Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	A reference to a document
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
homeCommunityid	SΣ	1..1	Coding	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-homecommunityid-extension
versionid	SΣ	1..1	string	Specifies the version of the DocumentReference for a standard. URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-version-id-extension
masterIdentifier	S	1..1	Identifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
value	S	1..1	string	The value that is unique
identifier	SC	1..1	Identifier	[DocumentEntry.entryUUID] Identifier for the document uuid: General UUID expression
value	S	1..1	string	The value that is unique
status	S	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated
type	S	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document
coding
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
category	S	1..1	CodeableConcept	[DocumentEntry.class] Categorization of document Binding: IHE ClassCode (extensible)
coding
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
subject	S	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document
Slices for author	S	1..2	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) {c}	[DocumentEntry.author] Who and/or what authored the document Slice: Unordered, Closed by type:$this.resolve()
author:institution	S	1..1	Reference(MedComDocumentOrganization) {c}	[DocumentEntry.author.authorInstitution] The organization who authored the document
author:person	S	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.author.authorPerson] The person who authored the document
authenticator	S	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document
securityLabel	S	1..*	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags
content	S	1..*	BackboneElement	Document referenced
attachment
contentType	S	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: IHE MimeType (required)
language	S	1..1	code	[DocumentEntry.languageCode] Human language of the content Binding: IHE LanguageCode (extensible)
url	S	0..1	url	[DocumentEntry.URI] Uri where the data can be found
size	S	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content
hash	S	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1)
title	S	1..1	string	[DocumentEntry.title] Label to display in place of the data
creation	S	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created
format	S	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document
context	S	1..1	BackboneElement	Clinical context of document
event	S	0..1	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented
coding
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
period	S	0..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented
start	S	0..1	dateTime	Starting time with inclusive boundary
end	S	0..1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	1..1	CodeableConcept	[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen
coding
system	S	1..1	uri	Identity of the terminology system Binding: IHE HealthcareFacilityTypeCode (extensible)
code	S	1..1	code	Symbol in syntax defined by the system
practiceSetting	S	1..1	CodeableConcept	[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty)
coding
system	S	1..1	uri	Identity of the terminology system Binding: IHE PracticeSettingCode (extensible)
code	S	1..1	code	Symbol in syntax defined by the system
sourcePatientInfo	S	1..1	Reference(Patient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
related	S	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DocumentReference.category	extensible	MedComIHE_CoreClassCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-classcode-VS from this IG
DocumentReference.content.attachment.contentType	required	MedComIHE_CoreMimeType http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-mimetype-VS from this IG
DocumentReference.content.attachment.language	extensible	MedComIHE_CoreLanguageCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-languagecode-VS from this IG
DocumentReference.context.facilityType.coding.system	extensible	MedComIHE_CoreHealthcareFacilityTypeCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-HealthcareFacilityTypeCode-VS from this IG
DocumentReference.context.practiceSetting.coding.system	extensible	MedComIHE_CorePracticeSettingCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-PracticeSettingCode-VS from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
uuid	error	DocumentReference.identifier	General UUID expression : value.matches('[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}')

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	A reference to a document
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
homeCommunityid	SΣ	1..1	Coding	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-homecommunityid-extension
versionid	SΣ	1..1	string	Specifies the version of the DocumentReference for a standard. URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-version-id-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	SΣ	1..1	Identifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier	SΣC	1..1	Identifier	[DocumentEntry.entryUUID] Identifier for the document uuid: General UUID expression
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated Binding: DocumentReferenceStatus (required): The status of the document reference.
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
category	SΣ	1..1	CodeableConcept	[DocumentEntry.class] Categorization of document Binding: IHE ClassCode (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document
Slices for author	SΣ	1..2	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) {c}	[DocumentEntry.author] Who and/or what authored the document Slice: Unordered, Closed by type:$this.resolve()
author:institution	SΣ	1..1	Reference(MedComDocumentOrganization) {c}	[DocumentEntry.author.authorInstitution] The organization who authored the document
author:person	SΣ	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.author.authorPerson] The person who authored the document
authenticator	S	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document
securityLabel	SΣ	1..*	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	SΣ	1..*	BackboneElement	Document referenced
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	Σ	1..1	Attachment	Where to access the document
contentType	SΣ	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: IHE MimeType (required) Example General: text/plain; charset=UTF-8, image/png
language	SΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content Binding: IHE LanguageCode (extensible) Example General: en-AU
url	SΣ	0..1	url	[DocumentEntry.URI] Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1)
title	SΣ	1..1	string	[DocumentEntry.title] Label to display in place of the data Example General: Official Corporate Logo
creation	SΣ	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
context	SΣ	1..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	S	0..1	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
period	SΣ	0..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	1..1	CodeableConcept	[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Binding: IHE HealthcareFacilityTypeCode (extensible)
code	SΣ	1..1	code	Symbol in syntax defined by the system
practiceSetting	S	1..1	CodeableConcept	[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty) Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Binding: IHE PracticeSettingCode (extensible)
code	SΣ	1..1	code	Symbol in syntax defined by the system
sourcePatientInfo	S	1..1	Reference(Patient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
related	S	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.masterIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DocumentReference.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 from the FHIR Standard
DocumentReference.type	preferred	DocumentTypeValueSet http://hl7.org/fhir/ValueSet/c80-doc-typecodes from the FHIR Standard
DocumentReference.category	extensible	MedComIHE_CoreClassCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-classcode-VS from this IG
DocumentReference.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
DocumentReference.content.attachment.contentType	required	MedComIHE_CoreMimeType http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-mimetype-VS from this IG
DocumentReference.content.attachment.language	extensible	MedComIHE_CoreLanguageCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-languagecode-VS from this IG
DocumentReference.content.format	preferred	DocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem) http://hl7.org/fhir/ValueSet/formatcodes from the FHIR Standard
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes from the FHIR Standard
DocumentReference.context.facilityType.coding.system	extensible	MedComIHE_CoreHealthcareFacilityTypeCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-HealthcareFacilityTypeCode-VS from this IG
DocumentReference.context.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
DocumentReference.context.practiceSetting.coding.system	extensible	MedComIHE_CorePracticeSettingCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-PracticeSettingCode-VS from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
uuid	error	DocumentReference.identifier	General UUID expression : value.matches('[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}')

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	A reference to a document
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
homeCommunityid	SΣ	1..1	Coding	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-homecommunityid-extension
versionid	SΣ	1..1	string	Specifies the version of the DocumentReference for a standard. URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-version-id-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	SΣ	1..1	Identifier	[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	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
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	Σ	0..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)
identifier	SΣC	1..1	Identifier	[DocumentEntry.entryUUID] Identifier for the document uuid: General UUID expression
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	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
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	Σ	0..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)
status	?!SΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated Binding: DocumentReferenceStatus (required): The status of the document reference.
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document.
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category	SΣ	1..1	CodeableConcept	[DocumentEntry.class] Categorization of document Binding: IHE ClassCode (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	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
subject	SΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document
date	Σ	0..1	instant	When this document reference was created
Slices for author	SΣ	1..2	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) {c}	[DocumentEntry.author] Who and/or what authored the document Slice: Unordered, Closed by type:$this.resolve()
author:institution	SΣ	1..1	Reference(MedComDocumentOrganization) {c}	[DocumentEntry.author.authorInstitution] The organization who authored the document
author:person	SΣ	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.author.authorPerson] The person who authored the document
authenticator	S	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document
custodian		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	Σ	0..*	BackboneElement	Relationships to other documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description
securityLabel	SΣ	1..*	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	SΣ	1..*	BackboneElement	Document referenced
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	Σ	1..1	Attachment	Where to access the document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: IHE MimeType (required) Example General: text/plain; charset=UTF-8, image/png
language	SΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content Binding: IHE LanguageCode (extensible) Example General: en-AU
data		0..1	base64Binary	Data inline, base64ed
url	SΣ	0..1	url	[DocumentEntry.URI] Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1)
title	SΣ	1..1	string	[DocumentEntry.title] Label to display in place of the data Example General: Official Corporate Logo
creation	SΣ	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
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..1	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts 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
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period	SΣ	0..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	1..1	CodeableConcept	[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Binding: IHE HealthcareFacilityTypeCode (extensible)
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
practiceSetting	S	1..1	CodeableConcept	[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty) Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Binding: IHE PracticeSettingCode (extensible)
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
sourcePatientInfo	S	1..1	Reference(Patient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
related	S	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DocumentReference.masterIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DocumentReference.masterIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DocumentReference.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DocumentReference.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 from the FHIR Standard
DocumentReference.docStatus	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
DocumentReference.type	preferred	DocumentTypeValueSet http://hl7.org/fhir/ValueSet/c80-doc-typecodes from the FHIR Standard
DocumentReference.category	extensible	MedComIHE_CoreClassCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-classcode-VS from this IG
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
DocumentReference.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
DocumentReference.content.attachment.contentType	required	MedComIHE_CoreMimeType http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-mimetype-VS from this IG
DocumentReference.content.attachment.language	extensible	MedComIHE_CoreLanguageCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-languagecode-VS from this IG
DocumentReference.content.format	preferred	DocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem) http://hl7.org/fhir/ValueSet/formatcodes from the FHIR Standard
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes from the FHIR Standard
DocumentReference.context.facilityType.coding.system	extensible	MedComIHE_CoreHealthcareFacilityTypeCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-HealthcareFacilityTypeCode-VS from this IG
DocumentReference.context.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
DocumentReference.context.practiceSetting.coding.system	extensible	MedComIHE_CorePracticeSettingCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-PracticeSettingCode-VS from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
uuid	error	DocumentReference.identifier	General UUID expression : value.matches('[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}')

Summary

Mandatory: 21 elements(10 nested mandatory elements)
Must-Support: 43 elements

Structures

This structure refers to these other structures:

• MedComDocumentPatient (http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-patient)
• MedComDocumentOrganization (http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-organization)
• MedComDocumentPractitioner (http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-practitioner)

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	A reference to a document
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
homeCommunityid	SΣ	1..1	Coding	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-homecommunityid-extension
versionid	SΣ	1..1	string	Specifies the version of the DocumentReference for a standard. URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-version-id-extension
masterIdentifier	S	1..1	Identifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
value	S	1..1	string	The value that is unique
identifier	SC	1..1	Identifier	[DocumentEntry.entryUUID] Identifier for the document uuid: General UUID expression
value	S	1..1	string	The value that is unique
status	S	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated
type	S	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document
coding
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
category	S	1..1	CodeableConcept	[DocumentEntry.class] Categorization of document Binding: IHE ClassCode (extensible)
coding
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
subject	S	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document
Slices for author	S	1..2	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) {c}	[DocumentEntry.author] Who and/or what authored the document Slice: Unordered, Closed by type:$this.resolve()
author:institution	S	1..1	Reference(MedComDocumentOrganization) {c}	[DocumentEntry.author.authorInstitution] The organization who authored the document
author:person	S	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.author.authorPerson] The person who authored the document
authenticator	S	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document
securityLabel	S	1..*	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags
content	S	1..*	BackboneElement	Document referenced
attachment
contentType	S	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: IHE MimeType (required)
language	S	1..1	code	[DocumentEntry.languageCode] Human language of the content Binding: IHE LanguageCode (extensible)
url	S	0..1	url	[DocumentEntry.URI] Uri where the data can be found
size	S	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content
hash	S	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1)
title	S	1..1	string	[DocumentEntry.title] Label to display in place of the data
creation	S	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created
format	S	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document
context	S	1..1	BackboneElement	Clinical context of document
event	S	0..1	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented
coding
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
period	S	0..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented
start	S	0..1	dateTime	Starting time with inclusive boundary
end	S	0..1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	1..1	CodeableConcept	[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen
coding
system	S	1..1	uri	Identity of the terminology system Binding: IHE HealthcareFacilityTypeCode (extensible)
code	S	1..1	code	Symbol in syntax defined by the system
practiceSetting	S	1..1	CodeableConcept	[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty)
coding
system	S	1..1	uri	Identity of the terminology system Binding: IHE PracticeSettingCode (extensible)
code	S	1..1	code	Symbol in syntax defined by the system
sourcePatientInfo	S	1..1	Reference(Patient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
related	S	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DocumentReference.category	extensible	MedComIHE_CoreClassCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-classcode-VS from this IG
DocumentReference.content.attachment.contentType	required	MedComIHE_CoreMimeType http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-mimetype-VS from this IG
DocumentReference.content.attachment.language	extensible	MedComIHE_CoreLanguageCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-languagecode-VS from this IG
DocumentReference.context.facilityType.coding.system	extensible	MedComIHE_CoreHealthcareFacilityTypeCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-HealthcareFacilityTypeCode-VS from this IG
DocumentReference.context.practiceSetting.coding.system	extensible	MedComIHE_CorePracticeSettingCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-PracticeSettingCode-VS from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
uuid	error	DocumentReference.identifier	General UUID expression : value.matches('[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}')

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	A reference to a document
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
homeCommunityid	SΣ	1..1	Coding	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-homecommunityid-extension
versionid	SΣ	1..1	string	Specifies the version of the DocumentReference for a standard. URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-version-id-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	SΣ	1..1	Identifier	[DocumentEntry.uniqueId] Master Version Specific Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier	SΣC	1..1	Identifier	[DocumentEntry.entryUUID] Identifier for the document uuid: General UUID expression
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated Binding: DocumentReferenceStatus (required): The status of the document reference.
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
category	SΣ	1..1	CodeableConcept	[DocumentEntry.class] Categorization of document Binding: IHE ClassCode (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document
Slices for author	SΣ	1..2	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) {c}	[DocumentEntry.author] Who and/or what authored the document Slice: Unordered, Closed by type:$this.resolve()
author:institution	SΣ	1..1	Reference(MedComDocumentOrganization) {c}	[DocumentEntry.author.authorInstitution] The organization who authored the document
author:person	SΣ	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.author.authorPerson] The person who authored the document
authenticator	S	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document
securityLabel	SΣ	1..*	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	SΣ	1..*	BackboneElement	Document referenced
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	Σ	1..1	Attachment	Where to access the document
contentType	SΣ	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: IHE MimeType (required) Example General: text/plain; charset=UTF-8, image/png
language	SΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content Binding: IHE LanguageCode (extensible) Example General: en-AU
url	SΣ	0..1	url	[DocumentEntry.URI] Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1)
title	SΣ	1..1	string	[DocumentEntry.title] Label to display in place of the data Example General: Official Corporate Logo
creation	SΣ	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
context	SΣ	1..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	S	0..1	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
period	SΣ	0..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	1..1	CodeableConcept	[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Binding: IHE HealthcareFacilityTypeCode (extensible)
code	SΣ	1..1	code	Symbol in syntax defined by the system
practiceSetting	S	1..1	CodeableConcept	[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty) Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Binding: IHE PracticeSettingCode (extensible)
code	SΣ	1..1	code	Symbol in syntax defined by the system
sourcePatientInfo	S	1..1	Reference(Patient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
related	S	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.masterIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DocumentReference.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 from the FHIR Standard
DocumentReference.type	preferred	DocumentTypeValueSet http://hl7.org/fhir/ValueSet/c80-doc-typecodes from the FHIR Standard
DocumentReference.category	extensible	MedComIHE_CoreClassCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-classcode-VS from this IG
DocumentReference.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
DocumentReference.content.attachment.contentType	required	MedComIHE_CoreMimeType http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-mimetype-VS from this IG
DocumentReference.content.attachment.language	extensible	MedComIHE_CoreLanguageCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-languagecode-VS from this IG
DocumentReference.content.format	preferred	DocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem) http://hl7.org/fhir/ValueSet/formatcodes from the FHIR Standard
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes from the FHIR Standard
DocumentReference.context.facilityType.coding.system	extensible	MedComIHE_CoreHealthcareFacilityTypeCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-HealthcareFacilityTypeCode-VS from this IG
DocumentReference.context.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
DocumentReference.context.practiceSetting.coding.system	extensible	MedComIHE_CorePracticeSettingCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-PracticeSettingCode-VS from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
uuid	error	DocumentReference.identifier	General UUID expression : value.matches('[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}')

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	A reference to a document
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
homeCommunityid	SΣ	1..1	Coding	[DocumentEntry.homeCommunityId] A unique identifier for a community where the DocumentEntry and document can be accessed URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-homecommunityid-extension
versionid	SΣ	1..1	string	Specifies the version of the DocumentReference for a standard. URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-version-id-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	SΣ	1..1	Identifier	[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	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
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	Σ	0..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)
identifier	SΣC	1..1	Identifier	[DocumentEntry.entryUUID] Identifier for the document uuid: General UUID expression
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	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
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	Σ	0..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)
status	?!SΣ	1..1	code	[DocumentEntry.availabilityStatus] current = active | superseded = deprecated Binding: DocumentReferenceStatus (required): The status of the document reference.
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document.
type	SΣ	1..1	CodeableConcept	[DocumentEntry.typeCode] Kind of document Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category	SΣ	1..1	CodeableConcept	[DocumentEntry.class] Categorization of document Binding: IHE ClassCode (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	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
subject	SΣ	1..1	Reference(MedComDocumentPatient) {c}	[DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document
date	Σ	0..1	instant	When this document reference was created
Slices for author	SΣ	1..2	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) {c}	[DocumentEntry.author] Who and/or what authored the document Slice: Unordered, Closed by type:$this.resolve()
author:institution	SΣ	1..1	Reference(MedComDocumentOrganization) {c}	[DocumentEntry.author.authorInstitution] The organization who authored the document
author:person	SΣ	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.author.authorPerson] The person who authored the document
authenticator	S	0..1	Reference(MedComDocumentPractitioner) {c}	[DocumentEntry.legalAuthenticator] Who authenticated the document
custodian		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	Σ	0..*	BackboneElement	Relationships to other documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description
securityLabel	SΣ	1..*	CodeableConcept	[DocumentEntry.confidentialityCode] Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	SΣ	1..*	BackboneElement	Document referenced
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	Σ	1..1	Attachment	Where to access the document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	1..1	code	[DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: IHE MimeType (required) Example General: text/plain; charset=UTF-8, image/png
language	SΣ	1..1	code	[DocumentEntry.languageCode] Human language of the content Binding: IHE LanguageCode (extensible) Example General: en-AU
data		0..1	base64Binary	Data inline, base64ed
url	SΣ	0..1	url	[DocumentEntry.URI] Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	[DocumentEntry.size] Number of bytes of content
hash	SΣ	0..1	base64Binary	[DocumentEntry.hash] Hash of the data (sha-1)
title	SΣ	1..1	string	[DocumentEntry.title] Label to display in place of the data Example General: Official Corporate Logo
creation	SΣ	1..1	dateTime	[DocumentEntry.creationTime] Date attachment was first created
format	SΣ	1..1	Coding	[DocumentEntry.formatCode] Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
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..1	CodeableConcept	[DocumentEntry.eventCodeList] Main clinical acts documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts 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
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
period	SΣ	0..1	Period	[DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	1..1	CodeableConcept	[DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Binding: IHE HealthcareFacilityTypeCode (extensible)
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
practiceSetting	S	1..1	CodeableConcept	[DocumentEntry.practiceSettingCode] Additional details about where the content was created (e.g. clinical specialty) Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Binding: IHE PracticeSettingCode (extensible)
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
sourcePatientInfo	S	1..1	Reference(Patient)	[DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject.
related	S	0..*	Reference(Resource)	[DocumentEntry.referenceIdList] Related identifiers or resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DocumentReference.masterIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DocumentReference.masterIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DocumentReference.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DocumentReference.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 from the FHIR Standard
DocumentReference.docStatus	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
DocumentReference.type	preferred	DocumentTypeValueSet http://hl7.org/fhir/ValueSet/c80-doc-typecodes from the FHIR Standard
DocumentReference.category	extensible	MedComIHE_CoreClassCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-classcode-VS from this IG
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
DocumentReference.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
DocumentReference.content.attachment.contentType	required	MedComIHE_CoreMimeType http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-mimetype-VS from this IG
DocumentReference.content.attachment.language	extensible	MedComIHE_CoreLanguageCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-languagecode-VS from this IG
DocumentReference.content.format	preferred	DocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem) http://hl7.org/fhir/ValueSet/formatcodes from the FHIR Standard
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes from the FHIR Standard
DocumentReference.context.facilityType.coding.system	extensible	MedComIHE_CoreHealthcareFacilityTypeCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-HealthcareFacilityTypeCode-VS from this IG
DocumentReference.context.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
DocumentReference.context.practiceSetting.coding.system	extensible	MedComIHE_CorePracticeSettingCode http://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-PracticeSettingCode-VS from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
uuid	error	DocumentReference.identifier	General UUID expression : value.matches('[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}')