Scope and usage

The MedComContainedDocumentReference profile is not intented to be exchanged until the infrastructure is ready to receive it, but can be used for validation of metadata associated with a document. This profile provides metadata about a document, this can be CDA, FHIR or PDF. It holds the required metadata from the IHE XDS metadata standard, and a mapping between the two can be found on GitHub pages.

Rationale of the MedComContainedDocumentReference

This mapping has been developed to enable the future use of FHIR within the Danish document-sharing infrastructure, which currently relies on IHE XDS metadata. By aligning the Danish XDS metadata requirements with a profiled FHIR DocumentReference, the use of DocumentReference can be adopted seamlessly once the national infrastructure transitions towards FHIR-based exchange.

In the interim, mapping from IHE XDS to DocumentReference can already be used to support validation and quality assurance. Implementers can map the metadata they populate in the IHE XDS format to the corresponding elements in the relevant MedCom FHIR DocumentReference profile. Using FHIR’s native validation tooling, it is possible to verify that the supplied metadata conforms to the expected structure and constraints defined by the profile. This provides an immediate benefit, allowing organisations to prepare for a gradual migration to FHIR while maintaining compatibility with the existing XDS-based infrastructure.

Find the mapping from IHE XDS metadata to FHIR DocumentReference here.

Contained resources

This profile includes contained as part of its name because referenced resources MUST be contained inside the DocumentReference instance. The current Danish infrastructure is not designed to store or manage multiple separate FHIR resources, and containment ensures that all necessary metadata is delivered as a single, self-contained unit consistent with the existing XDS-based workflow.

Author institution and author person

The author element allows up to two references and must always include exactly one author organization and optionally one author person.

Author institution: The slice author:institution is mandatory and restricts the reference to a MedComDocumentOrganization. This ensures that every document has one clear author organization responsible for its creation.

Author person: An additional author element that does not match the institutional slice is interpreted as an author person. If used, it MUST reference exactly one resource of the allowed types: MedComDocumentPractitioner, MedComDocumentPractitionerRole, MedComDocumentPatient, DkCoreRelatedPerson, or Device.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	DkCoreMinimalDocumentReference	A reference to a document
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionid	SO	1..1	string	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version Obligations Actor SHALL:in-narrative Producer of FHIR resources
extension:homeCommunityid	S	0..1	(Complex)	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed. URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-homecommunityid-extension
extension		0..0
url	S	1..1	uri	"http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-homecommunityid-extension"
Slices for value[x]		1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCoding	S	1..1	Coding	Value of extension Binding: _TEMP IHE HomeCommunityId (extensible)
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
masterIdentifier	SΣ	1..1	UniqueIdIdentifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
Slices for identifier	SΣ	1..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID	SΣ	1..1	EntryUUIDIdentifier	[DocumentEntry.entryUUID] Identifier for the document.
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	SOΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 Obligations Actor SHALL:in-narrative Producer of FHIR resources
value	SOΣC	1..1	string	The value that is unique Constraints: mhd-startswithuuid, medcom-uuid Example General: 123456 Obligations Actor SHALL:in-narrative Producer of FHIR resources
status	?!SOΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated. Binding: MHD DocumentReference status codes (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document. Binding: IHE TypeCode_TEMP (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
category	SΣ	1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document. Binding: IHE ClassCode_TEMP (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	SOΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
date	SΣ	0..1	instant	When this document reference was created
Slices for author	SOΣ	1..2	Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile | Device) {b}	[DocumentEntry.author] The slice author:institution ensures one mandatory organizational author. Any author element that does not match this slice is interpreted as an author person. Slice: Unordered, Open by profile:$this.resolve() Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:institution	SOΣ	1..1	Reference(MedComDocumentOrganization)	The organization who authored the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
authenticator	SO	0..1	Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
securityLabel	SΣ	1..1	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags. Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
content	SΣ	1..1	BackboneElement	Document referenced
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣ	1..1	Attachment	Where to access the document
contentType	SOΣ	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: IHE MimeType_TEMP (required) Example General: text/plain; charset=UTF-8, image/png Obligations Actor SHALL:in-narrative Producer of FHIR resources
language	SOΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content. Binding: IHE LanguageCode_TEMP (extensible) Example General: en-AU Obligations Actor SHALL:in-narrative Producer of FHIR resources
url	SOΣ	1..1	url	[DocumentEntry.URI] URI where the data can be found. Example General: http://www.acme.com/logo-small.png Obligations Actor SHALL:in-narrative Producer of FHIR resources
size	SOΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content. Obligations Actor SHALL:in-narrative Producer of FHIR resources
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1).
title	SOΣ	1..1	string	[DocumentEntry.title] The readable title of the document. Example General: Official Corporate Logo Obligations Actor SHALL:in-narrative Producer of FHIR resources
creation	SOΣC	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created. Constraints: medcom-datetime-has-time-offset-zulu Obligations Actor SHALL:in-narrative Producer of FHIR resources
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document. Binding: IHE FormatCode_TEMP (required)
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
context	SΣ	1..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	S	0..*	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented. Binding: ActCode (3.0.0) (example)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
period	SΣ	0..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented.
start	SOΣC	1..1	dateTime	Starting time with inclusive boundary Obligations Actor SHALL:in-narrative Producer of FHIR resources
end	SOΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Obligations Actor SHALL:in-narrative Producer of FHIR resources
facilityType	S	1..1	CodeableConcept	[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen. Binding: IHE HealthcareFacilityTypeCode_TEMP (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
practiceSetting	S	1..1	CodeableConcept	[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty). Binding: IHE PracticeSettingCode_TEMP (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
sourcePatientInfo	S	1..1	Reference(MedComDocumentPatient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier	SOΣ	1..1	Identifier	Logical reference, when literal reference is not known Obligations Actor SHALL:in-narrative Producer of FHIR resources
related	SO	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources. Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DocumentReference.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
DocumentReference.extension:homeCommunityid.value[x]:valueCoding	extensible	MedComIHE_CoreDkHomeCommunityId_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-homeCommunityId-VS-TEMP From this IG
DocumentReference.masterIdentifier.use	required	Pattern Value: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
DocumentReference.identifier:entryUUID.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
DocumentReference.status	required	DocumentReferenceStats https://profiles.ihe.net/ITI/MHD/ValueSet/DocumentReferenceStats
DocumentReference.type	required	MedComIHE_CoreTypeCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-typecode-VS-TEMP From this IG
DocumentReference.category	extensible	MedComIHE_CoreClassCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-classcode-VS-TEMP From this IG
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 From the FHIR Standard
DocumentReference.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels|4.0.1 From the FHIR Standard
DocumentReference.content.attachment.contentType	required	MedComIHE_CoreMimeType_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-mimetype-VS-TEMP From this IG
DocumentReference.content.attachment.language	extensible	MedComIHE_CoreLanguageCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-languagecode-VS-TEMP From this IG
DocumentReference.content.format	required	MedComIHE_CoreFormatCode_VS_TEMP(a valid code from DK IHE FormatCode_TEMP) http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-formatcode-VS-TEMP From this IG
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0
DocumentReference.context.facilityType	required	MedComIHE_CoreHealthcareFacilityTypeCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-HealthcareFacilityTypeCode-VS-TEMP From this IG
DocumentReference.context.practiceSetting	required	MedComIHE_CorePracticeSettingCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-PracticeSettingCode-VS-TEMP From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
medcom-datetime-has-time-offset-zulu	error	DocumentReference.content.attachment.creation	dateTime must include date, time, and time zone. : $this.toString().matches('^[0-9]{4}-(0[1-9]|1[0-2])-(0[1-9]|[12][0-9]|3[01])T([01][0-9]|2[0-3]):[0-5][0-9]:[0-5][0-9]([.][0-9]+)?(Z|[+-][0-9]{2}:[0-9]{2})$')
medcom-uuid	error	DocumentReference.identifier:entryUUID.value	The value shall correspond to the structure of an UUID : $this.matches('(?i)^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[45][0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')
mhd-startswithuuid	error	DocumentReference.identifier:entryUUID.value	value must start with urn:uuid: : startsWith('urn:uuid:')
txt-1	error	DocumentReference.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	DocumentReference.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

This structure is derived from DkCoreMinimalDocumentReference

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	DkCoreMinimalDocumentReference	A reference to a document
id	SO	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
extension	S	1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:versionid	SO	1..1	R5 DocumentReference.version	Extension Obligations Actor SHALL:in-narrative Producer of FHIR resources
extension:homeCommunityid	S	0..1	(Complex)	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed. URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-homecommunityid-extension
url	S	1..1	uri	identifies the meaning of the extension
Slices for value[x]				Content/Rules for all slices
value[x]:valueCoding		1..1	Coding	Value of extension Binding: _TEMP IHE HomeCommunityId (extensible)
system	O	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	O	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
masterIdentifier	S	1..1	UniqueIdIdentifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier		1..*	Identifier	Other identifiers for the document
Slices for identifier				Content/Rules for all slices
identifier:entryUUID		1..1	EntryUUIDIdentifier	[DocumentEntry.entryUUID] Identifier for the document.
system	SO	1..1	uri	The namespace for the identifier value Obligations Actor SHALL:in-narrative Producer of FHIR resources
value	SOC	1..1	string	The value that is unique Constraints: medcom-uuid Obligations Actor SHALL:in-narrative Producer of FHIR resources
status	SO	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated. Obligations Actor SHALL:in-narrative Producer of FHIR resources
type		1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document. Binding: IHE TypeCode_TEMP (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
category		1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document. Binding: IHE ClassCode_TEMP (extensible)
coding
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	O	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
Slices for author	O	1..2	Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile | Device) {b}	[DocumentEntry.author] The slice author:institution ensures one mandatory organizational author. Any author element that does not match this slice is interpreted as an author person. Slice: Unordered, Open by profile:$this.resolve() Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:institution	SO	1..1	Reference(MedComDocumentOrganization)	The organization who authored the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
authenticator	SO	0..1	Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
securityLabel		1..1	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags.
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
content	S	1..1	BackboneElement	Document referenced
attachment	S	1..1	Attachment	Where to access the document
contentType	SO	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: IHE MimeType_TEMP (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
language	O	1..1	code	[DocumentEntry.languageCode] Human language of the content. Binding: IHE LanguageCode_TEMP (extensible) Obligations Actor SHALL:in-narrative Producer of FHIR resources
url	SO	1..1	url	[DocumentEntry.URI] URI where the data can be found. Obligations Actor SHALL:in-narrative Producer of FHIR resources
size	SO	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content. Obligations Actor SHALL:in-narrative Producer of FHIR resources
hash	S	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1).
title	SO	1..1	string	[DocumentEntry.title] The readable title of the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
creation	OC	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created. Constraints: medcom-datetime-has-time-offset-zulu Obligations Actor SHALL:in-narrative Producer of FHIR resources
format		1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document. Binding: IHE FormatCode_TEMP (required)
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
context	S	1..1	BackboneElement	Clinical context of document
event	S	0..*	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented.
coding
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
period		0..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented.
start	SO	1..1	dateTime	Starting time with inclusive boundary Obligations Actor SHALL:in-narrative Producer of FHIR resources
end	SO	0..1	dateTime	End time with inclusive boundary, if not ongoing Obligations Actor SHALL:in-narrative Producer of FHIR resources
facilityType		1..1	CodeableConcept	[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen. Binding: IHE HealthcareFacilityTypeCode_TEMP (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
practiceSetting		1..1	CodeableConcept	[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty). Binding: IHE PracticeSettingCode_TEMP (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
sourcePatientInfo		1..1	Reference(MedComDocumentPatient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
reference	SO	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier	SO	1..1	Identifier	Logical reference, when literal reference is not known Obligations Actor SHALL:in-narrative Producer of FHIR resources
related	SO	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources. Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DocumentReference.extension:homeCommunityid.value[x]:valueCoding	extensible	MedComIHE_CoreDkHomeCommunityId_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-homeCommunityId-VS-TEMP From this IG
DocumentReference.type	required	MedComIHE_CoreTypeCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-typecode-VS-TEMP From this IG
DocumentReference.category	extensible	MedComIHE_CoreClassCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-classcode-VS-TEMP From this IG
DocumentReference.content.attachment.contentType	required	MedComIHE_CoreMimeType_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-mimetype-VS-TEMP From this IG
DocumentReference.content.attachment.language	extensible	MedComIHE_CoreLanguageCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-languagecode-VS-TEMP From this IG
DocumentReference.content.format	required	MedComIHE_CoreFormatCode_VS_TEMP(a valid code from DK IHE FormatCode_TEMP) http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-formatcode-VS-TEMP From this IG
DocumentReference.context.facilityType	required	MedComIHE_CoreHealthcareFacilityTypeCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-HealthcareFacilityTypeCode-VS-TEMP From this IG
DocumentReference.context.practiceSetting	required	MedComIHE_CorePracticeSettingCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-PracticeSettingCode-VS-TEMP From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
medcom-datetime-has-time-offset-zulu	error	DocumentReference.content.attachment.creation	dateTime must include date, time, and time zone. : $this.toString().matches('^[0-9]{4}-(0[1-9]|1[0-2])-(0[1-9]|[12][0-9]|3[01])T([01][0-9]|2[0-3]):[0-5][0-9]:[0-5][0-9]([.][0-9]+)?(Z|[+-][0-9]{2}:[0-9]{2})$')
medcom-uuid	error	DocumentReference.identifier:entryUUID.value	The value shall correspond to the structure of an UUID : $this.matches('(?i)^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[45][0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	DkCoreMinimalDocumentReference	A reference to a document
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionid	SO	1..1	string	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version Obligations Actor SHALL:in-narrative Producer of FHIR resources
extension:homeCommunityid	S	0..1	(Complex)	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed. URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-homecommunityid-extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url	S	1..1	uri	"http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-homecommunityid-extension"
Slices for value[x]		1..1	Coding	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCoding	S	1..1	Coding	Value of extension Binding: _TEMP IHE HomeCommunityId (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
masterIdentifier	SΣ	1..1	UniqueIdIdentifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
Slices for identifier	SΣ	1..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID	SΣ	1..1	EntryUUIDIdentifier	[DocumentEntry.entryUUID] Identifier for the document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SOΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 Obligations Actor SHALL:in-narrative Producer of FHIR resources
value	SOΣC	1..1	string	The value that is unique Constraints: mhd-startswithuuid, medcom-uuid Example General: 123456 Obligations Actor SHALL:in-narrative Producer of FHIR resources
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SOΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated. Binding: MHD DocumentReference status codes (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document. Binding: IHE TypeCode_TEMP (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category	SΣ	1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document. Binding: IHE ClassCode_TEMP (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SOΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
date	SΣ	0..1	instant	When this document reference was created
Slices for author	SOΣ	1..2	Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile | Device) {b}	[DocumentEntry.author] The slice author:institution ensures one mandatory organizational author. Any author element that does not match this slice is interpreted as an author person. Slice: Unordered, Open by profile:$this.resolve() Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:institution	SOΣ	1..1	Reference(MedComDocumentOrganization)	The organization who authored the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
authenticator	SO	0..1	Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
custodian		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description
securityLabel	SΣ	1..1	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags. Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
content	SΣ	1..1	BackboneElement	Document referenced
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣ	1..1	Attachment	Where to access the document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SOΣ	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: IHE MimeType_TEMP (required) Example General: text/plain; charset=UTF-8, image/png Obligations Actor SHALL:in-narrative Producer of FHIR resources
language	SOΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content. Binding: IHE LanguageCode_TEMP (extensible) Example General: en-AU Obligations Actor SHALL:in-narrative Producer of FHIR resources
url	SOΣ	1..1	url	[DocumentEntry.URI] URI where the data can be found. Example General: http://www.acme.com/logo-small.png Obligations Actor SHALL:in-narrative Producer of FHIR resources
size	SOΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content. Obligations Actor SHALL:in-narrative Producer of FHIR resources
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1).
title	SOΣ	1..1	string	[DocumentEntry.title] The readable title of the document. Example General: Official Corporate Logo Obligations Actor SHALL:in-narrative Producer of FHIR resources
creation	SOΣC	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created. Constraints: medcom-datetime-has-time-offset-zulu Obligations Actor SHALL:in-narrative Producer of FHIR resources
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document. Binding: IHE FormatCode_TEMP (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
context	SΣ	1..1	BackboneElement	Clinical context of document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
encounter		0..*	Reference(Encounter | EpisodeOfCare)	Context of the document content
event	S	0..*	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented. Binding: ActCode (3.0.0) (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period	SΣ	0..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SOΣC	1..1	dateTime	Starting time with inclusive boundary Obligations Actor SHALL:in-narrative Producer of FHIR resources
end	SOΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Obligations Actor SHALL:in-narrative Producer of FHIR resources
facilityType	S	1..1	CodeableConcept	[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen. Binding: IHE HealthcareFacilityTypeCode_TEMP (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
practiceSetting	S	1..1	CodeableConcept	[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty). Binding: IHE PracticeSettingCode_TEMP (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
sourcePatientInfo	S	1..1	Reference(MedComDocumentPatient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	SOΣ	1..1	Identifier	Logical reference, when literal reference is not known Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	Σ	0..1	string	Text alternative for the resource
related	SO	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources. Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DocumentReference.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels|4.0.1 From the FHIR Standard
DocumentReference.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags|4.0.1 From the FHIR Standard
DocumentReference.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
DocumentReference.extension:homeCommunityid.value[x]:valueCoding	extensible	MedComIHE_CoreDkHomeCommunityId_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-homeCommunityId-VS-TEMP From this IG
DocumentReference.masterIdentifier.use	required	Pattern Value: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
DocumentReference.masterIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 From the FHIR Standard
DocumentReference.identifier:entryUUID.use	required	Pattern Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
DocumentReference.identifier:entryUUID.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 From the FHIR Standard
DocumentReference.status	required	DocumentReferenceStats https://profiles.ihe.net/ITI/MHD/ValueSet/DocumentReferenceStats
DocumentReference.type	required	MedComIHE_CoreTypeCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-typecode-VS-TEMP From this IG
DocumentReference.category	extensible	MedComIHE_CoreClassCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-classcode-VS-TEMP From this IG
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 From the FHIR Standard
DocumentReference.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels|4.0.1 From the FHIR Standard
DocumentReference.content.attachment.contentType	required	MedComIHE_CoreMimeType_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-mimetype-VS-TEMP From this IG
DocumentReference.content.attachment.language	extensible	MedComIHE_CoreLanguageCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-languagecode-VS-TEMP From this IG
DocumentReference.content.format	required	MedComIHE_CoreFormatCode_VS_TEMP(a valid code from DK IHE FormatCode_TEMP) http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-formatcode-VS-TEMP From this IG
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0
DocumentReference.context.facilityType	required	MedComIHE_CoreHealthcareFacilityTypeCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-HealthcareFacilityTypeCode-VS-TEMP From this IG
DocumentReference.context.practiceSetting	required	MedComIHE_CorePracticeSettingCode_TEMP http://medcomfhir.dk/ig/document/ValueSet/MedCom-ihe-core-PracticeSettingCode-VS-TEMP From this IG
DocumentReference.context.sourcePatientInfo.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
medcom-datetime-has-time-offset-zulu	error	DocumentReference.content.attachment.creation	dateTime must include date, time, and time zone. : $this.toString().matches('^[0-9]{4}-(0[1-9]|1[0-2])-(0[1-9]|[12][0-9]|3[01])T([01][0-9]|2[0-3]):[0-5][0-9]:[0-5][0-9]([.][0-9]+)?(Z|[+-][0-9]{2}:[0-9]{2})$')
medcom-uuid	error	DocumentReference.identifier:entryUUID.value	The value shall correspond to the structure of an UUID : $this.matches('(?i)^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[45][0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')
mhd-startswithuuid	error	DocumentReference.identifier:entryUUID.value	value must start with urn:uuid: : startsWith('urn:uuid:')
txt-1	error	DocumentReference.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	DocumentReference.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()