Dit Profiel is het resultaat van de vergelijking tussen de zib2017 FHIR Profiel en de implementaties in Epic en Chipsoft. De elementen die in ieder geval in alle output beschikbaar zullen zijn. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Bronsysteem herkennen

De Zorgviewer-backend ZOU na bevragen van het bronsysteem aan elk resultaat resource een meta-tag MOETEN toevoegen met de VEKTIZ code van de zorgaanbieder, zodat dit kan worden gebruikt in de presentatie in de Zorgviewer-frontend.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

{ ...
  "meta": {
    "tag": [
      { "system": "http://hl7.nl/fhir/zorgviewer-ig/bronsysteem-zorgaanbieder",
        "code": "06020101",
        "display": "UMCG"
      } ] }
  ... }

Document soorten herkennen

Zie het Excelbestand tab “classCode+decision tree” voor LOINC codes: Nationale XDS metadataset

Request: <ontsluiten-bronsysteem-base>/DocumentReference?patient=<fhir_patient_id>

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

This structure is derived from Nictiz.IHE.MHD.Minimal.DocumentReference

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	Nictiz.IHE.MHD.Minimal.DocumentReference	A reference to a document
status	SC	1..1	code	current | superseded | entered-in-error zv-dr-1: Only status is curreent final documents are expected.
type	S	1..1	CodeableConcept	Kind of document (LOINC if possible)
class	S	0..1	CodeableConcept	Categorization of document
indexed	S	1..1	instant	When this document reference was created
author	S	0..*	Reference(Practitioner | Organization) {c}	Who and/or what authored the document
description	S	0..1	string	Human-readable description (title)
content		1..1	BackboneElement	Document referenced
attachment	SC	1..1	Attachment	Where to access the document zv-dr-2: Only pdf documents are expected through the url
contentType	S	1..1	code	Mime type of the content, with charset etc.
url	S	1..1	uri	Uri where the data can be found
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
zv-dr-1	error	DocumentReference.status	Only status is curreent final documents are expected. : status='current'
zv-dr-2	warning	DocumentReference.content.attachment	Only pdf documents are expected through the url : content.attachement.contentType='application/pdf'

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	Nictiz.IHE.MHD.Minimal.DocumentReference	A reference to a document
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	SΣ	1..1	Identifier	Master Version Specific Identifier
identifier	SΣ	0..*	Identifier	Other identifiers for the document
status	?!SΣC	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. zv-dr-1: Only status is curreent final documents are expected.
type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: Document Type Value Set (preferred): Precise type of clinical document.
class	SΣ	0..1	CodeableConcept	Categorization of document Binding: Document Class Value Set (example): High-level kind of a clinical document at a macro level.
subject	SΣ	0..1	Reference(Patient) {r, b}	Who/what is the subject of the document
indexed	SΣ	1..1	instant	When this document reference was created
author	SΣ	0..*	Reference(Practitioner | Organization) {c}	Who and/or what authored the document
relatesTo	?!SΣ	0..*	BackboneElement	Relationships to other documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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	SΣ	0..1	string	Human-readable description (title)
securityLabel	SΣ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	SΣ	1..1	BackboneElement	Document referenced
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
attachment	SΣC	1..1	Attachment	Where to access the document zv-dr-2: Only pdf documents are expected through the url
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: mimetypes (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language	SΣ	0..1	code	Human language of the content (BCP-47) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
url	SΣ	1..1	uri	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
format	SΣ	0..1	Coding	Format/content rules for the document Binding: IHE ValueSet of Format Codes for use with Document Sharing (preferred)
context	Σ	0..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
period	SΣ	0..1	Period	Time of service that is being documented
facilityType	SΣ	0..1	CodeableConcept	Kind of facility where patient was seen Binding: Facility Type Code Value Set (example): XDS Facility Type.
practiceSetting	SΣ	0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: Practice Setting Code Value Set (example): Additional details about where the content was created (e.g. clinical specialty).
sourcePatientInfo	SΣ	0..1	Reference() {c}	Patient demographics from source
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
DocumentReference.status	required	DocumentReferenceStatus
DocumentReference.type	preferred	Document Type Value Set
DocumentReference.class	example	Document Class Value Set
DocumentReference.relatesTo.code	required	DocumentRelationshipType
DocumentReference.securityLabel	extensible	All Security Labels
DocumentReference.content.attachment.contentType	required	http://hl7.org/fhir/ValueSet/mimetypes
DocumentReference.content.attachment.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.content.format	preferred	IHE.FormatCode.vs (a valid code from urn:oid:1.3.6.1.4.1.19376.1.2.3)
DocumentReference.context.facilityType	example	Facility Type Code Value Set
DocumentReference.context.practiceSetting	example	Practice Setting Code Value Set

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
zv-dr-1	error	DocumentReference.status	Only status is curreent final documents are expected. : status='current'
zv-dr-2	warning	DocumentReference.content.attachment	Only pdf documents are expected through the url : content.attachement.contentType='application/pdf'

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	Nictiz.IHE.MHD.Minimal.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): 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
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	SΣ	1..1	Identifier	Master Version Specific Identifier
identifier	SΣ	0..*	Identifier	Other identifiers for the document
status	?!SΣC	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. zv-dr-1: Only status is curreent final documents are expected.
type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: Document Type Value Set (preferred): Precise type of clinical document.
class	SΣ	0..1	CodeableConcept	Categorization of document Binding: Document Class Value Set (example): High-level kind of a clinical document at a macro level.
subject	SΣ	0..1	Reference(Patient) {r, b}	Who/what is the subject of the document
indexed	SΣ	1..1	instant	When this document reference was created
author	SΣ	0..*	Reference(Practitioner | Organization) {c}	Who and/or what authored the document
authenticator	Σ	0..1	Reference() {c}	Who/what authenticated the document
relatesTo	?!SΣ	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): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	SΣ	0..1	string	Human-readable description (title)
securityLabel	SΣ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	SΣ	1..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	SΣC	1..1	Attachment	Where to access the document zv-dr-2: Only pdf documents are expected through the url
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: mimetypes (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language	SΣ	0..1	code	Human language of the content (BCP-47) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
url	SΣ	1..1	uri	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
format	SΣ	0..1	Coding	Format/content rules for the document Binding: IHE ValueSet of Format Codes for use with Document Sharing (preferred)
context	Σ	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: ActCode (example): This list of codes represents the main clinical acts being documented.
period	SΣ	0..1	Period	Time of service that is being documented
facilityType	SΣ	0..1	CodeableConcept	Kind of facility where patient was seen Binding: Facility Type Code Value Set (example): XDS Facility Type.
practiceSetting	SΣ	0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: Practice Setting Code Value Set (example): Additional details about where the content was created (e.g. clinical specialty).
sourcePatientInfo	SΣ	0..1	Reference() {c}	Patient demographics from source
related	Σ	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

Terminology Bindings

Path	Conformance	ValueSet
DocumentReference.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.status	required	DocumentReferenceStatus
DocumentReference.type	preferred	Document Type Value Set
DocumentReference.class	example	Document Class Value Set
DocumentReference.relatesTo.code	required	DocumentRelationshipType
DocumentReference.securityLabel	extensible	All Security Labels
DocumentReference.content.attachment.contentType	required	http://hl7.org/fhir/ValueSet/mimetypes
DocumentReference.content.attachment.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.content.format	preferred	IHE.FormatCode.vs (a valid code from urn:oid:1.3.6.1.4.1.19376.1.2.3)
DocumentReference.context.event	example	v3 Code System ActCode
DocumentReference.context.facilityType	example	Facility Type Code Value Set
DocumentReference.context.practiceSetting	example	Practice Setting Code Value Set

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
zv-dr-1	error	DocumentReference.status	Only status is curreent final documents are expected. : status='current'
zv-dr-2	warning	DocumentReference.content.attachment	Only pdf documents are expected through the url : content.attachement.contentType='application/pdf'

Differential View

This structure is derived from Nictiz.IHE.MHD.Minimal.DocumentReference

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	Nictiz.IHE.MHD.Minimal.DocumentReference	A reference to a document
status	SC	1..1	code	current | superseded | entered-in-error zv-dr-1: Only status is curreent final documents are expected.
type	S	1..1	CodeableConcept	Kind of document (LOINC if possible)
class	S	0..1	CodeableConcept	Categorization of document
indexed	S	1..1	instant	When this document reference was created
author	S	0..*	Reference(Practitioner | Organization) {c}	Who and/or what authored the document
description	S	0..1	string	Human-readable description (title)
content		1..1	BackboneElement	Document referenced
attachment	SC	1..1	Attachment	Where to access the document zv-dr-2: Only pdf documents are expected through the url
contentType	S	1..1	code	Mime type of the content, with charset etc.
url	S	1..1	uri	Uri where the data can be found
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
zv-dr-1	error	DocumentReference.status	Only status is curreent final documents are expected. : status='current'
zv-dr-2	warning	DocumentReference.content.attachment	Only pdf documents are expected through the url : content.attachement.contentType='application/pdf'

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	Nictiz.IHE.MHD.Minimal.DocumentReference	A reference to a document
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	SΣ	1..1	Identifier	Master Version Specific Identifier
identifier	SΣ	0..*	Identifier	Other identifiers for the document
status	?!SΣC	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. zv-dr-1: Only status is curreent final documents are expected.
type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: Document Type Value Set (preferred): Precise type of clinical document.
class	SΣ	0..1	CodeableConcept	Categorization of document Binding: Document Class Value Set (example): High-level kind of a clinical document at a macro level.
subject	SΣ	0..1	Reference(Patient) {r, b}	Who/what is the subject of the document
indexed	SΣ	1..1	instant	When this document reference was created
author	SΣ	0..*	Reference(Practitioner | Organization) {c}	Who and/or what authored the document
relatesTo	?!SΣ	0..*	BackboneElement	Relationships to other documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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	SΣ	0..1	string	Human-readable description (title)
securityLabel	SΣ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	SΣ	1..1	BackboneElement	Document referenced
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
attachment	SΣC	1..1	Attachment	Where to access the document zv-dr-2: Only pdf documents are expected through the url
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: mimetypes (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language	SΣ	0..1	code	Human language of the content (BCP-47) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
url	SΣ	1..1	uri	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
format	SΣ	0..1	Coding	Format/content rules for the document Binding: IHE ValueSet of Format Codes for use with Document Sharing (preferred)
context	Σ	0..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
period	SΣ	0..1	Period	Time of service that is being documented
facilityType	SΣ	0..1	CodeableConcept	Kind of facility where patient was seen Binding: Facility Type Code Value Set (example): XDS Facility Type.
practiceSetting	SΣ	0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: Practice Setting Code Value Set (example): Additional details about where the content was created (e.g. clinical specialty).
sourcePatientInfo	SΣ	0..1	Reference() {c}	Patient demographics from source
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
DocumentReference.status	required	DocumentReferenceStatus
DocumentReference.type	preferred	Document Type Value Set
DocumentReference.class	example	Document Class Value Set
DocumentReference.relatesTo.code	required	DocumentRelationshipType
DocumentReference.securityLabel	extensible	All Security Labels
DocumentReference.content.attachment.contentType	required	http://hl7.org/fhir/ValueSet/mimetypes
DocumentReference.content.attachment.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.content.format	preferred	IHE.FormatCode.vs (a valid code from urn:oid:1.3.6.1.4.1.19376.1.2.3)
DocumentReference.context.facilityType	example	Facility Type Code Value Set
DocumentReference.context.practiceSetting	example	Practice Setting Code Value Set

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
zv-dr-1	error	DocumentReference.status	Only status is curreent final documents are expected. : status='current'
zv-dr-2	warning	DocumentReference.content.attachment	Only pdf documents are expected through the url : content.attachement.contentType='application/pdf'

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	Nictiz.IHE.MHD.Minimal.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): 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
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	SΣ	1..1	Identifier	Master Version Specific Identifier
identifier	SΣ	0..*	Identifier	Other identifiers for the document
status	?!SΣC	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. zv-dr-1: Only status is curreent final documents are expected.
type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: Document Type Value Set (preferred): Precise type of clinical document.
class	SΣ	0..1	CodeableConcept	Categorization of document Binding: Document Class Value Set (example): High-level kind of a clinical document at a macro level.
subject	SΣ	0..1	Reference(Patient) {r, b}	Who/what is the subject of the document
indexed	SΣ	1..1	instant	When this document reference was created
author	SΣ	0..*	Reference(Practitioner | Organization) {c}	Who and/or what authored the document
authenticator	Σ	0..1	Reference() {c}	Who/what authenticated the document
relatesTo	?!SΣ	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): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	SΣ	0..1	string	Human-readable description (title)
securityLabel	SΣ	0..*	CodeableConcept	Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	SΣ	1..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	SΣC	1..1	Attachment	Where to access the document zv-dr-2: Only pdf documents are expected through the url
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: mimetypes (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language	SΣ	0..1	code	Human language of the content (BCP-47) Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
url	SΣ	1..1	uri	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
format	SΣ	0..1	Coding	Format/content rules for the document Binding: IHE ValueSet of Format Codes for use with Document Sharing (preferred)
context	Σ	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: ActCode (example): This list of codes represents the main clinical acts being documented.
period	SΣ	0..1	Period	Time of service that is being documented
facilityType	SΣ	0..1	CodeableConcept	Kind of facility where patient was seen Binding: Facility Type Code Value Set (example): XDS Facility Type.
practiceSetting	SΣ	0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: Practice Setting Code Value Set (example): Additional details about where the content was created (e.g. clinical specialty).
sourcePatientInfo	SΣ	0..1	Reference() {c}	Patient demographics from source
related	Σ	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

Terminology Bindings

Path	Conformance	ValueSet
DocumentReference.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.status	required	DocumentReferenceStatus
DocumentReference.type	preferred	Document Type Value Set
DocumentReference.class	example	Document Class Value Set
DocumentReference.relatesTo.code	required	DocumentRelationshipType
DocumentReference.securityLabel	extensible	All Security Labels
DocumentReference.content.attachment.contentType	required	http://hl7.org/fhir/ValueSet/mimetypes
DocumentReference.content.attachment.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.content.format	preferred	IHE.FormatCode.vs (a valid code from urn:oid:1.3.6.1.4.1.19376.1.2.3)
DocumentReference.context.event	example	v3 Code System ActCode
DocumentReference.context.facilityType	example	Facility Type Code Value Set
DocumentReference.context.practiceSetting	example	Practice Setting Code Value Set

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
zv-dr-1	error	DocumentReference.status	Only status is curreent final documents are expected. : status='current'
zv-dr-2	warning	DocumentReference.content.attachment	Only pdf documents are expected through the url : content.attachement.contentType='application/pdf'

This structure is derived from Nictiz.IHE.MHD.Minimal.DocumentReference

Summary

Mandatory: 1 element
Must-Support: 9 elements