | 1..1 | Reference(CH Core DocumentReference) | Target of the relationship | ||||
| description |
Σ | 0..1 | string | Human-readable description | ||||
| securityLabel |
Σ | 1..* | CodeableConcept | Document security-tags Binding: DocumentEntry.confidentialityCode (extensible) | ||||
| content |
Σ | 1..* | BackboneElement | Document referenced | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| attachment |
Σ | 1..1 | Attachment | Where to access the document | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
ΣC | 1..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. ch-docref-1: The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType ch-docref-2: The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType Example General: text/plain; charset=UTF-8, image/png | ||||
| language |
Σ | 1..1 | code | Human language of the content (BCP-47) Binding: DocumentEntry.languageCode (extensible) Example General: en-AU | ||||
| data |
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 | unsignedInt | Number of bytes of content (if url provided) | ||||
| hash |
Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
| title |
Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
| creation |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
| format |
Σ | 1..1 | Coding | Format/content rules for the document Binding: DocumentEntry.formatCode (extensible) | ||||
| context |
Σ | 0..1 | BackboneElement | Clinical context of document | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| encounter |
0..* | Reference(CH Core Encounter | EpisodeOfCare) | Context of the document content | |||||
| event |
0..* | CodeableConcept | Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | |||||
| period |
Σ | 0..1 | Period | Time of service that is being documented | ||||
| facilityType |
0..1 | CodeableConcept | Kind of facility where patient was seen Binding: DocumentEntry.healthcareFacilityTypeCode (extensible) | |||||
| practiceSetting |
0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding: DocumentEntry.practiceSettingCode (extensible) | |||||
| sourcePatientInfo |
0..1 | Reference(CH Core Patient EPR) | Patient demographics from source | |||||
| related |
0..* | Reference(Resource) | Related identifiers or resources | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| DocumentReference.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DocumentReference.status | required | DocumentReferenceStatushttp://hl7.org/fhir/ValueSet/document-reference-status|4.0.1from the FHIR Standard | ||||
| DocumentReference.docStatus | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| DocumentReference.type | extensible | DocumentEntryTypeCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.typeCode | ||||
| DocumentReference.category | extensible | DocumentEntryClassCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.classCode | ||||
| DocumentReference.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| DocumentReference.author.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| DocumentReference.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| DocumentReference.securityLabel | extensible | DocumentEntryConfidentialityCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.confidentialityCode | ||||
| DocumentReference.content.attachment.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | ||||
| DocumentReference.content.attachment.language | extensible | DocumentEntryLanguageCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.languageCode | ||||
| DocumentReference.content.format | extensible | DocumentEntryFormatCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.formatCode | ||||
| DocumentReference.context.event | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| DocumentReference.context.facilityType | extensible | DocumentEntryHealthcareFacilityTypeCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.healthcareFacilityTypeCode | ||||
| DocumentReference.context.practiceSetting | extensible | DocumentEntryPracticeSettingCodehttp://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.practiceSettingCode |
| Id | Grade | Path(s) | Details | Requirements |
| ch-docref-1 | warning | DocumentReference.content.attachment.contentType | The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType : memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType') | |
| ch-docref-2 | warning | DocumentReference.content.attachment.contentType | The codes from the following ValueSet shall be used if one of them can be applied (aka 'extensible'): http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType : memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType') | |
| dom-2 | error | DocumentReference | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DocumentReference | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DocumentReference | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from CHCoreDocumentReference
Summary
Mandatory: 12 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron