DK MedCom Document
1.0.1 - release
DK MedCom Document
1.0.1 - release
This page is part of the DK MedCom Document (v1.0.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-documentreference | Version: 1.0.1 | |||
| Active as of 2025-05-12 | Computable Name: MedComDocumentReference | |||
A profile stating the rules, when exchanging a FHIR document.
The MedComDocumentReference profile is not intented to be exchanges, but can be used for internal validation of metadata associated with a document. This profile provides metadata about a document, this can be CDA, FHIR or PDF. It holds the required metadata from the IHE XDS metadata standard, and a mapping between the two can be found on GitHub pages.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  DocumentReference |
0..* | DocumentReference | A reference to a document dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
  Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
   extension:homeCommunityid |
S | 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 extension:versionid |
S | 1..1 | string | Specifies the version of the DocumentReference for a standard. URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-version-id-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 masterIdentifier |
SΣ | 1..1 | Identifier | [DocumentEntry.uniqueId] Master Version Specific Identifier ele-1: All FHIR elements must have a @value or children |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children |
 value |
SΣ | 1..1 | string | The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456 |
| identifier |
SΣC | 1..1 | Identifier | [DocumentEntry.entryUUID] Identifier for the document ele-1: All FHIR elements must have a @value or children 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 . ele-1: All FHIR elements must have a @value or children |
| value |
SΣ | 1..1 | string | The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456 |
| status |
?!SΣ | 1..1 | code | [DocumentEntry.availabilityStatus] current = active | superseded = deprecated Binding: DocumentReferenceStatus (required): The status of the document reference. ele-1: All FHIR elements must have a @value or children |
| type |
SΣ | 1..1 | CodeableConcept | [DocumentEntry.typeCode] Kind of document Binding: DocumentTypeValueSet (preferred): Precise type of clinical document. ele-1: All FHIR elements must have a @value or children |
 coding |
Σ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
 system |
SΣ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| category |
SΣ | 1..1 | CodeableConcept | [DocumentEntry.class] Categorization of document Binding: IHE ClassCode (extensible) ele-1: All FHIR elements must have a @value or children |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
SΣ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
 subject |
SΣ | 1..1 | Reference(MedComDocumentPatient) {c} | [DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId] Who/what is the subject of the document ele-1: All FHIR elements must have a @value or children |
 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() ele-1: All FHIR elements must have a @value or children |
| author:institution |
SΣ | 1..1 | Reference(MedComDocumentOrganization) {c} | [DocumentEntry.author.authorInstitution] The organization who authored the document ele-1: All FHIR elements must have a @value or children |
| author:person |
SΣ | 0..1 | Reference(MedComDocumentPractitioner) {c} | [DocumentEntry.author.authorPerson] The person who authored the document ele-1: All FHIR elements must have a @value or children |
| authenticator |
S | 0..1 | Reference(MedComDocumentPractitioner) {c} | [DocumentEntry.legalAuthenticator] Who authenticated the document ele-1: All FHIR elements must have a @value or children |
| securityLabel |
SΣ | 1..* | CodeableConcept | [DocumentEntry.confidentialityCode] Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children |
| content |
SΣ | 1..* | BackboneElement | Document referenced ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| attachment |
Σ | 1..1 | Attachment | Where to access the document ele-1: All FHIR elements must have a @value or children |
| contentType |
SΣ | 1..1 | code | [DocumentEntry.mimeType] Mime type of the content, with charset etc. Binding: IHE MimeType (required) ele-1: All FHIR elements must have a @value or children 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) ele-1: All FHIR elements must have a @value or children Example General: en-AU |
| url |
SΣ | 0..1 | url | [DocumentEntry.URI] Uri where the data can be found ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/logo-small.png |
| size |
SΣ | 0..1 | unsignedInt | [DocumentEntry.size] Number of bytes of content ele-1: All FHIR elements must have a @value or children |
| hash |
SΣ | 0..1 | base64Binary | [DocumentEntry.hash] Hash of the data (sha-1) ele-1: All FHIR elements must have a @value or children |
| title |
SΣ | 1..1 | string | [DocumentEntry.title] Label to display in place of the data ele-1: All FHIR elements must have a @value or children Example General: Official Corporate Logo |
| creation |
SΣ | 1..1 | dateTime | [DocumentEntry.creationTime] Date attachment was first created ele-1: All FHIR elements must have a @value or children |
| format |
SΣ | 1..1 | Coding | [DocumentEntry.formatCode] Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes. ele-1: All FHIR elements must have a @value or children |
| context |
SΣ | 1..1 | BackboneElement | Clinical context of document ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| 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. ele-1: All FHIR elements must have a @value or children |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
SΣ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| period |
SΣ | 0..1 | Period | [DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime] Time of service that is being documented ele-1: All FHIR elements must have a @value or children |
| start |
SΣC | 0..1 | dateTime | Starting time with inclusive boundary ele-1: All FHIR elements must have a @value or children |
| end |
SΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing ele-1: All FHIR elements must have a @value or children |
| facilityType |
S | 1..1 | CodeableConcept | [DocumentEntry.healthcareFacilityTypeCode] Kind of facility where patient was seen Binding: FacilityTypeCodeValueSet (example): XDS Facility Type. ele-1: All FHIR elements must have a @value or children |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Binding: IHE HealthcareFacilityTypeCode (extensible) ele-1: All FHIR elements must have a @value or children |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| 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). ele-1: All FHIR elements must have a @value or children |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
SΣ | 1..1 | uri | Identity of the terminology system Binding: IHE PracticeSettingCode (extensible) ele-1: All FHIR elements must have a @value or children |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
| sourcePatientInfo |
S | 1..1 | Reference(Patient) | [DocumentEntry.sourcePatientId and DocumentEntry.sourcePatientInfo] Patient demographics from source. Must be the same reference as in DocumentReference.subject. ele-1: All FHIR elements must have a @value or children |
| related |
S | 0..* | Reference(Resource) | [DocumentEntry.referenceIdList] Related identifiers or resources ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DocumentReference.masterIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| DocumentReference.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| DocumentReference.status | required | DocumentReferenceStatushttp://hl7.org/fhir/ValueSet/document-reference-status|4.0.1from the FHIR Standard | |
| DocumentReference.type | preferred | DocumentTypeValueSethttp://hl7.org/fhir/ValueSet/c80-doc-typecodesfrom the FHIR Standard | |
| DocumentReference.category | extensible | MedComIHE_CoreClassCodehttp://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-classcode-VS | |
| DocumentReference.securityLabel | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | |
| DocumentReference.content.attachment.contentType | required | MedComIHE_CoreMimeTypehttp://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-mimetype-VS | |
| DocumentReference.content.attachment.language | extensible | MedComIHE_CoreLanguageCodehttp://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-languagecode-VS | |
| DocumentReference.content.format | preferred | DocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem)http://hl7.org/fhir/ValueSet/formatcodesfrom the FHIR Standard | |
| DocumentReference.context.event | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | |
| DocumentReference.context.facilityType | example | FacilityTypeCodeValueSethttp://hl7.org/fhir/ValueSet/c80-facilitycodesfrom the FHIR Standard | |
| DocumentReference.context.facilityType.coding.system | extensible | MedComIHE_CoreHealthcareFacilityTypeCodehttp://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-HealthcareFacilityTypeCode-VS | |
| DocumentReference.context.practiceSetting | example | PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codesfrom the FHIR Standard | |
| DocumentReference.context.practiceSetting.coding.system | extensible | MedComIHE_CorePracticeSettingCodehttp://medcomfhir.dk/ig/xdsmetadata/ValueSet/MedCom-ihe-core-PracticeSettingCode-VS |
| 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}') |
Other representations of profile: CSV, Excel, Schematron
