{ "resourceType": "StructureDefinition", "id": "21573119-b3d6-4fed-b397-400e1dfaeb54", "meta": { "versionId": "2", "lastUpdated": "2020-09-02T11:59:57.653+00:00" }, "url": "https://medico-emr.net/medico/r4/sd/ti/DocumentReference_ePADocument_1", "name": "DocumentReference_ePADocument_1", "status": "draft", "date": "2020-09-02T11:59:57.3477471+00:00", "description": "A resource of this profile type represents a medico document with ePA meta data.\r\nThe references documents can be of many different format types. The most common ones are word, rtf, pdf, plain text, images as jpg or tiff.", "fhirVersion": "4.0.0", "kind": "resource", "abstract": false, "type": "DocumentReference", "baseDefinition": "http://ihe.net/fhir/ihe.mhd.fhir/StructureDefinition/IHE.MHD.Provide.Comprehensive.DocumentReference", "derivation": "constraint", "differential": { "element": [ { "id": "DocumentReference.meta", "path": "DocumentReference.meta" }, { "id": "DocumentReference.meta.id", "path": "DocumentReference.meta.id", "max": "0" }, { "id": "DocumentReference.meta.versionId", "path": "DocumentReference.meta.versionId", "max": "0" }, { "id": "DocumentReference.meta.source", "path": "DocumentReference.meta.source", "max": "0" }, { "id": "DocumentReference.meta.profile", "path": "DocumentReference.meta.profile", "min": 1, "max": "1", "fixedCanonical": "https://medico-emr.net/medico/r4/sd/ti/DocumentReference_ePADocument_1" }, { "id": "DocumentReference.meta.security", "path": "DocumentReference.meta.security", "max": "0" }, { "id": "DocumentReference.meta.tag", "path": "DocumentReference.meta.tag", "max": "0" }, { "id": "DocumentReference.extension", "path": "DocumentReference.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" } }, { "id": "DocumentReference.extension:homeCommunityId", "path": "DocumentReference.extension", "sliceName": "homeCommunityId", "max": "1", "type": [ { "code": "Extension", "profile": [ "https://medico-emr.net/medico/r4/sd/ti/ext/DocumentReference_HomeCommunityId_1" ] } ] }, { "id": "DocumentReference.masterIdentifier", "path": "DocumentReference.masterIdentifier", "definition": "Maps to DocumentEntry.uniqueId in XDS.b" }, { "id": "DocumentReference.masterIdentifier.id", "path": "DocumentReference.masterIdentifier.id", "max": "0" }, { "id": "DocumentReference.masterIdentifier.use", "path": "DocumentReference.masterIdentifier.use", "max": "0" }, { "id": "DocumentReference.masterIdentifier.type", "path": "DocumentReference.masterIdentifier.type", "max": "0" }, { "id": "DocumentReference.masterIdentifier.system", "path": "DocumentReference.masterIdentifier.system", "min": 1, "fixedUri": "urn:ietf:rfc:3986" }, { "id": "DocumentReference.masterIdentifier.value", "path": "DocumentReference.masterIdentifier.value", "min": 1 }, { "id": "DocumentReference.masterIdentifier.period", "path": "DocumentReference.masterIdentifier.period", "max": "0" }, { "id": "DocumentReference.masterIdentifier.assigner", "path": "DocumentReference.masterIdentifier.assigner", "max": "0" }, { "id": "DocumentReference.identifier", "path": "DocumentReference.identifier", "definition": "Maps to DocumentEntry.entryUUID in XDS.b", "min": 1, "max": "1" }, { "id": "DocumentReference.identifier.id", "path": "DocumentReference.identifier.id", "max": "0" }, { "id": "DocumentReference.identifier.use", "path": "DocumentReference.identifier.use", "min": 1, "fixedCode": "official" }, { "id": "DocumentReference.identifier.type", "path": "DocumentReference.identifier.type", "max": "0" }, { "id": "DocumentReference.identifier.system", "path": "DocumentReference.identifier.system", "min": 1, "fixedUri": "urn:ietf:rfc:3986" }, { "id": "DocumentReference.identifier.value", "path": "DocumentReference.identifier.value", "min": 1 }, { "id": "DocumentReference.identifier.period", "path": "DocumentReference.identifier.period", "max": "0" }, { "id": "DocumentReference.identifier.assigner", "path": "DocumentReference.identifier.assigner", "max": "0" }, { "id": "DocumentReference.status", "path": "DocumentReference.status", "definition": "Maps to DocumentEntry.availabiltyStatus in XDS.b" }, { "id": "DocumentReference.type", "path": "DocumentReference.type", "definition": "Maps to DocumentEntry.typeCode in XDS.b", "binding": { "strength": "required", "valueSet": "http://ihe-d.de/ValueSets/IHEXDStypeCode" } }, { "id": "DocumentReference.type.id", "path": "DocumentReference.type.id", "max": "0" }, { "id": "DocumentReference.type.coding", "path": "DocumentReference.type.coding", "min": 1, "max": "1" }, { "id": "DocumentReference.type.coding.id", "path": "DocumentReference.type.coding.id", "max": "0" }, { "id": "DocumentReference.type.coding.system", "path": "DocumentReference.type.coding.system", "min": 1 }, { "id": "DocumentReference.type.coding.version", "path": "DocumentReference.type.coding.version", "min": 1 }, { "id": "DocumentReference.type.coding.code", "path": "DocumentReference.type.coding.code", "min": 1 }, { "id": "DocumentReference.type.coding.userSelected", "path": "DocumentReference.type.coding.userSelected", "max": "0" }, { "id": "DocumentReference.type.text", "path": "DocumentReference.type.text", "max": "0" }, { "id": "DocumentReference.category", "path": "DocumentReference.category", "definition": "Maps to DocumentEntry.classCode in XDS.b", "max": "1", "binding": { "strength": "required", "description": "Grobe Klassifizierung des Dokuments", "valueSet": "http://ihe-d.de/ValueSets/IHEXDSclassCode" } }, { "id": "DocumentReference.category.id", "path": "DocumentReference.category.id", "max": "0" }, { "id": "DocumentReference.category.coding", "path": "DocumentReference.category.coding", "min": 1, "max": "1" }, { "id": "DocumentReference.category.coding.id", "path": "DocumentReference.category.coding.id", "max": "0" }, { "id": "DocumentReference.category.coding.system", "path": "DocumentReference.category.coding.system", "min": 1 }, { "id": "DocumentReference.category.coding.version", "path": "DocumentReference.category.coding.version", "min": 1 }, { "id": "DocumentReference.category.coding.code", "path": "DocumentReference.category.coding.code", "min": 1 }, { "id": "DocumentReference.category.coding.userSelected", "path": "DocumentReference.category.coding.userSelected", "max": "0" }, { "id": "DocumentReference.category.text", "path": "DocumentReference.category.text", "max": "0" }, { "id": "DocumentReference.subject.id", "path": "DocumentReference.subject.id", "max": "0" }, { "id": "DocumentReference.subject.type", "path": "DocumentReference.subject.type", "max": "0" }, { "id": "DocumentReference.subject.identifier", "path": "DocumentReference.subject.identifier", "definition": "Contains the KVNR (immutable part of patient insurance number)\r\nMaps to DocumentEntry.patientId in XDS.b", "min": 1 }, { "id": "DocumentReference.subject.identifier.id", "path": "DocumentReference.subject.identifier.id", "max": "0" }, { "id": "DocumentReference.subject.identifier.use", "path": "DocumentReference.subject.identifier.use", "max": "0" }, { "id": "DocumentReference.subject.identifier.type", "path": "DocumentReference.subject.identifier.type", "max": "0" }, { "id": "DocumentReference.subject.identifier.system", "path": "DocumentReference.subject.identifier.system", "min": 1, "fixedUri": "urn:oid:1.2.276.0.76.4.8" }, { "id": "DocumentReference.subject.identifier.value", "path": "DocumentReference.subject.identifier.value", "min": 1 }, { "id": "DocumentReference.subject.identifier.period", "path": "DocumentReference.subject.identifier.period", "max": "0" }, { "id": "DocumentReference.subject.identifier.assigner", "path": "DocumentReference.subject.identifier.assigner", "max": "0" }, { "id": "DocumentReference.subject.display", "path": "DocumentReference.subject.display", "max": "0" }, { "id": "DocumentReference.author", "path": "DocumentReference.author", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "https://medico-emr.net/medico/r4/sd/ti/PractitionerRole_ePAAuthor_1", "https://medico-emr.net/medico/r4/sd/ti/Patient_ePAAuthorPerson_1" ] } ] }, { "id": "DocumentReference.author.id", "path": "DocumentReference.author.id", "max": "0" }, { "id": "DocumentReference.author.type", "path": "DocumentReference.author.type", "max": "0" }, { "id": "DocumentReference.author.identifier", "path": "DocumentReference.author.identifier", "max": "0" }, { "id": "DocumentReference.author.display", "path": "DocumentReference.author.display", "max": "0" }, { "id": "DocumentReference.authenticator", "path": "DocumentReference.authenticator", "type": [ { "code": "Reference", "targetProfile": [ "https://medico-emr.net/medico/r4/sd/ti/Practitioner_ePAAuthorPerson_1" ] } ] }, { "id": "DocumentReference.authenticator.id", "path": "DocumentReference.authenticator.id", "max": "0" }, { "id": "DocumentReference.authenticator.type", "path": "DocumentReference.authenticator.type", "max": "0" }, { "id": "DocumentReference.authenticator.identifier", "path": "DocumentReference.authenticator.identifier", "max": "0" }, { "id": "DocumentReference.authenticator.display", "path": "DocumentReference.authenticator.display", "max": "0" }, { "id": "DocumentReference.description", "path": "DocumentReference.description", "definition": "Maps to DocumentEntry.comments in XDS.b" }, { "id": "DocumentReference.securityLabel", "path": "DocumentReference.securityLabel", "definition": "Maps to DocumentEntry.confidentialityCode in XDS.b" }, { "id": "DocumentReference.securityLabel.id", "path": "DocumentReference.securityLabel.id", "max": "0" }, { "id": "DocumentReference.securityLabel.coding", "path": "DocumentReference.securityLabel.coding", "min": 1, "max": "1" }, { "id": "DocumentReference.securityLabel.coding.id", "path": "DocumentReference.securityLabel.coding.id", "max": "0" }, { "id": "DocumentReference.securityLabel.coding.system", "path": "DocumentReference.securityLabel.coding.system", "min": 1, "fixedUri": "urn:oid:1.2.276.0.76.5.491" }, { "id": "DocumentReference.securityLabel.coding.version", "path": "DocumentReference.securityLabel.coding.version", "min": 1 }, { "id": "DocumentReference.securityLabel.coding.code", "path": "DocumentReference.securityLabel.coding.code", "min": 1 }, { "id": "DocumentReference.securityLabel.coding.userSelected", "path": "DocumentReference.securityLabel.coding.userSelected", "max": "0" }, { "id": "DocumentReference.securityLabel.text", "path": "DocumentReference.securityLabel.text", "max": "0" }, { "id": "DocumentReference.content.id", "path": "DocumentReference.content.id", "max": "0" }, { "id": "DocumentReference.content.attachment.id", "path": "DocumentReference.content.attachment.id", "max": "0" }, { "id": "DocumentReference.content.attachment.contentType", "path": "DocumentReference.content.attachment.contentType", "definition": "Maps to DocumentEntry.mimeType in XDS.b" }, { "id": "DocumentReference.content.attachment.language", "path": "DocumentReference.content.attachment.language", "definition": "Maps to DocumentEntry.language in XDS.b" }, { "id": "DocumentReference.content.attachment.size", "path": "DocumentReference.content.attachment.size", "max": "0" }, { "id": "DocumentReference.content.attachment.hash", "path": "DocumentReference.content.attachment.hash", "max": "0" }, { "id": "DocumentReference.content.attachment.title", "path": "DocumentReference.content.attachment.title", "definition": "Maps to DocumentEntry.title in XDS.b" }, { "id": "DocumentReference.content.format", "path": "DocumentReference.content.format", "binding": { "strength": "required", "valueSet": "http://ihe-d.de/ValueSets/IHEXDSformatCodeDE" } }, { "id": "DocumentReference.content.format.id", "path": "DocumentReference.content.format.id", "max": "0" }, { "id": "DocumentReference.content.format.system", "path": "DocumentReference.content.format.system", "min": 1 }, { "id": "DocumentReference.content.format.version", "path": "DocumentReference.content.format.version", "min": 1 }, { "id": "DocumentReference.content.format.code", "path": "DocumentReference.content.format.code", "min": 1 }, { "id": "DocumentReference.content.format.userSelected", "path": "DocumentReference.content.format.userSelected", "max": "0" }, { "id": "DocumentReference.context", "path": "DocumentReference.context", "min": 1 }, { "id": "DocumentReference.context.id", "path": "DocumentReference.context.id", "max": "0" }, { "id": "DocumentReference.context.encounter", "path": "DocumentReference.context.encounter", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ] } ] }, { "id": "DocumentReference.context.encounter.id", "path": "DocumentReference.context.encounter.id", "max": "0" }, { "id": "DocumentReference.context.encounter.reference", "path": "DocumentReference.context.encounter.reference", "min": 1 }, { "id": "DocumentReference.context.encounter.type", "path": "DocumentReference.context.encounter.type", "max": "0" }, { "id": "DocumentReference.context.encounter.identifier.id", "path": "DocumentReference.context.encounter.identifier.id", "max": "0" }, { "id": "DocumentReference.context.encounter.identifier.use", "path": "DocumentReference.context.encounter.identifier.use", "max": "0" }, { "id": "DocumentReference.context.encounter.identifier.type", "path": "DocumentReference.context.encounter.identifier.type", "max": "0" }, { "id": "DocumentReference.context.encounter.identifier.system", "path": "DocumentReference.context.encounter.identifier.system", "min": 1 }, { "id": "DocumentReference.context.encounter.identifier.value", "path": "DocumentReference.context.encounter.identifier.value", "min": 1 }, { "id": "DocumentReference.context.encounter.identifier.period", "path": "DocumentReference.context.encounter.identifier.period", "max": "0" }, { "id": "DocumentReference.context.encounter.identifier.assigner", "path": "DocumentReference.context.encounter.identifier.assigner", "max": "0" }, { "id": "DocumentReference.context.encounter.display", "path": "DocumentReference.context.encounter.display", "max": "0" }, { "id": "DocumentReference.context.event", "path": "DocumentReference.context.event", "definition": "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the type Code, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act.\r\nCodings are excpected from following valuesets:\r\nhttp://ihe-d.de/ValueSets/IHEXDSeventCodeList\r\nurn:oid:1.2.840.10008.6.1.19 (DICOM Teil 16, Context Group 29 \"Acquisition Modality\" (Value Set 1.2.840.10008.6.1.19, Version \"20180605\", gekürzt um Nichtbildverfahren))" }, { "id": "DocumentReference.context.event.id", "path": "DocumentReference.context.event.id", "max": "0" }, { "id": "DocumentReference.context.event.coding", "path": "DocumentReference.context.event.coding", "min": 1, "max": "1" }, { "id": "DocumentReference.context.event.coding.id", "path": "DocumentReference.context.event.coding.id", "max": "0" }, { "id": "DocumentReference.context.event.coding.system", "path": "DocumentReference.context.event.coding.system", "min": 1 }, { "id": "DocumentReference.context.event.coding.version", "path": "DocumentReference.context.event.coding.version", "min": 1 }, { "id": "DocumentReference.context.event.coding.code", "path": "DocumentReference.context.event.coding.code", "min": 1 }, { "id": "DocumentReference.context.event.coding.userSelected", "path": "DocumentReference.context.event.coding.userSelected", "max": "0" }, { "id": "DocumentReference.context.event.text", "path": "DocumentReference.context.event.text", "max": "0" }, { "id": "DocumentReference.context.period", "path": "DocumentReference.context.period", "min": 1 }, { "id": "DocumentReference.context.period.id", "path": "DocumentReference.context.period.id", "max": "0" }, { "id": "DocumentReference.context.period.start", "path": "DocumentReference.context.period.start", "definition": "Maps to DocumentEntry.serviceStartTime in XDS.b" }, { "id": "DocumentReference.context.period.end", "path": "DocumentReference.context.period.end", "definition": "Maps to DocumentEntry.serviceEndTime in XDS.b" }, { "id": "DocumentReference.context.facilityType", "path": "DocumentReference.context.facilityType", "definition": "Maps to DocumentEntry.healthcareFacilityTypeCode in XDS.b", "binding": { "strength": "required", "valueSet": "http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode" } }, { "id": "DocumentReference.context.facilityType.id", "path": "DocumentReference.context.facilityType.id", "max": "0" }, { "id": "DocumentReference.context.facilityType.coding", "path": "DocumentReference.context.facilityType.coding", "min": 1, "max": "1", "binding": { "strength": "required", "description": "Type of facitlity according to IHE Valueset", "valueSet": "http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode" } }, { "id": "DocumentReference.context.facilityType.coding.id", "path": "DocumentReference.context.facilityType.coding.id", "max": "0" }, { "id": "DocumentReference.context.facilityType.coding.system", "path": "DocumentReference.context.facilityType.coding.system", "min": 1 }, { "id": "DocumentReference.context.facilityType.coding.version", "path": "DocumentReference.context.facilityType.coding.version", "min": 1 }, { "id": "DocumentReference.context.facilityType.coding.code", "path": "DocumentReference.context.facilityType.coding.code", "min": 1 }, { "id": "DocumentReference.context.facilityType.coding.userSelected", "path": "DocumentReference.context.facilityType.coding.userSelected", "max": "0" }, { "id": "DocumentReference.context.practiceSetting", "path": "DocumentReference.context.practiceSetting", "definition": "Maps to DocumentEntry.PracticeSettingCode in XDS.b", "binding": { "strength": "required", "valueSet": "http://ihe-d.de/ValueSets/IHEXDSpracticeSettingCode" } }, { "id": "DocumentReference.context.practiceSetting.id", "path": "DocumentReference.context.practiceSetting.id", "max": "0" }, { "id": "DocumentReference.context.practiceSetting.coding", "path": "DocumentReference.context.practiceSetting.coding", "min": 1, "max": "1", "binding": { "strength": "required", "description": "Type of organization that created the document", "valueSet": "http://ihe-d.de/ValueSets/IHEXDSpracticeSettingCode" } }, { "id": "DocumentReference.context.practiceSetting.coding.id", "path": "DocumentReference.context.practiceSetting.coding.id", "max": "0" }, { "id": "DocumentReference.context.practiceSetting.coding.system", "path": "DocumentReference.context.practiceSetting.coding.system", "min": 1 }, { "id": "DocumentReference.context.practiceSetting.coding.version", "path": "DocumentReference.context.practiceSetting.coding.version", "min": 1 }, { "id": "DocumentReference.context.practiceSetting.coding.code", "path": "DocumentReference.context.practiceSetting.coding.code", "min": 1 }, { "id": "DocumentReference.context.practiceSetting.coding.userSelected", "path": "DocumentReference.context.practiceSetting.coding.userSelected", "max": "0" }, { "id": "DocumentReference.context.practiceSetting.text", "path": "DocumentReference.context.practiceSetting.text", "max": "0" }, { "id": "DocumentReference.context.sourcePatientInfo.id", "path": "DocumentReference.context.sourcePatientInfo.id", "max": "0" }, { "id": "DocumentReference.context.sourcePatientInfo.reference", "path": "DocumentReference.context.sourcePatientInfo.reference", "min": 1 }, { "id": "DocumentReference.context.sourcePatientInfo.type", "path": "DocumentReference.context.sourcePatientInfo.type", "min": 1, "fixedUri": "Patient" }, { "id": "DocumentReference.context.sourcePatientInfo.identifier", "path": "DocumentReference.context.sourcePatientInfo.identifier", "min": 1 }, { "id": "DocumentReference.context.sourcePatientInfo.identifier.id", "path": "DocumentReference.context.sourcePatientInfo.identifier.id", "max": "0" }, { "id": "DocumentReference.context.sourcePatientInfo.identifier.use", "path": "DocumentReference.context.sourcePatientInfo.identifier.use", "max": "0" }, { "id": "DocumentReference.context.sourcePatientInfo.identifier.type", "path": "DocumentReference.context.sourcePatientInfo.identifier.type", "max": "0" }, { "id": "DocumentReference.context.sourcePatientInfo.identifier.system", "path": "DocumentReference.context.sourcePatientInfo.identifier.system", "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.\r\nMust be a constant underneath https://medico-emr.net/medico/%KUNDE%/sid1/Patient", "min": 1 }, { "id": "DocumentReference.context.sourcePatientInfo.identifier.value", "path": "DocumentReference.context.sourcePatientInfo.identifier.value", "definition": "medico's internal id for this type of medico resource so x1000per.per \r\nThis value must be unique within medico - for a given value of system", "min": 1 }, { "id": "DocumentReference.context.sourcePatientInfo.identifier.period", "path": "DocumentReference.context.sourcePatientInfo.identifier.period", "max": "0" }, { "id": "DocumentReference.context.sourcePatientInfo.identifier.assigner", "path": "DocumentReference.context.sourcePatientInfo.identifier.assigner", "max": "0" }, { "id": "DocumentReference.context.sourcePatientInfo.display", "path": "DocumentReference.context.sourcePatientInfo.display", "max": "0" }, { "id": "DocumentReference.implicitRules", "path": "DocumentReference.implicitRules", "max": "0" }, { "id": "DocumentReference.language", "path": "DocumentReference.language", "max": "0" }, { "id": "DocumentReference.text", "path": "DocumentReference.text", "max": "0" } ] } }