{ "resourceType": "StructureDefinition", "id": "IHE.MHD.Minimal.DocumentReference", "text": { "status": "extensions", "div": "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" DocumentReference C0..*DocumentReferenceA reference to a document
iti-mhd-repl: a DocumetReference replacements needs to relate to a superseded DocumentReference
\".\"\".\"\".\" meta
\".\"\".\"\".\"\".\" profile 0..*canonical(StructureDefinition)Profiles this resource claims to conform to
\".\"\".\"\".\" modifierExtension 0..0
\".\"\".\"\".\" masterIdentifier 1..1UniqueIdIdentifierAn identifier intended for computation
\".\"\".\"\".\" Slices for identifier S0..*IdentifierOther identifiers for the document
Slice: Unordered, Open by value:use
\".\"\".\"\".\"\".\" identifier:entryUUID 0..*EntryUUIDIdentifierAn identifier intended for computation
\".\"\".\"\".\" status 1..1codecurrent | superseded | entered-in-error
Binding: MHD DocumentReference status codes (required)
\".\"\".\"\".\" docStatus 0..0
\".\"\".\"\".\" type S0..1CodeableConceptKind of document (LOINC if possible)
\".\"\".\"\".\" category S0..1CodeableConceptCategorization of document
\".\"\".\"\".\" subject S0..1Reference(Patient)Who/what is the subject of the document
\".\"\".\"\".\" date S0..1instantWhen this document reference was created
\".\"\".\"\".\" author S0..*Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)Who and/or what authored the document
\".\"\".\"\".\" authenticator 0..1Reference(Practitioner | PractitionerRole | Organization)Who/what authenticated the document
\".\"\".\"\".\" custodian 0..1Reference(Organization)Organization which maintains the document
\".\"\".\"\".\" relatesTo S0..*BackboneElementRelationships to other documents
\".\"\".\"\".\"\".\" code 1..1codereplaces | transforms | signs | appends
\".\"\".\"\".\"\".\" target 1..1Reference(DocumentReference)Target of the relationship
\".\"\".\"\".\" description 0..1stringHuman-readable description
\".\"\".\"\".\" securityLabel S0..*CodeableConceptDocument security-tags
\".\"\".\"\".\" content 1..1BackboneElementDocument referenced
\".\"\".\"\".\"\".\" attachment
\".\"\".\"\".\"\".\"\".\" contentType 1..1codeMime type of the content, with charset etc.
\".\"\".\"\".\"\".\"\".\" language S0..1codeHuman language of the content (BCP-47)
\".\"\".\"\".\"\".\"\".\" data 0..0
\".\"\".\"\".\"\".\"\".\" url 1..1urlUri where the data can be found
\".\"\".\"\".\"\".\"\".\" size 0..1unsignedIntNumber of bytes of content (if url provided)
\".\"\".\"\".\"\".\"\".\" hash 0..1base64BinaryHash of the data (sha-1, base64ed)
\".\"\".\"\".\"\".\"\".\" title 0..1stringLabel to display in place of the data
\".\"\".\"\".\"\".\"\".\" creation S0..1dateTimeDate attachment was first created
\".\"\".\"\".\"\".\" format S0..1CodingFormat/content rules for the document
Binding: IHE ValueSet of Format Codes for use with Document Sharing (preferred)
\".\"\".\"\".\" context
\".\"\".\"\".\"\".\" encounter 0..*Reference(Encounter | EpisodeOfCare)Context of the document content
\".\"\".\"\".\"\".\" event 0..*CodeableConceptMain clinical acts documented
\".\"\".\"\".\"\".\" period S0..1PeriodTime of service that is being documented
\".\"\".\"\".\"\".\"\".\" start 0..1dateTimeStarting time with inclusive boundary
\".\"\".\"\".\"\".\"\".\" end 0..1dateTimeEnd time with inclusive boundary, if not ongoing
\".\"\".\"\".\"\".\" facilityType S0..1CodeableConceptKind of facility where patient was seen
\".\"\".\"\".\"\".\" practiceSetting S0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
\".\"\".\"\".\"\".\" sourcePatientInfo S0..1Reference(Patient)Patient demographics from source
\".\"\".\"\".\"\".\"\".\" reference 0..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\" identifier 0..1IdentifierLogical reference, when literal reference is not known
\".\"\".\"\".\"\".\" related 0..*Reference(Resource)Related identifiers or resources

\"doco\" Documentation for this format
" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category", "valueString": "Foundation.Documents" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category", "valueCode": "not-classified" } ], "url": "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference", "version": "4.2.0", "name": "MinimalDocumentReference", "title": "MHD DocumentReference Minimal", "status": "active", "date": "2022-12-07T22:34:24+00:00", "publisher": "IHE IT Infrastructure Technical Committee", "contact": [ { "telecom": [ { "system": "url", "value": "https://www.ihe.net/ihe_domains/it_infrastructure/" } ] }, { "telecom": [ { "system": "email", "value": "iti@ihe.net" } ] }, { "name": "IHE IT Infrastructure Technical Committee", "telecom": [ { "system": "email", "value": "iti@ihe.net" } ] } ], "description": "A profile on the DocumentReference resource for MHD with minimal metadata constraints. \r\n- MHD is based on the [IHE Document Sharing](https://profiles.ihe.net/ITI/HIE-Whitepaper/index.html) model, \r\n- the [3:4.1 Abstract Metadata Model](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.1.html#4.1), and \r\n- the use defined here is FHIR DocumentReference implementation of the \r\n- ebRIM implementation at [3:4.2.3.2 Document Entry](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.2.html#4.2.3.2).\r\n- with use-cases and constraints found in [3:4.3 Additional Document Sharing Requirements](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.3.html#4.3)", "jurisdiction": [ { "coding": [ { "system": "http://unstats.un.org/unsd/methods/m49/m49.htm", "code": "001" } ] } ], "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "fhircomposition", "uri": "http://hl7.org/fhir/composition", "name": "FHIR Composition" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "cda", "uri": "http://hl7.org/v3/cda", "name": "CDA (R2)" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "xds", "uri": "http://ihe.net/xds", "name": "XDS metadata equivalent" }, { "identity": "DocumentEntry-Mapping", "uri": "XDS", "name": "XDS and MHD Mapping" } ], "kind": "resource", "abstract": false, "type": "DocumentReference", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DocumentReference", "derivation": "constraint", "differential": { "element": [ { "id": "DocumentReference", "path": "DocumentReference", "constraint": [ { "key": "iti-mhd-repl", "severity": "error", "human": "a DocumetReference replacements needs to relate to a superseded DocumentReference", "expression": "relatesTo.empty() or (relatesTo.code='replaces' implies relatesTo.target.exists())" } ], "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "XDS DocumentEntry", "comment": "Used in the context of the IHE MHD ImplementationGuide" } ] }, { "id": "DocumentReference.meta", "path": "DocumentReference.meta" }, { "id": "DocumentReference.meta.profile", "path": "DocumentReference.meta.profile", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.limitedMetadata" } ] }, { "id": "DocumentReference.modifierExtension", "path": "DocumentReference.modifierExtension", "max": "0" }, { "id": "DocumentReference.masterIdentifier", "path": "DocumentReference.masterIdentifier", "min": 1, "type": [ { "code": "Identifier", "profile": [ "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UniqueIdIdentifier" ] } ], "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.uniqueId" } ] }, { "id": "DocumentReference.identifier", "path": "DocumentReference.identifier", "slicing": { "discriminator": [ { "type": "value", "path": "use" } ], "rules": "open" }, "mustSupport": true, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.entryUUID" } ] }, { "id": "DocumentReference.identifier:entryUUID", "path": "DocumentReference.identifier", "sliceName": "entryUUID", "type": [ { "code": "Identifier", "profile": [ "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.EntryUUID.Identifier" ] } ] }, { "id": "DocumentReference.status", "path": "DocumentReference.status", "binding": { "strength": "required", "valueSet": "https://profiles.ihe.net/ITI/MHD/ValueSet/DocumentReferenceStats" }, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.availabilityStatus" } ] }, { "id": "DocumentReference.docStatus", "path": "DocumentReference.docStatus", "max": "0" }, { "id": "DocumentReference.type", "path": "DocumentReference.type", "short": "Vrsta kliničkog dokumenta.", "definition": "Definira vrstu kliničkog dokumenta.", "min": 1, "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://fhir.cezih.hr/specifikacije/ValueSet/document-type" }, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.typeCode" } ] }, { "id": "DocumentReference.category", "path": "DocumentReference.category", "max": "1", "mustSupport": true, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.classCode" } ] }, { "id": "DocumentReference.subject", "path": "DocumentReference.subject", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-pacijent" ] } ], "mustSupport": true, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.patientId" } ] }, { "id": "DocumentReference.date", "path": "DocumentReference.date", "mustSupport": true }, { "id": "DocumentReference.author", "path": "DocumentReference.author", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Device", "http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-practitioner", "http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-organizacija" ] } ], "mustSupport": true, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.author" } ] }, { "id": "DocumentReference.authenticator", "path": "DocumentReference.authenticator", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-organizacija", "http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-practitioner" ] } ], "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.legalAuthenticator" } ] }, { "id": "DocumentReference.custodian", "path": "DocumentReference.custodian", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-organizacija" ] } ], "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "not mapped" } ] }, { "id": "DocumentReference.relatesTo", "path": "DocumentReference.relatesTo", "mustSupport": true, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry Associations" } ] }, { "id": "DocumentReference.relatesTo.code", "path": "DocumentReference.relatesTo.code", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry Associations.type" } ] }, { "id": "DocumentReference.relatesTo.target", "path": "DocumentReference.relatesTo.target", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry Associations.reference" } ] }, { "id": "DocumentReference.description", "path": "DocumentReference.description", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.comments" } ] }, { "id": "DocumentReference.securityLabel", "path": "DocumentReference.securityLabel", "mustSupport": true, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.confidentialityCode" } ] }, { "id": "DocumentReference.content", "path": "DocumentReference.content", "definition": "The document and format referenced.", "max": "1" }, { "id": "DocumentReference.content.attachment.contentType", "path": "DocumentReference.content.attachment.contentType", "min": 1, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.mimeType" } ] }, { "id": "DocumentReference.content.attachment.language", "path": "DocumentReference.content.attachment.language", "mustSupport": true, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.languageCode" } ] }, { "id": "DocumentReference.content.attachment.data", "path": "DocumentReference.content.attachment.data", "max": "0" }, { "id": "DocumentReference.content.attachment.url", "path": "DocumentReference.content.attachment.url", "min": 1, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.repositoryUniqueId or DocuemntEntry.URI" } ] }, { "id": "DocumentReference.content.attachment.size", "path": "DocumentReference.content.attachment.size", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.size" } ] }, { "id": "DocumentReference.content.attachment.hash", "path": "DocumentReference.content.attachment.hash", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.hash" } ] }, { "id": "DocumentReference.content.attachment.title", "path": "DocumentReference.content.attachment.title", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.title" } ] }, { "id": "DocumentReference.content.attachment.creation", "path": "DocumentReference.content.attachment.creation", "mustSupport": true, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.creationTime" } ] }, { "id": "DocumentReference.content.format", "path": "DocumentReference.content.format", "mustSupport": true, "binding": { "strength": "preferred", "valueSet": "http://ihe.net/fhir/ihe.formatcode.fhir/ValueSet/formatcode" }, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.formatCode" } ] }, { "id": "DocumentReference.context.encounter", "path": "DocumentReference.context.encounter", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.referenceIdList with CXi encoding for urn:ihe:iti:xds:2015:encounterId" } ] }, { "id": "DocumentReference.context.event", "path": "DocumentReference.context.event", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.eventCodeList" } ] }, { "id": "DocumentReference.context.period", "path": "DocumentReference.context.period", "mustSupport": true }, { "id": "DocumentReference.context.period.start", "path": "DocumentReference.context.period.start", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumetEntry.serviceStartTime" } ] }, { "id": "DocumentReference.context.period.end", "path": "DocumentReference.context.period.end", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.serviceStopTime" } ] }, { "id": "DocumentReference.context.facilityType", "path": "DocumentReference.context.facilityType", "mustSupport": true, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.healthcareFacilityTypeCode" } ] }, { "id": "DocumentReference.context.practiceSetting", "path": "DocumentReference.context.practiceSetting", "mustSupport": true, "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.practiceSettingCode" } ] }, { "id": "DocumentReference.context.sourcePatientInfo", "path": "DocumentReference.context.sourcePatientInfo", "mustSupport": true }, { "id": "DocumentReference.context.sourcePatientInfo.reference", "path": "DocumentReference.context.sourcePatientInfo.reference", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.sourcePatientInfo" } ] }, { "id": "DocumentReference.context.sourcePatientInfo.identifier", "path": "DocumentReference.context.sourcePatientInfo.identifier", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.sourcePatientId" } ] }, { "id": "DocumentReference.context.related", "path": "DocumentReference.context.related", "mapping": [ { "identity": "DocumentEntry-Mapping", "map": "DocumentEntry.referenceIdList using CXi encoding for type when possible" } ] } ] } }