<status value="active" /> <date value="2022-12-07T16:34:24-06:00" /> <publisher value="IHE IT Infrastructure Technical Committee" /> <contact> <telecom> <system value="url" /> <value value="https://www.ihe.net/ihe_domains/it_infrastructure/" /> </telecom> </contact> <contact> <telecom> <system value="email" /> <value value="iti@ihe.net" /> </telecom> </contact> <contact> <name value="IHE IT Infrastructure Technical Committee" /> <telecom> <system value="email" /> <value value="iti@ihe.net" /> </telecom> </contact> <description value="A profile on the DocumentReference resource for MHD with minimal metadata constraints. - MHD is based on the [IHE Document Sharing](https://profiles.ihe.net/ITI/HIE-Whitepaper/index.html) model, - the [3:4.1 Abstract Metadata Model](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.1.html#4.1), and - the use defined here is FHIR DocumentReference implementation of the - 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). - 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 value="http://unstats.un.org/unsd/methods/m49/m49.htm" /> <code value="001" /> </coding> </jurisdiction> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="fhircomposition" /> <uri value="http://hl7.org/fhir/composition" /> <name value="FHIR Composition" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="cda" /> <uri value="http://hl7.org/v3/cda" /> <name value="CDA (R2)" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="xds" /> <uri value="http://ihe.net/xds" /> <name value="XDS metadata equivalent" /> </mapping> <mapping> <identity value="DocumentEntry-Mapping" /> <uri value="XDS" /> <name value="XDS and MHD Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="DocumentReference" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DocumentReference" /> <derivation value="constraint" /> <differential> <element id="DocumentReference"> <path value="DocumentReference" /> <constraint> <key value="iti-mhd-repl" /> <severity value="error" /> <human value="a DocumetReference replacements needs to relate to a superseded DocumentReference" /> <expression value="relatesTo.empty() or (relatesTo.code='replaces' implies relatesTo.target.exists())" /> </constraint> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="XDS DocumentEntry" /> <comment value="Used in the context of the IHE MHD ImplementationGuide" /> </mapping> </element> <element id="DocumentReference.meta"> <path value="DocumentReference.meta" /> </element> <element id="DocumentReference.meta.profile"> <path value="DocumentReference.meta.profile" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.limitedMetadata" /> </mapping> </element> <element id="DocumentReference.modifierExtension"> <path value="DocumentReference.modifierExtension" /> <max value="0" /> </element> <element id="DocumentReference.masterIdentifier"> <path value="DocumentReference.masterIdentifier" /> <min value="1" /> <type> <code value="Identifier" /> <profile value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UniqueIdIdentifier" /> </type> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.uniqueId" /> </mapping> </element> <element id="DocumentReference.identifier"> <path value="DocumentReference.identifier" /> <slicing> <discriminator> <type value="value" /> <path value="use" /> </discriminator> <rules value="open" /> </slicing> <mustSupport value="true" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.entryUUID" /> </mapping> </element> <element id="DocumentReference.identifier:entryUUID"> <path value="DocumentReference.identifier" /> <sliceName value="entryUUID" /> <type> <code value="Identifier" /> <profile value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.EntryUUID.Identifier" /> </type> </element> <element id="DocumentReference.status"> <path value="DocumentReference.status" /> <binding> <strength value="required" /> <valueSet value="https://profiles.ihe.net/ITI/MHD/ValueSet/DocumentReferenceStats" /> </binding> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.availabilityStatus" /> </mapping> </element> <element id="DocumentReference.docStatus"> <path value="DocumentReference.docStatus" /> <max value="0" /> </element> <element id="DocumentReference.type"> <path value="DocumentReference.type" /> <short value="Vrsta kliničkog dokumenta." /> <definition value="Definira vrstu kliničkog dokumenta." /> <min value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://fhir.cezih.hr/specifikacije/ValueSet/document-type" /> </binding> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.typeCode" /> </mapping> </element> <element id="DocumentReference.category"> <path value="DocumentReference.category" /> <max value="1" /> <mustSupport value="true" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.classCode" /> </mapping> </element> <element id="DocumentReference.subject"> <path value="DocumentReference.subject" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-pacijent" /> </type> <mustSupport value="true" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.patientId" /> </mapping> </element> <element id="DocumentReference.date"> <path value="DocumentReference.date" /> <mustSupport value="true" /> </element> <element id="DocumentReference.author"> <path value="DocumentReference.author" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-practitioner" /> <targetProfile value="http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-organizacija" /> </type> <mustSupport value="true" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.author" /> </mapping> </element> <element id="DocumentReference.authenticator"> <path value="DocumentReference.authenticator" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" /> <targetProfile value="http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-organizacija" /> <targetProfile value="http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-practitioner" /> </type> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.legalAuthenticator" /> </mapping> </element> <element id="DocumentReference.custodian"> <path value="DocumentReference.custodian" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.cezih.hr/specifikacije/StructureDefinition/hr-organizacija" /> </type> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="not mapped" /> </mapping> </element> <element id="DocumentReference.relatesTo"> <path value="DocumentReference.relatesTo" /> <mustSupport value="true" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry Associations" /> </mapping> </element> <element id="DocumentReference.relatesTo.code"> <path value="DocumentReference.relatesTo.code" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry Associations.type" /> </mapping> </element> <element id="DocumentReference.relatesTo.target"> <path value="DocumentReference.relatesTo.target" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry Associations.reference" /> </mapping> </element> <element id="DocumentReference.description"> <path value="DocumentReference.description" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.comments" /> </mapping> </element> <element id="DocumentReference.securityLabel"> <path value="DocumentReference.securityLabel" /> <mustSupport value="true" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.confidentialityCode" /> </mapping> </element> <element id="DocumentReference.content"> <path value="DocumentReference.content" /> <definition value="The document and format referenced." /> <max value="1" /> </element> <element id="DocumentReference.content.attachment.contentType"> <path value="DocumentReference.content.attachment.contentType" /> <min value="1" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.mimeType" /> </mapping> </element> <element id="DocumentReference.content.attachment.language"> <path value="DocumentReference.content.attachment.language" /> <mustSupport value="true" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.languageCode" /> </mapping> </element> <element id="DocumentReference.content.attachment.data"> <path value="DocumentReference.content.attachment.data" /> <max value="0" /> </element> <element id="DocumentReference.content.attachment.url"> <path value="DocumentReference.content.attachment.url" /> <min value="1" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.repositoryUniqueId or DocuemntEntry.URI" /> </mapping> </element> <element id="DocumentReference.content.attachment.size"> <path value="DocumentReference.content.attachment.size" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.size" /> </mapping> </element> <element id="DocumentReference.content.attachment.hash"> <path value="DocumentReference.content.attachment.hash" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.hash" /> </mapping> </element> <element id="DocumentReference.content.attachment.title"> <path value="DocumentReference.content.attachment.title" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.title" /> </mapping> </element> <element id="DocumentReference.content.attachment.creation"> <path value="DocumentReference.content.attachment.creation" /> <mustSupport value="true" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.creationTime" /> </mapping> </element> <element id="DocumentReference.content.format"> <path value="DocumentReference.content.format" /> <mustSupport value="true" /> <binding> <strength value="preferred" /> <valueSet value="http://ihe.net/fhir/ihe.formatcode.fhir/ValueSet/formatcode" /> </binding> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.formatCode" /> </mapping> </element> <element id="DocumentReference.context.encounter"> <path value="DocumentReference.context.encounter" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.referenceIdList with CXi encoding for urn:ihe:iti:xds:2015:encounterId" /> </mapping> </element> <element id="DocumentReference.context.event"> <path value="DocumentReference.context.event" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.eventCodeList" /> </mapping> </element> <element id="DocumentReference.context.period"> <path value="DocumentReference.context.period" /> <mustSupport value="true" /> </element> <element id="DocumentReference.context.period.start"> <path value="DocumentReference.context.period.start" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumetEntry.serviceStartTime" /> </mapping> </element> <element id="DocumentReference.context.period.end"> <path value="DocumentReference.context.period.end" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.serviceStopTime" /> </mapping> </element> <element id="DocumentReference.context.facilityType"> <path value="DocumentReference.context.facilityType" /> <mustSupport value="true" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.healthcareFacilityTypeCode" /> </mapping> </element> <element id="DocumentReference.context.practiceSetting"> <path value="DocumentReference.context.practiceSetting" /> <mustSupport value="true" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.practiceSettingCode" /> </mapping> </element> <element id="DocumentReference.context.sourcePatientInfo"> <path value="DocumentReference.context.sourcePatientInfo" /> <mustSupport value="true" /> </element> <element id="DocumentReference.context.sourcePatientInfo.reference"> <path value="DocumentReference.context.sourcePatientInfo.reference" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.sourcePatientInfo" /> </mapping> </element> <element id="DocumentReference.context.sourcePatientInfo.identifier"> <path value="DocumentReference.context.sourcePatientInfo.identifier" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.sourcePatientId" /> </mapping> </element> <element id="DocumentReference.context.related"> <path value="DocumentReference.context.related" /> <mapping> <identity value="DocumentEntry-Mapping" /> <map value="DocumentEntry.referenceIdList using CXi encoding for type when possible" /> </mapping> </element> </differential> </StructureDefinition>

Name	Flags	Card.	Type	Description & Constraints
DocumentReference	C	0 .. *	DocumentReference	A 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..1	UniqueIdIdentifier	An identifier intended for computation
Slices for identifier	S	0 .. *	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID		0..*	EntryUUIDIdentifier	An identifier intended for computation
status		1 .. 1	code	current \| superseded \| entered-in-error Binding: MHD DocumentReference status codes (required)
docStatus		0 .. 0
type	S	0 .. 1	CodeableConcept	Kind of document (LOINC if possible)
category	S	0..1	CodeableConcept	Categorization of document
subject	S	0 .. 1	Reference(Patient)	Who/what is the subject of the document
date	S	0 .. 1	instant	When this document reference was created
author	S	0 .. *	Reference(Practitioner \| PractitionerRole \| Organization \| Device \| Patient \| RelatedPerson)	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	S	0 .. *	BackboneElement	Relationships to other documents
code		1 .. 1	code	replaces \| transforms \| signs \| appends
target		1 .. 1	Reference(DocumentReference)	Target of the relationship
description		0 .. 1	string	Human-readable description
securityLabel	S	0 .. *	CodeableConcept	Document security-tags
content		1..1	BackboneElement	Document referenced
attachment
contentType		1..1	code	Mime type of the content, with charset etc.
language	S	0 .. 1	code	Human language of the content (BCP-47)
data		0 .. 0
url		1..1	url	Uri where the data can be found
size		0 .. 1	unsignedInt	Number of bytes of content (if url provided)
hash		0 .. 1	base64Binary	Hash of the data (sha-1, base64ed)
title		0 .. 1	string	Label to display in place of the data
creation	S	0 .. 1	dateTime	Date attachment was first created
format	S	0 .. 1	Coding	Format/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 .. *	CodeableConcept	Main clinical acts documented
period	S	0 .. 1	Period	Time of service that is being documented
start		0 .. 1	dateTime	Starting time with inclusive boundary
end		0 .. 1	dateTime	End time with inclusive boundary, if not ongoing
facilityType	S	0 .. 1	CodeableConcept	Kind of facility where patient was seen
practiceSetting	S	0 .. 1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty)
sourcePatientInfo	S	0 .. 1	Reference(Patient)	Patient demographics from source
reference		0 .. 1	string	Literal reference, Relative, internal or absolute URL
identifier		0 .. 1	Identifier	Logical reference, when literal reference is not known
related		0 .. *	Reference(Resource)	Related identifiers or resources
Documentation for this format