eHealth Infrastructure (v2020.4)
A DocumentReference resource is used to describe a document that is made available to a healthcare system. A document is some sequence of bytes that is identifiable, establishes its own context (e.g., what subject, author, etc. can be displayed to the user), and has defined update management. The DocumentReference resource can be used with any document format that has a recognized mime type and that conforms to this definition.
Typically, DocumentReference resources are used in document indexing systems, such as IHE XDS , and are used to refer to:
In scope of the eHealth infrastructure the primary use of the DocumentReference resource is to contain or refer to information material used in relation to PlanDefinition and Questionnaire. This information material can be in the form of embedded material (of limited size) or references to videos, PDF-files or printed material.
See eHealth-plandefinition for further details.
The official URL for this profile is:
http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-documentreference
This profile builds on DocumentReference.
This profile was published on Fri May 22 12:11:22 UTC 2020 as a draft by null.
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from DocumentReference
This structure is derived from DocumentReference
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  DocumentReference | 0..* | DocumentReference | A reference to a document | |
  type | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: Document Type (required) | |
| class | 0..1 | CodeableConcept | Categorization of document Binding: Document Class (required) | |
 subject | 0..1 | Reference(eHealth Patient | eHealth Practitioner | Group | eHealth Device) {r} | Who/what is the subject of the document | |
| author | 0..* | Reference(eHealth Practitioner | eHealth Organization | eHealth Device | eHealth Patient | eHealth RelatedPerson) {r} | Who and/or what authored the document | |
| authenticator | 0..1 | Reference(eHealth Practitioner | eHealth Organization) {r} | Who/what authenticated the document | |
| custodian | 0..1 | Reference(eHealth Organization) {r} | Organization which maintains the document | |
| relatesTo | ||||
  target | 1..1 | Reference(ehealth-documentreference) | Target of the relationship | |
| content | ||||
| format | 0..1 | Coding | Format/content rules for the document Binding: FormatCodes (required) | |
| context | ||||
 event | 0..* | CodeableConcept | Main clinical acts documented Binding: Event Type Codes (required) | |
| facilityType | 0..1 | CodeableConcept | Kind of facility where patient was seen Binding: Facility Type Codes (required) | |
| practiceSetting | 0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding: Practice Setting Codes (required) | |
| sourcePatientInfo | 0..1 | Reference(eHealth Patient) | Patient demographics from source | |
| Documentation for this format | ||||
This structure is derived from DocumentReference
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DocumentReference | I | 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: Common Languages (extensible) Max Binding: All Languages | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional Content defined by implementations | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| masterIdentifier | Σ | 0..1 | Identifier | Master Version Specific Identifier |
| identifier | Σ | 0..* | Identifier | Other identifiers for the document |
| status | ?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required) |
| docStatus | Σ | 0..1 | code | preliminary | final | appended | amended | entered-in-error Binding: CompositionStatus (required) |
| type | Σ | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: Document Type (required) |
| class | Σ | 0..1 | CodeableConcept | Categorization of document Binding: Document Class (required) |
| subject | Σ | 0..1 | Reference(eHealth Patient | eHealth Practitioner | Group | eHealth Device) {r} | Who/what is the subject of the document |
| created | Σ | 0..1 | dateTime | Document creation time |
| indexed | Σ | 1..1 | instant | When this document reference was created |
| author | Σ | 0..* | Reference(eHealth Practitioner | eHealth Organization | eHealth Device | eHealth Patient | eHealth RelatedPerson) {r} | Who and/or what authored the document |
| authenticator | Σ | 0..1 | Reference(eHealth Practitioner | eHealth Organization) {r} | Who/what authenticated the document |
| custodian | Σ | 0..1 | Reference(eHealth Organization) {r} | Organization which maintains the document |
| relatesTo | ?!ΣI | 0..* | BackboneElement | Relationships to other documents |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| code | Σ | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required) |
| target | Σ | 1..1 | Reference(ehealth-documentreference) | Target of the relationship |
| description | Σ | 0..1 | string | Human-readable description (title) |
| securityLabel | Σ | 0..* | CodeableConcept | Document security-tags Binding: All Security Labels (extensible) |
| content | ΣI | 1..* | BackboneElement | Document referenced |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| attachment | Σ | 1..1 | Attachment | Where to access the document |
| format | Σ | 0..1 | Coding | Format/content rules for the document Binding: FormatCodes (required) |
| context | ΣI | 0..1 | BackboneElement | Clinical context of document |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the document content |
| event | Σ | 0..* | CodeableConcept | Main clinical acts documented Binding: Event Type Codes (required) |
| period | Σ | 0..1 | Period | Time of service that is being documented |
| facilityType | Σ | 0..1 | CodeableConcept | Kind of facility where patient was seen Binding: Facility Type Codes (required) |
| practiceSetting | Σ | 0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding: Practice Setting Codes (required) |
| sourcePatientInfo | Σ | 0..1 | Reference(eHealth Patient) | Patient demographics from source |
| related | ΣI | 0..* | BackboneElement | Related identifiers or resources |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Identifier of related objects or events |
| ref | Σ | 0..1 | Reference(Resource) | Related Resource |
| Documentation for this format | ||||
This structure is derived from DocumentReference
Differential View
This structure is derived from DocumentReference
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DocumentReference | 0..* | DocumentReference | A reference to a document | |
| type | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: Document Type (required) | |
| class | 0..1 | CodeableConcept | Categorization of document Binding: Document Class (required) | |
| subject | 0..1 | Reference(eHealth Patient | eHealth Practitioner | Group | eHealth Device) {r} | Who/what is the subject of the document | |
| author | 0..* | Reference(eHealth Practitioner | eHealth Organization | eHealth Device | eHealth Patient | eHealth RelatedPerson) {r} | Who and/or what authored the document | |
| authenticator | 0..1 | Reference(eHealth Practitioner | eHealth Organization) {r} | Who/what authenticated the document | |
| custodian | 0..1 | Reference(eHealth Organization) {r} | Organization which maintains the document | |
| relatesTo | ||||
| target | 1..1 | Reference(ehealth-documentreference) | Target of the relationship | |
| content | ||||
| format | 0..1 | Coding | Format/content rules for the document Binding: FormatCodes (required) | |
| context | ||||
| event | 0..* | CodeableConcept | Main clinical acts documented Binding: Event Type Codes (required) | |
| facilityType | 0..1 | CodeableConcept | Kind of facility where patient was seen Binding: Facility Type Codes (required) | |
| practiceSetting | 0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding: Practice Setting Codes (required) | |
| sourcePatientInfo | 0..1 | Reference(eHealth Patient) | Patient demographics from source | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DocumentReference | I | 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: Common Languages (extensible) Max Binding: All Languages | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| masterIdentifier | Σ | 0..1 | Identifier | Master Version Specific Identifier |
| identifier | Σ | 0..* | Identifier | Other identifiers for the document |
| status | ?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required) |
| docStatus | Σ | 0..1 | code | preliminary | final | appended | amended | entered-in-error Binding: CompositionStatus (required) |
| type | Σ | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: Document Type (required) |
| class | Σ | 0..1 | CodeableConcept | Categorization of document Binding: Document Class (required) |
| subject | Σ | 0..1 | Reference(eHealth Patient | eHealth Practitioner | Group | eHealth Device) {r} | Who/what is the subject of the document |
| created | Σ | 0..1 | dateTime | Document creation time |
| indexed | Σ | 1..1 | instant | When this document reference was created |
| author | Σ | 0..* | Reference(eHealth Practitioner | eHealth Organization | eHealth Device | eHealth Patient | eHealth RelatedPerson) {r} | Who and/or what authored the document |
| authenticator | Σ | 0..1 | Reference(eHealth Practitioner | eHealth Organization) {r} | Who/what authenticated the document |
| custodian | Σ | 0..1 | Reference(eHealth Organization) {r} | Organization which maintains the document |
| relatesTo | ?!ΣI | 0..* | BackboneElement | Relationships to other documents |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| code | Σ | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required) |
| target | Σ | 1..1 | Reference(ehealth-documentreference) | Target of the relationship |
| description | Σ | 0..1 | string | Human-readable description (title) |
| securityLabel | Σ | 0..* | CodeableConcept | Document security-tags Binding: All Security Labels (extensible) |
| content | ΣI | 1..* | BackboneElement | Document referenced |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| attachment | Σ | 1..1 | Attachment | Where to access the document |
| format | Σ | 0..1 | Coding | Format/content rules for the document Binding: FormatCodes (required) |
| context | ΣI | 0..1 | BackboneElement | Clinical context of document |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the document content |
| event | Σ | 0..* | CodeableConcept | Main clinical acts documented Binding: Event Type Codes (required) |
| period | Σ | 0..1 | Period | Time of service that is being documented |
| facilityType | Σ | 0..1 | CodeableConcept | Kind of facility where patient was seen Binding: Facility Type Codes (required) |
| practiceSetting | Σ | 0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding: Practice Setting Codes (required) |
| sourcePatientInfo | Σ | 0..1 | Reference(eHealth Patient) | Patient demographics from source |
| related | ΣI | 0..* | BackboneElement | Related identifiers or resources |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Identifier of related objects or events |
| ref | Σ | 0..1 | Reference(Resource) | Related Resource |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| DocumentReference.language | extensible | Common Languages Max Binding: All Languages |
| DocumentReference.status | required | DocumentReferenceStatus |
| DocumentReference.docStatus | required | CompositionStatus |
| DocumentReference.type | required | DocumentType |
| DocumentReference.class | required | DocumentClass |
| DocumentReference.relatesTo.code | required | DocumentRelationshipType |
| DocumentReference.securityLabel | extensible | All Security Labels |
| DocumentReference.content.format | required | FormatCodes |
| DocumentReference.context.event | required | EventTypeCodes |
| DocumentReference.context.facilityType | required | FacilityTypeCodes |
| DocumentReference.context.practiceSetting | required | PracticeSettingCodes |
| Id | Path | Details | Requirements |
| dom-2 | DocumentReference | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-1 | DocumentReference | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-4 | 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-3 | DocumentReference | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
| ele-1 | DocumentReference.relatesTo | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | DocumentReference.content | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | DocumentReference.context | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | DocumentReference.context.related | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |