eHealth Infrastructure
3.0.0 - release

eHealth Infrastructure - Local Development build (v3.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ehealth-documentreference

Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-documentreference Version: 3.0.0
Active as of 2024-05-16 Computable Name: ehealth-documentreference

Introduction

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:

  • CDA documents in FHIR systems
  • FHIR documents stored elsewhere (i.e. registry/repository following the XDS model)
  • PDF documents , and even digital records of faxes where sufficient information is available
  • Other kinds of documents, such as records of prescriptions

Scope and Usage

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.

Usage:

Formal Views of Profile Content

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

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference DocumentReference
... type 0..1CodeableConceptKind of document (LOINC if possible)
Binding: Document Type (required)
... category 0..1CodeableConceptCategorization of document
Binding: Document Class (required)
... subject 0..1Reference(ehealth-patient | ehealth-practitioner | Group | ehealth-device) {r}Who/what is the subject of the document
... authenticator 0..1Reference(ehealth-practitioner | ehealth-organization) {r}Who/what authenticated the document
... custodian 0..1Reference(ehealth-organization) {r}Organization which maintains the document
... relatesTo
.... target 1..1Reference(ehealth-documentreference)Target of the relationship
... content
.... format 0..1CodingFormat/content rules for the document
Binding: FormatCodes (required)
... context
.... event 0..*CodeableConceptMain clinical acts documented
Binding: Event Type Codes (required)
.... facilityType 0..1CodeableConceptKind of facility where patient was seen
Binding: Facility Type Codes (required)
.... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
Binding: Practice Setting Codes (required)
.... sourcePatientInfo 0..1Reference(ehealth-patient)Patient demographics from source

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DocumentReference.typerequiredDocumentType
http://ehealth.sundhed.dk/vs/document-type
from this IG
DocumentReference.categoryrequiredDocumentClass
http://ehealth.sundhed.dk/vs/document-class
from this IG
DocumentReference.content.formatrequiredFormatCodes
http://ehealth.sundhed.dk/vs/format-codes
from this IG
DocumentReference.context.eventrequiredEventTypeCodes
http://ehealth.sundhed.dk/vs/event-type-codes
from this IG
DocumentReference.context.facilityTyperequiredFacilityTypeCodes
http://ehealth.sundhed.dk/vs/facility-type-codes
from this IG
DocumentReference.context.practiceSettingrequiredPracticeSettingCodes
http://ehealth.sundhed.dk/vs/practice-setting-codes
from this IG

 

Other representations of profile: CSV, Excel, Schematron