This page is part of the DK MedCom XDS Documents (v1.0.0-trial-use-1: Trial Uses) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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Resource Profile: MedComContainedDocumentReference

A profile stating the rules, when exchanging a FHIR document in the Danish Healthcare sector using IHE MHD and IHE XDS based document sharing.

Usages:

• Derived from this Profile: HomeCareObservationDocumentReference and MedComConditionListDocumentReference

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.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	DkCoreMinimalDocumentReference(3.6.0)	A reference to a document
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionid	O	1..1	string	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 Obligations Actor SHALL:in-narrative Producer of FHIR resources
extension:homeCommunityid	S	0..1	(Complex)	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed. URL: http://medcomfhir.dk/ig/xdsdocuments/StructureDefinition/medcom-document-homecommunityid-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://medcomfhir.dk/ig/xdsdocuments/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: DK XDS HomeCommunityId (required)
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
masterIdentifier	SΣ	1..1	UniqueIdIdentifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
Slices for identifier	SΣ	1..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID	SΣ	1..1	EntryUUIDIdentifier	[DocumentEntry.entryUUID] Identifier for the document.
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	SOΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 Obligations Actor SHALL:in-narrative Producer of FHIR resources
value	SOΣC	1..1	string	The value that is unique Constraints: mhd-startswithuuid, medcom-uuid Example General: 123456 Obligations Actor SHALL:in-narrative Producer of FHIR resources
status	?!SOΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated. Binding: MHD DocumentReference status codes (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document. Binding: DK XDS TypeCode ValueSet (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
category	SΣ	1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document. Binding: DK XDS ClassCode (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	SOΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
date	SΣ	0..1	instant	When this document reference was created
Slices for author	SOΣ	1..2	Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile(3.6.0) | 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() Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:institution	SOΣ	1..1	Reference(MedComDocumentOrganization) {c}	The organization who authored the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:person	SΣ	0..1	Reference(MedComDocumentPractitionerRole | MedComDocumentPractitioner | Danish Core Related Person Profile(3.6.0)) {c}	A person/role/patient/device author of the document.
authenticator	SO	0..1	Reference(Danish Core Practitioner Profile(3.6.0) | Danish Core PractitionerRole Profile(3.6.0) | Danish Core Organization Profile(3.6.0)) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
securityLabel	SΣ	1..1	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags. Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
content	SΣ	1..1	BackboneElement	Document referenced
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣ	1..1	Attachment	Where to access the document
contentType	SOΣ	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: DK XDS MimeType for FHIR documents (required) Example General: text/plain; charset=UTF-8, image/png Obligations Actor SHALL:in-narrative Producer of FHIR resources
language	SOΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content. Binding: DK XDS LanguageCode (required) Example General: en-AU Obligations Actor SHALL:in-narrative Producer of FHIR resources
url	SOΣ	1..1	url	[DocumentEntry.URI] URI where the data can be found. Example General: http://www.acme.com/logo-small.png Obligations Actor SHALL:in-narrative Producer of FHIR resources
size	SOΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content. Obligations Actor SHALL:in-narrative Producer of FHIR resources
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1).
title	SOΣ	1..1	string	[DocumentEntry.title] The readable title of the document. Example General: Official Corporate Logo Obligations Actor SHALL:in-narrative Producer of FHIR resources
creation	SOΣC	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created. Constraints: medcom-datetime-has-time-offset-zulu Obligations Actor SHALL:in-narrative Producer of FHIR resources
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document. Binding: DK XDS FormatCode (required)
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
context	SΣ	1..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	S	0..*	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented. Binding: DK XDS EventCodeLists (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
period	SΣ	1..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented.
start	SOΣC	1..1	dateTime	Starting time with inclusive boundary Obligations Actor SHALL:in-narrative Producer of FHIR resources
end	SOΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Obligations Actor SHALL:in-narrative Producer of FHIR resources
facilityType	S	1..1	CodeableConcept	​[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen. Binding: http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-HealthcareFacilityTypeCode-VS-local (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
practiceSetting	S	1..1	CodeableConcept	​[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty). Binding: http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-PracticeSettingCode-VS-local (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
sourcePatientInfo	S	1..1	Reference(MedComDocumentPatient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier	SOΣ	1..1	Identifier	Logical reference, when literal reference is not known Obligations Actor SHALL:in-narrative Producer of FHIR resources
related	SO	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources. Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.text.​status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
DocumentReference.extension:homeCommunityid.​value[x]:valueCoding	Base	required	DK XDS HomeCommunityId	📦1.0.0	Danish profile of the IHE XDS Metadata Standard 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	required	DK XDS TypeCode ValueSet	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.category	Base	required	DK XDS ClassCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard 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	DK XDS MimeType for FHIR documents	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​attachment.language	Base	required	DK XDS LanguageCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​format	Base	required	DK XDS FormatCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.context.​event	Base	required	DK XDS EventCodeLists	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.context.​facilityType	Base	required	​ http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-HealthcareFacilityTypeCode-VS-local	Not State	Unknown
DocumentReference.context.​practiceSetting	Base	required	​ http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-PracticeSettingCode-VS-local	Not State	Unknown

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	DkCoreMinimalDocumentReference(3.6.0)	A reference to a document
id	SO	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
extension	S	1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:versionid	O	1..1	R5 DocumentReference.version	R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new) Obligations Actor SHALL:in-narrative Producer of FHIR resources
extension:homeCommunityid	S	0..1	(Complex)	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed. URL: http://medcomfhir.dk/ig/xdsdocuments/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: DK XDS HomeCommunityId (required)
system	O	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	O	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
masterIdentifier	S	1..1	UniqueIdIdentifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier		1..*	Identifier	Other identifiers for the document
Slices for identifier				Content/Rules for all slices
identifier:entryUUID		1..1	EntryUUIDIdentifier	[DocumentEntry.entryUUID] Identifier for the document.
system	SO	1..1	uri	The namespace for the identifier value Obligations Actor SHALL:in-narrative Producer of FHIR resources
value	SOC	1..1	string	The value that is unique Constraints: medcom-uuid Obligations Actor SHALL:in-narrative Producer of FHIR resources
status	SO	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated. Obligations Actor SHALL:in-narrative Producer of FHIR resources
type		1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document. Binding: DK XDS TypeCode ValueSet (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
category		1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document. Binding: DK XDS ClassCode (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	O	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
Slices for author	O	1..2	Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile(3.6.0) | 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() Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:institution	SO	1..1	Reference(MedComDocumentOrganization) {c}	The organization who authored the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:person	S	0..1	Reference(MedComDocumentPractitionerRole | MedComDocumentPractitioner | Danish Core Related Person Profile(3.6.0)) {c}	A person/role/patient/device author of the document.
authenticator	SO	0..1	Reference(Danish Core Practitioner Profile(3.6.0) | Danish Core PractitionerRole Profile(3.6.0) | Danish Core Organization Profile(3.6.0)) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
securityLabel		1..1	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags.
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
content	S	1..1	BackboneElement	Document referenced
attachment	S	1..1	Attachment	Where to access the document
contentType	SO	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: DK XDS MimeType for FHIR documents (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
language	O	1..1	code	[DocumentEntry.languageCode] Human language of the content. Binding: DK XDS LanguageCode (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
url	SO	1..1	url	[DocumentEntry.URI] URI where the data can be found. Obligations Actor SHALL:in-narrative Producer of FHIR resources
size	SO	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content. Obligations Actor SHALL:in-narrative Producer of FHIR resources
hash	S	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1).
title	SO	1..1	string	[DocumentEntry.title] The readable title of the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
creation	OC	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created. Constraints: medcom-datetime-has-time-offset-zulu Obligations Actor SHALL:in-narrative Producer of FHIR resources
format		1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document. Binding: DK XDS FormatCode (required)
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
context	S	1..1	BackboneElement	Clinical context of document
event	S	0..*	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented. Binding: DK XDS EventCodeLists (required)
coding
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
period		1..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented.
start	SO	1..1	dateTime	Starting time with inclusive boundary Obligations Actor SHALL:in-narrative Producer of FHIR resources
end	SO	0..1	dateTime	End time with inclusive boundary, if not ongoing Obligations Actor SHALL:in-narrative Producer of FHIR resources
facilityType		1..1	CodeableConcept	​[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen. Binding: http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-HealthcareFacilityTypeCode-VS-local (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
practiceSetting		1..1	CodeableConcept	​[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty). Binding: http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-PracticeSettingCode-VS-local (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
sourcePatientInfo		1..1	Reference(MedComDocumentPatient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
reference	SO	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier	SO	1..1	Identifier	Logical reference, when literal reference is not known Obligations Actor SHALL:in-narrative Producer of FHIR resources
related	SO	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources. Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.extension:homeCommunityid.​value[x]:valueCoding	Base	required	DK XDS HomeCommunityId	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.type	Base	required	DK XDS TypeCode ValueSet	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.category	Base	required	DK XDS ClassCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​attachment.contentType	Base	required	DK XDS MimeType for FHIR documents	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​attachment.language	Base	required	DK XDS LanguageCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​format	Base	required	DK XDS FormatCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.context.​event	Base	required	DK XDS EventCodeLists	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.context.​facilityType	Base	required	​ http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-HealthcareFacilityTypeCode-VS-local	Not State	Unknown
DocumentReference.context.​practiceSetting	Base	required	​ http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-PracticeSettingCode-VS-local	Not State	Unknown

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	DkCoreMinimalDocumentReference(3.6.0)	A reference to a document
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionid	O	1..1	string	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 Obligations Actor SHALL:in-narrative Producer of FHIR resources
extension:homeCommunityid	S	0..1	(Complex)	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed. URL: http://medcomfhir.dk/ig/xdsdocuments/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/xdsdocuments/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: DK XDS HomeCommunityId (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
masterIdentifier	SΣ	1..1	UniqueIdIdentifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
Slices for identifier	SΣ	1..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID	SΣ	1..1	EntryUUIDIdentifier	[DocumentEntry.entryUUID] Identifier for the document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SOΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 Obligations Actor SHALL:in-narrative Producer of FHIR resources
value	SOΣC	1..1	string	The value that is unique Constraints: mhd-startswithuuid, medcom-uuid Example General: 123456 Obligations Actor SHALL:in-narrative Producer of FHIR resources
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SOΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated. Binding: MHD DocumentReference status codes (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document. Binding: DK XDS TypeCode ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category	SΣ	1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document. Binding: DK XDS ClassCode (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SOΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
date	SΣ	0..1	instant	When this document reference was created
Slices for author	SOΣ	1..2	Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile(3.6.0) | 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() Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:institution	SOΣ	1..1	Reference(MedComDocumentOrganization) {c}	The organization who authored the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:person	SΣ	0..1	Reference(MedComDocumentPractitionerRole | MedComDocumentPractitioner | Danish Core Related Person Profile(3.6.0)) {c}	A person/role/patient/device author of the document.
authenticator	SO	0..1	Reference(Danish Core Practitioner Profile(3.6.0) | Danish Core PractitionerRole Profile(3.6.0) | Danish Core Organization Profile(3.6.0)) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
custodian		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description
securityLabel	SΣ	1..1	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags. Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
content	SΣ	1..1	BackboneElement	Document referenced
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣ	1..1	Attachment	Where to access the document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SOΣ	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: DK XDS MimeType for FHIR documents (required) Example General: text/plain; charset=UTF-8, image/png Obligations Actor SHALL:in-narrative Producer of FHIR resources
language	SOΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content. Binding: DK XDS LanguageCode (required) Example General: en-AU Obligations Actor SHALL:in-narrative Producer of FHIR resources
url	SOΣ	1..1	url	[DocumentEntry.URI] URI where the data can be found. Example General: http://www.acme.com/logo-small.png Obligations Actor SHALL:in-narrative Producer of FHIR resources
size	SOΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content. Obligations Actor SHALL:in-narrative Producer of FHIR resources
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1).
title	SOΣ	1..1	string	[DocumentEntry.title] The readable title of the document. Example General: Official Corporate Logo Obligations Actor SHALL:in-narrative Producer of FHIR resources
creation	SOΣC	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created. Constraints: medcom-datetime-has-time-offset-zulu Obligations Actor SHALL:in-narrative Producer of FHIR resources
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document. Binding: DK XDS FormatCode (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
context	SΣ	1..1	BackboneElement	Clinical context of document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
encounter		0..*	Reference(Encounter | EpisodeOfCare)	Context of the document content
event	S	0..*	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented. Binding: DK XDS EventCodeLists (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	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period	SΣ	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	SOΣC	1..1	dateTime	Starting time with inclusive boundary Obligations Actor SHALL:in-narrative Producer of FHIR resources
end	SOΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Obligations Actor SHALL:in-narrative Producer of FHIR resources
facilityType	S	1..1	CodeableConcept	​[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen. Binding: http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-HealthcareFacilityTypeCode-VS-local (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
practiceSetting	S	1..1	CodeableConcept	​[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty). Binding: http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-PracticeSettingCode-VS-local (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
sourcePatientInfo	S	1..1	Reference(MedComDocumentPatient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:in-narrative Producer of FHIR resources
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SOΣ	1..1	Identifier	Logical reference, when literal reference is not known Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	Σ	0..1	string	Text alternative for the resource
related	SO	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources. Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings

Path	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	required	DK XDS HomeCommunityId	📦1.0.0	Danish profile of the IHE XDS Metadata Standard 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	required	DK XDS TypeCode ValueSet	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.category	Base	required	DK XDS ClassCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard 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	DK XDS MimeType for FHIR documents	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​attachment.language	Base	required	DK XDS LanguageCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​format	Base	required	DK XDS FormatCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.context.​event	Base	required	DK XDS EventCodeLists	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.context.​facilityType	Base	required	​ http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-HealthcareFacilityTypeCode-VS-local	Not State	Unknown
DocumentReference.context.​practiceSetting	Base	required	​ http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-PracticeSettingCode-VS-local	Not State	Unknown
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()

This structure is derived from DkCoreMinimalDocumentReference

Summary

Mandatory: 42 elements(2 nested mandatory elements)
Must-Support: 54 elements

Structures

This structure refers to these other structures:

• MedComDocumentPatient (http://medcomfhir.dk/ig/xdsdocuments/StructureDefinition/medcom-document-patient)
• MedComDocumentOrganization (http://medcomfhir.dk/ig/xdsdocuments/StructureDefinition/medcom-document-organization)
• MedComDocumentPractitionerRole (http://medcomfhir.dk/ig/xdsdocuments/StructureDefinition/medcom-document-practitionerrole)
• MedComDocumentPractitioner (http://medcomfhir.dk/ig/xdsdocuments/StructureDefinition/medcom-document-practitioner)
• Danish Core Related Person Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-related-person|3.6.0)
• Danish Core Practitioner Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-practitioner|3.6.0)
• Danish Core PractitionerRole Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-practitioner-role|3.6.0)
• Danish Core Organization Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-organization|3.6.0)

Extensions

This structure refers to these extensions:

• http://medcomfhir.dk/ig/xdsdocuments/StructureDefinition/medcom-document-homecommunityid-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DocumentReference.author

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	DkCoreMinimalDocumentReference(3.6.0)	A reference to a document
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionid	O	1..1	string	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 Obligations Actor SHALL:in-narrative Producer of FHIR resources
extension:homeCommunityid	S	0..1	(Complex)	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed. URL: http://medcomfhir.dk/ig/xdsdocuments/StructureDefinition/medcom-document-homecommunityid-extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://medcomfhir.dk/ig/xdsdocuments/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: DK XDS HomeCommunityId (required)
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
masterIdentifier	SΣ	1..1	UniqueIdIdentifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
Slices for identifier	SΣ	1..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID	SΣ	1..1	EntryUUIDIdentifier	[DocumentEntry.entryUUID] Identifier for the document.
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	SOΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 Obligations Actor SHALL:in-narrative Producer of FHIR resources
value	SOΣC	1..1	string	The value that is unique Constraints: mhd-startswithuuid, medcom-uuid Example General: 123456 Obligations Actor SHALL:in-narrative Producer of FHIR resources
status	?!SOΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated. Binding: MHD DocumentReference status codes (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document. Binding: DK XDS TypeCode ValueSet (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
category	SΣ	1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document. Binding: DK XDS ClassCode (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	SOΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
date	SΣ	0..1	instant	When this document reference was created
Slices for author	SOΣ	1..2	Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile(3.6.0) | 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() Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:institution	SOΣ	1..1	Reference(MedComDocumentOrganization) {c}	The organization who authored the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:person	SΣ	0..1	Reference(MedComDocumentPractitionerRole | MedComDocumentPractitioner | Danish Core Related Person Profile(3.6.0)) {c}	A person/role/patient/device author of the document.
authenticator	SO	0..1	Reference(Danish Core Practitioner Profile(3.6.0) | Danish Core PractitionerRole Profile(3.6.0) | Danish Core Organization Profile(3.6.0)) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
securityLabel	SΣ	1..1	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags. Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
content	SΣ	1..1	BackboneElement	Document referenced
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣ	1..1	Attachment	Where to access the document
contentType	SOΣ	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: DK XDS MimeType for FHIR documents (required) Example General: text/plain; charset=UTF-8, image/png Obligations Actor SHALL:in-narrative Producer of FHIR resources
language	SOΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content. Binding: DK XDS LanguageCode (required) Example General: en-AU Obligations Actor SHALL:in-narrative Producer of FHIR resources
url	SOΣ	1..1	url	[DocumentEntry.URI] URI where the data can be found. Example General: http://www.acme.com/logo-small.png Obligations Actor SHALL:in-narrative Producer of FHIR resources
size	SOΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content. Obligations Actor SHALL:in-narrative Producer of FHIR resources
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1).
title	SOΣ	1..1	string	[DocumentEntry.title] The readable title of the document. Example General: Official Corporate Logo Obligations Actor SHALL:in-narrative Producer of FHIR resources
creation	SOΣC	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created. Constraints: medcom-datetime-has-time-offset-zulu Obligations Actor SHALL:in-narrative Producer of FHIR resources
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document. Binding: DK XDS FormatCode (required)
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
context	SΣ	1..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	S	0..*	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented. Binding: DK XDS EventCodeLists (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
period	SΣ	1..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented.
start	SOΣC	1..1	dateTime	Starting time with inclusive boundary Obligations Actor SHALL:in-narrative Producer of FHIR resources
end	SOΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Obligations Actor SHALL:in-narrative Producer of FHIR resources
facilityType	S	1..1	CodeableConcept	​[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen. Binding: http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-HealthcareFacilityTypeCode-VS-local (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
practiceSetting	S	1..1	CodeableConcept	​[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty). Binding: http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-PracticeSettingCode-VS-local (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
sourcePatientInfo	S	1..1	Reference(MedComDocumentPatient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier	SOΣ	1..1	Identifier	Logical reference, when literal reference is not known Obligations Actor SHALL:in-narrative Producer of FHIR resources
related	SO	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources. Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.text.​status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
DocumentReference.extension:homeCommunityid.​value[x]:valueCoding	Base	required	DK XDS HomeCommunityId	📦1.0.0	Danish profile of the IHE XDS Metadata Standard 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	required	DK XDS TypeCode ValueSet	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.category	Base	required	DK XDS ClassCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard 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	DK XDS MimeType for FHIR documents	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​attachment.language	Base	required	DK XDS LanguageCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​format	Base	required	DK XDS FormatCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.context.​event	Base	required	DK XDS EventCodeLists	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.context.​facilityType	Base	required	​ http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-HealthcareFacilityTypeCode-VS-local	Not State	Unknown
DocumentReference.context.​practiceSetting	Base	required	​ http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-PracticeSettingCode-VS-local	Not State	Unknown

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	DkCoreMinimalDocumentReference(3.6.0)	A reference to a document
id	SO	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
extension	S	1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:versionid	O	1..1	R5 DocumentReference.version	R5: An explicitly assigned identifer of a variation of the content in the DocumentReference (new) Obligations Actor SHALL:in-narrative Producer of FHIR resources
extension:homeCommunityid	S	0..1	(Complex)	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed. URL: http://medcomfhir.dk/ig/xdsdocuments/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: DK XDS HomeCommunityId (required)
system	O	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	O	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
masterIdentifier	S	1..1	UniqueIdIdentifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier		1..*	Identifier	Other identifiers for the document
Slices for identifier				Content/Rules for all slices
identifier:entryUUID		1..1	EntryUUIDIdentifier	[DocumentEntry.entryUUID] Identifier for the document.
system	SO	1..1	uri	The namespace for the identifier value Obligations Actor SHALL:in-narrative Producer of FHIR resources
value	SOC	1..1	string	The value that is unique Constraints: medcom-uuid Obligations Actor SHALL:in-narrative Producer of FHIR resources
status	SO	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated. Obligations Actor SHALL:in-narrative Producer of FHIR resources
type		1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document. Binding: DK XDS TypeCode ValueSet (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
category		1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document. Binding: DK XDS ClassCode (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	O	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
Slices for author	O	1..2	Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile(3.6.0) | 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() Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:institution	SO	1..1	Reference(MedComDocumentOrganization) {c}	The organization who authored the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:person	S	0..1	Reference(MedComDocumentPractitionerRole | MedComDocumentPractitioner | Danish Core Related Person Profile(3.6.0)) {c}	A person/role/patient/device author of the document.
authenticator	SO	0..1	Reference(Danish Core Practitioner Profile(3.6.0) | Danish Core PractitionerRole Profile(3.6.0) | Danish Core Organization Profile(3.6.0)) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
securityLabel		1..1	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags.
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
content	S	1..1	BackboneElement	Document referenced
attachment	S	1..1	Attachment	Where to access the document
contentType	SO	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: DK XDS MimeType for FHIR documents (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
language	O	1..1	code	[DocumentEntry.languageCode] Human language of the content. Binding: DK XDS LanguageCode (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
url	SO	1..1	url	[DocumentEntry.URI] URI where the data can be found. Obligations Actor SHALL:in-narrative Producer of FHIR resources
size	SO	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content. Obligations Actor SHALL:in-narrative Producer of FHIR resources
hash	S	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1).
title	SO	1..1	string	[DocumentEntry.title] The readable title of the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
creation	OC	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created. Constraints: medcom-datetime-has-time-offset-zulu Obligations Actor SHALL:in-narrative Producer of FHIR resources
format		1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document. Binding: DK XDS FormatCode (required)
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
context	S	1..1	BackboneElement	Clinical context of document
event	S	0..*	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented. Binding: DK XDS EventCodeLists (required)
coding
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
period		1..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented.
start	SO	1..1	dateTime	Starting time with inclusive boundary Obligations Actor SHALL:in-narrative Producer of FHIR resources
end	SO	0..1	dateTime	End time with inclusive boundary, if not ongoing Obligations Actor SHALL:in-narrative Producer of FHIR resources
facilityType		1..1	CodeableConcept	​[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen. Binding: http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-HealthcareFacilityTypeCode-VS-local (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
practiceSetting		1..1	CodeableConcept	​[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty). Binding: http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-PracticeSettingCode-VS-local (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	SO	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SO	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
sourcePatientInfo		1..1	Reference(MedComDocumentPatient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
reference	SO	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier	SO	1..1	Identifier	Logical reference, when literal reference is not known Obligations Actor SHALL:in-narrative Producer of FHIR resources
related	SO	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources. Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.extension:homeCommunityid.​value[x]:valueCoding	Base	required	DK XDS HomeCommunityId	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.type	Base	required	DK XDS TypeCode ValueSet	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.category	Base	required	DK XDS ClassCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​attachment.contentType	Base	required	DK XDS MimeType for FHIR documents	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​attachment.language	Base	required	DK XDS LanguageCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​format	Base	required	DK XDS FormatCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.context.​event	Base	required	DK XDS EventCodeLists	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.context.​facilityType	Base	required	​ http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-HealthcareFacilityTypeCode-VS-local	Not State	Unknown
DocumentReference.context.​practiceSetting	Base	required	​ http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-PracticeSettingCode-VS-local	Not State	Unknown

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	DkCoreMinimalDocumentReference(3.6.0)	A reference to a document
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:versionid	O	1..1	string	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 Obligations Actor SHALL:in-narrative Producer of FHIR resources
extension:homeCommunityid	S	0..1	(Complex)	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed. URL: http://medcomfhir.dk/ig/xdsdocuments/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/xdsdocuments/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: DK XDS HomeCommunityId (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
masterIdentifier	SΣ	1..1	UniqueIdIdentifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
Slices for identifier	SΣ	1..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID	SΣ	1..1	EntryUUIDIdentifier	[DocumentEntry.entryUUID] Identifier for the document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SOΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 Obligations Actor SHALL:in-narrative Producer of FHIR resources
value	SOΣC	1..1	string	The value that is unique Constraints: mhd-startswithuuid, medcom-uuid Example General: 123456 Obligations Actor SHALL:in-narrative Producer of FHIR resources
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SOΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated. Binding: MHD DocumentReference status codes (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document. Binding: DK XDS TypeCode ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category	SΣ	1..1	CodeableConcept	[DocumentEntry.classCode] Categorization of document. Binding: DK XDS ClassCode (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SOΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
date	SΣ	0..1	instant	When this document reference was created
Slices for author	SOΣ	1..2	Reference(MedComDocumentOrganization | MedComDocumentPractitionerRole | MedComDocumentPractitioner | MedComDocumentPatient | Danish Core Related Person Profile(3.6.0) | 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() Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:institution	SOΣ	1..1	Reference(MedComDocumentOrganization) {c}	The organization who authored the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
author:person	SΣ	0..1	Reference(MedComDocumentPractitionerRole | MedComDocumentPractitioner | Danish Core Related Person Profile(3.6.0)) {c}	A person/role/patient/device author of the document.
authenticator	SO	0..1	Reference(Danish Core Practitioner Profile(3.6.0) | Danish Core PractitionerRole Profile(3.6.0) | Danish Core Organization Profile(3.6.0)) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document. Obligations Actor SHALL:in-narrative Producer of FHIR resources
custodian		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description
securityLabel	SΣ	1..1	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags. Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
content	SΣ	1..1	BackboneElement	Document referenced
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣ	1..1	Attachment	Where to access the document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SOΣ	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: DK XDS MimeType for FHIR documents (required) Example General: text/plain; charset=UTF-8, image/png Obligations Actor SHALL:in-narrative Producer of FHIR resources
language	SOΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content. Binding: DK XDS LanguageCode (required) Example General: en-AU Obligations Actor SHALL:in-narrative Producer of FHIR resources
url	SOΣ	1..1	url	[DocumentEntry.URI] URI where the data can be found. Example General: http://www.acme.com/logo-small.png Obligations Actor SHALL:in-narrative Producer of FHIR resources
size	SOΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content. Obligations Actor SHALL:in-narrative Producer of FHIR resources
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1).
title	SOΣ	1..1	string	[DocumentEntry.title] The readable title of the document. Example General: Official Corporate Logo Obligations Actor SHALL:in-narrative Producer of FHIR resources
creation	SOΣC	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created. Constraints: medcom-datetime-has-time-offset-zulu Obligations Actor SHALL:in-narrative Producer of FHIR resources
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document. Binding: DK XDS FormatCode (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
context	SΣ	1..1	BackboneElement	Clinical context of document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
encounter		0..*	Reference(Encounter | EpisodeOfCare)	Context of the document content
event	S	0..*	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented. Binding: DK XDS EventCodeLists (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	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period	SΣ	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	SOΣC	1..1	dateTime	Starting time with inclusive boundary Obligations Actor SHALL:in-narrative Producer of FHIR resources
end	SOΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing Obligations Actor SHALL:in-narrative Producer of FHIR resources
facilityType	S	1..1	CodeableConcept	​[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen. Binding: http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-HealthcareFacilityTypeCode-VS-local (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
practiceSetting	S	1..1	CodeableConcept	​[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty). Binding: http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-PracticeSettingCode-VS-local (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SOΣ	1..1	uri	Identity of the terminology system Obligations Actor SHALL:in-narrative Producer of FHIR resources
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	SOΣ	1..1	string	Representation defined by the system Obligations Actor SHALL:in-narrative Producer of FHIR resources
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
sourcePatientInfo	S	1..1	Reference(MedComDocumentPatient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:in-narrative Producer of FHIR resources
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SOΣ	1..1	Identifier	Logical reference, when literal reference is not known Obligations Actor SHALL:in-narrative Producer of FHIR resources
display	Σ	0..1	string	Text alternative for the resource
related	SO	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources. Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings

Path	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	required	DK XDS HomeCommunityId	📦1.0.0	Danish profile of the IHE XDS Metadata Standard 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	required	DK XDS TypeCode ValueSet	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.category	Base	required	DK XDS ClassCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard 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	DK XDS MimeType for FHIR documents	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​attachment.language	Base	required	DK XDS LanguageCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.content.​format	Base	required	DK XDS FormatCode	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.context.​event	Base	required	DK XDS EventCodeLists	📦1.0.0	Danish profile of the IHE XDS Metadata Standard v2.0
DocumentReference.context.​facilityType	Base	required	​ http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-HealthcareFacilityTypeCode-VS-local	Not State	Unknown
DocumentReference.context.​practiceSetting	Base	required	​ http://medcomfhir.dk/ig/xdsdocuments/ValueSet/MedCom-xds-PracticeSettingCode-VS-local	Not State	Unknown
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()

This structure is derived from DkCoreMinimalDocumentReference

Summary

Mandatory: 42 elements(2 nested mandatory elements)
Must-Support: 54 elements

Structures

This structure refers to these other structures:

• MedComDocumentPatient (http://medcomfhir.dk/ig/xdsdocuments/StructureDefinition/medcom-document-patient)
• MedComDocumentOrganization (http://medcomfhir.dk/ig/xdsdocuments/StructureDefinition/medcom-document-organization)
• MedComDocumentPractitionerRole (http://medcomfhir.dk/ig/xdsdocuments/StructureDefinition/medcom-document-practitionerrole)
• MedComDocumentPractitioner (http://medcomfhir.dk/ig/xdsdocuments/StructureDefinition/medcom-document-practitioner)
• Danish Core Related Person Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-related-person|3.6.0)
• Danish Core Practitioner Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-practitioner|3.6.0)
• Danish Core PractitionerRole Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-practitioner-role|3.6.0)
• Danish Core Organization Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-organization|3.6.0)

Extensions

This structure refers to these extensions:

• http://medcomfhir.dk/ig/xdsdocuments/StructureDefinition/medcom-document-homecommunityid-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DocumentReference.author