HL7 Europe Imaging Study Report
0.1.0-ballot - ci-build 150

HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/oijauregui/ehdsimaging/tree/master and changes regularly. See the Directory of published versions

Resource Profile: Imaging Key Image Document Reference

Official URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImKeyImageDocumentReference Version: 0.1.0-ballot
Standards status: Draft Maturity Level: 1 Computable Name: ImKeyImageDocumentReference

Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

A document containing key images for a patient. It can refer to a DICOM or non-DICOM image. When referring to a DICOM image, the DocumentReference.content.attachment.url should be a WADO-URI. When referring to a non-DICOM image, the DocumentReference.content.attachment.url should be a direct URL to the image.

When the resource represents a DICOM instance it SHALL contain a the SOP Instance UID in the identifier element. When the resource represents a DICOM series it SHALL contain the Series Instance UID in the identifier element.

Usages:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReferenceEu A reference to a document
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
.... extension:note 0..1 Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
.... extension:view 0..1 CodeableConcept Media.view extension
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/CrossVersionMediaViewExtension
Binding: Media View types - placeholder for cross-version extension (required)
.... extension:basedOn 0..1 Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Procedure that caused this media to be created
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn
.... extension:basedOn/imorderaccession 0..1 (Complex) Procedure that caused this media to be created
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn"
..... value[x] 0..1 Reference(IM Imaging Order) Value of extension
...... identifier Σ 1..1 ImAccessionNumberIdentifier Logical reference, when literal reference is not known
.... extension:modality 1..1 CodeableConcept Imaging modality used
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality
Binding: Modality (extensible): Type of acquired data in the instance.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:seriesInstanceUid Σ 0..1 Identifier Other identifiers for the document
..... 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 1..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.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-missing-dicom-terminology
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 00080018
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:sopClassInstanceUid Σ 0..1 Identifier Other identifiers for the document
..... 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 1..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.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 112002
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
..... value Σ 1..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
... Slices for category Σ 1..* CodeableConcept Categorization of document
Slice: Unordered, Open by profile:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... category:imkeyimages Σ 1..1 CodeableConcept Categorization of document
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
...... coding:keyimagecode Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55113-5
....... display 1..1 string Representation defined by the system
Fixed Value: Key images Document Radiology
....... userSelected 0..1 boolean If this coding was chosen directly by the user
... subject Σ 1..1 Reference(IM Imaging Patient) Who/what is the subject of the document
... Slices for author Σ 0..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Who and/or what authored the document
Slice: Unordered, Open by profile:$this
.... author:performer Σ 0..* Reference(PractitionerRole (EU base)) Who and/or what authored the document
... Slices for content Σ 1..* BackboneElement Document referenced
Slice: Unordered, Open by value:extension.value
.... content:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
.... content:thumbnail Σ 0..1 BackboneElement Document referenced
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:thumbnail 1..1 (Complex) Thumbnail state
URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail"
....... value[x] 1..1 boolean Value of extension
Required Pattern: true
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
.... content:content Σ 1..1 BackboneElement Document referenced
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:thumbnail 1..1 (Complex) Thumbnail state
URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail"
....... value[x] 1..1 boolean Value of extension
Required Pattern: false
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... url Σ 1..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DocumentReference.identifier:seriesInstanceUid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
DocumentReference.identifier:seriesInstanceUid.typeextensiblePattern Value: 00080018
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DocumentReference.identifier:sopClassInstanceUid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
DocumentReference.identifier:sopClassInstanceUid.typeextensiblePattern Value: 112002
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
From the FHIR Standard
DocumentReference.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
DocumentReference.category:imkeyimagesexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf 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-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from DocumentReferenceEu

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference DocumentReferenceEu
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
.... extension:basedOn 0..1 Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Procedure that caused this media to be created
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn
.... extension:basedOn/imorderaccession 0..1 CvDocumentReferenceBasedOn Procedure that caused this media to be created
..... value[x] 0..1 Reference(IM Imaging Order) Value of extension
...... identifier 1..1 ImAccessionNumberIdentifier Logical reference, when literal reference is not known
.... extension:modality 1..1 CodeableConcept Imaging modality used
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality
Binding: Modality (extensible): Type of acquired data in the instance.
... Slices for identifier 0..* Identifier Other identifiers for the document
Slice: Unordered, Open by value:$this
.... identifier:seriesInstanceUid 0..1 Identifier Other identifiers for the document
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-missing-dicom-terminology
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 00080018
..... system 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
..... value 1..1 string The value that is unique
.... identifier:sopClassInstanceUid 0..1 Identifier Other identifiers for the document
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 112002
..... system 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
..... value 1..1 string The value that is unique
... Slices for category 1..* CodeableConcept Categorization of document
Slice: Unordered, Open by profile:$this
.... category:imkeyimages 1..1 CodeableConcept Categorization of document
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
...... coding:keyimagecode 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55113-5
....... display 1..1 string Representation defined by the system
Fixed Value: Key images Document Radiology
... Slices for author 0..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Who and/or what authored the document
Slice: Unordered, Open by profile:$this
.... author:performer 0..* Reference(PractitionerRole (EU base)) Who and/or what authored the document
... Slices for content 1..* BackboneElement Document referenced
Slice: Unordered, Open by value:extension.value
.... content:thumbnail 0..1 BackboneElement Document referenced
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:thumbnail 1..1 (Complex) Thumbnail state
URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail
....... value[x] 1..1 boolean Value of extension
Required Pattern: true
.... content:content 1..1 BackboneElement Document referenced
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:thumbnail 1..1 (Complex) Thumbnail state
URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail
....... value[x] 1..1 boolean Value of extension
Required Pattern: false
..... attachment
...... url 1..1 url Uri where the data can be found

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReferenceEu 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
.... extension:note 0..1 Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
.... extension:view 0..1 CodeableConcept Media.view extension
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/CrossVersionMediaViewExtension
Binding: Media View types - placeholder for cross-version extension (required)
.... extension:basedOn 0..1 Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Procedure that caused this media to be created
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn
.... extension:basedOn/imorderaccession 0..1 (Complex) Procedure that caused this media to be created
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn"
..... value[x] 0..1 Reference(IM Imaging Order) Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
...... identifier Σ 1..1 ImAccessionNumberIdentifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
.... extension:modality 1..1 CodeableConcept Imaging modality used
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality
Binding: Modality (extensible): Type of acquired data in the instance.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Master Version Specific Identifier
... Slices for identifier Σ 0..* Identifier Other identifiers for the document
Slice: Unordered, Open by value:$this
.... identifier:seriesInstanceUid Σ 0..1 Identifier Other identifiers for 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
..... 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 1..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.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-missing-dicom-terminology
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 00080018
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
..... value Σ 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:sopClassInstanceUid Σ 0..1 Identifier Other identifiers for 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
..... 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 1..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.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 112002
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
..... value Σ 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 ?!Σ 1..1 code current | superseded | entered-in-error
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 Σ 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
... Slices for category Σ 1..* CodeableConcept Categorization of document
Slice: Unordered, Open by profile:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... category:imkeyimages Σ 1..1 CodeableConcept Categorization of document
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
...... coding:keyimagecode Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55113-5
....... display 1..1 string Representation defined by the system
Fixed Value: Key images Document Radiology
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(IM Imaging Patient) Who/what is the subject of the document
... date Σ 0..1 instant When this document reference was created
... Slices for author Σ 0..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Who and/or what authored the document
Slice: Unordered, Open by profile:$this
.... author:performer Σ 0..* Reference(PractitionerRole (EU base)) Who and/or what authored the document
... authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what 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 Σ 0..* CodeableConcept Document security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... Slices for content Σ 1..* BackboneElement Document referenced
Slice: Unordered, Open by value:extension.value
.... content:All Slices Content/Rules for all slices
..... 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
..... format Σ 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
.... content:thumbnail Σ 0..1 BackboneElement Document referenced
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:thumbnail 1..1 (Complex) Thumbnail state
URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail"
....... value[x] 1..1 boolean Value of extension
Required Pattern: true
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
..... format Σ 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
.... content:content Σ 1..1 BackboneElement Document referenced
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:thumbnail 1..1 (Complex) Thumbnail state
URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail"
....... value[x] 1..1 boolean Value of extension
Required Pattern: false
..... 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 Σ 0..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data 0..1 base64Binary Data inline, base64ed
...... url Σ 1..1 url 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
...... creation Σ 0..1 dateTime Date attachment was first created
..... format Σ 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
... context Σ 0..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 0..* CodeableConcept Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period Time of service that is being documented
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
.... practiceSetting 0..1 CodeableConcept 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).
.... sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DocumentReference.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DocumentReference.extension:basedOn/imorderaccession.value[x].typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DocumentReference.identifier:seriesInstanceUid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
DocumentReference.identifier:seriesInstanceUid.typeextensiblePattern Value: 00080018
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DocumentReference.identifier:sopClassInstanceUid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
DocumentReference.identifier:sopClassInstanceUid.typeextensiblePattern Value: 112002
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
From the FHIR Standard
DocumentReference.docStatusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
DocumentReference.typepreferredDocumentTypeValueSet
http://hl7.org/fhir/ValueSet/c80-doc-typecodes
From the FHIR Standard
DocumentReference.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
DocumentReference.category:imkeyimagesexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
DocumentReference.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
DocumentReference.content.formatpreferredDocumentReferenceFormatCodeSet(a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem)
http://hl7.org/fhir/ValueSet/formatcodes
From the FHIR Standard
DocumentReference.content:thumbnail.formatpreferredDocumentReferenceFormatCodeSet(a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem)
http://hl7.org/fhir/ValueSet/formatcodes
From the FHIR Standard
DocumentReference.content:content.attachment.contentTyperequiredMime Types(a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
From the FHIR Standard
DocumentReference.content:content.attachment.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DocumentReference.content:content.formatpreferredDocumentReferenceFormatCodeSet(a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem)
http://hl7.org/fhir/ValueSet/formatcodes
From the FHIR Standard
DocumentReference.context.eventexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityTypeexampleFacilityTypeCodeValueSet
http://hl7.org/fhir/ValueSet/c80-facilitycodes
From the FHIR Standard
DocumentReference.context.practiceSettingexamplePracticeSettingCodeValueSet
http://hl7.org/fhir/ValueSet/c80-practice-codes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf 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-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from DocumentReferenceEu

Summary

Mandatory: 11 elements(9 nested mandatory elements)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DocumentReference.identifier
  • The element 1 is sliced based on the value of DocumentReference.category
  • The element 1 is sliced based on the value of DocumentReference.category.coding
  • The element 1 is sliced based on the value of DocumentReference.author
  • The element 1 is sliced based on the value of DocumentReference.content

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReferenceEu A reference to a document
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
.... extension:note 0..1 Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
.... extension:view 0..1 CodeableConcept Media.view extension
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/CrossVersionMediaViewExtension
Binding: Media View types - placeholder for cross-version extension (required)
.... extension:basedOn 0..1 Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Procedure that caused this media to be created
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn
.... extension:basedOn/imorderaccession 0..1 (Complex) Procedure that caused this media to be created
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn"
..... value[x] 0..1 Reference(IM Imaging Order) Value of extension
...... identifier Σ 1..1 ImAccessionNumberIdentifier Logical reference, when literal reference is not known
.... extension:modality 1..1 CodeableConcept Imaging modality used
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality
Binding: Modality (extensible): Type of acquired data in the instance.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:seriesInstanceUid Σ 0..1 Identifier Other identifiers for the document
..... 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 1..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.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-missing-dicom-terminology
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 00080018
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:sopClassInstanceUid Σ 0..1 Identifier Other identifiers for the document
..... 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 1..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.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 112002
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
..... value Σ 1..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
... Slices for category Σ 1..* CodeableConcept Categorization of document
Slice: Unordered, Open by profile:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... category:imkeyimages Σ 1..1 CodeableConcept Categorization of document
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
...... coding:keyimagecode Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55113-5
....... display 1..1 string Representation defined by the system
Fixed Value: Key images Document Radiology
....... userSelected 0..1 boolean If this coding was chosen directly by the user
... subject Σ 1..1 Reference(IM Imaging Patient) Who/what is the subject of the document
... Slices for author Σ 0..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Who and/or what authored the document
Slice: Unordered, Open by profile:$this
.... author:performer Σ 0..* Reference(PractitionerRole (EU base)) Who and/or what authored the document
... Slices for content Σ 1..* BackboneElement Document referenced
Slice: Unordered, Open by value:extension.value
.... content:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
.... content:thumbnail Σ 0..1 BackboneElement Document referenced
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:thumbnail 1..1 (Complex) Thumbnail state
URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail"
....... value[x] 1..1 boolean Value of extension
Required Pattern: true
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
.... content:content Σ 1..1 BackboneElement Document referenced
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:thumbnail 1..1 (Complex) Thumbnail state
URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail"
....... value[x] 1..1 boolean Value of extension
Required Pattern: false
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... url Σ 1..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DocumentReference.identifier:seriesInstanceUid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
DocumentReference.identifier:seriesInstanceUid.typeextensiblePattern Value: 00080018
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DocumentReference.identifier:sopClassInstanceUid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
DocumentReference.identifier:sopClassInstanceUid.typeextensiblePattern Value: 112002
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
From the FHIR Standard
DocumentReference.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
DocumentReference.category:imkeyimagesexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf 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-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from DocumentReferenceEu

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference DocumentReferenceEu
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
.... extension:basedOn 0..1 Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Procedure that caused this media to be created
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn
.... extension:basedOn/imorderaccession 0..1 CvDocumentReferenceBasedOn Procedure that caused this media to be created
..... value[x] 0..1 Reference(IM Imaging Order) Value of extension
...... identifier 1..1 ImAccessionNumberIdentifier Logical reference, when literal reference is not known
.... extension:modality 1..1 CodeableConcept Imaging modality used
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality
Binding: Modality (extensible): Type of acquired data in the instance.
... Slices for identifier 0..* Identifier Other identifiers for the document
Slice: Unordered, Open by value:$this
.... identifier:seriesInstanceUid 0..1 Identifier Other identifiers for the document
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-missing-dicom-terminology
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 00080018
..... system 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
..... value 1..1 string The value that is unique
.... identifier:sopClassInstanceUid 0..1 Identifier Other identifiers for the document
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 112002
..... system 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
..... value 1..1 string The value that is unique
... Slices for category 1..* CodeableConcept Categorization of document
Slice: Unordered, Open by profile:$this
.... category:imkeyimages 1..1 CodeableConcept Categorization of document
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
...... coding:keyimagecode 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55113-5
....... display 1..1 string Representation defined by the system
Fixed Value: Key images Document Radiology
... Slices for author 0..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Who and/or what authored the document
Slice: Unordered, Open by profile:$this
.... author:performer 0..* Reference(PractitionerRole (EU base)) Who and/or what authored the document
... Slices for content 1..* BackboneElement Document referenced
Slice: Unordered, Open by value:extension.value
.... content:thumbnail 0..1 BackboneElement Document referenced
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:thumbnail 1..1 (Complex) Thumbnail state
URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail
....... value[x] 1..1 boolean Value of extension
Required Pattern: true
.... content:content 1..1 BackboneElement Document referenced
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:thumbnail 1..1 (Complex) Thumbnail state
URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail
....... value[x] 1..1 boolean Value of extension
Required Pattern: false
..... attachment
...... url 1..1 url Uri where the data can be found

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReferenceEu 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
.... extension:note 0..1 Annotation Additional notes that apply to this resource or element.
URL: http://hl7.org/fhir/StructureDefinition/note
.... extension:view 0..1 CodeableConcept Media.view extension
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/CrossVersionMediaViewExtension
Binding: Media View types - placeholder for cross-version extension (required)
.... extension:basedOn 0..1 Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Procedure that caused this media to be created
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn
.... extension:basedOn/imorderaccession 0..1 (Complex) Procedure that caused this media to be created
URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.eu/fhir/imaging-r4/StructureDefinition/cvDocumentReference-basedOn"
..... value[x] 0..1 Reference(IM Imaging Order) Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
...... identifier Σ 1..1 ImAccessionNumberIdentifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
.... extension:modality 1..1 CodeableConcept Imaging modality used
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.modality
Binding: Modality (extensible): Type of acquired data in the instance.
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Master Version Specific Identifier
... Slices for identifier Σ 0..* Identifier Other identifiers for the document
Slice: Unordered, Open by value:$this
.... identifier:seriesInstanceUid Σ 0..1 Identifier Other identifiers for 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
..... 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 1..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.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-missing-dicom-terminology
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 00080018
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
..... value Σ 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:sopClassInstanceUid Σ 0..1 Identifier Other identifiers for 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
..... 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 1..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.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://dicom.nema.org/resources/ontology/DCM
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 112002
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri The namespace for the identifier value
Required Pattern: urn:ietf:rfc:3986
..... value Σ 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 ?!Σ 1..1 code current | superseded | entered-in-error
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 Σ 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
... Slices for category Σ 1..* CodeableConcept Categorization of document
Slice: Unordered, Open by profile:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... category:imkeyimages Σ 1..1 CodeableConcept Categorization of document
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
...... coding:keyimagecode Σ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55113-5
....... display 1..1 string Representation defined by the system
Fixed Value: Key images Document Radiology
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(IM Imaging Patient) Who/what is the subject of the document
... date Σ 0..1 instant When this document reference was created
... Slices for author Σ 0..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Who and/or what authored the document
Slice: Unordered, Open by profile:$this
.... author:performer Σ 0..* Reference(PractitionerRole (EU base)) Who and/or what authored the document
... authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what 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 Σ 0..* CodeableConcept Document security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... Slices for content Σ 1..* BackboneElement Document referenced
Slice: Unordered, Open by value:extension.value
.... content:All Slices Content/Rules for all slices
..... 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
..... format Σ 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
.... content:thumbnail Σ 0..1 BackboneElement Document referenced
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:thumbnail 1..1 (Complex) Thumbnail state
URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail"
....... value[x] 1..1 boolean Value of extension
Required Pattern: true
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
..... format Σ 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
.... content:content Σ 1..1 BackboneElement Document referenced
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:thumbnail 1..1 (Complex) Thumbnail state
URL: http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/documentreference-thumbnail"
....... value[x] 1..1 boolean Value of extension
Required Pattern: false
..... 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 Σ 0..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data 0..1 base64Binary Data inline, base64ed
...... url Σ 1..1 url 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
...... creation Σ 0..1 dateTime Date attachment was first created
..... format Σ 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
... context Σ 0..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 0..* CodeableConcept Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period Time of service that is being documented
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
.... practiceSetting 0..1 CodeableConcept 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).
.... sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DocumentReference.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DocumentReference.extension:basedOn/imorderaccession.value[x].typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DocumentReference.identifier:seriesInstanceUid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
DocumentReference.identifier:seriesInstanceUid.typeextensiblePattern Value: 00080018
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DocumentReference.identifier:sopClassInstanceUid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From the FHIR Standard
DocumentReference.identifier:sopClassInstanceUid.typeextensiblePattern Value: 112002
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
From the FHIR Standard
DocumentReference.docStatusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
DocumentReference.typepreferredDocumentTypeValueSet
http://hl7.org/fhir/ValueSet/c80-doc-typecodes
From the FHIR Standard
DocumentReference.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
DocumentReference.category:imkeyimagesexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
DocumentReference.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
DocumentReference.content.formatpreferredDocumentReferenceFormatCodeSet(a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem)
http://hl7.org/fhir/ValueSet/formatcodes
From the FHIR Standard
DocumentReference.content:thumbnail.formatpreferredDocumentReferenceFormatCodeSet(a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem)
http://hl7.org/fhir/ValueSet/formatcodes
From the FHIR Standard
DocumentReference.content:content.attachment.contentTyperequiredMime Types(a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
From the FHIR Standard
DocumentReference.content:content.attachment.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DocumentReference.content:content.formatpreferredDocumentReferenceFormatCodeSet(a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem)
http://hl7.org/fhir/ValueSet/formatcodes
From the FHIR Standard
DocumentReference.context.eventexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityTypeexampleFacilityTypeCodeValueSet
http://hl7.org/fhir/ValueSet/c80-facilitycodes
From the FHIR Standard
DocumentReference.context.practiceSettingexamplePracticeSettingCodeValueSet
http://hl7.org/fhir/ValueSet/c80-practice-codes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf 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-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from DocumentReferenceEu

Summary

Mandatory: 11 elements(9 nested mandatory elements)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DocumentReference.identifier
  • The element 1 is sliced based on the value of DocumentReference.category
  • The element 1 is sliced based on the value of DocumentReference.category.coding
  • The element 1 is sliced based on the value of DocumentReference.author
  • The element 1 is sliced based on the value of DocumentReference.content

Maturity: 1

 

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