Danish XDS Documents profiles
0.1.0-homecareobservation-draft-2 - release

This page is part of the DK MedCom XDS Documents (v0.1.0-homecareobservation-draft-2: Drafts Draft) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0-trial-use-1. For a full list of available versions, see the Directory of published versions

Resource Profile: HomeCareObservationDocumentReference

Official URL: http://medcomfhir.dk/ig/xdsdocuments/StructureDefinition/homecare-observation-documentreference Version: 0.1.0-homecareobservation-draft-2
Draft as of 2026-04-30 Computable Name: HomeCareObservationDocumentReference

A profile stating the rules, when exchanging a document including homecare observation (DA: Kommunale Prøvesvar).

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DkCoreMinimalDocumentReference A reference to a document
... id SΣ 1..1 id Logical id of this artifact
... 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
.... extension:versionid S 1..1 (Complex) R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version"
..... value[x] 0..1 string An explicitly assigned identifer of a variation of the content in the DocumentReference
Required Pattern: 2.0
.... 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 Extension
Slice: Unordered, Open by value:url
..... 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 SΣ 1..1 uri Identity of the terminology system
....... code SΣ 1..1 code Symbol in syntax defined by the system
... 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 SΣ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
..... value SΣC 1..1 string The value that is unique
Constraints: mhd-startswithuuid, medcom-uuid
Example General: 123456
... status ?!SΣ 1..1 code [DocumentEntry.availabilityStatus] current = active | superseded = deprecated.
Binding: MHD DocumentReference status codes (required)
... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
.... coding Σ 0..* Coding Code defined by a terminology system
Binding: MedComHCOTypeCodeVS (required)

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.208.184.100.1
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: HCOM
..... display 1..1 string Representation defined by the system
Fixed Value: HomeCareObservation message
..... userSelected 0..1 boolean If this coding was chosen directly by the user
... 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 SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... subject SΣ 1..1 Reference(MedComDocumentPatient) {c} [DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document.
... date SΣ 0..1 instant When this document reference was created
... Slices for author SΣ 1..2 Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile | Device) {c} [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()
.... author:institution SΣ 1..1 Reference(MedComDocumentOrganization) The organization who authored the document.
.... author:person SΣ 0..1 Reference(MedComDocumentPractitionerRole | MedComDocumentPractitioner | Danish Core Related Person Profile) A person/role/patient/device author of the document.
... authenticator S 0..1 Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile) {c} [DocumentEntry.legalAuthenticator] Who authenticated the document.
... 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 SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
... 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 SΣ 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
..... language SΣ 1..1 code [DocumentEntry.languageCode] Human language of the content.
Binding: IHE LanguageCode_TEMP (extensible)
Example General: en-AU
..... url SΣ 1..1 url [DocumentEntry.URI] URI where the data can be found.
Example General: http://www.acme.com/logo-small.png
..... size SΣ 0..1 unsignedInt [DocumentEntry.size] Number of bytes of content.
..... hash SΣ 0..1 base64Binary [DocumentEntry.hash] Hash of the data (sha-1).
..... title SΣ 1..1 string [DocumentEntry.title] The readable title of the document.
Example General: Official Corporate Logo
..... creation SΣC 1..1 dateTime [DocumentEntry.creationTime] Date attachment was first created.
Constraints: medcom-datetime-has-time-offset-zulu
.... format SΣ 1..1 Coding [DocumentEntry.formatCode] Format/content rules for the document.
Binding: MedComHCOFormatCodeVS (required)
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... 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 SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... period SΣ 1..1 Period [DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented.
..... start SΣC 1..1 dateTime Starting time with inclusive boundary
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... 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 SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
.... 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 SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
.... 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 SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier SΣ 1..1 Identifier Logical reference, when literal reference is not known
.... related S 0..* Reference(Resource) [DocumentEntry.referenceIdList] Related identifiers or resources.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.text.​status Base required NarrativeStatus 📍4.0.1 FHIR Std.
DocumentReference.extension:homeCommunityid.​value[x]:valueCoding Base extensible _TEMP IHE HomeCommunityId 📦2.0.1 DK MedCom Document v2.0
DocumentReference.masterIdentifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DocumentReference.identifier:entryUUID.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DocumentReference.status Base required MHD DocumentReference status codes 📦4.2.3 Mobile access to Health Documents v4.2
DocumentReference.type Base preferred Document Type Value Set 📍4.0.1 FHIR Std.
DocumentReference.type.​coding Base required MedComHCOTypeCodeVS 📦0.1.0-homecareobservation-draft-2 This IG
DocumentReference.category Base extensible IHE ClassCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required IHE MimeType_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​attachment.language Base extensible IHE LanguageCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​format Base required MedComHCOFormatCodeVS 📦0.1.0-homecareobservation-draft-2 This IG
DocumentReference.context.​event Base example v3 Code System ActCode 📍3.0.0 THO v7.1
DocumentReference.context.​facilityType Base required IHE HealthcareFacilityTypeCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.context.​practiceSetting Base required IHE PracticeSettingCode_TEMP 📦2.0.1 DK MedCom Document v2.0

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DkCoreMinimalDocumentReference A reference to a document
... id S 1..1 id Logical id of this artifact
... 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
.... extension:versionid S 1..1 R5 DocumentReference.version R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new)
..... extension 0..0 Extension
..... value[x] 0..1 string An explicitly assigned identifer of a variation of the content in the DocumentReference
Required Pattern: 2.0
.... 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)
... 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 S 1..1 uri The namespace for the identifier value
..... value SC 1..1 string The value that is unique
Constraints: medcom-uuid
... status S 1..1 code [DocumentEntry.availabilityStatus] current = active | superseded = deprecated.
... type 1..1 CodeableConcept Kind of document (LOINC if possible)
.... coding 0..* Coding Code defined by a terminology system
Binding: MedComHCOTypeCodeVS (required)
Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.208.184.100.1
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: HCOM
..... display 1..1 string Representation defined by the system
Fixed Value: HomeCareObservation message
... category 1..1 CodeableConcept [DocumentEntry.classCode] Categorization of document.
Binding: IHE ClassCode_TEMP (extensible)
.... coding
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
... subject 1..1 Reference(MedComDocumentPatient) {c} [DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document.
... Slices for author 1..2 Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile | Device) {c} [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()
.... author:institution S 1..1 Reference(MedComDocumentOrganization) The organization who authored the document.
.... author:person S 0..1 Reference(MedComDocumentPractitionerRole | MedComDocumentPractitioner | Danish Core Related Person Profile) A person/role/patient/device author of the document.
... authenticator S 0..1 Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile) {c} [DocumentEntry.legalAuthenticator] Who authenticated the document.
... securityLabel 1..1 CodeableConcept [DocumentEntry.confidentialityCode] Document security-tags.
.... coding S 1..1 Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
... content S 1..1 BackboneElement Document referenced
.... attachment S 1..1 Attachment Where to access the document
..... contentType S 1..1 code [DocumentEntry.mimeType] Mime type of the content, with charset etc.
Binding: IHE MimeType_TEMP (required)
..... language 1..1 code [DocumentEntry.languageCode] Human language of the content.
Binding: IHE LanguageCode_TEMP (extensible)
..... url S 1..1 url [DocumentEntry.URI] URI where the data can be found.
..... size S 0..1 unsignedInt [DocumentEntry.size] Number of bytes of content.
..... hash S 0..1 base64Binary [DocumentEntry.hash] Hash of the data (sha-1).
..... title S 1..1 string [DocumentEntry.title] The readable title of the document.
..... creation C 1..1 dateTime [DocumentEntry.creationTime] Date attachment was first created.
Constraints: medcom-datetime-has-time-offset-zulu
.... format 1..1 Coding [DocumentEntry.formatCode] Format/content rules for the document.
Binding: MedComHCOFormatCodeVS (required)
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
... context S 1..1 BackboneElement Clinical context of document
.... event S 0..* CodeableConcept [DocumentEntry.eventCodeList] Main clinical acts documented.
..... coding
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
.... period 1..1 Period [DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented.
..... start S 1..1 dateTime Starting time with inclusive boundary
..... end S 0..1 dateTime End time with inclusive boundary, if not ongoing
.... 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 S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
.... 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 S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
.... sourcePatientInfo 1..1 Reference(MedComDocumentPatient) [DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier S 1..1 Identifier Logical reference, when literal reference is not known
.... related S 0..* Reference(Resource) [DocumentEntry.referenceIdList] Related identifiers or resources.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.extension:homeCommunityid.​value[x]:valueCoding Base extensible _TEMP IHE HomeCommunityId 📦2.0.1 DK MedCom Document v2.0
DocumentReference.type.​coding Base required MedComHCOTypeCodeVS 📦0.1.0-homecareobservation-draft-2 This IG
DocumentReference.category Base extensible IHE ClassCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​attachment.contentType Base required IHE MimeType_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​attachment.language Base extensible IHE LanguageCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​format Base required MedComHCOFormatCodeVS 📦0.1.0-homecareobservation-draft-2 This IG
DocumentReference.context.​facilityType Base required IHE HealthcareFacilityTypeCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.context.​practiceSetting Base required IHE PracticeSettingCode_TEMP 📦2.0.1 DK MedCom Document v2.0

Constraints

Id Grade Path(s) Description Expression
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 $this.matches('(?i)^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[45][0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DkCoreMinimalDocumentReference A reference to a document
... id SΣ 1..1 id Logical id of this artifact
... 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
... 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 S 1..1 (Complex) R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version"
..... value[x] 0..1 string An explicitly assigned identifer of a variation of the content in the DocumentReference
Required Pattern: 2.0
.... 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 Extension
Slice: Unordered, Open by value:url
..... 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 SΣ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... 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 SΣ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
..... value SΣC 1..1 string The value that is unique
Constraints: mhd-startswithuuid, medcom-uuid
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)
... status ?!SΣ 1..1 code [DocumentEntry.availabilityStatus] current = active | superseded = deprecated.
Binding: MHD DocumentReference status codes (required)
... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical 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
.... coding Σ 0..* Coding Code defined by a terminology system
Binding: MedComHCOTypeCodeVS (required)

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.208.184.100.1
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: HCOM
..... display 1..1 string Representation defined by the system
Fixed Value: HomeCareObservation message
..... userSelected 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 SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..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
... subject SΣ 1..1 Reference(MedComDocumentPatient) {c} [DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document.
... date SΣ 0..1 instant When this document reference was created
... Slices for author SΣ 1..2 Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile | Device) {c} [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()
.... author:institution SΣ 1..1 Reference(MedComDocumentOrganization) The organization who authored the document.
.... author:person SΣ 0..1 Reference(MedComDocumentPractitionerRole | MedComDocumentPractitioner | Danish Core Related Person Profile) A person/role/patient/device author of the document.
... authenticator S 0..1 Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile) {c} [DocumentEntry.legalAuthenticator] Who authenticated the document.
... 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 SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... 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 SΣ 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
..... language SΣ 1..1 code [DocumentEntry.languageCode] Human language of the content.
Binding: IHE LanguageCode_TEMP (extensible)
Example General: en-AU
..... url SΣ 1..1 url [DocumentEntry.URI] URI where the data can be found.
Example General: http://www.acme.com/logo-small.png
..... size SΣ 0..1 unsignedInt [DocumentEntry.size] Number of bytes of content.
..... hash SΣ 0..1 base64Binary [DocumentEntry.hash] Hash of the data (sha-1).
..... title SΣ 1..1 string [DocumentEntry.title] The readable title of the document.
Example General: Official Corporate Logo
..... creation SΣC 1..1 dateTime [DocumentEntry.creationTime] Date attachment was first created.
Constraints: medcom-datetime-has-time-offset-zulu
.... format SΣ 1..1 Coding [DocumentEntry.formatCode] Format/content rules for the document.
Binding: MedComHCOFormatCodeVS (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 SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
..... 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 SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... 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 1..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 SΣC 1..1 dateTime Starting time with inclusive boundary
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... 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 SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..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
.... 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 SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..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
.... 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 SΣC 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 SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... related S 0..* Reference(Resource) [DocumentEntry.referenceIdList] Related identifiers or resources.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.text.​status Base required NarrativeStatus 📍4.0.1 FHIR Std.
DocumentReference.extension:homeCommunityid.​value[x]:valueCoding Base extensible _TEMP IHE HomeCommunityId 📦2.0.1 DK MedCom Document v2.0
DocumentReference.masterIdentifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DocumentReference.masterIdentifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DocumentReference.identifier:entryUUID.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DocumentReference.identifier:entryUUID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DocumentReference.status Base required MHD DocumentReference status codes 📦4.2.3 Mobile access to Health Documents v4.2
DocumentReference.type Base preferred Document Type Value Set 📍4.0.1 FHIR Std.
DocumentReference.type.​coding Base required MedComHCOTypeCodeVS 📦0.1.0-homecareobservation-draft-2 This IG
DocumentReference.category Base extensible IHE ClassCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required IHE MimeType_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​attachment.language Base extensible IHE LanguageCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​format Base required MedComHCOFormatCodeVS 📦0.1.0-homecareobservation-draft-2 This IG
DocumentReference.context.​event Base example v3 Code System ActCode 📍3.0.0 THO v7.1
DocumentReference.context.​facilityType Base required IHE HealthcareFacilityTypeCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.context.​practiceSetting Base required IHE PracticeSettingCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.context.​sourcePatientInfo.type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DkCoreMinimalDocumentReference A reference to a document
... id SΣ 1..1 id Logical id of this artifact
... 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
.... extension:versionid S 1..1 (Complex) R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version"
..... value[x] 0..1 string An explicitly assigned identifer of a variation of the content in the DocumentReference
Required Pattern: 2.0
.... 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 Extension
Slice: Unordered, Open by value:url
..... 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 SΣ 1..1 uri Identity of the terminology system
....... code SΣ 1..1 code Symbol in syntax defined by the system
... 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 SΣ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
..... value SΣC 1..1 string The value that is unique
Constraints: mhd-startswithuuid, medcom-uuid
Example General: 123456
... status ?!SΣ 1..1 code [DocumentEntry.availabilityStatus] current = active | superseded = deprecated.
Binding: MHD DocumentReference status codes (required)
... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
.... coding Σ 0..* Coding Code defined by a terminology system
Binding: MedComHCOTypeCodeVS (required)

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.208.184.100.1
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: HCOM
..... display 1..1 string Representation defined by the system
Fixed Value: HomeCareObservation message
..... userSelected 0..1 boolean If this coding was chosen directly by the user
... 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 SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... subject SΣ 1..1 Reference(MedComDocumentPatient) {c} [DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document.
... date SΣ 0..1 instant When this document reference was created
... Slices for author SΣ 1..2 Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile | Device) {c} [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()
.... author:institution SΣ 1..1 Reference(MedComDocumentOrganization) The organization who authored the document.
.... author:person SΣ 0..1 Reference(MedComDocumentPractitionerRole | MedComDocumentPractitioner | Danish Core Related Person Profile) A person/role/patient/device author of the document.
... authenticator S 0..1 Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile) {c} [DocumentEntry.legalAuthenticator] Who authenticated the document.
... 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 SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
... 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 SΣ 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
..... language SΣ 1..1 code [DocumentEntry.languageCode] Human language of the content.
Binding: IHE LanguageCode_TEMP (extensible)
Example General: en-AU
..... url SΣ 1..1 url [DocumentEntry.URI] URI where the data can be found.
Example General: http://www.acme.com/logo-small.png
..... size SΣ 0..1 unsignedInt [DocumentEntry.size] Number of bytes of content.
..... hash SΣ 0..1 base64Binary [DocumentEntry.hash] Hash of the data (sha-1).
..... title SΣ 1..1 string [DocumentEntry.title] The readable title of the document.
Example General: Official Corporate Logo
..... creation SΣC 1..1 dateTime [DocumentEntry.creationTime] Date attachment was first created.
Constraints: medcom-datetime-has-time-offset-zulu
.... format SΣ 1..1 Coding [DocumentEntry.formatCode] Format/content rules for the document.
Binding: MedComHCOFormatCodeVS (required)
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
... 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 SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... period SΣ 1..1 Period [DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented.
..... start SΣC 1..1 dateTime Starting time with inclusive boundary
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... 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 SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
.... 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 SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
.... 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 SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier SΣ 1..1 Identifier Logical reference, when literal reference is not known
.... related S 0..* Reference(Resource) [DocumentEntry.referenceIdList] Related identifiers or resources.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.text.​status Base required NarrativeStatus 📍4.0.1 FHIR Std.
DocumentReference.extension:homeCommunityid.​value[x]:valueCoding Base extensible _TEMP IHE HomeCommunityId 📦2.0.1 DK MedCom Document v2.0
DocumentReference.masterIdentifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DocumentReference.identifier:entryUUID.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DocumentReference.status Base required MHD DocumentReference status codes 📦4.2.3 Mobile access to Health Documents v4.2
DocumentReference.type Base preferred Document Type Value Set 📍4.0.1 FHIR Std.
DocumentReference.type.​coding Base required MedComHCOTypeCodeVS 📦0.1.0-homecareobservation-draft-2 This IG
DocumentReference.category Base extensible IHE ClassCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required IHE MimeType_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​attachment.language Base extensible IHE LanguageCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​format Base required MedComHCOFormatCodeVS 📦0.1.0-homecareobservation-draft-2 This IG
DocumentReference.context.​event Base example v3 Code System ActCode 📍3.0.0 THO v7.1
DocumentReference.context.​facilityType Base required IHE HealthcareFacilityTypeCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.context.​practiceSetting Base required IHE PracticeSettingCode_TEMP 📦2.0.1 DK MedCom Document v2.0

Constraints

Id Grade Path(s) Description Expression
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()

Differential View

This structure is derived from DkCoreMinimalDocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DkCoreMinimalDocumentReference A reference to a document
... id S 1..1 id Logical id of this artifact
... 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
.... extension:versionid S 1..1 R5 DocumentReference.version R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new)
..... extension 0..0 Extension
..... value[x] 0..1 string An explicitly assigned identifer of a variation of the content in the DocumentReference
Required Pattern: 2.0
.... 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)
... 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 S 1..1 uri The namespace for the identifier value
..... value SC 1..1 string The value that is unique
Constraints: medcom-uuid
... status S 1..1 code [DocumentEntry.availabilityStatus] current = active | superseded = deprecated.
... type 1..1 CodeableConcept Kind of document (LOINC if possible)
.... coding 0..* Coding Code defined by a terminology system
Binding: MedComHCOTypeCodeVS (required)
Required Pattern: At least the following
..... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.208.184.100.1
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: HCOM
..... display 1..1 string Representation defined by the system
Fixed Value: HomeCareObservation message
... category 1..1 CodeableConcept [DocumentEntry.classCode] Categorization of document.
Binding: IHE ClassCode_TEMP (extensible)
.... coding
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
... subject 1..1 Reference(MedComDocumentPatient) {c} [DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document.
... Slices for author 1..2 Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile | Device) {c} [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()
.... author:institution S 1..1 Reference(MedComDocumentOrganization) The organization who authored the document.
.... author:person S 0..1 Reference(MedComDocumentPractitionerRole | MedComDocumentPractitioner | Danish Core Related Person Profile) A person/role/patient/device author of the document.
... authenticator S 0..1 Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile) {c} [DocumentEntry.legalAuthenticator] Who authenticated the document.
... securityLabel 1..1 CodeableConcept [DocumentEntry.confidentialityCode] Document security-tags.
.... coding S 1..1 Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
... content S 1..1 BackboneElement Document referenced
.... attachment S 1..1 Attachment Where to access the document
..... contentType S 1..1 code [DocumentEntry.mimeType] Mime type of the content, with charset etc.
Binding: IHE MimeType_TEMP (required)
..... language 1..1 code [DocumentEntry.languageCode] Human language of the content.
Binding: IHE LanguageCode_TEMP (extensible)
..... url S 1..1 url [DocumentEntry.URI] URI where the data can be found.
..... size S 0..1 unsignedInt [DocumentEntry.size] Number of bytes of content.
..... hash S 0..1 base64Binary [DocumentEntry.hash] Hash of the data (sha-1).
..... title S 1..1 string [DocumentEntry.title] The readable title of the document.
..... creation C 1..1 dateTime [DocumentEntry.creationTime] Date attachment was first created.
Constraints: medcom-datetime-has-time-offset-zulu
.... format 1..1 Coding [DocumentEntry.formatCode] Format/content rules for the document.
Binding: MedComHCOFormatCodeVS (required)
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 1..1 string Representation defined by the system
... context S 1..1 BackboneElement Clinical context of document
.... event S 0..* CodeableConcept [DocumentEntry.eventCodeList] Main clinical acts documented.
..... coding
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
.... period 1..1 Period [DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented.
..... start S 1..1 dateTime Starting time with inclusive boundary
..... end S 0..1 dateTime End time with inclusive boundary, if not ongoing
.... 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 S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
.... 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 S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
.... sourcePatientInfo 1..1 Reference(MedComDocumentPatient) [DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier S 1..1 Identifier Logical reference, when literal reference is not known
.... related S 0..* Reference(Resource) [DocumentEntry.referenceIdList] Related identifiers or resources.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.extension:homeCommunityid.​value[x]:valueCoding Base extensible _TEMP IHE HomeCommunityId 📦2.0.1 DK MedCom Document v2.0
DocumentReference.type.​coding Base required MedComHCOTypeCodeVS 📦0.1.0-homecareobservation-draft-2 This IG
DocumentReference.category Base extensible IHE ClassCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​attachment.contentType Base required IHE MimeType_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​attachment.language Base extensible IHE LanguageCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​format Base required MedComHCOFormatCodeVS 📦0.1.0-homecareobservation-draft-2 This IG
DocumentReference.context.​facilityType Base required IHE HealthcareFacilityTypeCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.context.​practiceSetting Base required IHE PracticeSettingCode_TEMP 📦2.0.1 DK MedCom Document v2.0

Constraints

Id Grade Path(s) Description Expression
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 $this.matches('(?i)^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[45][0-9a-f]{3}-[89ab][0-9a-f]{3}-[0-9a-f]{12}$')

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DkCoreMinimalDocumentReference A reference to a document
... id SΣ 1..1 id Logical id of this artifact
... 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
... 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 S 1..1 (Complex) R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version"
..... value[x] 0..1 string An explicitly assigned identifer of a variation of the content in the DocumentReference
Required Pattern: 2.0
.... 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 Extension
Slice: Unordered, Open by value:url
..... 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 SΣ 1..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... 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 SΣ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
..... value SΣC 1..1 string The value that is unique
Constraints: mhd-startswithuuid, medcom-uuid
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)
... status ?!SΣ 1..1 code [DocumentEntry.availabilityStatus] current = active | superseded = deprecated.
Binding: MHD DocumentReference status codes (required)
... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical 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
.... coding Σ 0..* Coding Code defined by a terminology system
Binding: MedComHCOTypeCodeVS (required)

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:1.2.208.184.100.1
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: HCOM
..... display 1..1 string Representation defined by the system
Fixed Value: HomeCareObservation message
..... userSelected 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 SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..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
... subject SΣ 1..1 Reference(MedComDocumentPatient) {c} [DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document.
... date SΣ 0..1 instant When this document reference was created
... Slices for author SΣ 1..2 Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile | Device) {c} [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()
.... author:institution SΣ 1..1 Reference(MedComDocumentOrganization) The organization who authored the document.
.... author:person SΣ 0..1 Reference(MedComDocumentPractitionerRole | MedComDocumentPractitioner | Danish Core Related Person Profile) A person/role/patient/device author of the document.
... authenticator S 0..1 Reference(Danish Core Practitioner Profile | Danish Core PractitionerRole Profile | Danish Core Organization Profile) {c} [DocumentEntry.legalAuthenticator] Who authenticated the document.
... 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 SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... 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 SΣ 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
..... language SΣ 1..1 code [DocumentEntry.languageCode] Human language of the content.
Binding: IHE LanguageCode_TEMP (extensible)
Example General: en-AU
..... url SΣ 1..1 url [DocumentEntry.URI] URI where the data can be found.
Example General: http://www.acme.com/logo-small.png
..... size SΣ 0..1 unsignedInt [DocumentEntry.size] Number of bytes of content.
..... hash SΣ 0..1 base64Binary [DocumentEntry.hash] Hash of the data (sha-1).
..... title SΣ 1..1 string [DocumentEntry.title] The readable title of the document.
Example General: Official Corporate Logo
..... creation SΣC 1..1 dateTime [DocumentEntry.creationTime] Date attachment was first created.
Constraints: medcom-datetime-has-time-offset-zulu
.... format SΣ 1..1 Coding [DocumentEntry.formatCode] Format/content rules for the document.
Binding: MedComHCOFormatCodeVS (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 SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 1..1 string Representation defined by the system
..... 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 SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... 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 1..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 SΣC 1..1 dateTime Starting time with inclusive boundary
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... 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 SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..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
.... 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 SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..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
.... 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 SΣC 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 SΣ 1..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... related S 0..* Reference(Resource) [DocumentEntry.referenceIdList] Related identifiers or resources.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.text.​status Base required NarrativeStatus 📍4.0.1 FHIR Std.
DocumentReference.extension:homeCommunityid.​value[x]:valueCoding Base extensible _TEMP IHE HomeCommunityId 📦2.0.1 DK MedCom Document v2.0
DocumentReference.masterIdentifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DocumentReference.masterIdentifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DocumentReference.identifier:entryUUID.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DocumentReference.identifier:entryUUID.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DocumentReference.status Base required MHD DocumentReference status codes 📦4.2.3 Mobile access to Health Documents v4.2
DocumentReference.type Base preferred Document Type Value Set 📍4.0.1 FHIR Std.
DocumentReference.type.​coding Base required MedComHCOTypeCodeVS 📦0.1.0-homecareobservation-draft-2 This IG
DocumentReference.category Base extensible IHE ClassCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required IHE MimeType_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​attachment.language Base extensible IHE LanguageCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.content.​format Base required MedComHCOFormatCodeVS 📦0.1.0-homecareobservation-draft-2 This IG
DocumentReference.context.​event Base example v3 Code System ActCode 📍3.0.0 THO v7.1
DocumentReference.context.​facilityType Base required IHE HealthcareFacilityTypeCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.context.​practiceSetting Base required IHE PracticeSettingCode_TEMP 📦2.0.1 DK MedCom Document v2.0
DocumentReference.context.​sourcePatientInfo.type Base extensible ResourceType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

 

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