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fhir-error-dump.html
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fhir-error-dump.html
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<!DOCTYPE HTML>
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
<head>
<title>DocumentReference - FHIR v6.0.0-cibuild</title>
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<li><a href="diagnostics-module.html"><img src="diagnostics.jpg" alt="link"/> Diagnostics</a></li> <li><b>DocumentReference</b></li> <!-- documentreference.html / resource / DocumentReference-->
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<p style="background-color: #ffefef; border:1px solid maroon; padding: 5px; max-width: 790px;">This is your Local Build of FHIR. <br/>See the <a href="http://hl7.org/fhir/directory.html">Directory of published versions for published versions</a></p>
<ul class="nav nav-tabs"><li class="active"><a href="#">Content</a></li><li><a href="documentreference-examples.html">Examples</a></li><li><a href="documentreference-definitions.html">Detailed Descriptions</a></li><li><a href="documentreference-mappings.html">Mappings</a></li><li><a href="documentreference-operations.html">Operations</a></li><li><a href="documentreference-search.html">Search Params</a></li><li><a href="documentreference-profiles.html">Profiles</a></li><li><a href="https://build.fhir.org/ig/HL7/fhir-extensions/extensions-DocumentReference.html">Extensions</a></li><li><a href="https://build.fhir.org/ig/HL7/fhir-extensions/conversions-DocumentReference.html">R4 Conversions</a></li></ul>
<h1>Resource DocumentReference - Content</h1>
<table class="colstu"><tr><td><a href="http://www.hl7.org/Special/committees/orders/index.cfm">Orders and Observations</a> Work Group</td><td><a href="versions.html#maturity">Maturity Level</a>: 4</td><td> <a href="versions.html#std-process" title="Standard Status">Trial Use</a></td><td><a href="security.html#SecPrivConsiderations">Security Category</a>: Not Classified</td><!--!ns!--><td><a href="compartmentdefinition.html">Compartments</a>: <a href="compartmentdefinition-device.html">Device</a>, <a href="compartmentdefinition-encounter.html">Encounter</a>, <a href="compartmentdefinition-patient.html">Patient</a>, <a href="compartmentdefinition-practitioner.html">Practitioner</a>, <a href="compartmentdefinition-relatedperson.html">RelatedPerson</a></td></tr></table>
<p>
<p>A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses <em>any</em> serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference.</p>
</p>
<div>
<a name="scope"></a>
<h2>Scope and Usage</h2>
<p>
A DocumentReference resource is used to index a document, clinical note, and other binary objects such as a photo, video, or audio recording, including those resulting from diagnostic or care provision procedures, to make them available to a healthcare system. A document is some sequence of bytes that is identifiable, establishes its own context (e.g., what subject, author, etc. can be presented to the user), and has defined update management. The DocumentReference resource can be used with any document format that has a recognized mime type and that conforms to this definition.
</p>
<p>
Typically, DocumentReference resources are used in document indexing systems, such as <a href="https://profiles.ihe.net/ITI/TF/Volume1/ch-10.html">IHE XDS</a> and as profiled in <a href="https://profiles.ihe.net/ITI/MHD/">IHE Mobile Access to Health Documents</a>.
</p>
<p>
DocumentReference contains metadata, inline content or direct references to documents such as:</p>
<ul>
<li><a href="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=7">CDA</a> documents in FHIR systems</li>
<li><a href="documents.html">FHIR documents</a> stored elsewhere (i.e. registry/repository following the XDS model)</li>
<li><a href="http://en.wikipedia.org/wiki/Portable_Document_Format">PDF documents</a>, Scanned Paper, and digital records of faxes</li>
<li>Clinical Notes in various forms</li>
<li>Image files (e.g., JPEG, GIF, TIFF)</li>
<li>Video files (e.g., MP4, WMV)</li>
<li>Audio files (e.g., WAV, MP3)</li>
<li>Non-Standard formats (e.g., CSV, RTF, WORD)</li>
<li>Other kinds of documents, such as records of prescriptions or immunizations</li>
</ul>
</div>
<div>
<a name="bnr"></a>
<h2>Boundaries and Relationships</h2>
<p>
This resource captures data that might not be in FHIR format. The document can be any object (e.g. file),
and is not limited to the formal HL7 definitions of <a href="documents.html">Document</a>. This resource may be a report with
unstructured text or a report that is not expressed in a DiagnosticReport. The DiagnosticReport is appropriate to reflect a
set of discrete results (Observations) and associated contextual details for a specific report, and within those results any
further structure within the Observation instances. The DocumentReference resource may be an
<a href="observation.html">Observation</a> whose value is audio, video or image data. This resource is the preferred
representation of such forms of information as it exposes the metadata relevant for interpreting the information.
There is some overlap potential such as a scan of a CBC report that can either be referenced by way of a DocumentReference,
or included in a DiagnosticReport as a presentedForm together with the structured, discrete data.
In some cases, a single in-system entity may be represented as both resources if they provide relevant metadata or workflow-specific attributes. Specific implementation guides would further clarify which approach is more appropriate.
</p>
<p>
This resource is able to contain medical images in a DICOM format. These images may also be made
accessible through an <a href="imagingstudy.html">ImagingStudy</a> resource, which provides a direct reference to the image to a
<a href="ftp://medical.nema.org/medical/dicom/final/sup161_ft.pdf">WADO-RS</a> server. For such images, the WADO-RS framework is a preferred method for representing the
images - the WADO-RS service may include rendering the image with annotations and display parameters
from an associated DICOM presentation state, for instance. On the other hand, the DocumentReference
resource allows for a robust transfer of an image across boundaries where the WADO-RS service is
not available. For this reason, medical images can also be represented in a DocumentReference resource,
but the DocumentReference.content.attachment.url should provide a reference to a source WADO-RS service for the image.
</p>
<p>
FHIR defines both a <a href="documents.html">document format</a> and this document reference. FHIR documents are for documents
that are authored and assembled in FHIR. DocumentReference is intended for general references to any type of media file <em>including</em> assembled documents.
</p>
<p>
The document that is a target of the reference can be a reference to a FHIR document served by another server, or
the target can be stored in the special <a href="http.html#binary">FHIR Binary Resource</a>, or the target can be
stored on some other server system. The document reference is also able to address documents that are retrieved
by a service call such as an XDS.b RetrieveDocumentSet, or a DICOM exchange, or an <a href="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=185">HL7 V2</a> message query - though
the way each of these service calls works must be specified in some external standard or other documentation.
</p>
<p>
A <code>DocumentReference</code> describes some other document. This means that there are two sets of
provenance information relevant here: the provenance of the document, and the provenance of the document
reference. Sometimes, the provenance information is closely related, as when the document producer also
produces the document reference, but in other workflows, the document reference is generated later by
other actors. In the <code>DocumentReference</code> resource, the <a href="resource.html#Meta">meta</a>
content refers to the provenance of the reference itself, while the content described below concerns
the document it references. Like all resources, there is overlap between the information in the
resource directly, and in the general <a href="provenance.html">Provenance</a> resource. This is
discussed as <a href="provenance.html#overlap">part of the description of the Provenance resource</a>.
</p>
<h2>References to this Resource</h2><ul><li>Implements: <a href="event.html#Event">Event</a></li><li>Resource References: <a href="adverseevent.html#AdverseEvent">AdverseEvent</a>, <a href="appointment.html#Appointment">Appointment</a>, <a href="clinicalimpression.html#ClinicalImpression">ClinicalImpression</a>, <a href="consent.html#Consent">Consent</a>, <a href="contract.html#Contract">Contract</a><span id="rr_RESOURCE_REF" onClick="document.getElementById('rr_RESOURCE_REF').innerHTML = document.getElementById('rr2_RESOURCE_REF').innerHTML">... <span style="cursor: pointer; border: 1px grey solid; background-color: #fcdcb3; padding-left: 3px; padding-right: 3px; color: black">Show 21 more</span></span><span id="rr2_RESOURCE_REF" style="display: none">, <a href="devicerequest.html#DeviceRequest">DeviceRequest</a>, <a href="deviceusage.html#DeviceUsage">DeviceUsage</a>, <a href="diagnosticreport.html#DiagnosticReport">DiagnosticReport</a>, <span >itself</span>, <a href="familymemberhistory.html#FamilyMemberHistory">FamilyMemberHistory</a>, <a href="genomicstudy.html#GenomicStudy">GenomicStudy</a>, <a href="imagingselection.html#ImagingSelection">ImagingSelection</a>, <a href="imagingstudy.html#ImagingStudy">ImagingStudy</a>, <a href="medicationknowledge.html#MedicationKnowledge">MedicationKnowledge</a>, <a href="medicinalproductdefinition.html#MedicinalProductDefinition">MedicinalProductDefinition</a>, <a href="nutritionintake.html#NutritionIntake">NutritionIntake</a>, <a href="observation.html#Observation">Observation</a>, <a href="packagedproductdefinition.html#PackagedProductDefinition">PackagedProductDefinition</a>, <a href="procedure.html#Procedure">Procedure</a>, <a href="regulatedauthorization.html#RegulatedAuthorization">RegulatedAuthorization</a>, <a href="requestorchestration.html#RequestOrchestration">RequestOrchestration</a>, <a href="riskassessment.html#RiskAssessment">RiskAssessment</a>, <a href="servicerequest.html#ServiceRequest">ServiceRequest</a>, <a href="substancedefinition.html#SubstanceDefinition">SubstanceDefinition</a>, <a href="substancereferenceinformation.html#SubstanceReferenceInformation">SubstanceReferenceInformation</a> and <a href="supplyrequest.html#SupplyRequest">SupplyRequest</a></span></li><li>Extension References: <a href="https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-individual-recordedSexOrGender.html">Person Recorded Sex Or Gender</a> and <a href="https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-workflow-reason.html">Workflow Reason</a></li></ul>
<a name="resource"></a>
<h2>
Resource Content
</h2>
<a name="def"></a>
<a name="documentreference"></a>
<a name="DocumentReference"></a>
<a name="tt-tree"></a>
<a name="tt-uml"></a>
<a name="tt-xml"></a>
<a name="tt-json"></a>
<a name="tt-ttl"></a>
<a name="tt-all"></a>
<div id="tabs">
<ul>
<li><a href="#tabs-struc">Structure</a></li>
<li><a href="#tabs-uml">UML</a></li>
<li><a href="#tabs-xml">XML</a></li>
<li><a href="#tabs-json">JSON</a></li>
<li><a href="#tabs-ttl">Turtle</a></li>
<li><a href="#tabs-diff">R4 Diff</a></li>
<li><a href="#tabs-all">All</a></li>
</ul>
<div id="tabs-struc">
<div id="tbl">
<p><b>Structure</b></p>
<div id="tbl-inner">
<table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;" id="DocumentReference"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a no-external="true" href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a no-external="true" href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a no-external="true" href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a no-external="true" href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a no-external="true" href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a no-external="true" href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="help16.png" alt="doco" onLoad="fhirTableInit(this)" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="a"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference" title="DocumentReference : A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference.">DocumentReference</a><a name="XDocumentReference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color: black; background-color: #fff5e6" href="versions.html#std-process" title="Standards Status = Trial Use">TU</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="domainresource.html">DomainResource</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A reference to a document<br/><span style="font-style: italic" title="docRef-1">+ Warning: facilityType SHALL only be present if context is not an encounter</span><br/><span style="font-style: italic" title="docRef-2">+ Warning: practiceSetting SHALL only be present if context is not present</span><br/><br/>Elements defined in Ancestors: <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.">id</a>, <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.">meta</a>, <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.">implicitRules</a>, <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a>, <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.">text</a>, <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.">contained</a>, <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.">extension</a>, <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="aa"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.identifier" title="DocumentReference.identifier : Other business identifiers associated with the document, including version independent identifiers.">identifier</a><a name="XDocumentReference.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Business identifiers for the document<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="ab"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.version" title="DocumentReference.version : An explicitly assigned identifier of a variation of the content in the DocumentReference.">version</a><a name="XDocumentReference.version"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">An explicitly assigned identifier of a variation of the content in the DocumentReference<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ac"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.basedOn" title="DocumentReference.basedOn : A procedure that is fulfilled in whole or in part by the creation of this media.">basedOn</a><a name="XDocumentReference.basedOn"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="appointment.html">Appointment</a> | <a href="appointmentresponse.html">AppointmentResponse</a> | <a href="careplan.html">CarePlan</a> | <a href="claim.html">Claim</a> | <a href="communicationrequest.html">CommunicationRequest</a> | <a href="contract.html">Contract</a> | <a href="coverageeligibilityrequest.html">CoverageEligibilityRequest</a> | <a href="devicerequest.html">DeviceRequest</a> | <a href="enrollmentrequest.html">EnrollmentRequest</a> | <a href="immunizationrecommendation.html">ImmunizationRecommendation</a> | <a href="medicationrequest.html">MedicationRequest</a> | <a href="nutritionorder.html">NutritionOrder</a> | <a href="requestorchestration.html">RequestOrchestration</a> | <a href="servicerequest.html">ServiceRequest</a> | <a href="supplyrequest.html">SupplyRequest</a> | <a href="visionprescription.html">VisionPrescription</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Procedure that caused this media to be created<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="ad"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.status" title="DocumentReference.status : The status of this document reference.">status</a><a name="XDocumentReference.status"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="conformance-rules.html#isModifier" title="This element is a modifier element">?!</a><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">current | superseded | entered-in-error<br/>Binding: <a href="valueset-document-reference-status.html">DocumentReferenceStatus</a> (<a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">Required</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ae"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.docStatus" title="DocumentReference.docStatus : The status of the underlying document.">docStatus</a><a name="XDocumentReference.docStatus"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown<br/>Binding: <a href="valueset-composition-status.html">Composition Status</a> (<a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">Required</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="af"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.modality" title="DocumentReference.modality : Imaging modality used. This may include both acquisition and non-acquisition modalities.">modality</a><a name="XDocumentReference.modality"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Imaging modality used<br/>Binding: <a href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html">Modality</a> (<a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">Extensible</a>)<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ag"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.type" title="DocumentReference.type : Specifies the particular kind of document referenced (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced.">type</a><a name="XDocumentReference.type"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Kind of document (LOINC if possible)<br/>Binding: <a href="valueset-doc-typecodes.html">FHIR Document Type Codes</a> (<a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">Preferred</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="ah"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.category" title="DocumentReference.category : A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type.">category</a><a name="XDocumentReference.category"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Categorization of document<br/>Binding: <a href="valueset-referenced-item-category.html">Referenced Item Category Value Set</a> (<a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">Example</a>)<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ai"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.subject" title="DocumentReference.subject : Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure).">subject</a><a name="XDocumentReference.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="resourcelist.html">Any</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Who/what is the subject of the document<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="aj"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.context" title="DocumentReference.context : Describes the clinical encounter or type of care that the document content is associated with.">context</a><a name="XDocumentReference.context"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="appointment.html">Appointment</a> | <a href="encounter.html">Encounter</a> | <a href="episodeofcare.html">EpisodeOfCare</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Context of the document content<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ak"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.event" title="DocumentReference.event : 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.">event</a><a name="XDocumentReference.event"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#CodeableReference">CodeableReference</a>()</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Main clinical acts documented<br/>Binding: <a href="http://terminology.hl7.org/5.4.0/ValueSet-v3-ActCode.html">v3 Code System ActCode</a> (<a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">Example</a>)<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="al"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.bodySite" title="DocumentReference.bodySite : The anatomic structures included in the document.">bodySite</a><a name="XDocumentReference.bodySite"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#CodeableReference">CodeableReference</a>(<a href="bodystructure.html">BodyStructure</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Body part included<br/>Binding: <a href="valueset-body-site.html" title="Codes describing anatomical locations. May include laterality.">SNOMED CT Body Structures</a> (<a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">Example</a>)<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="am"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.facilityType" title="DocumentReference.facilityType : The kind of facility where the patient was seen.">facilityType</a><a name="XDocumentReference.facilityType"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">C</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Kind of facility where patient was seen<br/>Binding: <a href="valueset-c80-facilitycodes.html">Facility Type Code Value Set</a> (<a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">Example</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="an"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.practiceSetting" title="DocumentReference.practiceSetting : This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.">practiceSetting</a><a name="XDocumentReference.practiceSetting"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Additional details about where the content was created (e.g. clinical specialty)<br/>Binding: <a href="valueset-c80-practice-codes.html">Practice Setting Code Value Set</a> (<a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">Example</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ao"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.period" title="DocumentReference.period : The time period over which the service that is described by the document was provided.">period</a><a name="XDocumentReference.period"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#Period">Period</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Time of service that is being documented<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="ap"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.date" title="DocumentReference.date : When the document reference was created.">date</a><a name="XDocumentReference.date"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#instant">instant</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">When this document reference was created<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="aq"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.author" title="DocumentReference.author : Identifies who is responsible for adding the information to the document.">author</a><a name="XDocumentReference.author"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="practitioner.html">Practitioner</a> | <a href="practitionerrole.html">PractitionerRole</a> | <a href="organization.html">Organization</a> | <a href="device.html">Device</a> | <a href="patient.html">Patient</a> | <a href="relatedperson.html">RelatedPerson</a> | <a href="careteam.html">CareTeam</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Who and/or what authored the document<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="ar"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img onClick="tableRowAction(this)" src="tbl_vjoin-open.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.attester" title="DocumentReference.attester : A participant who has authenticated the accuracy of the document.">attester</a><a name="XDocumentReference.attester"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="types.html#BackBoneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Attests to accuracy of the document<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ara"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.attester.mode" title="DocumentReference.attester.mode : The type of attestation the authenticator offers.">mode</a><a name="XDocumentReference.attester.mode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">personal | professional | legal | official<br/>Binding: <a href="valueset-composition-attestation-mode.html">Composition Attestation Mode</a> (<a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">Preferred</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="arb"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.attester.time" title="DocumentReference.attester.time : When the document was attested by the party.">time</a><a name="XDocumentReference.attester.time"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">When the document was attested<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="arc"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.attester.party" title="DocumentReference.attester.party : Who attested the document in the specified way.">party</a><a name="XDocumentReference.attester.party"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="patient.html">Patient</a> | <a href="relatedperson.html">RelatedPerson</a> | <a href="practitioner.html">Practitioner</a> | <a href="practitionerrole.html">PractitionerRole</a> | <a href="organization.html">Organization</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Who attested the document<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="as"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.custodian" title="DocumentReference.custodian : Identifies the organization or group who is responsible for ongoing maintenance of and access to the document.">custodian</a><a name="XDocumentReference.custodian"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="organization.html">Organization</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Organization which maintains the document<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="at"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img onClick="tableRowAction(this)" src="tbl_vjoin-open.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.relatesTo" title="DocumentReference.relatesTo : Relationships that this document has with other document references that already exist.">relatesTo</a><a name="XDocumentReference.relatesTo"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="types.html#BackBoneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Relationships to other documents<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="ata"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.relatesTo.code" title="DocumentReference.relatesTo.code : The type of relationship that this document has with anther document.">code</a><a name="XDocumentReference.relatesTo.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The relationship type with another document<br/>Binding: <a href="valueset-document-relationship-type.html">Document Relationship Type</a> (<a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">Extensible</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="atb"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.relatesTo.target" title="DocumentReference.relatesTo.target : The target document of this relationship.">target</a><a name="XDocumentReference.relatesTo.target"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="documentreference.html">DocumentReference</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Target of the relationship<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="au"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.description" title="DocumentReference.description : Human-readable description of the source document.">description</a><a name="XDocumentReference.description"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#markdown">markdown</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Human-readable description<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="av"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.securityLabel" title="DocumentReference.securityLabel : A set of Security-Tag codes specifying the level of privacy/security of the Document found at DocumentReference.content.attachment.url. Note that DocumentReference.meta.security contains the security labels of the data elements in DocumentReference, while DocumentReference.securityLabel contains the security labels for the document the reference refers to. The distinction recognizes that the document may contain sensitive information, while the DocumentReference is metadata about the document and thus might not be as sensitive as the document. For example: a psychotherapy episode may contain highly sensitive information, while the metadata may simply indicate that some episode happened.">securityLabel</a><a name="XDocumentReference.securityLabel"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Document security-tags<br/>Binding: <a href="valueset-security-label-examples.html">Example set of Security Labels</a> (<a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">Example</a>)<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="aw"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img onClick="tableRowAction(this)" src="tbl_vjoin_end-open.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.content" title="DocumentReference.content : The document and format referenced. If there are multiple content element repetitions, these must all represent the same document in different format, or attachment metadata.">content</a><a name="XDocumentReference.content"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="types.html#BackBoneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Document referenced<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="awa"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.content.attachment" title="DocumentReference.content.attachment : The document or URL of the document along with critical metadata to prove content has integrity.">attachment</a><a name="XDocumentReference.content.attachment"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#Attachment">Attachment</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Where to access the document<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="awb"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img onClick="tableRowAction(this)" src="tbl_vjoin_end-open.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.content.profile" title="DocumentReference.content.profile : An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.">profile</a><a name="XDocumentReference.content.profile"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="types.html#BackBoneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Content profile rules for the document<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="awba"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img onClick="tableRowAction(this)" src="tbl_vjoin_end-open.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_choice.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Choice of Types" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.content.profile.value_x_" title="DocumentReference.content.profile.value[x] : Code|uri|canonical.">value[x]</a><a name="XDocumentReference.content.profile.value_x_"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Code|uri|canonical<br/>Binding: <a href="http://terminology.hl7.org/5.4.0/ValueSet-v3-HL7FormatCodes.html">HL7 ValueSet of Format Codes for use with Document Sharing</a> (<a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">Preferred</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="awbaa"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span title="A reference to a code defined by a terminology system.">valueCoding</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="awbab"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span title="String of characters used to identify a name or a resource">valueUri</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="awbac"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> valueCanonical</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#canonical">canonical</a>()</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><p><a href="documentreference-profiles.html#extensions">See the Extensions</a> for this resource</p>
</div>
</div>
</div>
<div id="tabs-uml">
<div id="uml">
<p><b>UML Diagram</b> (<a href="formats.html#uml">Legend</a>)</p>
<div id="uml-inner">
<svg id="n160" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" width="939.2" height="588.0"> <defs>
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This may include both acquisition and non-acquisition modalities</title>modality</a> : <a id="n247" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [0..*] « <a id="n248" xlink:href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"><title id="n249">null (Strength=Extensible)</title>Modality</a>+ »</text><text id="n255" x="6.0" y="196.0" fill="black" class="diagram-class-detail"><a id="n256" xlink:href="documentreference-definitions.html#DocumentReference.type"><title>Specifies the particular kind of document referenced (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced</title>type</a> : <a id="n257" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [0..1] « <a id="n258" xlink:href="valueset-doc-typecodes.html"><title>null (Strength=Preferred)</title>FHIRDocumentTypeCodes</a>? »</text><text id="n263" x="6.0" y="210.0" fill="black" class="diagram-class-detail"><a id="n264" xlink:href="documentreference-definitions.html#DocumentReference.category"><title>A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type</title>category</a> : <a id="n265" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [0..*] « <a id="n266" xlink:href="valueset-referenced-item-category.html"><title id="n267">null (Strength=Example)</title>ReferencedItemCategoryValueSet</a>?? »</text><text id="n273" x="6.0" y="224.0" fill="black" class="diagram-class-detail"><a id="n274" xlink:href="documentreference-definitions.html#DocumentReference.subject"><title>Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure)</title>subject</a> : <a id="n275" xlink:href="references.html#Reference">Reference</a> [0..1] « <a id="n276" xlink:href="resourcelist.html#Any">Any</a> »</text><text id="n281" x="6.0" y="238.0" fill="black" class="diagram-class-detail"><a id="n282" xlink:href="documentreference-definitions.html#DocumentReference.context"><title>Describes the clinical encounter or type of care that the document content is associated with</title>context</a> : <a id="n283" xlink:href="references.html#Reference">Reference</a> [0..*] « <a id="n284" xlink:href="appointment.html#Appointment">Appointment</a>|<a id="n285" xlink:href="encounter.html#Encounter">Encounter</a>|<a id="n286" xlink:href="episodeofcare.html#EpisodeOfCare">EpisodeOfCare</a> » « <a id="n287" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" xlink:href="conformance-rules.html#constraints"><title id="n288">This element has or is affected by some invariants</title>C</a> »</text><text id="n297" x="6.0" y="252.0" fill="black" class="diagram-class-detail"><a id="n298" xlink:href="documentreference-definitions.html#DocumentReference.event"><title>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</title>event</a> : <a id="n299" xlink:href="references.html#CodeableReference">CodeableReference</a> [0..*] « ; <a id="n300" xlink:href="http://terminology.hl7.org/5.4.0/ValueSet-v3-ActCode.html"><title id="n301">null (Strength=Example)</title>ActCode</a>?? »</text><text id="n307" x="6.0" y="266.0" fill="black" class="diagram-class-detail"><a id="n308" xlink:href="documentreference-definitions.html#DocumentReference.bodySite"><title>The anatomic structures included in the document</title>bodySite</a> : <a id="n309" xlink:href="references.html#CodeableReference">CodeableReference</a> [0..*] « <a id="n310" xlink:href="bodystructure.html#BodyStructure">BodyStructure</a>; <a id="n311" xlink:href="valueset-body-site.html"><title id="n312">Codes describing anatomical locations. May include laterality. (Strength=Example)</title></a></text><text id="n313" x="26.0" y="280.0" fill="black" class="diagram-class-detail"> <a id="n314" xlink:href="valueset-body-site.html">SNOMEDCTBodyStructures</a>?? »</text><text id="n323" x="6.0" y="294.0" fill="black" class="diagram-class-detail"><a id="n324" xlink:href="documentreference-definitions.html#DocumentReference.facilityType"><title>The kind of facility where the patient was seen</title>facilityType</a> : <a id="n325" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [0..1] « <a id="n326" xlink:href="valueset-c80-facilitycodes.html"><title id="n327">null (Strength=Example)</title>FacilityTypeCodeValueSet</a>?? » « <a id="n328" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" xlink:href="conformance-rules.html#constraints"><title id="n329">This element has or is affected by some invariants</title>C</a> »</text><text id="n337" x="6.0" y="308.0" fill="black" class="diagram-class-detail"><a id="n338" xlink:href="documentreference-definitions.html#DocumentReference.practiceSetting"><title>This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty</title>practiceSetting</a> : <a id="n339" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [0..1] « <a id="n340" xlink:href="valueset-c80-practice-codes.html"><title id="n341">null (Strength=Example)</title></a></text><text id="n342" x="26.0" y="322.0" fill="black" class="diagram-class-detail"> <a id="n343" xlink:href="valueset-c80-practice-codes.html">PracticeSettingCodeValueSet</a>?? » « <a id="n344" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" xlink:href="conformance-rules.html#constraints"><title id="n345">This element has or is affected by some invariants</title>C</a> »</text><text id="n355" x="6.0" y="336.0" fill="black" class="diagram-class-detail"><a id="n356" xlink:href="documentreference-definitions.html#DocumentReference.period"><title>The time period over which the service that is described by the document was provided</title>period</a> : <a id="n357" xlink:href="datatypes.html#Period">Period</a> [0..1]</text><text id="n361" x="6.0" y="350.0" fill="black" class="diagram-class-detail"><a id="n362" xlink:href="documentreference-definitions.html#DocumentReference.date"><title>When the document reference was created</title>date</a> : <a id="n363" xlink:href="datatypes.html#instant">instant</a> [0..1]</text><text id="n367" x="6.0" y="364.0" fill="black" class="diagram-class-detail"><a id="n368" xlink:href="documentreference-definitions.html#DocumentReference.author"><title>Identifies who is responsible for adding the information to the document</title>author</a> : <a id="n369" xlink:href="references.html#Reference">Reference</a> [0..*] « <a id="n370" xlink:href="practitioner.html#Practitioner">Practitioner</a>|<a id="n371" xlink:href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|</text><text id="n372" x="26.0" y="378.0" fill="black" class="diagram-class-detail"> <a id="n373" xlink:href="organization.html#Organization">Organization</a>|<a id="n374" xlink:href="device.html#Device">Device</a>|<a id="n375" xlink:href="patient.html#Patient">Patient</a>|<a id="n376" xlink:href="relatedperson.html#RelatedPerson">RelatedPerson</a>|<a id="n377" xlink:href="careteam.html#CareTeam">CareTeam</a> »</text><text id="n389" x="6.0" y="392.0" fill="black" class="diagram-class-detail"><a id="n390" xlink:href="documentreference-definitions.html#DocumentReference.custodian"><title>Identifies the organization or group who is responsible for ongoing maintenance of and access to the document</title>custodian</a> : <a id="n391" xlink:href="references.html#Reference">Reference</a> [0..1] « <a id="n392" xlink:href="organization.html#Organization">Organization</a> »</text><text id="n397" x="6.0" y="406.0" fill="black" class="diagram-class-detail"><a id="n398" xlink:href="documentreference-definitions.html#DocumentReference.description"><title>Human-readable description of the source document</title>description</a> : <a id="n399" xlink:href="datatypes.html#markdown">markdown</a> [0..1]</text><text id="n403" x="6.0" y="420.0" fill="black" class="diagram-class-detail"><a id="n404" xlink:href="documentreference-definitions.html#DocumentReference.securityLabel"><title>A set of Security-Tag codes specifying the level of privacy/security of the Document found at DocumentReference.content.attachment.url. Note that DocumentReference.meta.security contains the security labels of the data elements in DocumentReference, while DocumentReference.securityLabel contains the security labels for the document the reference refers to. The distinction recognizes that the document may contain sensitive information, while the DocumentReference is metadata about the document and thus might not be as sensitive as the document. For example: a psychotherapy episode may contain highly sensitive information, while the metadata may simply indicate that some episode happened</title>securityLabel</a> : <a id="n405" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [0..*] « <a id="n406" xlink:href="valueset-security-label-examples.html"><title id="n407">null (Strength=Example)</title>SecurityLabelExamples</a>?? »</text></g><g id="n413"><rect id="" x="436.8" y="168.0" rx="4" ry="4" width="272.8" height="92.0" filter="url(#shadowA)" style="fill:#fff9ec;stroke:black;stroke-width:1"/><line id="n414" x1="436.8" y1="196.0" x2="709.6" y2="196.0" style="stroke:dimgrey;stroke-width:1"/><text id="n415" x="573.2" y="188.0" fill="black" class="diagram-class-title">Attester</text><text id="n416" x="442.8" y="210.0" fill="black" class="diagram-class-detail"><a id="n417" xlink:href="documentreference-definitions.html#DocumentReference.attester.mode"><title>The type of attestation the authenticator offers</title>mode</a> : <a id="n418" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [1..1] « <a id="n419" xlink:href="valueset-composition-attestation-mode.html"><title>null (Strength=Preferred)</title>CompositionAttestationMode</a>? »</text><text id="n424" x="442.8" y="224.0" fill="black" class="diagram-class-detail"><a id="n425" xlink:href="documentreference-definitions.html#DocumentReference.attester.time"><title>When the document was attested by the party</title>time</a> : <a id="n426" xlink:href="datatypes.html#dateTime">dateTime</a> [0..1]</text><text id="n430" x="442.8" y="238.0" fill="black" class="diagram-class-detail"><a id="n431" xlink:href="documentreference-definitions.html#DocumentReference.attester.party"><title>Who attested the document in the specified way</title>party</a> : <a id="n432" xlink:href="references.html#Reference">Reference</a> [0..1] « <a id="n433" xlink:href="patient.html#Patient">Patient</a>|<a id="n434" xlink:href="relatedperson.html#RelatedPerson">RelatedPerson</a>|<a id="n435" xlink:href="practitioner.html#Practitioner">Practitioner</a>|</text><text id="n436" x="462.8" y="252.0" fill="black" class="diagram-class-detail"> <a id="n437" xlink:href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|<a id="n438" xlink:href="organization.html#Organization">Organization</a> »</text></g><g id="n448"><rect id="" x="436.8" y="262.0" rx="4" ry="4" width="255.20000000000002" height="64.0" filter="url(#shadowA)" style="fill:#fff9ec;stroke:black;stroke-width:1"/><line id="n449" x1="436.8" y1="290.0" x2="692.0" y2="290.0" style="stroke:dimgrey;stroke-width:1"/><text id="n450" x="564.4" y="282.0" fill="black" class="diagram-class-title">RelatesTo</text><text id="n451" x="442.8" y="304.0" fill="black" class="diagram-class-detail"><a id="n452" xlink:href="documentreference-definitions.html#DocumentReference.relatesTo.code"><title>The type of relationship that this document has with anther document</title>code</a> : <a id="n453" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [1..1] « <a id="n454" xlink:href="valueset-document-relationship-type.html"><title id="n455">null (Strength=Extensible)</title>DocumentRelationshipType</a>+ »</text><text id="n461" x="442.8" y="318.0" fill="black" class="diagram-class-detail"><a id="n462" xlink:href="documentreference-definitions.html#DocumentReference.relatesTo.target"><title>The target document of this relationship</title>target</a> : <a id="n463" xlink:href="references.html#Reference">Reference</a> [1..1] « <a id="n464" xlink:href="documentreference.html#DocumentReference">DocumentReference</a> »</text></g><g id="n469"><rect id="" x="92.4" y="508.0" rx="4" ry="4" width="132.0" height="50.0" filter="url(#shadowA)" style="fill:#fff9ec;stroke:black;stroke-width:1"/><line id="n470" x1="92.4" y1="536.0" x2="224.4" y2="536.0" style="stroke:dimgrey;stroke-width:1"/><text id="n471" x="158.4" y="528.0" fill="black" class="diagram-class-title">Content</text><text id="n472" x="98.4" y="550.0" fill="black" class="diagram-class-detail"><a id="n473" xlink:href="documentreference-definitions.html#DocumentReference.content.attachment"><title>The document or URL of the document along with critical metadata to prove content has integrity</title>attachment</a> : <a id="n474" xlink:href="datatypes.html#Attachment">Attachment</a> [1..1]</text></g><g id="n478"><rect id="" x="344.4" y="508.0" rx="4" ry="4" width="294.8" height="50.0" filter="url(#shadowA)" style="fill:#fff9ec;stroke:black;stroke-width:1"/><line id="n479" x1="344.4" y1="536.0" x2="639.2" y2="536.0" style="stroke:dimgrey;stroke-width:1"/><text id="n480" x="491.79999999999995" y="528.0" fill="black" class="diagram-class-title">Profile</text><text id="n481" x="350.4" y="550.0" fill="black" class="diagram-class-detail"><a id="n482" xlink:href="documentreference-definitions.html#DocumentReference.content.profile.value_x_"><title>Code|uri|canonical</title>value[x]</a> : <a id="n483" xlink:href="types.html#DataType">DataType</a> [1..1] « <a id="n484" xlink:href="datatypes.html#Coding">Coding</a>|<a id="n485" xlink:href="datatypes.html#uri">uri</a>|<a id="n486" xlink:href="datatypes.html#canonical">canonical</a>; <a id="n487" xlink:href="http://terminology.hl7.org/5.4.0/ValueSet-v3-HL7FormatCodes.html"><title>null (Strength=Preferred)</title>HL7FormatCodes</a>? »</text></g><line id="n495" x1="316.8" y1="214.0" x2="436.8" y2="214.0" style="stroke:navy;stroke-width:1"/><polygon id="n496" points="316.8,214.0 322.8,218.0 328.8,214.0 322.8,210.0 316.8,214.0" style="fill:navy;stroke:navy;stroke-width:1" transform="rotate(0.0 316.8 214.0)"/><rect id="n497" x="358.5" y="207.0" width="35.0" height="18.0" style="fill:white;stroke:black;stroke-width:0"/><text id="n498" x="376.0" y="217.0" fill="black" class="diagram-class-linkage"><a id="n499" xlink:href="documentreference-definitions.html#DocumentReference.attester"><title>A participant who has authenticated the accuracy of the document</title>attester</a></text><text id="n500" x="416.8" y="210.0" fill="black" class="diagram-class-linkage">[0..*]</text><line id="n501" x1="316.8" y1="245.2118226600985" x2="436.8" y2="268.85714285714283" style="stroke:navy;stroke-width:1"/><polygon id="n502" points="316.8,245.2118226600985 322.8,249.2118226600985 328.8,245.2118226600985 322.8,241.2118226600985 316.8,245.2118226600985" style="fill:navy;stroke:navy;stroke-width:1" transform="rotate(11.147006525921906 316.8 245.2118226600985)"/><rect id="n503" x="356.5" y="250.0" width="39.0" height="18.0" style="fill:white;stroke:black;stroke-width:0"/><text id="n504" x="376.0" y="260.0" fill="black" class="diagram-class-linkage"><a id="n505" xlink:href="documentreference-definitions.html#DocumentReference.relatesTo"><title>Relationships that this document has with other document references that already exist</title>relatesTo</a></text><text id="n506" x="416.8" y="264.85714285714283" fill="black" class="diagram-class-linkage">[0..*]</text><line id="n507" x1="224.4" y1="532.9999999999999" x2="344.4" y2="532.9999999999999" style="stroke:navy;stroke-width:1"/><polygon id="n508" points="224.4,532.9999999999999 230.4,536.9999999999999 236.4,532.9999999999999 230.4,528.9999999999999 224.4,532.9999999999999" style="fill:navy;stroke:navy;stroke-width:1" transform="rotate(0.0 224.4 532.9999999999999)"/><rect id="n509" x="269.0" y="525.0" width="30.0" height="18.0" style="fill:white;stroke:black;stroke-width:0"/><text id="n510" x="284.0" y="535.0" fill="black" class="diagram-class-linkage"><a id="n511" xlink:href="documentreference-definitions.html#DocumentReference.content.profile"><title>An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType</title>profile</a></text><text id="n512" x="324.4" y="528.9999999999999" fill="black" class="diagram-class-linkage">[0..*]</text><line id="n513" x1="158.4" y1="427.99999999999994" x2="158.4" y2="508.0" style="stroke:navy;stroke-width:1"/><polygon id="n514" points="158.4,427.99999999999994 164.4,431.99999999999994 170.4,427.99999999999994 164.4,423.99999999999994 158.4,427.99999999999994" style="fill:navy;stroke:navy;stroke-width:1" transform="rotate(90.0 158.4 427.99999999999994)"/><rect id="n515" x="143.0" y="461.0" width="30.0" height="18.0" style="fill:white;stroke:black;stroke-width:0"/><text id="n516" x="158.0" y="471.0" fill="black" class="diagram-class-linkage"><a id="n517" xlink:href="documentreference-definitions.html#DocumentReference.content"><title>The document and format referenced. If there are multiple content element repetitions, these must all represent the same document in different format, or attachment metadata</title>content</a></text><text id="n518" x="158.4" y="504.0" fill="black" class="diagram-class-linkage">[1..*]</text></svg>
</div>
</div>
</div>
<div id="tabs-xml">
<div id="xml">
<p><b>XML Template</b></p>
<div id="xml-inner">
<pre class="spec">
<<a href="documentreference-definitions.html#DocumentReference" title="A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference." class="dict"><b>DocumentReference</b></a> xmlns="http://hl7.org/fhir"> <span style="float: right"><a title="Documentation for this format" href="xml.html"><img src="help.png" alt="doco"/></a></span>
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<!-- from <a href="domainresource.html">DomainResource</a>: <a href="narrative.html#Narrative">text</a>, <a href="references.html#contained">contained</a>, <a href="extensibility.html">extension</a>, and <a href="extensibility.html#modifierExtension">modifierExtension</a> -->
<<a href="documentreference-definitions.html#DocumentReference.identifier" title="Other business identifiers associated with the document, including version independent identifiers." class="dict"><b>identifier</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="datatypes.html#Identifier">Identifier</a></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Business identifiers for the document</a></span><span style="color: Gray"> --></span></identifier>
<<a href="documentreference-definitions.html#DocumentReference.version" title="An explicitly assigned identifier of a variation of the content in the DocumentReference." class="dict"><b>version</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#string">string</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">An explicitly assigned identifier of a variation of the content in the DocumentReference</a></span><span style="color: Gray"> --></span>
<<a href="documentreference-definitions.html#DocumentReference.basedOn" title="A procedure that is fulfilled in whole or in part by the creation of this media." class="dict"><b>basedOn</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="appointment.html#Appointment">Appointment</a>|<a href="appointmentresponse.html#AppointmentResponse">AppointmentResponse</a>|<a href="careplan.html#CarePlan">CarePlan</a>|<a href="claim.html#Claim">Claim</a>|
<a href="communicationrequest.html#CommunicationRequest">CommunicationRequest</a>|<a href="contract.html#Contract">Contract</a>|<a href="coverageeligibilityrequest.html#CoverageEligibilityRequest">CoverageEligibilityRequest</a>|<a href="devicerequest.html#DeviceRequest">DeviceRequest</a>|
<a href="enrollmentrequest.html#EnrollmentRequest">EnrollmentRequest</a>|<a href="immunizationrecommendation.html#ImmunizationRecommendation">ImmunizationRecommendation</a>|<a href="medicationrequest.html#MedicationRequest">MedicationRequest</a>|<a href="nutritionorder.html#NutritionOrder">NutritionOrder</a>|
<a href="requestorchestration.html#RequestOrchestration">RequestOrchestration</a>|<a href="servicerequest.html#ServiceRequest">ServiceRequest</a>|<a href="supplyrequest.html#SupplyRequest">SupplyRequest</a>|<a href="visionprescription.html#VisionPrescription">VisionPrescription</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Procedure that caused this media to be created</a></span><span style="color: Gray"> --></span></basedOn>
<<a href="documentreference-definitions.html#DocumentReference.status" title="The status of this document reference (this element modifies the meaning of other elements)" class="dict"><span style="text-decoration: underline"><b>status</b></span></a> value="[<span style="color: darkgreen"><a href="datatypes.html#code">code</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: navy"><a href="valueset-document-reference-status.html" style="color: navy">current | superseded | entered-in-error</a></span><span style="color: Gray"> --></span>
<<a href="documentreference-definitions.html#DocumentReference.docStatus" title="The status of the underlying document." class="dict"><b>docStatus</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#code">code</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: navy"><a href="valueset-composition-status.html" style="color: navy">registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown</a></span><span style="color: Gray"> --></span>
<<a href="documentreference-definitions.html#DocumentReference.modality" title="Imaging modality used. This may include both acquisition and non-acquisition modalities." class="dict"><b>modality</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html" style="color: navy">Imaging modality used</a></span><span style="color: Gray"> --></span></modality>
<<a href="documentreference-definitions.html#DocumentReference.type" title="Specifies the particular kind of document referenced (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced." class="dict"><b>type</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-doc-typecodes.html" style="color: navy">Kind of document (LOINC if possible)</a></span><span style="color: Gray"> --></span></type>
<<a href="documentreference-definitions.html#DocumentReference.category" title="A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type." class="dict"><b>category</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-referenced-item-category.html" style="color: navy">Categorization of document</a></span><span style="color: Gray"> --></span></category>
<<a href="documentreference-definitions.html#DocumentReference.subject" title="Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure)." class="dict"><b>subject</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="resourcelist.html">Any</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Who/what is the subject of the document</a></span><span style="color: Gray"> --></span></subject>
<<a href="documentreference-definitions.html#DocumentReference.context" title="Describes the clinical encounter or type of care that the document content is associated with." class="dict"><b>context</b></a>><span style="color: Gray"><!--</span> <span style="color: brown" title="docRef-1: facilityType SHALL only be present if context is not an encounter; docRef-2: practiceSetting SHALL only be present if context is not present"><b><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a> 0..*</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="appointment.html#Appointment">Appointment</a>|<a href="encounter.html#Encounter">Encounter</a>|<a href="episodeofcare.html#EpisodeOfCare">EpisodeOfCare</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Context of the document content</a></span><span style="color: Gray"> --></span></context>
<<a href="documentreference-definitions.html#DocumentReference.event" title="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." class="dict"><b>event</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="references.html#CodeableReference">CodeableReference</a></span> <span style="color: navy"><a href="http://terminology.hl7.org/5.4.0/ValueSet-v3-ActCode.html" style="color: navy">Main clinical acts documented</a></span><span style="color: Gray"> --></span></event>
<<a href="documentreference-definitions.html#DocumentReference.bodySite" title="The anatomic structures included in the document." class="dict"><b>bodySite</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="references.html#CodeableReference">CodeableReference</a>(<a href="bodystructure.html#BodyStructure">BodyStructure</a>)</span> <span style="color: navy"><a href="valueset-body-site.html" style="color: navy">Body part included</a></span><span style="color: Gray"> --></span></bodySite>
<<a href="documentreference-definitions.html#DocumentReference.facilityType" title="The kind of facility where the patient was seen." class="dict"><b>facilityType</b></a>><span style="color: Gray"><!--</span> <span style="color: brown" title="docRef-1: facilityType SHALL only be present if context is not an encounter"><b><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a> 0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-c80-facilitycodes.html" style="color: navy">Kind of facility where patient was seen</a></span><span style="color: Gray"> --></span></facilityType>
<<a href="documentreference-definitions.html#DocumentReference.practiceSetting" title="This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty." class="dict"><b>practiceSetting</b></a>><span style="color: Gray"><!--</span> <span style="color: brown" title="docRef-2: practiceSetting SHALL only be present if context is not present"><b><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a> 0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-c80-practice-codes.html" style="color: navy">Additional details about where the content was created (e.g. clinical specialty)</a></span><span style="color: Gray"> --></span></practiceSetting>
<<a href="documentreference-definitions.html#DocumentReference.period" title="The time period over which the service that is described by the document was provided." class="dict"><b>period</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#Period">Period</a></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Time of service that is being documented</a></span><span style="color: Gray"> --></span></period>
<<a href="documentreference-definitions.html#DocumentReference.date" title="When the document reference was created." class="dict"><b>date</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#instant">instant</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">When this document reference was created</a></span><span style="color: Gray"> --></span>
<<a href="documentreference-definitions.html#DocumentReference.author" title="Identifies who is responsible for adding the information to the document." class="dict"><b>author</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="careteam.html#CareTeam">CareTeam</a>|<a href="device.html#Device">Device</a>|<a href="organization.html#Organization">Organization</a>|<a href="patient.html#Patient">Patient</a>|<a href="practitioner.html#Practitioner">Practitioner</a>|
<a href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|<a href="relatedperson.html#RelatedPerson">RelatedPerson</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Who and/or what authored the document</a></span><span style="color: Gray"> --></span></author>
<<a href="documentreference-definitions.html#DocumentReference.attester" title="A participant who has authenticated the accuracy of the document." class="dict"><b>attester</b></a>> <span style="color: Gray"><!-- <span style="color: brown"><b>0..*</b></span> Attests to accuracy of the document --></span>
<<a href="documentreference-definitions.html#DocumentReference.attester.mode" title="The type of attestation the authenticator offers." class="dict"><b>mode</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-composition-attestation-mode.html" style="color: navy">personal | professional | legal | official</a></span><span style="color: Gray"> --></span></mode>
<<a href="documentreference-definitions.html#DocumentReference.attester.time" title="When the document was attested by the party." class="dict"><b>time</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#dateTime">dateTime</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">When the document was attested</a></span><span style="color: Gray"> --></span>
<<a href="documentreference-definitions.html#DocumentReference.attester.party" title="Who attested the document in the specified way." class="dict"><b>party</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="organization.html#Organization">Organization</a>|<a href="patient.html#Patient">Patient</a>|<a href="practitioner.html#Practitioner">Practitioner</a>|<a href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|
<a href="relatedperson.html#RelatedPerson">RelatedPerson</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Who attested the document</a></span><span style="color: Gray"> --></span></party>
</attester>
<<a href="documentreference-definitions.html#DocumentReference.custodian" title="Identifies the organization or group who is responsible for ongoing maintenance of and access to the document." class="dict"><b>custodian</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="organization.html#Organization">Organization</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Organization which maintains the document</a></span><span style="color: Gray"> --></span></custodian>
<<a href="documentreference-definitions.html#DocumentReference.relatesTo" title="Relationships that this document has with other document references that already exist." class="dict"><b>relatesTo</b></a>> <span style="color: Gray"><!-- <span style="color: brown"><b>0..*</b></span> Relationships to other documents --></span>
<<a href="documentreference-definitions.html#DocumentReference.relatesTo.code" title="The type of relationship that this document has with anther document." class="dict"><b>code</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-document-relationship-type.html" style="color: navy">The relationship type with another document</a></span><span style="color: Gray"> --></span></code>
<<a href="documentreference-definitions.html#DocumentReference.relatesTo.target" title="The target document of this relationship." class="dict"><b>target</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="documentreference.html#DocumentReference">DocumentReference</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Target of the relationship</a></span><span style="color: Gray"> --></span></target>
</relatesTo>
<<a href="documentreference-definitions.html#DocumentReference.description" title="Human-readable description of the source document." class="dict"><b>description</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#markdown">markdown</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Human-readable description</a></span><span style="color: Gray"> --></span>
<<a href="documentreference-definitions.html#DocumentReference.securityLabel" title="A set of Security-Tag codes specifying the level of privacy/security of the Document found at DocumentReference.content.attachment.url. Note that DocumentReference.meta.security contains the security labels of the data elements in DocumentReference, while DocumentReference.securityLabel contains the security labels for the document the reference refers to. The distinction recognizes that the document may contain sensitive information, while the DocumentReference is metadata about the document and thus might not be as sensitive as the document. For example: a psychotherapy episode may contain highly sensitive information, while the metadata may simply indicate that some episode happened." class="dict"><b>securityLabel</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-security-label-examples.html" style="color: navy">Document security-tags</a></span><span style="color: Gray"> --></span></securityLabel>
<<a href="documentreference-definitions.html#DocumentReference.content" title="The document and format referenced. If there are multiple content element repetitions, these must all represent the same document in different format, or attachment metadata." class="dict"><b>content</b></a>> <span style="color: Gray"><!-- <span style="color: brown"><b>1..*</b></span> Document referenced --></span>
<<a href="documentreference-definitions.html#DocumentReference.content.attachment" title="The document or URL of the document along with critical metadata to prove content has integrity." class="dict"><b>attachment</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#Attachment">Attachment</a></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Where to access the document</a></span><span style="color: Gray"> --></span></attachment>
<<a href="documentreference-definitions.html#DocumentReference.content.profile" title="An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType." class="dict"><b>profile</b></a>> <span style="color: Gray"><!-- <span style="color: brown"><b>0..*</b></span> Content profile rules for the document --></span>
<<a href="documentreference-definitions.html#DocumentReference.content.profile.value[x]" title="Code|uri|canonical." class="dict"><b>value[x]</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#Coding">Coding</a>|<a href="datatypes.html#uri">uri</a>|<a href="datatypes.html#canonical">canonical</a></span> <span style="color: navy"><a href="http://terminology.hl7.org/5.4.0/ValueSet-v3-HL7FormatCodes.html" style="color: navy">Code|uri|canonical</a></span><span style="color: Gray"> --></span></value[x]>
</profile>
</content>
</DocumentReference>
</pre>
</div>
</div>
</div>
<div id="tabs-json">
<div id="json">
<p><b>JSON Template</b></p>
<div id="json-inner">
<pre class="spec">
{<span style="float: right"><a title="Documentation for this format" href="json.html"><img src="help.png" alt="doco"/></a></span>
"resourceType" : "<a href="documentreference-definitions.html#DocumentReference" title="A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference." class="dict"><b>DocumentReference</b></a>",
// from <a href="resource.html">Resource</a>: <a href="resource.html#id">id</a>, <a href="resource.html#meta">meta</a>, <a href="resource.html#implicitRules">implicitRules</a>, and <a href="resource.html#language">language</a>
// from <a href="domainresource.html">DomainResource</a>: <a href="narrative.html#Narrative">text</a>, <a href="references.html#contained">contained</a>, <a href="extensibility.html">extension</a>, and <a href="extensibility.html#modifierExtension">modifierExtension</a>
"<a href="documentreference-definitions.html#DocumentReference.identifier" title="Other business identifiers associated with the document, including version independent identifiers." class="dict">identifier</a>" : [{ <span style="color: darkgreen"><a href="datatypes.html#Identifier">Identifier</a></span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Business identifiers for the document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.version" title="An explicitly assigned identifier of a variation of the content in the DocumentReference." class="dict">version</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#string">string</a></span>>", <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">An explicitly assigned identifier of a variation of the content in the DocumentReference</a></span>
"<a href="documentreference-definitions.html#DocumentReference.basedOn" title="A procedure that is fulfilled in whole or in part by the creation of this media." class="dict">basedOn</a>" : [{ <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="appointment.html#Appointment">Appointment</a>|<a href="appointmentresponse.html#AppointmentResponse">AppointmentResponse</a>|<a href="careplan.html#CarePlan">CarePlan</a>|<a href="claim.html#Claim">Claim</a>|
<a href="communicationrequest.html#CommunicationRequest">CommunicationRequest</a>|<a href="contract.html#Contract">Contract</a>|<a href="coverageeligibilityrequest.html#CoverageEligibilityRequest">CoverageEligibilityRequest</a>|<a href="devicerequest.html#DeviceRequest">DeviceRequest</a>|
<a href="enrollmentrequest.html#EnrollmentRequest">EnrollmentRequest</a>|<a href="immunizationrecommendation.html#ImmunizationRecommendation">ImmunizationRecommendation</a>|<a href="medicationrequest.html#MedicationRequest">MedicationRequest</a>|<a href="nutritionorder.html#NutritionOrder">NutritionOrder</a>|
<a href="requestorchestration.html#RequestOrchestration">RequestOrchestration</a>|<a href="servicerequest.html#ServiceRequest">ServiceRequest</a>|<a href="supplyrequest.html#SupplyRequest">SupplyRequest</a>|<a href="visionprescription.html#VisionPrescription">VisionPrescription</a>)</span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Procedure that caused this media to be created</a></span>
"<a href="documentreference-definitions.html#DocumentReference.status" title="The status of this document reference (this element modifies the meaning of other elements)" class="dict"><span style="text-decoration: underline">status</span></a>" : "<<span style="color: darkgreen"><a href="datatypes.html#code">code</a></span>>", <span style="color: Gray">//</span> <span style="color: brown" title="This element is required"><b>R!</b></span> <span style="color: navy; opacity: 0.8"><a href="valueset-document-reference-status.html" style="color: navy; opacity: 0.8">current | superseded | entered-in-error</a></span>
"<a href="documentreference-definitions.html#DocumentReference.docStatus" title="The status of the underlying document." class="dict">docStatus</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#code">code</a></span>>", <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="valueset-composition-status.html" style="color: navy; opacity: 0.8">registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown</a></span>
"<a href="documentreference-definitions.html#DocumentReference.modality" title="Imaging modality used. This may include both acquisition and non-acquisition modalities." class="dict">modality</a>" : [{ <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html" style="color: navy; opacity: 0.8">Imaging modality used</a></span>
"<a href="documentreference-definitions.html#DocumentReference.type" title="Specifies the particular kind of document referenced (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced." class="dict">type</a>" : { <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }, <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="valueset-doc-typecodes.html" style="color: navy; opacity: 0.8">Kind of document (LOINC if possible)</a></span>
"<a href="documentreference-definitions.html#DocumentReference.category" title="A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type." class="dict">category</a>" : [{ <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="valueset-referenced-item-category.html" style="color: navy; opacity: 0.8">Categorization of document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.subject" title="Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure)." class="dict">subject</a>" : { <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="resourcelist.html">Any</a>)</span> }, <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Who/what is the subject of the document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.context" title="Describes the clinical encounter or type of care that the document content is associated with." class="dict">context</a>" : [{ <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="appointment.html#Appointment">Appointment</a>|<a href="encounter.html#Encounter">Encounter</a>|<a href="episodeofcare.html#EpisodeOfCare">EpisodeOfCare</a>)</span> }], <span style="color: Gray">//</span> <span style="color: brown" title="docRef-1: facilityType SHALL only be present if context is not an encounter; docRef-2: practiceSetting SHALL only be present if context is not present"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a></span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Context of the document content</a></span>
"<a href="documentreference-definitions.html#DocumentReference.event" title="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." class="dict">event</a>" : [{ <span style="color: darkgreen"><a href="references.html#CodeableReference">CodeableReference</a></span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="http://terminology.hl7.org/5.4.0/ValueSet-v3-ActCode.html" style="color: navy; opacity: 0.8">Main clinical acts documented</a></span>
"<a href="documentreference-definitions.html#DocumentReference.bodySite" title="The anatomic structures included in the document." class="dict">bodySite</a>" : [{ <span style="color: darkgreen"><a href="references.html#CodeableReference">CodeableReference</a>(<a href="bodystructure.html#BodyStructure">BodyStructure</a>)</span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="valueset-body-site.html" style="color: navy; opacity: 0.8">Body part included</a></span>
"<a href="documentreference-definitions.html#DocumentReference.facilityType" title="The kind of facility where the patient was seen." class="dict">facilityType</a>" : { <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }, <span style="color: Gray">//</span> <span style="color: brown" title="docRef-1: facilityType SHALL only be present if context is not an encounter"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a></span> <span style="color: navy; opacity: 0.8"><a href="valueset-c80-facilitycodes.html" style="color: navy; opacity: 0.8">Kind of facility where patient was seen</a></span>
"<a href="documentreference-definitions.html#DocumentReference.practiceSetting" title="This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty." class="dict">practiceSetting</a>" : { <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }, <span style="color: Gray">//</span> <span style="color: brown" title="docRef-2: practiceSetting SHALL only be present if context is not present"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a></span> <span style="color: navy; opacity: 0.8"><a href="valueset-c80-practice-codes.html" style="color: navy; opacity: 0.8">Additional details about where the content was created (e.g. clinical specialty)</a></span>
"<a href="documentreference-definitions.html#DocumentReference.period" title="The time period over which the service that is described by the document was provided." class="dict">period</a>" : { <span style="color: darkgreen"><a href="datatypes.html#Period">Period</a></span> }, <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Time of service that is being documented</a></span>
"<a href="documentreference-definitions.html#DocumentReference.date" title="When the document reference was created." class="dict">date</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#instant">instant</a></span>>", <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">When this document reference was created</a></span>
"<a href="documentreference-definitions.html#DocumentReference.author" title="Identifies who is responsible for adding the information to the document." class="dict">author</a>" : [{ <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="careteam.html#CareTeam">CareTeam</a>|<a href="device.html#Device">Device</a>|<a href="organization.html#Organization">Organization</a>|<a href="patient.html#Patient">Patient</a>|<a href="practitioner.html#Practitioner">Practitioner</a>|
<a href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|<a href="relatedperson.html#RelatedPerson">RelatedPerson</a>)</span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Who and/or what authored the document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.attester" title="A participant who has authenticated the accuracy of the document." class="dict">attester</a>" : [{ <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Attests to accuracy of the document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.attester.mode" title="The type of attestation the authenticator offers." class="dict">mode</a>" : { <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }, <span style="color: Gray">//</span> <span style="color: brown" title="This element is required"><b>R!</b></span> <span style="color: navy; opacity: 0.8"><a href="valueset-composition-attestation-mode.html" style="color: navy; opacity: 0.8">personal | professional | legal | official</a></span>
"<a href="documentreference-definitions.html#DocumentReference.attester.time" title="When the document was attested by the party." class="dict">time</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#dateTime">dateTime</a></span>>", <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">When the document was attested</a></span>
"<a href="documentreference-definitions.html#DocumentReference.attester.party" title="Who attested the document in the specified way." class="dict">party</a>" : { <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="organization.html#Organization">Organization</a>|<a href="patient.html#Patient">Patient</a>|<a href="practitioner.html#Practitioner">Practitioner</a>|<a href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|
<a href="relatedperson.html#RelatedPerson">RelatedPerson</a>)</span> } <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Who attested the document</a></span>
}],
"<a href="documentreference-definitions.html#DocumentReference.custodian" title="Identifies the organization or group who is responsible for ongoing maintenance of and access to the document." class="dict">custodian</a>" : { <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="organization.html#Organization">Organization</a>)</span> }, <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Organization which maintains the document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.relatesTo" title="Relationships that this document has with other document references that already exist." class="dict">relatesTo</a>" : [{ <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Relationships to other documents</a></span>
"<a href="documentreference-definitions.html#DocumentReference.relatesTo.code" title="The type of relationship that this document has with anther document." class="dict">code</a>" : { <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }, <span style="color: Gray">//</span> <span style="color: brown" title="This element is required"><b>R!</b></span> <span style="color: navy; opacity: 0.8"><a href="valueset-document-relationship-type.html" style="color: navy; opacity: 0.8">The relationship type with another document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.relatesTo.target" title="The target document of this relationship." class="dict">target</a>" : { <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="documentreference.html#DocumentReference">DocumentReference</a>)</span> } <span style="color: Gray">//</span> <span style="color: brown" title="This element is required"><b>R!</b></span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Target of the relationship</a></span>
}],
"<a href="documentreference-definitions.html#DocumentReference.description" title="Human-readable description of the source document." class="dict">description</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#markdown">markdown</a></span>>", <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Human-readable description</a></span>
"<a href="documentreference-definitions.html#DocumentReference.securityLabel" title="A set of Security-Tag codes specifying the level of privacy/security of the Document found at DocumentReference.content.attachment.url. Note that DocumentReference.meta.security contains the security labels of the data elements in DocumentReference, while DocumentReference.securityLabel contains the security labels for the document the reference refers to. The distinction recognizes that the document may contain sensitive information, while the DocumentReference is metadata about the document and thus might not be as sensitive as the document. For example: a psychotherapy episode may contain highly sensitive information, while the metadata may simply indicate that some episode happened." class="dict">securityLabel</a>" : [{ <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="valueset-security-label-examples.html" style="color: navy; opacity: 0.8">Document security-tags</a></span>
"<a href="documentreference-definitions.html#DocumentReference.content" title="The document and format referenced. If there are multiple content element repetitions, these must all represent the same document in different format, or attachment metadata." class="dict">content</a>" : [{ <span style="color: Gray">//</span> <span style="color: brown" title="This element is required"><b>R!</b></span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Document referenced</a></span>
"<a href="documentreference-definitions.html#DocumentReference.content.attachment" title="The document or URL of the document along with critical metadata to prove content has integrity." class="dict">attachment</a>" : { <span style="color: darkgreen"><a href="datatypes.html#Attachment">Attachment</a></span> }, <span style="color: Gray">//</span> <span style="color: brown" title="This element is required"><b>R!</b></span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Where to access the document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.content.profile" title="An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType." class="dict">profile</a>" : [{ <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Content profile rules for the document</a></span>
<span style="color: Gray">// value[x]: <span style="color: navy; opacity: 0.8">Code|uri|canonical</span>. One of these 3:</span>
"<a href="documentreference-definitions.html#DocumentReference.content.profile.valueCoding" title="Code|uri|canonical." class="dict">valueCoding</a>" : { <span style="color: darkgreen"><a href="datatypes.html#Coding">Coding</a></span> },
"<a href="documentreference-definitions.html#DocumentReference.content.profile.valueUri" title="Code|uri|canonical." class="dict">valueUri</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#uri">uri</a></span>>",
"<a href="documentreference-definitions.html#DocumentReference.content.profile.valueCanonical" title="Code|uri|canonical." class="dict">valueCanonical</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#canonical">canonical</a></span>>"
}]
}]
}
</pre>
</div>
</div>
</div>
<div id="tabs-ttl">
<div id="ttl">
<p><b>Turtle Template</b></p>
<div id="json-inner">
<pre class="spec">
@prefix fhir: <http://hl7.org/fhir/> .<span style="float: right"><a title="Documentation for this format" href="rdf.html"><img src="help.png" alt="doco"/></a></span>
[ a fhir:<a href="documentreference-definitions.html#DocumentReference" title="A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference." class="dict"><b>DocumentReference</b></a>;
fhir:nodeRole fhir:treeRoot; # if this is the parser root
# from <a href="resource.html">Resource</a>: <a href="resource.html#id">.id</a>, <a href="resource.html#meta">.meta</a>, <a href="resource.html#implicitRules">.implicitRules</a>, and <a href="resource.html#language">.language</a>
# from <a href="domainresource.html">DomainResource</a>: <a href="narrative.html#Narrative">.text</a>, <a href="references.html#contained">.contained</a>, <a href="extensibility.html">.extension</a>, and <a href="extensibility.html#modifierExtension">.modifierExtension</a>
fhir:<a href="documentreference-definitions.html#DocumentReference.identifier" title="Other business identifiers associated with the document, including version independent identifiers." class="dict">identifier</a><a name="ttl-identifier"> </a> ( [ <a href="datatypes.html#Identifier">Identifier</a> ] ... ) ; # 0..* <span style="color: navy">Business identifiers for the document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.version" title="An explicitly assigned identifier of a variation of the content in the DocumentReference." class="dict">version</a><a name="ttl-version"> </a>[ <a href="datatypes.html#string">string</a> ] ; # 0..1 <span style="color: navy">An explicitly assigned identifier of a variation of the content in the DocumentReference</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.basedOn" title="A procedure that is fulfilled in whole or in part by the creation of this media." class="dict">basedOn</a><a name="ttl-basedOn"> </a> ( [ <a href="references.html#Reference">Reference</a>(<a href="appointment.html#Appointment">Appointment</a>|<a href="appointmentresponse.html#AppointmentResponse">AppointmentResponse</a>|<a href="careplan.html#CarePlan">CarePlan</a>|<a href="claim.html#Claim">Claim</a>|<a href="communicationrequest.html#CommunicationRequest">CommunicationRequest</a>|<a href="contract.html#Contract">Contract</a>|
<a href="coverageeligibilityrequest.html#CoverageEligibilityRequest">CoverageEligibilityRequest</a>|<a href="devicerequest.html#DeviceRequest">DeviceRequest</a>|<a href="enrollmentrequest.html#EnrollmentRequest">EnrollmentRequest</a>|
<a href="immunizationrecommendation.html#ImmunizationRecommendation">ImmunizationRecommendation</a>|<a href="medicationrequest.html#MedicationRequest">MedicationRequest</a>|<a href="nutritionorder.html#NutritionOrder">NutritionOrder</a>|
<a href="requestorchestration.html#RequestOrchestration">RequestOrchestration</a>|<a href="servicerequest.html#ServiceRequest">ServiceRequest</a>|<a href="supplyrequest.html#SupplyRequest">SupplyRequest</a>|<a href="visionprescription.html#VisionPrescription">VisionPrescription</a>) ] ... ) ; # 0..* <span style="color: navy">Procedure that caused this media to be created</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.status" title="The status of this document reference (this element modifies the meaning of other elements)" class="dict"><span style="text-decoration: underline">status</span></a><a name="ttl-status"> </a>[ <a href="datatypes.html#code">code</a> ] ; # 1..1 <span style="color: navy">current | superseded | entered-in-error</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.docStatus" title="The status of the underlying document." class="dict">docStatus</a><a name="ttl-docStatus"> </a>[ <a href="datatypes.html#code">code</a> ] ; # 0..1 <span style="color: navy">registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.modality" title="Imaging modality used. This may include both acquisition and non-acquisition modalities." class="dict">modality</a><a name="ttl-modality"> </a> ( [ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ... ) ; # 0..* <span style="color: navy">Imaging modality used</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.type" title="Specifies the particular kind of document referenced (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced." class="dict">type</a><a name="ttl-type"> </a>[ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ; # 0..1 <span style="color: navy">Kind of document (LOINC if possible)</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.category" title="A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type." class="dict">category</a><a name="ttl-category"> </a> ( [ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ... ) ; # 0..* <span style="color: navy">Categorization of document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.subject" title="Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure)." class="dict">subject</a><a name="ttl-subject"> </a>[ <a href="references.html#Reference">Reference</a>(<a href="resourcelist.html">Any</a>) ] ; # 0..1 <span style="color: navy">Who/what is the subject of the document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.context" title="Describes the clinical encounter or type of care that the document content is associated with." class="dict">context</a><a name="ttl-context"> </a> ( [ <a href="references.html#Reference">Reference</a>(<a href="appointment.html#Appointment">Appointment</a>|<a href="encounter.html#Encounter">Encounter</a>|<a href="episodeofcare.html#EpisodeOfCare">EpisodeOfCare</a>) ] ... ) ; # 0..* <span style="color: brown" title="docRef-1: facilityType SHALL only be present if context is not an encounter; docRef-2: practiceSetting SHALL only be present if context is not present"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a></span> <span style="color: navy">Context of the document content</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.event" title="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." class="dict">event</a><a name="ttl-event"> </a> ( [ <a href="references.html#CodeableReference">CodeableReference</a> ] ... ) ; # 0..* <span style="color: navy">Main clinical acts documented</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.bodySite" title="The anatomic structures included in the document." class="dict">bodySite</a><a name="ttl-bodySite"> </a> ( [ <a href="references.html#CodeableReference">CodeableReference</a>(<a href="bodystructure.html#BodyStructure">BodyStructure</a>) ] ... ) ; # 0..* <span style="color: navy">Body part included</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.facilityType" title="The kind of facility where the patient was seen." class="dict">facilityType</a><a name="ttl-facilityType"> </a>[ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ; # 0..1 <span style="color: brown" title="docRef-1: facilityType SHALL only be present if context is not an encounter"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a></span> <span style="color: navy">Kind of facility where patient was seen</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.practiceSetting" title="This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty." class="dict">practiceSetting</a><a name="ttl-practiceSetting"> </a>[ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ; # 0..1 <span style="color: brown" title="docRef-2: practiceSetting SHALL only be present if context is not present"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a></span> <span style="color: navy">Additional details about where the content was created (e.g. clinical specialty)</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.period" title="The time period over which the service that is described by the document was provided." class="dict">period</a><a name="ttl-period"> </a>[ <a href="datatypes.html#Period">Period</a> ] ; # 0..1 <span style="color: navy">Time of service that is being documented</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.date" title="When the document reference was created." class="dict">date</a><a name="ttl-date"> </a>[ <a href="datatypes.html#instant">instant</a> ] ; # 0..1 <span style="color: navy">When this document reference was created</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.author" title="Identifies who is responsible for adding the information to the document." class="dict">author</a><a name="ttl-author"> </a> ( [ <a href="references.html#Reference">Reference</a>(<a href="careteam.html#CareTeam">CareTeam</a>|<a href="device.html#Device">Device</a>|<a href="organization.html#Organization">Organization</a>|<a href="patient.html#Patient">Patient</a>|<a href="practitioner.html#Practitioner">Practitioner</a>|<a href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|<a href="relatedperson.html#RelatedPerson">RelatedPerson</a>) ] ... ) ; # 0..* <span style="color: navy">Who and/or what authored the document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.attester" title="A participant who has authenticated the accuracy of the document." class="dict">attester</a><a name="ttl-attester"> </a>( [ # 0..* <span style="color: navy">Attests to accuracy of the document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.attester.mode" title="The type of attestation the authenticator offers." class="dict">mode</a><a name="ttl-mode"> </a>[ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ; # 1..1 <span style="color: navy">personal | professional | legal | official</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.attester.time" title="When the document was attested by the party." class="dict">time</a><a name="ttl-time"> </a>[ <a href="datatypes.html#dateTime">dateTime</a> ] ; # 0..1 <span style="color: navy">When the document was attested</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.attester.party" title="Who attested the document in the specified way." class="dict">party</a><a name="ttl-party"> </a>[ <a href="references.html#Reference">Reference</a>(<a href="organization.html#Organization">Organization</a>|<a href="patient.html#Patient">Patient</a>|<a href="practitioner.html#Practitioner">Practitioner</a>|<a href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|<a href="relatedperson.html#RelatedPerson">RelatedPerson</a>) ] ; # 0..1 <span style="color: navy">Who attested the document</span>
] ... ) ;
fhir:<a href="documentreference-definitions.html#DocumentReference.custodian" title="Identifies the organization or group who is responsible for ongoing maintenance of and access to the document." class="dict">custodian</a><a name="ttl-custodian"> </a>[ <a href="references.html#Reference">Reference</a>(<a href="organization.html#Organization">Organization</a>) ] ; # 0..1 <span style="color: navy">Organization which maintains the document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.relatesTo" title="Relationships that this document has with other document references that already exist." class="dict">relatesTo</a><a name="ttl-relatesTo"> </a>( [ # 0..* <span style="color: navy">Relationships to other documents</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.relatesTo.code" title="The type of relationship that this document has with anther document." class="dict">code</a><a name="ttl-code"> </a>[ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ; # 1..1 <span style="color: navy">The relationship type with another document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.relatesTo.target" title="The target document of this relationship." class="dict">target</a><a name="ttl-target"> </a>[ <a href="references.html#Reference">Reference</a>(<a href="documentreference.html#DocumentReference">DocumentReference</a>) ] ; # 1..1 <span style="color: navy">Target of the relationship</span>
] ... ) ;
fhir:<a href="documentreference-definitions.html#DocumentReference.description" title="Human-readable description of the source document." class="dict">description</a><a name="ttl-description"> </a>[ <a href="datatypes.html#markdown">markdown</a> ] ; # 0..1 <span style="color: navy">Human-readable description</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.securityLabel" title="A set of Security-Tag codes specifying the level of privacy/security of the Document found at DocumentReference.content.attachment.url. Note that DocumentReference.meta.security contains the security labels of the data elements in DocumentReference, while DocumentReference.securityLabel contains the security labels for the document the reference refers to. The distinction recognizes that the document may contain sensitive information, while the DocumentReference is metadata about the document and thus might not be as sensitive as the document. For example: a psychotherapy episode may contain highly sensitive information, while the metadata may simply indicate that some episode happened." class="dict">securityLabel</a><a name="ttl-securityLabel"> </a> ( [ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ... ) ; # 0..* <span style="color: navy">Document security-tags</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.content" title="The document and format referenced. If there are multiple content element repetitions, these must all represent the same document in different format, or attachment metadata." class="dict">content</a><a name="ttl-content"> </a>( [ # 1..* <span style="color: navy">Document referenced</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.content.attachment" title="The document or URL of the document along with critical metadata to prove content has integrity." class="dict">attachment</a><a name="ttl-attachment"> </a>[ <a href="datatypes.html#Attachment">Attachment</a> ] ; # 1..1 <span style="color: navy">Where to access the document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.content.profile" title="An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType." class="dict">profile</a><a name="ttl-profile"> </a>( [ # 0..* <span style="color: navy">Content profile rules for the document</span>
# <a href="documentreference-definitions.html#DocumentReference.content.profile.value[x]" title="Code|uri|canonical." class="dict">value[x]</a><a name="ttl-value[x]"> </a>: 1..1 <span style="color: navy">Code|uri|canonical</span>. One of these 3
fhir:<a href="documentreference-definitions.html#DocumentReference.content.profile.value" title="Code|uri|canonical." class="dict">value</a><a name="ttl-value"> </a>[ a fhir:Coding ; <a href="datatypes.html#Coding">Coding</a> ]
fhir:<a href="documentreference-definitions.html#DocumentReference.content.profile.value" title="Code|uri|canonical." class="dict">value</a><a name="ttl-value"> </a>[ a fhir:uri ; <a href="datatypes.html#uri">uri</a> ]
fhir:<a href="documentreference-definitions.html#DocumentReference.content.profile.value" title="Code|uri|canonical." class="dict">value</a><a name="ttl-value"> </a>[ a fhir:canonical ; <a href="datatypes.html#canonical">canonical</a> ]
] ... ) ;
] ... ) ;
]
</pre>
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<div id="vdiff">
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<p><b>Changes from both R4 and R4B</b></p>
<table class="grid"><tr class="diff-item"><td class="diff-left"><a href="documentreference.html#DocumentReference">DocumentReference</a></td><td class="diff-right"/></tr><tr class="diff-new"><td class="diff-left">DocumentReference.version</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.basedOn</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.docStatus</td><td class="diff-right"><ul><li>Add codes <code>registered</code>, <code>partial</code>, <code>corrected</code>, <code>appended</code>, <code>cancelled</code>, <code>deprecated</code>, <code>unknown</code></li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.modality</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.subject</td><td class="diff-right"><ul><li>Type Reference: Added Target Type Resource</li><li>Type Reference: Removed Target Types Patient, Practitioner, Group, Device</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.context</td><td class="diff-right"><ul><li>Max Cardinality changed from 1 to *</li><li>Type changed from BackboneElement to Reference(Appointment | Encounter | EpisodeOfCare)</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.event</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.bodySite</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.facilityType</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.practiceSetting</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.period</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.author</td><td class="diff-right"><ul><li>Type Reference: Added Target Type CareTeam</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.attester</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.attester.mode</td><td class="diff-right"><ul><li><b>Added Mandatory Element</b></li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.attester.time</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.attester.party</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.relatesTo.code</td><td class="diff-right"><ul><li>Type changed from code to CodeableConcept</li><li>Change binding strength from required to extensible</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.description</td><td class="diff-right"><ul><li>Type changed from string to markdown</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.securityLabel</td><td class="diff-right"><ul><li>Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.content.profile</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.content.profile.value[x]</td><td class="diff-right"><ul><li><b>Added Mandatory Element</b></li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.masterIdentifier</td><td class="diff-right"><ul><li>Deleted (-> identifier)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.authenticator</td><td class="diff-right"><ul><li>Deleted (-> attester)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.content.format</td><td class="diff-right"><ul><li>Deleted (-> content.profile)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.encounter</td><td class="diff-right"><ul><li>Deleted (-> context)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.event</td><td class="diff-right"><ul><li>Deleted (-> event)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.period</td><td class="diff-right"><ul><li>Deleted (-> period)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.facilityType</td><td class="diff-right"><ul><li>Deleted (-> facilityType)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.practiceSetting</td><td class="diff-right"><ul><li>Deleted (-> practiceSetting)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.sourcePatientInfo</td><td class="diff-right"><ul><li>Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.related</td><td class="diff-right"><ul><li>Deleted (-> basedOn)</li></ul></td></tr></table>
<p>See the <a href="diff.html">Full Difference</a> for further information</p>
<p>
This analysis is available for R4 as <a href="documentreference.r4.diff.xml">XML</a> or <a href="documentreference.r4.diff.json">JSON</a>
and for R4B as <a href="documentreference.r4b.diff.xml">XML</a> or <a href="documentreference.r4b.diff.json">JSON</a>.
</p>
<p>See <a href="https://build.fhir.org/ig/HL7/fhir-extensions/conversions-DocumentReference.html">R4 <--> R5 Conversion Maps</a> (status = See <a href="https://build.fhir.org/ig/HL7/fhir-extensions/conversion-registry.html">Conversions Summary</a>.)</p>
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<a name="tbl"></a>
<p><b>Structure</b></p>
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<table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;" id="DocumentReference"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a no-external="true" href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a no-external="true" href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a no-external="true" href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a no-external="true" href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a no-external="true" href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a no-external="true" href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="help16.png" alt="doco" onLoad="fhirTableInit(this)" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="a"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference" title="DocumentReference : A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference.">DocumentReference</a><a name="ADocumentReference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color: black; background-color: #fff5e6" href="versions.html#std-process" title="Standards Status = Trial Use">TU</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="domainresource.html">DomainResource</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A reference to a document<br/><span style="font-style: italic" title="docRef-1">+ Warning: facilityType SHALL only be present if context is not an encounter</span><br/><span style="font-style: italic" title="docRef-2">+ Warning: practiceSetting SHALL only be present if context is not present</span><br/><br/>Elements defined in Ancestors: <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.">id</a>, <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.">meta</a>, <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.">implicitRules</a>, <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a>, <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.">text</a>, <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.">contained</a>, <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.">extension</a>, <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="aa"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.identifier" title="DocumentReference.identifier : Other business identifiers associated with the document, including version independent identifiers.">identifier</a><a name="ADocumentReference.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Business identifiers for the document<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="ab"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.version" title="DocumentReference.version : An explicitly assigned identifier of a variation of the content in the DocumentReference.">version</a><a name="ADocumentReference.version"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">An explicitly assigned identifier of a variation of the content in the DocumentReference<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ac"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.basedOn" title="DocumentReference.basedOn : A procedure that is fulfilled in whole or in part by the creation of this media.">basedOn</a><a name="ADocumentReference.basedOn"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="appointment.html">Appointment</a> | <a href="appointmentresponse.html">AppointmentResponse</a> | <a href="careplan.html">CarePlan</a> | <a href="claim.html">Claim</a> | <a href="communicationrequest.html">CommunicationRequest</a> | <a href="contract.html">Contract</a> | <a href="coverageeligibilityrequest.html">CoverageEligibilityRequest</a> | <a href="devicerequest.html">DeviceRequest</a> | <a href="enrollmentrequest.html">EnrollmentRequest</a> | <a href="immunizationrecommendation.html">ImmunizationRecommendation</a> | <a href="medicationrequest.html">MedicationRequest</a> | <a href="nutritionorder.html">NutritionOrder</a> | <a href="requestorchestration.html">RequestOrchestration</a> | <a href="servicerequest.html">ServiceRequest</a> | <a href="supplyrequest.html">SupplyRequest</a> | <a href="visionprescription.html">VisionPrescription</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Procedure that caused this media to be created<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="ad"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.status" title="DocumentReference.status : The status of this document reference.">status</a><a name="ADocumentReference.status"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="conformance-rules.html#isModifier" title="This element is a modifier element">?!</a><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">current | superseded | entered-in-error<br/>Binding: <a href="valueset-document-reference-status.html">DocumentReferenceStatus</a> (<a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">Required</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ae"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.docStatus" title="DocumentReference.docStatus : The status of the underlying document.">docStatus</a><a name="ADocumentReference.docStatus"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown<br/>Binding: <a href="valueset-composition-status.html">Composition Status</a> (<a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">Required</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="af"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.modality" title="DocumentReference.modality : Imaging modality used. This may include both acquisition and non-acquisition modalities.">modality</a><a name="ADocumentReference.modality"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Imaging modality used<br/>Binding: <a href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html">Modality</a> (<a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">Extensible</a>)<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ag"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.type" title="DocumentReference.type : Specifies the particular kind of document referenced (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced.">type</a><a name="ADocumentReference.type"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Kind of document (LOINC if possible)<br/>Binding: <a href="valueset-doc-typecodes.html">FHIR Document Type Codes</a> (<a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">Preferred</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="ah"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.category" title="DocumentReference.category : A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type.">category</a><a name="ADocumentReference.category"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Categorization of document<br/>Binding: <a href="valueset-referenced-item-category.html">Referenced Item Category Value Set</a> (<a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">Example</a>)<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ai"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.subject" title="DocumentReference.subject : Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure).">subject</a><a name="ADocumentReference.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="resourcelist.html">Any</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Who/what is the subject of the document<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="aj"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.context" title="DocumentReference.context : Describes the clinical encounter or type of care that the document content is associated with.">context</a><a name="ADocumentReference.context"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="appointment.html">Appointment</a> | <a href="encounter.html">Encounter</a> | <a href="episodeofcare.html">EpisodeOfCare</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Context of the document content<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ak"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.event" title="DocumentReference.event : 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.">event</a><a name="ADocumentReference.event"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#CodeableReference">CodeableReference</a>()</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Main clinical acts documented<br/>Binding: <a href="http://terminology.hl7.org/5.4.0/ValueSet-v3-ActCode.html">v3 Code System ActCode</a> (<a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">Example</a>)<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="al"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.bodySite" title="DocumentReference.bodySite : The anatomic structures included in the document.">bodySite</a><a name="ADocumentReference.bodySite"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#CodeableReference">CodeableReference</a>(<a href="bodystructure.html">BodyStructure</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Body part included<br/>Binding: <a href="valueset-body-site.html" title="Codes describing anatomical locations. May include laterality.">SNOMED CT Body Structures</a> (<a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">Example</a>)<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="am"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.facilityType" title="DocumentReference.facilityType : The kind of facility where the patient was seen.">facilityType</a><a name="ADocumentReference.facilityType"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">C</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Kind of facility where patient was seen<br/>Binding: <a href="valueset-c80-facilitycodes.html">Facility Type Code Value Set</a> (<a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">Example</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="an"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.practiceSetting" title="DocumentReference.practiceSetting : This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.">practiceSetting</a><a name="ADocumentReference.practiceSetting"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">C</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Additional details about where the content was created (e.g. clinical specialty)<br/>Binding: <a href="valueset-c80-practice-codes.html">Practice Setting Code Value Set</a> (<a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">Example</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ao"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.period" title="DocumentReference.period : The time period over which the service that is described by the document was provided.">period</a><a name="ADocumentReference.period"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#Period">Period</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Time of service that is being documented<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="ap"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.date" title="DocumentReference.date : When the document reference was created.">date</a><a name="ADocumentReference.date"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#instant">instant</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">When this document reference was created<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="aq"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.author" title="DocumentReference.author : Identifies who is responsible for adding the information to the document.">author</a><a name="ADocumentReference.author"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="practitioner.html">Practitioner</a> | <a href="practitionerrole.html">PractitionerRole</a> | <a href="organization.html">Organization</a> | <a href="device.html">Device</a> | <a href="patient.html">Patient</a> | <a href="relatedperson.html">RelatedPerson</a> | <a href="careteam.html">CareTeam</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Who and/or what authored the document<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="ar"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img onClick="tableRowAction(this)" src="tbl_vjoin-open.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.attester" title="DocumentReference.attester : A participant who has authenticated the accuracy of the document.">attester</a><a name="ADocumentReference.attester"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="types.html#BackBoneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Attests to accuracy of the document<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="ara"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.attester.mode" title="DocumentReference.attester.mode : The type of attestation the authenticator offers.">mode</a><a name="ADocumentReference.attester.mode"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">personal | professional | legal | official<br/>Binding: <a href="valueset-composition-attestation-mode.html">Composition Attestation Mode</a> (<a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">Preferred</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="arb"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.attester.time" title="DocumentReference.attester.time : When the document was attested by the party.">time</a><a name="ADocumentReference.attester.time"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">When the document was attested<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="arc"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.attester.party" title="DocumentReference.attester.party : Who attested the document in the specified way.">party</a><a name="ADocumentReference.attester.party"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="patient.html">Patient</a> | <a href="relatedperson.html">RelatedPerson</a> | <a href="practitioner.html">Practitioner</a> | <a href="practitionerrole.html">PractitionerRole</a> | <a href="organization.html">Organization</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Who attested the document<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="as"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.custodian" title="DocumentReference.custodian : Identifies the organization or group who is responsible for ongoing maintenance of and access to the document.">custodian</a><a name="ADocumentReference.custodian"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="organization.html">Organization</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Organization which maintains the document<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="at"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img onClick="tableRowAction(this)" src="tbl_vjoin-open.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.relatesTo" title="DocumentReference.relatesTo : Relationships that this document has with other document references that already exist.">relatesTo</a><a name="ADocumentReference.relatesTo"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="types.html#BackBoneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Relationships to other documents<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="ata"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.relatesTo.code" title="DocumentReference.relatesTo.code : The type of relationship that this document has with anther document.">code</a><a name="ADocumentReference.relatesTo.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The relationship type with another document<br/>Binding: <a href="valueset-document-relationship-type.html">Document Relationship Type</a> (<a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">Extensible</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="atb"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.relatesTo.target" title="DocumentReference.relatesTo.target : The target document of this relationship.">target</a><a name="ADocumentReference.relatesTo.target"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="references.html#Reference">Reference</a>(<a href="documentreference.html">DocumentReference</a>)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Target of the relationship<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="au"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.description" title="DocumentReference.description : Human-readable description of the source document.">description</a><a name="ADocumentReference.description"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#markdown">markdown</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Human-readable description<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="av"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.securityLabel" title="DocumentReference.securityLabel : A set of Security-Tag codes specifying the level of privacy/security of the Document found at DocumentReference.content.attachment.url. Note that DocumentReference.meta.security contains the security labels of the data elements in DocumentReference, while DocumentReference.securityLabel contains the security labels for the document the reference refers to. The distinction recognizes that the document may contain sensitive information, while the DocumentReference is metadata about the document and thus might not be as sensitive as the document. For example: a psychotherapy episode may contain highly sensitive information, while the metadata may simply indicate that some episode happened.">securityLabel</a><a name="ADocumentReference.securityLabel"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Document security-tags<br/>Binding: <a href="valueset-security-label-examples.html">Example set of Security Labels</a> (<a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included.">Example</a>)<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="aw"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img onClick="tableRowAction(this)" src="tbl_vjoin_end-open.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.content" title="DocumentReference.content : The document and format referenced. If there are multiple content element repetitions, these must all represent the same document in different format, or attachment metadata.">content</a><a name="ADocumentReference.content"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="types.html#BackBoneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Document referenced<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="awa"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.content.attachment" title="DocumentReference.content.attachment : The document or URL of the document along with critical metadata to prove content has integrity.">attachment</a><a name="ADocumentReference.content.attachment"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#Attachment">Attachment</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Where to access the document<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="awb"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img onClick="tableRowAction(this)" src="tbl_vjoin_end-open.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.content.profile" title="DocumentReference.content.profile : An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.">profile</a><a name="ADocumentReference.content.profile"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="types.html#BackBoneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Content profile rules for the document<br/><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="awba"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img onClick="tableRowAction(this)" src="tbl_vjoin_end-open.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_choice.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Choice of Types" class="hierarchy"/> <a no-external="true" href="documentreference-definitions.html#DocumentReference.content.profile.value_x_" title="DocumentReference.content.profile.value[x] : Code|uri|canonical.">value[x]</a><a name="ADocumentReference.content.profile.value_x_"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; color: black; null" href="elementdefinition-definitions.html#ElementDefinition.isSummary" title="This element is included in summaries">Σ</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Code|uri|canonical<br/>Binding: <a href="http://terminology.hl7.org/5.4.0/ValueSet-v3-HL7FormatCodes.html">HL7 ValueSet of Format Codes for use with Document Sharing</a> (<a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.">Preferred</a>)<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="awbaa"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span title="A reference to a code defined by a terminology system.">valueCoding</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7" id="awbab"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span title="String of characters used to identify a name or a resource">valueUri</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white" id="awbac"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> valueCanonical</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="datatypes.html#canonical">canonical</a>()</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><p><a href="documentreference-profiles.html#extensions">See the Extensions</a> for this resource</p>
</div>
</div>
<div id="uml">
<a name="uml"></a>
<p><b>UML Diagram</b> (<a href="formats.html#uml">Legend</a>)</p>
<div id="uml-inner">
<svg id="n160" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" width="939.2" height="588.0"> <defs>
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<feGaussianBlur result="blurOut" in="matrixOut" stdDeviation="2" />
<feBlend in="SourceGraphic" in2="blurOut" mode="normal" />
</filter>
</defs><g id="n161"><rect id="" x="0.0" y="0.0" rx="4" ry="4" width="316.8" height="428.0" filter="url(#shadowB)" style="fill:#fff9ec;stroke:black;stroke-width:1"/><line id="n162" x1="0.0" y1="28.0" x2="316.8" y2="28.0" style="stroke:dimgrey;stroke-width:1"/><text id="n163" x="158.4" y="20.0" fill="black" class="diagram-class-title diagram-class-resource">DocumentReference<tspan class="diagram-class-title-link"> (<a id="n164" xlink:href="domainresource.html#DomainResource" class="diagram-class-reference" style="font-style: italic">DomainResource</a>)</tspan></text><text id="n165" x="6.0" y="42.0" fill="black" class="diagram-class-detail"><a id="n166" xlink:href="documentreference-definitions.html#DocumentReference.identifier"><title>Other business identifiers associated with the document, including version independent identifiers</title>identifier</a> : <a id="n167" xlink:href="datatypes.html#Identifier">Identifier</a> [0..*]</text><text id="n171" x="6.0" y="56.0" fill="black" class="diagram-class-detail"><a id="n172" xlink:href="documentreference-definitions.html#DocumentReference.version"><title>An explicitly assigned identifier of a variation of the content in the DocumentReference</title>version</a> : <a id="n173" xlink:href="datatypes.html#string">string</a> [0..1]</text><text id="n177" x="6.0" y="70.0" fill="black" class="diagram-class-detail"><a id="n178" xlink:href="documentreference-definitions.html#DocumentReference.basedOn"><title>A procedure that is fulfilled in whole or in part by the creation of this media</title>basedOn</a> : <a id="n179" xlink:href="references.html#Reference">Reference</a> [0..*] « <a id="n180" xlink:href="appointment.html#Appointment">Appointment</a>|<a id="n181" xlink:href="appointmentresponse.html#AppointmentResponse">AppointmentResponse</a>|</text><text id="n182" x="26.0" y="84.0" fill="black" class="diagram-class-detail"> <a id="n183" xlink:href="careplan.html#CarePlan">CarePlan</a>|<a id="n184" xlink:href="claim.html#Claim">Claim</a>|<a id="n185" xlink:href="communicationrequest.html#CommunicationRequest">CommunicationRequest</a>|<a id="n186" xlink:href="contract.html#Contract">Contract</a>|</text><text id="n187" x="26.0" y="98.0" fill="black" class="diagram-class-detail"> <a id="n188" xlink:href="coverageeligibilityrequest.html#CoverageEligibilityRequest">CoverageEligibilityRequest</a>|<a id="n189" xlink:href="devicerequest.html#DeviceRequest">DeviceRequest</a>|<a id="n190" xlink:href="enrollmentrequest.html#EnrollmentRequest">EnrollmentRequest</a>|</text><text id="n191" x="26.0" y="112.0" fill="black" class="diagram-class-detail"> <a id="n192" xlink:href="immunizationrecommendation.html#ImmunizationRecommendation">ImmunizationRecommendation</a>|<a id="n193" xlink:href="medicationrequest.html#MedicationRequest">MedicationRequest</a>|<a id="n194" xlink:href="nutritionorder.html#NutritionOrder">NutritionOrder</a>|</text><text id="n195" x="26.0" y="126.0" fill="black" class="diagram-class-detail"> <a id="n196" xlink:href="requestorchestration.html#RequestOrchestration">RequestOrchestration</a>|<a id="n197" xlink:href="servicerequest.html#ServiceRequest">ServiceRequest</a>|<a id="n198" xlink:href="supplyrequest.html#SupplyRequest">SupplyRequest</a>|</text><text id="n199" x="26.0" y="140.0" fill="black" class="diagram-class-detail"> <a id="n200" xlink:href="visionprescription.html#VisionPrescription">VisionPrescription</a> »</text><text id="n225" x="6.0" y="154.0" fill="black" class="diagram-class-detail"><a id="n226" xlink:href="documentreference-definitions.html#DocumentReference.status"><title>The status of this document reference (this element modifies the meaning of other elements)</title>status</a> : <a id="n227" xlink:href="datatypes.html#code">code</a> [1..1] « <a id="n228" xlink:href="valueset-document-reference-status.html"><title id="n229">null (Strength=Required)</title>DocumentReferenceStatus</a>! »</text><text id="n235" x="6.0" y="168.0" fill="black" class="diagram-class-detail"><a id="n236" xlink:href="documentreference-definitions.html#DocumentReference.docStatus"><title>The status of the underlying document</title>docStatus</a> : <a id="n237" xlink:href="datatypes.html#code">code</a> [0..1] « <a id="n238" xlink:href="valueset-composition-status.html"><title id="n239">null (Strength=Required)</title>CompositionStatus</a>! »</text><text id="n245" x="6.0" y="182.0" fill="black" class="diagram-class-detail"><a id="n246" xlink:href="documentreference-definitions.html#DocumentReference.modality"><title>Imaging modality used. This may include both acquisition and non-acquisition modalities</title>modality</a> : <a id="n247" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [0..*] « <a id="n248" xlink:href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"><title id="n249">null (Strength=Extensible)</title>Modality</a>+ »</text><text id="n255" x="6.0" y="196.0" fill="black" class="diagram-class-detail"><a id="n256" xlink:href="documentreference-definitions.html#DocumentReference.type"><title>Specifies the particular kind of document referenced (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced</title>type</a> : <a id="n257" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [0..1] « <a id="n258" xlink:href="valueset-doc-typecodes.html"><title>null (Strength=Preferred)</title>FHIRDocumentTypeCodes</a>? »</text><text id="n263" x="6.0" y="210.0" fill="black" class="diagram-class-detail"><a id="n264" xlink:href="documentreference-definitions.html#DocumentReference.category"><title>A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type</title>category</a> : <a id="n265" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [0..*] « <a id="n266" xlink:href="valueset-referenced-item-category.html"><title id="n267">null (Strength=Example)</title>ReferencedItemCategoryValueSet</a>?? »</text><text id="n273" x="6.0" y="224.0" fill="black" class="diagram-class-detail"><a id="n274" xlink:href="documentreference-definitions.html#DocumentReference.subject"><title>Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure)</title>subject</a> : <a id="n275" xlink:href="references.html#Reference">Reference</a> [0..1] « <a id="n276" xlink:href="resourcelist.html#Any">Any</a> »</text><text id="n281" x="6.0" y="238.0" fill="black" class="diagram-class-detail"><a id="n282" xlink:href="documentreference-definitions.html#DocumentReference.context"><title>Describes the clinical encounter or type of care that the document content is associated with</title>context</a> : <a id="n283" xlink:href="references.html#Reference">Reference</a> [0..*] « <a id="n284" xlink:href="appointment.html#Appointment">Appointment</a>|<a id="n285" xlink:href="encounter.html#Encounter">Encounter</a>|<a id="n286" xlink:href="episodeofcare.html#EpisodeOfCare">EpisodeOfCare</a> » « <a id="n287" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" xlink:href="conformance-rules.html#constraints"><title id="n288">This element has or is affected by some invariants</title>C</a> »</text><text id="n297" x="6.0" y="252.0" fill="black" class="diagram-class-detail"><a id="n298" xlink:href="documentreference-definitions.html#DocumentReference.event"><title>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</title>event</a> : <a id="n299" xlink:href="references.html#CodeableReference">CodeableReference</a> [0..*] « ; <a id="n300" xlink:href="http://terminology.hl7.org/5.4.0/ValueSet-v3-ActCode.html"><title id="n301">null (Strength=Example)</title>ActCode</a>?? »</text><text id="n307" x="6.0" y="266.0" fill="black" class="diagram-class-detail"><a id="n308" xlink:href="documentreference-definitions.html#DocumentReference.bodySite"><title>The anatomic structures included in the document</title>bodySite</a> : <a id="n309" xlink:href="references.html#CodeableReference">CodeableReference</a> [0..*] « <a id="n310" xlink:href="bodystructure.html#BodyStructure">BodyStructure</a>; <a id="n311" xlink:href="valueset-body-site.html"><title id="n312">Codes describing anatomical locations. May include laterality. (Strength=Example)</title></a></text><text id="n313" x="26.0" y="280.0" fill="black" class="diagram-class-detail"> <a id="n314" xlink:href="valueset-body-site.html">SNOMEDCTBodyStructures</a>?? »</text><text id="n323" x="6.0" y="294.0" fill="black" class="diagram-class-detail"><a id="n324" xlink:href="documentreference-definitions.html#DocumentReference.facilityType"><title>The kind of facility where the patient was seen</title>facilityType</a> : <a id="n325" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [0..1] « <a id="n326" xlink:href="valueset-c80-facilitycodes.html"><title id="n327">null (Strength=Example)</title>FacilityTypeCodeValueSet</a>?? » « <a id="n328" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" xlink:href="conformance-rules.html#constraints"><title id="n329">This element has or is affected by some invariants</title>C</a> »</text><text id="n337" x="6.0" y="308.0" fill="black" class="diagram-class-detail"><a id="n338" xlink:href="documentreference-definitions.html#DocumentReference.practiceSetting"><title>This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty</title>practiceSetting</a> : <a id="n339" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [0..1] « <a id="n340" xlink:href="valueset-c80-practice-codes.html"><title id="n341">null (Strength=Example)</title></a></text><text id="n342" x="26.0" y="322.0" fill="black" class="diagram-class-detail"> <a id="n343" xlink:href="valueset-c80-practice-codes.html">PracticeSettingCodeValueSet</a>?? » « <a id="n344" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" xlink:href="conformance-rules.html#constraints"><title id="n345">This element has or is affected by some invariants</title>C</a> »</text><text id="n355" x="6.0" y="336.0" fill="black" class="diagram-class-detail"><a id="n356" xlink:href="documentreference-definitions.html#DocumentReference.period"><title>The time period over which the service that is described by the document was provided</title>period</a> : <a id="n357" xlink:href="datatypes.html#Period">Period</a> [0..1]</text><text id="n361" x="6.0" y="350.0" fill="black" class="diagram-class-detail"><a id="n362" xlink:href="documentreference-definitions.html#DocumentReference.date"><title>When the document reference was created</title>date</a> : <a id="n363" xlink:href="datatypes.html#instant">instant</a> [0..1]</text><text id="n367" x="6.0" y="364.0" fill="black" class="diagram-class-detail"><a id="n368" xlink:href="documentreference-definitions.html#DocumentReference.author"><title>Identifies who is responsible for adding the information to the document</title>author</a> : <a id="n369" xlink:href="references.html#Reference">Reference</a> [0..*] « <a id="n370" xlink:href="practitioner.html#Practitioner">Practitioner</a>|<a id="n371" xlink:href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|</text><text id="n372" x="26.0" y="378.0" fill="black" class="diagram-class-detail"> <a id="n373" xlink:href="organization.html#Organization">Organization</a>|<a id="n374" xlink:href="device.html#Device">Device</a>|<a id="n375" xlink:href="patient.html#Patient">Patient</a>|<a id="n376" xlink:href="relatedperson.html#RelatedPerson">RelatedPerson</a>|<a id="n377" xlink:href="careteam.html#CareTeam">CareTeam</a> »</text><text id="n389" x="6.0" y="392.0" fill="black" class="diagram-class-detail"><a id="n390" xlink:href="documentreference-definitions.html#DocumentReference.custodian"><title>Identifies the organization or group who is responsible for ongoing maintenance of and access to the document</title>custodian</a> : <a id="n391" xlink:href="references.html#Reference">Reference</a> [0..1] « <a id="n392" xlink:href="organization.html#Organization">Organization</a> »</text><text id="n397" x="6.0" y="406.0" fill="black" class="diagram-class-detail"><a id="n398" xlink:href="documentreference-definitions.html#DocumentReference.description"><title>Human-readable description of the source document</title>description</a> : <a id="n399" xlink:href="datatypes.html#markdown">markdown</a> [0..1]</text><text id="n403" x="6.0" y="420.0" fill="black" class="diagram-class-detail"><a id="n404" xlink:href="documentreference-definitions.html#DocumentReference.securityLabel"><title>A set of Security-Tag codes specifying the level of privacy/security of the Document found at DocumentReference.content.attachment.url. Note that DocumentReference.meta.security contains the security labels of the data elements in DocumentReference, while DocumentReference.securityLabel contains the security labels for the document the reference refers to. The distinction recognizes that the document may contain sensitive information, while the DocumentReference is metadata about the document and thus might not be as sensitive as the document. For example: a psychotherapy episode may contain highly sensitive information, while the metadata may simply indicate that some episode happened</title>securityLabel</a> : <a id="n405" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [0..*] « <a id="n406" xlink:href="valueset-security-label-examples.html"><title id="n407">null (Strength=Example)</title>SecurityLabelExamples</a>?? »</text></g><g id="n413"><rect id="" x="436.8" y="168.0" rx="4" ry="4" width="272.8" height="92.0" filter="url(#shadowB)" style="fill:#fff9ec;stroke:black;stroke-width:1"/><line id="n414" x1="436.8" y1="196.0" x2="709.6" y2="196.0" style="stroke:dimgrey;stroke-width:1"/><text id="n415" x="573.2" y="188.0" fill="black" class="diagram-class-title">Attester</text><text id="n416" x="442.8" y="210.0" fill="black" class="diagram-class-detail"><a id="n417" xlink:href="documentreference-definitions.html#DocumentReference.attester.mode"><title>The type of attestation the authenticator offers</title>mode</a> : <a id="n418" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [1..1] « <a id="n419" xlink:href="valueset-composition-attestation-mode.html"><title>null (Strength=Preferred)</title>CompositionAttestationMode</a>? »</text><text id="n424" x="442.8" y="224.0" fill="black" class="diagram-class-detail"><a id="n425" xlink:href="documentreference-definitions.html#DocumentReference.attester.time"><title>When the document was attested by the party</title>time</a> : <a id="n426" xlink:href="datatypes.html#dateTime">dateTime</a> [0..1]</text><text id="n430" x="442.8" y="238.0" fill="black" class="diagram-class-detail"><a id="n431" xlink:href="documentreference-definitions.html#DocumentReference.attester.party"><title>Who attested the document in the specified way</title>party</a> : <a id="n432" xlink:href="references.html#Reference">Reference</a> [0..1] « <a id="n433" xlink:href="patient.html#Patient">Patient</a>|<a id="n434" xlink:href="relatedperson.html#RelatedPerson">RelatedPerson</a>|<a id="n435" xlink:href="practitioner.html#Practitioner">Practitioner</a>|</text><text id="n436" x="462.8" y="252.0" fill="black" class="diagram-class-detail"> <a id="n437" xlink:href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|<a id="n438" xlink:href="organization.html#Organization">Organization</a> »</text></g><g id="n448"><rect id="" x="436.8" y="262.0" rx="4" ry="4" width="255.20000000000002" height="64.0" filter="url(#shadowB)" style="fill:#fff9ec;stroke:black;stroke-width:1"/><line id="n449" x1="436.8" y1="290.0" x2="692.0" y2="290.0" style="stroke:dimgrey;stroke-width:1"/><text id="n450" x="564.4" y="282.0" fill="black" class="diagram-class-title">RelatesTo</text><text id="n451" x="442.8" y="304.0" fill="black" class="diagram-class-detail"><a id="n452" xlink:href="documentreference-definitions.html#DocumentReference.relatesTo.code"><title>The type of relationship that this document has with anther document</title>code</a> : <a id="n453" xlink:href="datatypes.html#CodeableConcept">CodeableConcept</a> [1..1] « <a id="n454" xlink:href="valueset-document-relationship-type.html"><title id="n455">null (Strength=Extensible)</title>DocumentRelationshipType</a>+ »</text><text id="n461" x="442.8" y="318.0" fill="black" class="diagram-class-detail"><a id="n462" xlink:href="documentreference-definitions.html#DocumentReference.relatesTo.target"><title>The target document of this relationship</title>target</a> : <a id="n463" xlink:href="references.html#Reference">Reference</a> [1..1] « <a id="n464" xlink:href="documentreference.html#DocumentReference">DocumentReference</a> »</text></g><g id="n469"><rect id="" x="92.4" y="508.0" rx="4" ry="4" width="132.0" height="50.0" filter="url(#shadowB)" style="fill:#fff9ec;stroke:black;stroke-width:1"/><line id="n470" x1="92.4" y1="536.0" x2="224.4" y2="536.0" style="stroke:dimgrey;stroke-width:1"/><text id="n471" x="158.4" y="528.0" fill="black" class="diagram-class-title">Content</text><text id="n472" x="98.4" y="550.0" fill="black" class="diagram-class-detail"><a id="n473" xlink:href="documentreference-definitions.html#DocumentReference.content.attachment"><title>The document or URL of the document along with critical metadata to prove content has integrity</title>attachment</a> : <a id="n474" xlink:href="datatypes.html#Attachment">Attachment</a> [1..1]</text></g><g id="n478"><rect id="" x="344.4" y="508.0" rx="4" ry="4" width="294.8" height="50.0" filter="url(#shadowB)" style="fill:#fff9ec;stroke:black;stroke-width:1"/><line id="n479" x1="344.4" y1="536.0" x2="639.2" y2="536.0" style="stroke:dimgrey;stroke-width:1"/><text id="n480" x="491.79999999999995" y="528.0" fill="black" class="diagram-class-title">Profile</text><text id="n481" x="350.4" y="550.0" fill="black" class="diagram-class-detail"><a id="n482" xlink:href="documentreference-definitions.html#DocumentReference.content.profile.value_x_"><title>Code|uri|canonical</title>value[x]</a> : <a id="n483" xlink:href="types.html#DataType">DataType</a> [1..1] « <a id="n484" xlink:href="datatypes.html#Coding">Coding</a>|<a id="n485" xlink:href="datatypes.html#uri">uri</a>|<a id="n486" xlink:href="datatypes.html#canonical">canonical</a>; <a id="n487" xlink:href="http://terminology.hl7.org/5.4.0/ValueSet-v3-HL7FormatCodes.html"><title>null (Strength=Preferred)</title>HL7FormatCodes</a>? »</text></g><line id="n495" x1="316.8" y1="214.0" x2="436.8" y2="214.0" style="stroke:navy;stroke-width:1"/><polygon id="n496" points="316.8,214.0 322.8,218.0 328.8,214.0 322.8,210.0 316.8,214.0" style="fill:navy;stroke:navy;stroke-width:1" transform="rotate(0.0 316.8 214.0)"/><rect id="n497" x="358.5" y="207.0" width="35.0" height="18.0" style="fill:white;stroke:black;stroke-width:0"/><text id="n498" x="376.0" y="217.0" fill="black" class="diagram-class-linkage"><a id="n499" xlink:href="documentreference-definitions.html#DocumentReference.attester"><title>A participant who has authenticated the accuracy of the document</title>attester</a></text><text id="n500" x="416.8" y="210.0" fill="black" class="diagram-class-linkage">[0..*]</text><line id="n501" x1="316.8" y1="245.2118226600985" x2="436.8" y2="268.85714285714283" style="stroke:navy;stroke-width:1"/><polygon id="n502" points="316.8,245.2118226600985 322.8,249.2118226600985 328.8,245.2118226600985 322.8,241.2118226600985 316.8,245.2118226600985" style="fill:navy;stroke:navy;stroke-width:1" transform="rotate(11.147006525921906 316.8 245.2118226600985)"/><rect id="n503" x="356.5" y="250.0" width="39.0" height="18.0" style="fill:white;stroke:black;stroke-width:0"/><text id="n504" x="376.0" y="260.0" fill="black" class="diagram-class-linkage"><a id="n505" xlink:href="documentreference-definitions.html#DocumentReference.relatesTo"><title>Relationships that this document has with other document references that already exist</title>relatesTo</a></text><text id="n506" x="416.8" y="264.85714285714283" fill="black" class="diagram-class-linkage">[0..*]</text><line id="n507" x1="224.4" y1="532.9999999999999" x2="344.4" y2="532.9999999999999" style="stroke:navy;stroke-width:1"/><polygon id="n508" points="224.4,532.9999999999999 230.4,536.9999999999999 236.4,532.9999999999999 230.4,528.9999999999999 224.4,532.9999999999999" style="fill:navy;stroke:navy;stroke-width:1" transform="rotate(0.0 224.4 532.9999999999999)"/><rect id="n509" x="269.0" y="525.0" width="30.0" height="18.0" style="fill:white;stroke:black;stroke-width:0"/><text id="n510" x="284.0" y="535.0" fill="black" class="diagram-class-linkage"><a id="n511" xlink:href="documentreference-definitions.html#DocumentReference.content.profile"><title>An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType</title>profile</a></text><text id="n512" x="324.4" y="528.9999999999999" fill="black" class="diagram-class-linkage">[0..*]</text><line id="n513" x1="158.4" y1="427.99999999999994" x2="158.4" y2="508.0" style="stroke:navy;stroke-width:1"/><polygon id="n514" points="158.4,427.99999999999994 164.4,431.99999999999994 170.4,427.99999999999994 164.4,423.99999999999994 158.4,427.99999999999994" style="fill:navy;stroke:navy;stroke-width:1" transform="rotate(90.0 158.4 427.99999999999994)"/><rect id="n515" x="143.0" y="461.0" width="30.0" height="18.0" style="fill:white;stroke:black;stroke-width:0"/><text id="n516" x="158.0" y="471.0" fill="black" class="diagram-class-linkage"><a id="n517" xlink:href="documentreference-definitions.html#DocumentReference.content"><title>The document and format referenced. If there are multiple content element repetitions, these must all represent the same document in different format, or attachment metadata</title>content</a></text><text id="n518" x="158.4" y="504.0" fill="black" class="diagram-class-linkage">[1..*]</text></svg>
</div>
</div>
<div id="xml">
<a name="xml"></a>
<p><b>XML Template</b></p>
<div id="xml-inner">
<pre class="spec">
<<a href="documentreference-definitions.html#DocumentReference" title="A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference." class="dict"><b>DocumentReference</b></a> xmlns="http://hl7.org/fhir"> <span style="float: right"><a title="Documentation for this format" href="xml.html"><img src="help.png" alt="doco"/></a></span>
<!-- from <a href="resource.html">Resource</a>: <a href="resource.html#id">id</a>, <a href="resource.html#meta">meta</a>, <a href="resource.html#implicitRules">implicitRules</a>, and <a href="resource.html#language">language</a> -->
<!-- from <a href="domainresource.html">DomainResource</a>: <a href="narrative.html#Narrative">text</a>, <a href="references.html#contained">contained</a>, <a href="extensibility.html">extension</a>, and <a href="extensibility.html#modifierExtension">modifierExtension</a> -->
<<a href="documentreference-definitions.html#DocumentReference.identifier" title="Other business identifiers associated with the document, including version independent identifiers." class="dict"><b>identifier</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="datatypes.html#Identifier">Identifier</a></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Business identifiers for the document</a></span><span style="color: Gray"> --></span></identifier>
<<a href="documentreference-definitions.html#DocumentReference.version" title="An explicitly assigned identifier of a variation of the content in the DocumentReference." class="dict"><b>version</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#string">string</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">An explicitly assigned identifier of a variation of the content in the DocumentReference</a></span><span style="color: Gray"> --></span>
<<a href="documentreference-definitions.html#DocumentReference.basedOn" title="A procedure that is fulfilled in whole or in part by the creation of this media." class="dict"><b>basedOn</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="appointment.html#Appointment">Appointment</a>|<a href="appointmentresponse.html#AppointmentResponse">AppointmentResponse</a>|<a href="careplan.html#CarePlan">CarePlan</a>|<a href="claim.html#Claim">Claim</a>|
<a href="communicationrequest.html#CommunicationRequest">CommunicationRequest</a>|<a href="contract.html#Contract">Contract</a>|<a href="coverageeligibilityrequest.html#CoverageEligibilityRequest">CoverageEligibilityRequest</a>|<a href="devicerequest.html#DeviceRequest">DeviceRequest</a>|
<a href="enrollmentrequest.html#EnrollmentRequest">EnrollmentRequest</a>|<a href="immunizationrecommendation.html#ImmunizationRecommendation">ImmunizationRecommendation</a>|<a href="medicationrequest.html#MedicationRequest">MedicationRequest</a>|<a href="nutritionorder.html#NutritionOrder">NutritionOrder</a>|
<a href="requestorchestration.html#RequestOrchestration">RequestOrchestration</a>|<a href="servicerequest.html#ServiceRequest">ServiceRequest</a>|<a href="supplyrequest.html#SupplyRequest">SupplyRequest</a>|<a href="visionprescription.html#VisionPrescription">VisionPrescription</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Procedure that caused this media to be created</a></span><span style="color: Gray"> --></span></basedOn>
<<a href="documentreference-definitions.html#DocumentReference.status" title="The status of this document reference (this element modifies the meaning of other elements)" class="dict"><span style="text-decoration: underline"><b>status</b></span></a> value="[<span style="color: darkgreen"><a href="datatypes.html#code">code</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: navy"><a href="valueset-document-reference-status.html" style="color: navy">current | superseded | entered-in-error</a></span><span style="color: Gray"> --></span>
<<a href="documentreference-definitions.html#DocumentReference.docStatus" title="The status of the underlying document." class="dict"><b>docStatus</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#code">code</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: navy"><a href="valueset-composition-status.html" style="color: navy">registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown</a></span><span style="color: Gray"> --></span>
<<a href="documentreference-definitions.html#DocumentReference.modality" title="Imaging modality used. This may include both acquisition and non-acquisition modalities." class="dict"><b>modality</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html" style="color: navy">Imaging modality used</a></span><span style="color: Gray"> --></span></modality>
<<a href="documentreference-definitions.html#DocumentReference.type" title="Specifies the particular kind of document referenced (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced." class="dict"><b>type</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-doc-typecodes.html" style="color: navy">Kind of document (LOINC if possible)</a></span><span style="color: Gray"> --></span></type>
<<a href="documentreference-definitions.html#DocumentReference.category" title="A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type." class="dict"><b>category</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-referenced-item-category.html" style="color: navy">Categorization of document</a></span><span style="color: Gray"> --></span></category>
<<a href="documentreference-definitions.html#DocumentReference.subject" title="Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure)." class="dict"><b>subject</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="resourcelist.html">Any</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Who/what is the subject of the document</a></span><span style="color: Gray"> --></span></subject>
<<a href="documentreference-definitions.html#DocumentReference.context" title="Describes the clinical encounter or type of care that the document content is associated with." class="dict"><b>context</b></a>><span style="color: Gray"><!--</span> <span style="color: brown" title="docRef-1: facilityType SHALL only be present if context is not an encounter; docRef-2: practiceSetting SHALL only be present if context is not present"><b><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a> 0..*</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="appointment.html#Appointment">Appointment</a>|<a href="encounter.html#Encounter">Encounter</a>|<a href="episodeofcare.html#EpisodeOfCare">EpisodeOfCare</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Context of the document content</a></span><span style="color: Gray"> --></span></context>
<<a href="documentreference-definitions.html#DocumentReference.event" title="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." class="dict"><b>event</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="references.html#CodeableReference">CodeableReference</a></span> <span style="color: navy"><a href="http://terminology.hl7.org/5.4.0/ValueSet-v3-ActCode.html" style="color: navy">Main clinical acts documented</a></span><span style="color: Gray"> --></span></event>
<<a href="documentreference-definitions.html#DocumentReference.bodySite" title="The anatomic structures included in the document." class="dict"><b>bodySite</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="references.html#CodeableReference">CodeableReference</a>(<a href="bodystructure.html#BodyStructure">BodyStructure</a>)</span> <span style="color: navy"><a href="valueset-body-site.html" style="color: navy">Body part included</a></span><span style="color: Gray"> --></span></bodySite>
<<a href="documentreference-definitions.html#DocumentReference.facilityType" title="The kind of facility where the patient was seen." class="dict"><b>facilityType</b></a>><span style="color: Gray"><!--</span> <span style="color: brown" title="docRef-1: facilityType SHALL only be present if context is not an encounter"><b><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a> 0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-c80-facilitycodes.html" style="color: navy">Kind of facility where patient was seen</a></span><span style="color: Gray"> --></span></facilityType>
<<a href="documentreference-definitions.html#DocumentReference.practiceSetting" title="This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty." class="dict"><b>practiceSetting</b></a>><span style="color: Gray"><!--</span> <span style="color: brown" title="docRef-2: practiceSetting SHALL only be present if context is not present"><b><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a> 0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-c80-practice-codes.html" style="color: navy">Additional details about where the content was created (e.g. clinical specialty)</a></span><span style="color: Gray"> --></span></practiceSetting>
<<a href="documentreference-definitions.html#DocumentReference.period" title="The time period over which the service that is described by the document was provided." class="dict"><b>period</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#Period">Period</a></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Time of service that is being documented</a></span><span style="color: Gray"> --></span></period>
<<a href="documentreference-definitions.html#DocumentReference.date" title="When the document reference was created." class="dict"><b>date</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#instant">instant</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">When this document reference was created</a></span><span style="color: Gray"> --></span>
<<a href="documentreference-definitions.html#DocumentReference.author" title="Identifies who is responsible for adding the information to the document." class="dict"><b>author</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="careteam.html#CareTeam">CareTeam</a>|<a href="device.html#Device">Device</a>|<a href="organization.html#Organization">Organization</a>|<a href="patient.html#Patient">Patient</a>|<a href="practitioner.html#Practitioner">Practitioner</a>|
<a href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|<a href="relatedperson.html#RelatedPerson">RelatedPerson</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Who and/or what authored the document</a></span><span style="color: Gray"> --></span></author>
<<a href="documentreference-definitions.html#DocumentReference.attester" title="A participant who has authenticated the accuracy of the document." class="dict"><b>attester</b></a>> <span style="color: Gray"><!-- <span style="color: brown"><b>0..*</b></span> Attests to accuracy of the document --></span>
<<a href="documentreference-definitions.html#DocumentReference.attester.mode" title="The type of attestation the authenticator offers." class="dict"><b>mode</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-composition-attestation-mode.html" style="color: navy">personal | professional | legal | official</a></span><span style="color: Gray"> --></span></mode>
<<a href="documentreference-definitions.html#DocumentReference.attester.time" title="When the document was attested by the party." class="dict"><b>time</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#dateTime">dateTime</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">When the document was attested</a></span><span style="color: Gray"> --></span>
<<a href="documentreference-definitions.html#DocumentReference.attester.party" title="Who attested the document in the specified way." class="dict"><b>party</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="organization.html#Organization">Organization</a>|<a href="patient.html#Patient">Patient</a>|<a href="practitioner.html#Practitioner">Practitioner</a>|<a href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|
<a href="relatedperson.html#RelatedPerson">RelatedPerson</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Who attested the document</a></span><span style="color: Gray"> --></span></party>
</attester>
<<a href="documentreference-definitions.html#DocumentReference.custodian" title="Identifies the organization or group who is responsible for ongoing maintenance of and access to the document." class="dict"><b>custodian</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="organization.html#Organization">Organization</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Organization which maintains the document</a></span><span style="color: Gray"> --></span></custodian>
<<a href="documentreference-definitions.html#DocumentReference.relatesTo" title="Relationships that this document has with other document references that already exist." class="dict"><b>relatesTo</b></a>> <span style="color: Gray"><!-- <span style="color: brown"><b>0..*</b></span> Relationships to other documents --></span>
<<a href="documentreference-definitions.html#DocumentReference.relatesTo.code" title="The type of relationship that this document has with anther document." class="dict"><b>code</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-document-relationship-type.html" style="color: navy">The relationship type with another document</a></span><span style="color: Gray"> --></span></code>
<<a href="documentreference-definitions.html#DocumentReference.relatesTo.target" title="The target document of this relationship." class="dict"><b>target</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="documentreference.html#DocumentReference">DocumentReference</a>)</span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Target of the relationship</a></span><span style="color: Gray"> --></span></target>
</relatesTo>
<<a href="documentreference-definitions.html#DocumentReference.description" title="Human-readable description of the source document." class="dict"><b>description</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#markdown">markdown</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Human-readable description</a></span><span style="color: Gray"> --></span>
<<a href="documentreference-definitions.html#DocumentReference.securityLabel" title="A set of Security-Tag codes specifying the level of privacy/security of the Document found at DocumentReference.content.attachment.url. Note that DocumentReference.meta.security contains the security labels of the data elements in DocumentReference, while DocumentReference.securityLabel contains the security labels for the document the reference refers to. The distinction recognizes that the document may contain sensitive information, while the DocumentReference is metadata about the document and thus might not be as sensitive as the document. For example: a psychotherapy episode may contain highly sensitive information, while the metadata may simply indicate that some episode happened." class="dict"><b>securityLabel</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-security-label-examples.html" style="color: navy">Document security-tags</a></span><span style="color: Gray"> --></span></securityLabel>
<<a href="documentreference-definitions.html#DocumentReference.content" title="The document and format referenced. If there are multiple content element repetitions, these must all represent the same document in different format, or attachment metadata." class="dict"><b>content</b></a>> <span style="color: Gray"><!-- <span style="color: brown"><b>1..*</b></span> Document referenced --></span>
<<a href="documentreference-definitions.html#DocumentReference.content.attachment" title="The document or URL of the document along with critical metadata to prove content has integrity." class="dict"><b>attachment</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#Attachment">Attachment</a></span> <span style="color: navy"><a href="terminologies.html#unbound" style="color: navy">Where to access the document</a></span><span style="color: Gray"> --></span></attachment>
<<a href="documentreference-definitions.html#DocumentReference.content.profile" title="An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType." class="dict"><b>profile</b></a>> <span style="color: Gray"><!-- <span style="color: brown"><b>0..*</b></span> Content profile rules for the document --></span>
<<a href="documentreference-definitions.html#DocumentReference.content.profile.value[x]" title="Code|uri|canonical." class="dict"><b>value[x]</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#Coding">Coding</a>|<a href="datatypes.html#uri">uri</a>|<a href="datatypes.html#canonical">canonical</a></span> <span style="color: navy"><a href="http://terminology.hl7.org/5.4.0/ValueSet-v3-HL7FormatCodes.html" style="color: navy">Code|uri|canonical</a></span><span style="color: Gray"> --></span></value[x]>
</profile>
</content>
</DocumentReference>
</pre>
</div>
</div>
<div id="json2">
<a name="json"></a>
<p><b>JSON Template</b></p>
<div id="json-inner">
<pre class="spec">
{<span style="float: right"><a title="Documentation for this format" href="json.html"><img src="help.png" alt="doco"/></a></span>
"resourceType" : "<a href="documentreference-definitions.html#DocumentReference" title="A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference." class="dict"><b>DocumentReference</b></a>",
// from <a href="resource.html">Resource</a>: <a href="resource.html#id">id</a>, <a href="resource.html#meta">meta</a>, <a href="resource.html#implicitRules">implicitRules</a>, and <a href="resource.html#language">language</a>
// from <a href="domainresource.html">DomainResource</a>: <a href="narrative.html#Narrative">text</a>, <a href="references.html#contained">contained</a>, <a href="extensibility.html">extension</a>, and <a href="extensibility.html#modifierExtension">modifierExtension</a>
"<a href="documentreference-definitions.html#DocumentReference.identifier" title="Other business identifiers associated with the document, including version independent identifiers." class="dict">identifier</a>" : [{ <span style="color: darkgreen"><a href="datatypes.html#Identifier">Identifier</a></span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Business identifiers for the document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.version" title="An explicitly assigned identifier of a variation of the content in the DocumentReference." class="dict">version</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#string">string</a></span>>", <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">An explicitly assigned identifier of a variation of the content in the DocumentReference</a></span>
"<a href="documentreference-definitions.html#DocumentReference.basedOn" title="A procedure that is fulfilled in whole or in part by the creation of this media." class="dict">basedOn</a>" : [{ <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="appointment.html#Appointment">Appointment</a>|<a href="appointmentresponse.html#AppointmentResponse">AppointmentResponse</a>|<a href="careplan.html#CarePlan">CarePlan</a>|<a href="claim.html#Claim">Claim</a>|
<a href="communicationrequest.html#CommunicationRequest">CommunicationRequest</a>|<a href="contract.html#Contract">Contract</a>|<a href="coverageeligibilityrequest.html#CoverageEligibilityRequest">CoverageEligibilityRequest</a>|<a href="devicerequest.html#DeviceRequest">DeviceRequest</a>|
<a href="enrollmentrequest.html#EnrollmentRequest">EnrollmentRequest</a>|<a href="immunizationrecommendation.html#ImmunizationRecommendation">ImmunizationRecommendation</a>|<a href="medicationrequest.html#MedicationRequest">MedicationRequest</a>|<a href="nutritionorder.html#NutritionOrder">NutritionOrder</a>|
<a href="requestorchestration.html#RequestOrchestration">RequestOrchestration</a>|<a href="servicerequest.html#ServiceRequest">ServiceRequest</a>|<a href="supplyrequest.html#SupplyRequest">SupplyRequest</a>|<a href="visionprescription.html#VisionPrescription">VisionPrescription</a>)</span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Procedure that caused this media to be created</a></span>
"<a href="documentreference-definitions.html#DocumentReference.status" title="The status of this document reference (this element modifies the meaning of other elements)" class="dict"><span style="text-decoration: underline">status</span></a>" : "<<span style="color: darkgreen"><a href="datatypes.html#code">code</a></span>>", <span style="color: Gray">//</span> <span style="color: brown" title="This element is required"><b>R!</b></span> <span style="color: navy; opacity: 0.8"><a href="valueset-document-reference-status.html" style="color: navy; opacity: 0.8">current | superseded | entered-in-error</a></span>
"<a href="documentreference-definitions.html#DocumentReference.docStatus" title="The status of the underlying document." class="dict">docStatus</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#code">code</a></span>>", <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="valueset-composition-status.html" style="color: navy; opacity: 0.8">registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown</a></span>
"<a href="documentreference-definitions.html#DocumentReference.modality" title="Imaging modality used. This may include both acquisition and non-acquisition modalities." class="dict">modality</a>" : [{ <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html" style="color: navy; opacity: 0.8">Imaging modality used</a></span>
"<a href="documentreference-definitions.html#DocumentReference.type" title="Specifies the particular kind of document referenced (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced." class="dict">type</a>" : { <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }, <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="valueset-doc-typecodes.html" style="color: navy; opacity: 0.8">Kind of document (LOINC if possible)</a></span>
"<a href="documentreference-definitions.html#DocumentReference.category" title="A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type." class="dict">category</a>" : [{ <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="valueset-referenced-item-category.html" style="color: navy; opacity: 0.8">Categorization of document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.subject" title="Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure)." class="dict">subject</a>" : { <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="resourcelist.html">Any</a>)</span> }, <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Who/what is the subject of the document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.context" title="Describes the clinical encounter or type of care that the document content is associated with." class="dict">context</a>" : [{ <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="appointment.html#Appointment">Appointment</a>|<a href="encounter.html#Encounter">Encounter</a>|<a href="episodeofcare.html#EpisodeOfCare">EpisodeOfCare</a>)</span> }], <span style="color: Gray">//</span> <span style="color: brown" title="docRef-1: facilityType SHALL only be present if context is not an encounter; docRef-2: practiceSetting SHALL only be present if context is not present"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a></span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Context of the document content</a></span>
"<a href="documentreference-definitions.html#DocumentReference.event" title="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." class="dict">event</a>" : [{ <span style="color: darkgreen"><a href="references.html#CodeableReference">CodeableReference</a></span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="http://terminology.hl7.org/5.4.0/ValueSet-v3-ActCode.html" style="color: navy; opacity: 0.8">Main clinical acts documented</a></span>
"<a href="documentreference-definitions.html#DocumentReference.bodySite" title="The anatomic structures included in the document." class="dict">bodySite</a>" : [{ <span style="color: darkgreen"><a href="references.html#CodeableReference">CodeableReference</a>(<a href="bodystructure.html#BodyStructure">BodyStructure</a>)</span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="valueset-body-site.html" style="color: navy; opacity: 0.8">Body part included</a></span>
"<a href="documentreference-definitions.html#DocumentReference.facilityType" title="The kind of facility where the patient was seen." class="dict">facilityType</a>" : { <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }, <span style="color: Gray">//</span> <span style="color: brown" title="docRef-1: facilityType SHALL only be present if context is not an encounter"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a></span> <span style="color: navy; opacity: 0.8"><a href="valueset-c80-facilitycodes.html" style="color: navy; opacity: 0.8">Kind of facility where patient was seen</a></span>
"<a href="documentreference-definitions.html#DocumentReference.practiceSetting" title="This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty." class="dict">practiceSetting</a>" : { <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }, <span style="color: Gray">//</span> <span style="color: brown" title="docRef-2: practiceSetting SHALL only be present if context is not present"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a></span> <span style="color: navy; opacity: 0.8"><a href="valueset-c80-practice-codes.html" style="color: navy; opacity: 0.8">Additional details about where the content was created (e.g. clinical specialty)</a></span>
"<a href="documentreference-definitions.html#DocumentReference.period" title="The time period over which the service that is described by the document was provided." class="dict">period</a>" : { <span style="color: darkgreen"><a href="datatypes.html#Period">Period</a></span> }, <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Time of service that is being documented</a></span>
"<a href="documentreference-definitions.html#DocumentReference.date" title="When the document reference was created." class="dict">date</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#instant">instant</a></span>>", <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">When this document reference was created</a></span>
"<a href="documentreference-definitions.html#DocumentReference.author" title="Identifies who is responsible for adding the information to the document." class="dict">author</a>" : [{ <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="careteam.html#CareTeam">CareTeam</a>|<a href="device.html#Device">Device</a>|<a href="organization.html#Organization">Organization</a>|<a href="patient.html#Patient">Patient</a>|<a href="practitioner.html#Practitioner">Practitioner</a>|
<a href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|<a href="relatedperson.html#RelatedPerson">RelatedPerson</a>)</span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Who and/or what authored the document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.attester" title="A participant who has authenticated the accuracy of the document." class="dict">attester</a>" : [{ <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Attests to accuracy of the document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.attester.mode" title="The type of attestation the authenticator offers." class="dict">mode</a>" : { <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }, <span style="color: Gray">//</span> <span style="color: brown" title="This element is required"><b>R!</b></span> <span style="color: navy; opacity: 0.8"><a href="valueset-composition-attestation-mode.html" style="color: navy; opacity: 0.8">personal | professional | legal | official</a></span>
"<a href="documentreference-definitions.html#DocumentReference.attester.time" title="When the document was attested by the party." class="dict">time</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#dateTime">dateTime</a></span>>", <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">When the document was attested</a></span>
"<a href="documentreference-definitions.html#DocumentReference.attester.party" title="Who attested the document in the specified way." class="dict">party</a>" : { <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="organization.html#Organization">Organization</a>|<a href="patient.html#Patient">Patient</a>|<a href="practitioner.html#Practitioner">Practitioner</a>|<a href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|
<a href="relatedperson.html#RelatedPerson">RelatedPerson</a>)</span> } <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Who attested the document</a></span>
}],
"<a href="documentreference-definitions.html#DocumentReference.custodian" title="Identifies the organization or group who is responsible for ongoing maintenance of and access to the document." class="dict">custodian</a>" : { <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="organization.html#Organization">Organization</a>)</span> }, <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Organization which maintains the document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.relatesTo" title="Relationships that this document has with other document references that already exist." class="dict">relatesTo</a>" : [{ <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Relationships to other documents</a></span>
"<a href="documentreference-definitions.html#DocumentReference.relatesTo.code" title="The type of relationship that this document has with anther document." class="dict">code</a>" : { <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }, <span style="color: Gray">//</span> <span style="color: brown" title="This element is required"><b>R!</b></span> <span style="color: navy; opacity: 0.8"><a href="valueset-document-relationship-type.html" style="color: navy; opacity: 0.8">The relationship type with another document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.relatesTo.target" title="The target document of this relationship." class="dict">target</a>" : { <span style="color: darkgreen"><a href="references.html#Reference">Reference</a>(<a href="documentreference.html#DocumentReference">DocumentReference</a>)</span> } <span style="color: Gray">//</span> <span style="color: brown" title="This element is required"><b>R!</b></span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Target of the relationship</a></span>
}],
"<a href="documentreference-definitions.html#DocumentReference.description" title="Human-readable description of the source document." class="dict">description</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#markdown">markdown</a></span>>", <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Human-readable description</a></span>
"<a href="documentreference-definitions.html#DocumentReference.securityLabel" title="A set of Security-Tag codes specifying the level of privacy/security of the Document found at DocumentReference.content.attachment.url. Note that DocumentReference.meta.security contains the security labels of the data elements in DocumentReference, while DocumentReference.securityLabel contains the security labels for the document the reference refers to. The distinction recognizes that the document may contain sensitive information, while the DocumentReference is metadata about the document and thus might not be as sensitive as the document. For example: a psychotherapy episode may contain highly sensitive information, while the metadata may simply indicate that some episode happened." class="dict">securityLabel</a>" : [{ <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> }], <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="valueset-security-label-examples.html" style="color: navy; opacity: 0.8">Document security-tags</a></span>
"<a href="documentreference-definitions.html#DocumentReference.content" title="The document and format referenced. If there are multiple content element repetitions, these must all represent the same document in different format, or attachment metadata." class="dict">content</a>" : [{ <span style="color: Gray">//</span> <span style="color: brown" title="This element is required"><b>R!</b></span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Document referenced</a></span>
"<a href="documentreference-definitions.html#DocumentReference.content.attachment" title="The document or URL of the document along with critical metadata to prove content has integrity." class="dict">attachment</a>" : { <span style="color: darkgreen"><a href="datatypes.html#Attachment">Attachment</a></span> }, <span style="color: Gray">//</span> <span style="color: brown" title="This element is required"><b>R!</b></span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Where to access the document</a></span>
"<a href="documentreference-definitions.html#DocumentReference.content.profile" title="An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType." class="dict">profile</a>" : [{ <span style="color: Gray">//</span> <span style="color: navy; opacity: 0.8"><a href="terminologies.html#unbound" style="color: navy; opacity: 0.8">Content profile rules for the document</a></span>
<span style="color: Gray">// value[x]: <span style="color: navy; opacity: 0.8">Code|uri|canonical</span>. One of these 3:</span>
"<a href="documentreference-definitions.html#DocumentReference.content.profile.valueCoding" title="Code|uri|canonical." class="dict">valueCoding</a>" : { <span style="color: darkgreen"><a href="datatypes.html#Coding">Coding</a></span> },
"<a href="documentreference-definitions.html#DocumentReference.content.profile.valueUri" title="Code|uri|canonical." class="dict">valueUri</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#uri">uri</a></span>>",
"<a href="documentreference-definitions.html#DocumentReference.content.profile.valueCanonical" title="Code|uri|canonical." class="dict">valueCanonical</a>" : "<<span style="color: darkgreen"><a href="datatypes.html#canonical">canonical</a></span>>"
}]
}]
}
</pre>
</div>
</div>
<div id="ttl2">
<a name="ttl"></a>
<p><b>Turtle Template</b></p>
<div id="ttl-inner">
<pre class="spec">
@prefix fhir: <http://hl7.org/fhir/> .<span style="float: right"><a title="Documentation for this format" href="rdf.html"><img src="help.png" alt="doco"/></a></span>
[ a fhir:<a href="documentreference-definitions.html#DocumentReference" title="A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this "document" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference." class="dict"><b>DocumentReference</b></a>;
fhir:nodeRole fhir:treeRoot; # if this is the parser root
# from <a href="resource.html">Resource</a>: <a href="resource.html#id">.id</a>, <a href="resource.html#meta">.meta</a>, <a href="resource.html#implicitRules">.implicitRules</a>, and <a href="resource.html#language">.language</a>
# from <a href="domainresource.html">DomainResource</a>: <a href="narrative.html#Narrative">.text</a>, <a href="references.html#contained">.contained</a>, <a href="extensibility.html">.extension</a>, and <a href="extensibility.html#modifierExtension">.modifierExtension</a>
fhir:<a href="documentreference-definitions.html#DocumentReference.identifier" title="Other business identifiers associated with the document, including version independent identifiers." class="dict">identifier</a><a name="ttl-identifier"> </a> ( [ <a href="datatypes.html#Identifier">Identifier</a> ] ... ) ; # 0..* <span style="color: navy">Business identifiers for the document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.version" title="An explicitly assigned identifier of a variation of the content in the DocumentReference." class="dict">version</a><a name="ttl-version"> </a>[ <a href="datatypes.html#string">string</a> ] ; # 0..1 <span style="color: navy">An explicitly assigned identifier of a variation of the content in the DocumentReference</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.basedOn" title="A procedure that is fulfilled in whole or in part by the creation of this media." class="dict">basedOn</a><a name="ttl-basedOn"> </a> ( [ <a href="references.html#Reference">Reference</a>(<a href="appointment.html#Appointment">Appointment</a>|<a href="appointmentresponse.html#AppointmentResponse">AppointmentResponse</a>|<a href="careplan.html#CarePlan">CarePlan</a>|<a href="claim.html#Claim">Claim</a>|<a href="communicationrequest.html#CommunicationRequest">CommunicationRequest</a>|<a href="contract.html#Contract">Contract</a>|
<a href="coverageeligibilityrequest.html#CoverageEligibilityRequest">CoverageEligibilityRequest</a>|<a href="devicerequest.html#DeviceRequest">DeviceRequest</a>|<a href="enrollmentrequest.html#EnrollmentRequest">EnrollmentRequest</a>|
<a href="immunizationrecommendation.html#ImmunizationRecommendation">ImmunizationRecommendation</a>|<a href="medicationrequest.html#MedicationRequest">MedicationRequest</a>|<a href="nutritionorder.html#NutritionOrder">NutritionOrder</a>|
<a href="requestorchestration.html#RequestOrchestration">RequestOrchestration</a>|<a href="servicerequest.html#ServiceRequest">ServiceRequest</a>|<a href="supplyrequest.html#SupplyRequest">SupplyRequest</a>|<a href="visionprescription.html#VisionPrescription">VisionPrescription</a>) ] ... ) ; # 0..* <span style="color: navy">Procedure that caused this media to be created</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.status" title="The status of this document reference (this element modifies the meaning of other elements)" class="dict"><span style="text-decoration: underline">status</span></a><a name="ttl-status"> </a>[ <a href="datatypes.html#code">code</a> ] ; # 1..1 <span style="color: navy">current | superseded | entered-in-error</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.docStatus" title="The status of the underlying document." class="dict">docStatus</a><a name="ttl-docStatus"> </a>[ <a href="datatypes.html#code">code</a> ] ; # 0..1 <span style="color: navy">registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.modality" title="Imaging modality used. This may include both acquisition and non-acquisition modalities." class="dict">modality</a><a name="ttl-modality"> </a> ( [ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ... ) ; # 0..* <span style="color: navy">Imaging modality used</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.type" title="Specifies the particular kind of document referenced (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced." class="dict">type</a><a name="ttl-type"> </a>[ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ; # 0..1 <span style="color: navy">Kind of document (LOINC if possible)</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.category" title="A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type." class="dict">category</a><a name="ttl-category"> </a> ( [ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ... ) ; # 0..* <span style="color: navy">Categorization of document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.subject" title="Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure)." class="dict">subject</a><a name="ttl-subject"> </a>[ <a href="references.html#Reference">Reference</a>(<a href="resourcelist.html">Any</a>) ] ; # 0..1 <span style="color: navy">Who/what is the subject of the document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.context" title="Describes the clinical encounter or type of care that the document content is associated with." class="dict">context</a><a name="ttl-context"> </a> ( [ <a href="references.html#Reference">Reference</a>(<a href="appointment.html#Appointment">Appointment</a>|<a href="encounter.html#Encounter">Encounter</a>|<a href="episodeofcare.html#EpisodeOfCare">EpisodeOfCare</a>) ] ... ) ; # 0..* <span style="color: brown" title="docRef-1: facilityType SHALL only be present if context is not an encounter; docRef-2: practiceSetting SHALL only be present if context is not present"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a></span> <span style="color: navy">Context of the document content</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.event" title="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." class="dict">event</a><a name="ttl-event"> </a> ( [ <a href="references.html#CodeableReference">CodeableReference</a> ] ... ) ; # 0..* <span style="color: navy">Main clinical acts documented</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.bodySite" title="The anatomic structures included in the document." class="dict">bodySite</a><a name="ttl-bodySite"> </a> ( [ <a href="references.html#CodeableReference">CodeableReference</a>(<a href="bodystructure.html#BodyStructure">BodyStructure</a>) ] ... ) ; # 0..* <span style="color: navy">Body part included</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.facilityType" title="The kind of facility where the patient was seen." class="dict">facilityType</a><a name="ttl-facilityType"> </a>[ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ; # 0..1 <span style="color: brown" title="docRef-1: facilityType SHALL only be present if context is not an encounter"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a></span> <span style="color: navy">Kind of facility where patient was seen</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.practiceSetting" title="This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty." class="dict">practiceSetting</a><a name="ttl-practiceSetting"> </a>[ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ; # 0..1 <span style="color: brown" title="docRef-2: practiceSetting SHALL only be present if context is not present"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdeeee;" href="conformance-rules.html#constraints" title="This element has or is affected by some invariants">I</a></span> <span style="color: navy">Additional details about where the content was created (e.g. clinical specialty)</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.period" title="The time period over which the service that is described by the document was provided." class="dict">period</a><a name="ttl-period"> </a>[ <a href="datatypes.html#Period">Period</a> ] ; # 0..1 <span style="color: navy">Time of service that is being documented</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.date" title="When the document reference was created." class="dict">date</a><a name="ttl-date"> </a>[ <a href="datatypes.html#instant">instant</a> ] ; # 0..1 <span style="color: navy">When this document reference was created</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.author" title="Identifies who is responsible for adding the information to the document." class="dict">author</a><a name="ttl-author"> </a> ( [ <a href="references.html#Reference">Reference</a>(<a href="careteam.html#CareTeam">CareTeam</a>|<a href="device.html#Device">Device</a>|<a href="organization.html#Organization">Organization</a>|<a href="patient.html#Patient">Patient</a>|<a href="practitioner.html#Practitioner">Practitioner</a>|<a href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|<a href="relatedperson.html#RelatedPerson">RelatedPerson</a>) ] ... ) ; # 0..* <span style="color: navy">Who and/or what authored the document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.attester" title="A participant who has authenticated the accuracy of the document." class="dict">attester</a><a name="ttl-attester"> </a>( [ # 0..* <span style="color: navy">Attests to accuracy of the document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.attester.mode" title="The type of attestation the authenticator offers." class="dict">mode</a><a name="ttl-mode"> </a>[ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ; # 1..1 <span style="color: navy">personal | professional | legal | official</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.attester.time" title="When the document was attested by the party." class="dict">time</a><a name="ttl-time"> </a>[ <a href="datatypes.html#dateTime">dateTime</a> ] ; # 0..1 <span style="color: navy">When the document was attested</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.attester.party" title="Who attested the document in the specified way." class="dict">party</a><a name="ttl-party"> </a>[ <a href="references.html#Reference">Reference</a>(<a href="organization.html#Organization">Organization</a>|<a href="patient.html#Patient">Patient</a>|<a href="practitioner.html#Practitioner">Practitioner</a>|<a href="practitionerrole.html#PractitionerRole">PractitionerRole</a>|<a href="relatedperson.html#RelatedPerson">RelatedPerson</a>) ] ; # 0..1 <span style="color: navy">Who attested the document</span>
] ... ) ;
fhir:<a href="documentreference-definitions.html#DocumentReference.custodian" title="Identifies the organization or group who is responsible for ongoing maintenance of and access to the document." class="dict">custodian</a><a name="ttl-custodian"> </a>[ <a href="references.html#Reference">Reference</a>(<a href="organization.html#Organization">Organization</a>) ] ; # 0..1 <span style="color: navy">Organization which maintains the document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.relatesTo" title="Relationships that this document has with other document references that already exist." class="dict">relatesTo</a><a name="ttl-relatesTo"> </a>( [ # 0..* <span style="color: navy">Relationships to other documents</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.relatesTo.code" title="The type of relationship that this document has with anther document." class="dict">code</a><a name="ttl-code"> </a>[ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ; # 1..1 <span style="color: navy">The relationship type with another document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.relatesTo.target" title="The target document of this relationship." class="dict">target</a><a name="ttl-target"> </a>[ <a href="references.html#Reference">Reference</a>(<a href="documentreference.html#DocumentReference">DocumentReference</a>) ] ; # 1..1 <span style="color: navy">Target of the relationship</span>
] ... ) ;
fhir:<a href="documentreference-definitions.html#DocumentReference.description" title="Human-readable description of the source document." class="dict">description</a><a name="ttl-description"> </a>[ <a href="datatypes.html#markdown">markdown</a> ] ; # 0..1 <span style="color: navy">Human-readable description</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.securityLabel" title="A set of Security-Tag codes specifying the level of privacy/security of the Document found at DocumentReference.content.attachment.url. Note that DocumentReference.meta.security contains the security labels of the data elements in DocumentReference, while DocumentReference.securityLabel contains the security labels for the document the reference refers to. The distinction recognizes that the document may contain sensitive information, while the DocumentReference is metadata about the document and thus might not be as sensitive as the document. For example: a psychotherapy episode may contain highly sensitive information, while the metadata may simply indicate that some episode happened." class="dict">securityLabel</a><a name="ttl-securityLabel"> </a> ( [ <a href="datatypes.html#CodeableConcept">CodeableConcept</a> ] ... ) ; # 0..* <span style="color: navy">Document security-tags</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.content" title="The document and format referenced. If there are multiple content element repetitions, these must all represent the same document in different format, or attachment metadata." class="dict">content</a><a name="ttl-content"> </a>( [ # 1..* <span style="color: navy">Document referenced</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.content.attachment" title="The document or URL of the document along with critical metadata to prove content has integrity." class="dict">attachment</a><a name="ttl-attachment"> </a>[ <a href="datatypes.html#Attachment">Attachment</a> ] ; # 1..1 <span style="color: navy">Where to access the document</span>
fhir:<a href="documentreference-definitions.html#DocumentReference.content.profile" title="An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType." class="dict">profile</a><a name="ttl-profile"> </a>( [ # 0..* <span style="color: navy">Content profile rules for the document</span>
# <a href="documentreference-definitions.html#DocumentReference.content.profile.value[x]" title="Code|uri|canonical." class="dict">value[x]</a><a name="ttl-value[x]"> </a>: 1..1 <span style="color: navy">Code|uri|canonical</span>. One of these 3
fhir:<a href="documentreference-definitions.html#DocumentReference.content.profile.value" title="Code|uri|canonical." class="dict">value</a><a name="ttl-value"> </a>[ a fhir:Coding ; <a href="datatypes.html#Coding">Coding</a> ]
fhir:<a href="documentreference-definitions.html#DocumentReference.content.profile.value" title="Code|uri|canonical." class="dict">value</a><a name="ttl-value"> </a>[ a fhir:uri ; <a href="datatypes.html#uri">uri</a> ]
fhir:<a href="documentreference-definitions.html#DocumentReference.content.profile.value" title="Code|uri|canonical." class="dict">value</a><a name="ttl-value"> </a>[ a fhir:canonical ; <a href="datatypes.html#canonical">canonical</a> ]
] ... ) ;
] ... ) ;
]
</pre>
</div>
</div>
<div id="vdiff2">
<div id="diff-inner2">
<p><b>Changes from both R4 and R4B</b></p>
<table class="grid"><tr class="diff-item"><td class="diff-left"><a href="documentreference.html#DocumentReference">DocumentReference</a></td><td class="diff-right"/></tr><tr class="diff-new"><td class="diff-left">DocumentReference.version</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.basedOn</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.docStatus</td><td class="diff-right"><ul><li>Add codes <code>registered</code>, <code>partial</code>, <code>corrected</code>, <code>appended</code>, <code>cancelled</code>, <code>deprecated</code>, <code>unknown</code></li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.modality</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.subject</td><td class="diff-right"><ul><li>Type Reference: Added Target Type Resource</li><li>Type Reference: Removed Target Types Patient, Practitioner, Group, Device</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.context</td><td class="diff-right"><ul><li>Max Cardinality changed from 1 to *</li><li>Type changed from BackboneElement to Reference(Appointment | Encounter | EpisodeOfCare)</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.event</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.bodySite</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.facilityType</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.practiceSetting</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.period</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.author</td><td class="diff-right"><ul><li>Type Reference: Added Target Type CareTeam</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.attester</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.attester.mode</td><td class="diff-right"><ul><li><b>Added Mandatory Element</b></li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.attester.time</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.attester.party</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.relatesTo.code</td><td class="diff-right"><ul><li>Type changed from code to CodeableConcept</li><li>Change binding strength from required to extensible</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.description</td><td class="diff-right"><ul><li>Type changed from string to markdown</li></ul></td></tr><tr class="diff-entry"><td class="diff-left">DocumentReference.securityLabel</td><td class="diff-right"><ul><li>Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.content.profile</td><td class="diff-right"><ul><li>Added Element</li></ul></td></tr><tr class="diff-new"><td class="diff-left">DocumentReference.content.profile.value[x]</td><td class="diff-right"><ul><li><b>Added Mandatory Element</b></li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.masterIdentifier</td><td class="diff-right"><ul><li>Deleted (-> identifier)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.authenticator</td><td class="diff-right"><ul><li>Deleted (-> attester)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.content.format</td><td class="diff-right"><ul><li>Deleted (-> content.profile)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.encounter</td><td class="diff-right"><ul><li>Deleted (-> context)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.event</td><td class="diff-right"><ul><li>Deleted (-> event)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.period</td><td class="diff-right"><ul><li>Deleted (-> period)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.facilityType</td><td class="diff-right"><ul><li>Deleted (-> facilityType)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.practiceSetting</td><td class="diff-right"><ul><li>Deleted (-> practiceSetting)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.sourcePatientInfo</td><td class="diff-right"><ul><li>Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient)</li></ul></td></tr><tr class="diff-del"><td class="diff-left">DocumentReference.context.related</td><td class="diff-right"><ul><li>Deleted (-> basedOn)</li></ul></td></tr></table>
<p>See the <a href="diff.html">Full Difference</a> for further information</p>
<p>
This analysis is available for R4 as <a href="documentreference.r4.diff.xml">XML</a> or <a href="documentreference.r4.diff.json">JSON</a>
and for R4B as <a href="documentreference.r4b.diff.xml">XML</a> or <a href="documentreference.r4b.diff.json">JSON</a>.
</p>
<p>See <a href="https://build.fhir.org/ig/HL7/fhir-extensions/conversions-DocumentReference.html">R4 <--> R5 Conversion Maps</a> (status = See <a href="https://build.fhir.org/ig/HL7/fhir-extensions/conversion-registry.html">Conversions Summary</a>.)</p>
</div>
</div>
</div>
</div>
<p> </p>
<p>Additional definitions: Master Definition <a href="documentreference.profile.xml.html">XML</a> + <a href="documentreference.profile.json.html">JSON</a>,
<a href="xml.html">XML</a> <a href="documentreference.xsd">Schema</a>/<a href="documentreference.sch">Schematron</a> + <a href="json.html">JSON</a>
<a href="documentreference.schema.json.html">Schema</a>, <a href="documentreference.shex.html">ShEx</a> (for <a href="rdf.html">Turtle</a>) + <a href="documentreference-profiles.html">see the extensions</a>, the <a href="documentreference.xlsx">spreadsheet version</a> & the <a href="documentreference-dependencies.html">dependency analysis</a></p>
<a name="tx"></a>
<h3>
Terminology Bindings
</h3>
<table class="grid">
<tr><th>Path</th><th>ValueSet</th><th>Type</th><th>Documentation</th></tr>
<tr><td valign="top" title="DocumentReferenceStatus">DocumentReference.status </td><td valign="top"><a href="valueset-document-reference-status.html">DocumentReferenceStatus</a><!-- b --> </td><td><a href="terminologies.html#required">Required</a></td><td valign="top"><p>The status of the document reference.</p>
</td> </tr>
<tr><td valign="top" title="Composition Status">DocumentReference.docStatus </td><td valign="top"><a href="valueset-composition-status.html">CompositionStatus</a><!-- b --> </td><td><a href="terminologies.html#required">Required</a></td><td valign="top"><p>The workflow/clinical status of the composition.</p>
</td> </tr>
<tr><td valign="top" title="Modality">DocumentReference.modality </td><td valign="top"><a href="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html">Modality</a><!-- b --></td><td><a href="terminologies.html#extensible">Extensible</a></td><td valign="top"><p>Transitive closure of CID 33 Modality</p>
</td> </tr>
<tr><td valign="top" title="FHIR Document Type Codes">DocumentReference.type </td><td valign="top"><a href="valueset-doc-typecodes.html">FHIRDocumentTypeCodes</a><!-- b --></td><td><a href="terminologies.html#preferred">Preferred</a></td><td valign="top"><p>FHIR Document Codes - all LOINC codes where scale type = 'DOC'.</p>
</td> </tr>
<tr><td valign="top" title="Referenced Item Category Value Set">DocumentReference.category </td><td valign="top"><a href="valueset-referenced-item-category.html">ReferencedItemCategoryValueSet</a><!-- b --></td><td><a href="terminologies.html#example">Example</a></td><td valign="top"><p>This is the code specifying the high-level kind of document (e.g. Prescription, Discharge Summary, Report, etc.). Made up of a set of non-healthcare specific codes and all LOINC codes where scale type = 'DOC'.</p>
</td> </tr>
<tr><td valign="top" title="v3 Code System ActCode">DocumentReference.event </td><td valign="top"><a href="http://terminology.hl7.org/5.4.0/ValueSet-v3-ActCode.html">ActCode</a><!-- b --> </td><td><a href="terminologies.html#example">Example</a></td><td valign="top"><p>A code specifying the particular kind of Act that the Act-instance represents within its class. Constraints:
The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. The coding system will depend on the class of Act, such as LOINC for observations, etc. Conceptually, the Act.code must be a specialization of the Act.classCode. This is why the structure of ActClass domain should be reflected in the superstructure of the ActCode domain and then individual codes or externally referenced vocabularies subordinated under these domains that reflect the ActClass structure. Act.classCode and Act.code are not modifiers of each other but the Act.code concept should really imply the Act.classCode concept. For a negative example, it is not appropriate to use an Act.code "potassium" together with and Act.classCode for "laboratory observation" to somehow mean "potassium laboratory observation" and then use the same Act.code for "potassium" together with Act.classCode for "medication" to mean "substitution of potassium". This mutually modifying use of Act.code and Act.classCode is not permitted.</p>
</td> </tr>
<tr><td valign="top" title="SNOMED CT Body Structures">DocumentReference.bodySite </td><td valign="top"><a href="valueset-body-site.html">SNOMEDCTBodyStructures</a><!-- b --></td><td><a href="terminologies.html#example">Example</a></td><td valign="top"><p>This value set includes all codes from <a href="http://snomed.info/sct">SNOMED CT</a> where concept is-a 442083009 (Anatomical or acquired body site (body structure)).</p>
</td> </tr>
<tr><td valign="top" title="Facility Type Code Value Set">DocumentReference.facilityType </td><td valign="top"><a href="valueset-c80-facilitycodes.html">FacilityTypeCodeValueSet</a><!-- b --></td><td><a href="terminologies.html#example">Example</a></td><td valign="top"><p>This is the code representing the type of organizational setting where the clinical encounter, service, interaction, or treatment occurred. The value set used for Healthcare Facility Type has been defined by HITSP to be the value set reproduced from HITSP C80 Table 2-147.</p>
</td> </tr>
<tr><td valign="top" title="Practice Setting Code Value Set">DocumentReference.practiceSetting </td><td valign="top"><a href="valueset-c80-practice-codes.html">PracticeSettingCodeValueSet</a><!-- b --></td><td><a href="terminologies.html#example">Example</a></td><td valign="top"><p>This is the code representing the clinical specialty of the clinician or provider who interacted with, treated, or provided a service to/for the patient. The value set used for clinical specialty has been limited by HITSP to the value set reproduced from HITSP C80 Table 2-149 Clinical Specialty Value Set Definition.</p>
</td> </tr>
<tr><td valign="top" title="Composition Attestation Mode">DocumentReference.attester.mode </td><td valign="top"><a href="valueset-composition-attestation-mode.html">CompositionAttestationMode</a><!-- b --> </td><td><a href="terminologies.html#preferred">Preferred</a></td><td valign="top"><p>The way in which a person authenticated a composition.</p>
</td> </tr>
<tr><td valign="top" title="Document Relationship Type">DocumentReference.relatesTo.code </td><td valign="top"><a href="valueset-document-relationship-type.html">DocumentRelationshipType</a><!-- b --> </td><td><a href="terminologies.html#extensible">Extensible</a></td><td valign="top"><p>The type of relationship between documents.</p>
</td> </tr>
<tr><td valign="top" title="Example set of Security Labels">DocumentReference.securityLabel </td><td valign="top"><a href="valueset-security-label-examples.html">SecurityLabelExamples</a><!-- b --></td><td><a href="terminologies.html#example">Example</a></td><td valign="top"><p>A sample of security labels from <a href="security-labels.html#hcs">Healthcare Privacy and Security Classification System</a> as the combination of data and event codes.</p>
</td> </tr>
<tr><td valign="top" title="HL7 ValueSet of Format Codes for use with Document Sharing">DocumentReference.content.profile.value[x] </td><td valign="top"><a href="http://terminology.hl7.org/5.4.0/ValueSet-v3-HL7FormatCodes.html">HL7FormatCodes</a><!-- b --></td><td><a href="terminologies.html#preferred">Preferred</a></td><td valign="top"><p>The HL7-FormatCodes value set is defined to be the set of FormatCode(s) defined by implementation guides published by HL7 and other SDOs. The use of a formatCode from the FormatCodes value set specifies the technical format that a document conforms to. The formatCode is a further specialization more detailed than the mime-type. The formatCode provides sufficient information to allow any potential document content consumer to know if it can process and/or display the content of the document based on the document encoding, structure and template conformance indicated by the formatCode. The set of formatCodes is intended to be extensible. The Content Logical Description is defined intentionally to permit formatCodes defined by other Standards Development Organizations to be added by inclusion of additional formatCode Code Systems.</p>
</td> </tr>
</table>
<p> </p>
<a name="invs"> </a>
<h3>Constraints</h3><div><table class="grid"><tr><td width="60"><b>UniqueKey</b></td><td><b>Level</b></td><td><b>Location</b></td><td><b>Description</b></td><td><b><a href="fhirpath.html">Expression</a></b></td></tr><tr><td><b title="Formal Invariant Identifier"><img src="assets/images/test-ok.png" alt="img"/> docRef-1</b></td><td><a href="conformance-rules.html#warning" style="color: Chocolate">Warning</a> </td><td>(base)</td><td>facilityType SHALL only be present if context is not an encounter</td><td><span style="font-family: Courier New, monospace">facilityType.empty() or context.where(resolve() is Encounter).empty()</span></td></tr><tr><td><b title="Formal Invariant Identifier"><img src="assets/images/test-ok.png" alt="img"/> docRef-2</b></td><td><a href="conformance-rules.html#warning" style="color: Chocolate">Warning</a> </td><td>(base)</td><td>practiceSetting SHALL only be present if context is not present</td><td><span style="font-family: Courier New, monospace">practiceSetting.empty() or context.where(resolve() is Encounter).empty()</span></td></tr></table></div><br/>
<a name="impl"></a>
<h2>Implementation Notes</h2>
<ul>
<li>The resources maintain one way relationships that point backwards - e.g., the document that replaces one document points towards the document that it replaced. The reverse relationships can be followed by using
indexes built from the resources. Typically, this is done using the search parameters described below. Given that documents may have other documents that replace or append them, clients should always check these relationships when accessing documents</li>
<li>The _content search parameter shall search across the DocumentReference.content.attachment.data, and DocumentReference.content.url.</li>
<li>If the referenced resource changes, then the corresponding DocumentRefererence may be out of sync temporarily. Coordination will be needed to ensure that the DocumentReference gets updated if the referenced resource changes (and to not allow updates to the DocumentReference that cause it to be misaligned with the referenced resource).</li>
</ul>
<!-- No longer needed now that we have format code vocabulary
<h3>Document Formats</h3>
<p>
In addition to a <code>.content.contentType</code>, there is also a <i>format</i> element of type
<a href="datatypes.html#Coding">Coding</a> that indicates that the format and/or content of the
document conforms to additional rules beyond the base format indicated in the mimeType. This is most
often used when the mime-type is text/xml, to provide additional information for finding the correct
document.
</p>
<p>
Several organizations define codes for document formats:
</p>
<ul>
<li>HL7 for CCDA levels:
<ul>
<li>urn:hl7-org:sdwg:ccda-level-1:1.1</li>
<li>urn:hl7-org:sdwg:ccda-level-2:1.1</li>
<li>urn:hl7-org:sdwg:ccda-level-3:1.1</li>
</ul>
</li>
<li>ASTM for CCR:
<ul>
<li>urn:astm-org:CCR</li>
</ul>
</li>
<li>IHE:
<ul>
<li>See <a href="http://wiki.ihe.net/index.php?title=IHE_Format_Codes">IHE Format Codes</a></li>
<li>See <a href="http://wiki.ihe.net/index.php?title=PCC_Vocabulary_Registry_and_Data_Dictionary">PCC Vocabulary Registry</a></li>
</ul>
</li>
</ul>
<p>
Note that IHE specifies that their URNs and OIDs are codes in the code system <code>urn:oid:1.3.6.1.4.1.19376.1.2.3</code>.
HL7 and ASTM URIs are in the general URI code system <code>urn:ietf:rfc:3986</code>.
</p>
-->
<!-- moved to a formal operation
<h3>Generating a Document Reference</h3>
<p>
A client can ask a server to generate a document reference from a document.
The server reads the existing document and generates a matching DocumentReference
resource, or returns one it has previously generated. Servers may be able to
return or generate document references for the following types of content:
</p>
<table class="grid">
<tr> <td><b>Type</b></td> <td><b>Comments</b></td> </tr>
<tr> <td><a href="documents.html">FHIR Documents</a></td> <td>The uri refers to an existing Document</td> </tr>
<tr> <td><a href="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=7">CDA</a> Document</td> <td>The uri is a reference to a <a href="binary.html">Binary</a> end-point that returns either a CDA
document, or some kind of CDA Package that the server knows how to process (e.g., an IHE .zip) </td> </tr>
<tr> <td>Other</td> <td>The server can be asked to generate a document reference for other kinds of
documents. For some of these documents (e.g., PDF documents) a server could only provide a
document reference if it already existed or the server had special knowledge of the document.</td> </tr>
</table>
<p>
The server either returns a search result containing a single document reference,
or it returns an error.
If the URI refers to another server, it is at the discretion of the
server whether to retrieve it or return an error.
</p>
<p>
The operation is initiated by a named query, using _query=generate on the /DocumentReference
end-point:
</p>
<pre>
GET [service-url]/DocumentReference/?_query=generate&uri=:url&...
</pre>
<p>
The "uri" parameter is a relative or absolute reference to one of the
document types described above. Other parameters may be supplied:
</p>
<table class="grid">
<tr> <td><b>Name</b></td> <td><b>Meaning</b></td> </tr>
<tr> <td>persist</td> <td>Whether to store the document at the document end-point (/Document) or not, once it is generated. Value = true or false (default is for the server to decide).</td> </tr>
</table>
-->
<a name="search"></a>
<h2>Search Parameters</h2>
<p>
Search parameters for this resource. See also the <a href="documentreference-search.html">full list of search parameters for this resource</a>,
and check the <a href="https://build.fhir.org/ig/HL7/fhir-extensions/extensions-DocumentReference.html#search">Extensions registry</a> for search parameters on extensions related to this resource.
The <a href="search.html#all">common parameters</a> also apply. See <a href="search.html">Searching</a> for more
information about searching in REST, messaging, and services.
</p>
<table class="list">
<tr><td><b>Name</b></td><td><b>Type</b></td><td><b>Description</b></td><td><b>Expression</b></td><td><b>In Common</b></td></tr>
<tr><td><a name="sp-attester"> </a><a href="documentreference-search.html#DocumentReference-attester">attester</a></td><td><a href="search.html#reference">reference</a></td><td>Who attested the document</td><td>DocumentReference.attester.party</td><td></td></tr>
<tr><td><a name="sp-author"> </a><a href="documentreference-search.html#DocumentReference-author">author</a></td><td><a href="search.html#reference">reference</a></td><td>Who and/or what authored the document</td><td>DocumentReference.author</td><td></td></tr>
<tr><td><a name="sp-based-on"> </a><a href="documentreference-search.html#DocumentReference-based-on">based-on</a></td><td><a href="search.html#reference">reference</a></td><td>Procedure that caused this media to be created</td><td>DocumentReference.basedOn</td><td></td></tr>
<tr><td><a name="sp-bodysite"> </a><a href="documentreference-search.html#DocumentReference-bodysite">bodysite</a></td><td><a href="search.html#token">token</a></td><td>The body site studied</td><td>DocumentReference.bodySite.concept</td><td></td></tr>
<tr><td><a name="sp-bodysite-reference"> </a><a href="documentreference-search.html#DocumentReference-bodysite-reference">bodysite-reference</a></td><td><a href="search.html#reference">reference</a></td><td>The body site studied</td><td>DocumentReference.bodySite.reference</td><td></td></tr>
<tr><td><a name="sp-category"> </a><a href="documentreference-search.html#DocumentReference-category">category</a></td><td><a href="search.html#token">token</a></td><td>Categorization of document</td><td>DocumentReference.category</td><td></td></tr>
<tr><td><a name="sp-contenttype"> </a><a href="documentreference-search.html#DocumentReference-contenttype">contenttype</a></td><td><a href="search.html#token">token</a></td><td>Mime type of the content, with charset etc.</td><td>DocumentReference.content.attachment.contentType</td><td></td></tr>
<tr><td><a name="sp-context"> </a><a href="documentreference-search.html#DocumentReference-context">context</a></td><td><a href="search.html#reference">reference</a></td><td>Context of the document content</td><td>DocumentReference.context</td><td></td></tr>
<tr><td><a name="sp-creation"> </a><a href="documentreference-search.html#DocumentReference-creation">creation</a></td><td><a href="search.html#date">date</a></td><td>Date attachment was first created</td><td>DocumentReference.content.attachment.creation</td><td></td></tr>
<tr><td><a name="sp-custodian"> </a><a href="documentreference-search.html#DocumentReference-custodian">custodian</a></td><td><a href="search.html#reference">reference</a></td><td>Organization which maintains the document</td><td>DocumentReference.custodian</td><td></td></tr>
<tr><td><a name="sp-date"> </a><a href="documentreference-search.html#clinical-date">date</a></td><td><a href="search.html#date">date</a></td><td>When this document reference was created</td><td>DocumentReference.date</td><td><a href="searchparameter-registry.html#clinical-date">26 Resources</a></td></tr>
<tr><td><a name="sp-description"> </a><a href="documentreference-search.html#DocumentReference-description">description</a></td><td><a href="search.html#string">string</a></td><td>Human-readable description</td><td>DocumentReference.description</td><td></td></tr>
<tr><td><a name="sp-doc-status"> </a><a href="documentreference-search.html#DocumentReference-doc-status">doc-status</a></td><td><a href="search.html#token">token</a></td><td>preliminary | final | amended | entered-in-error</td><td>DocumentReference.docStatus</td><td></td></tr>
<tr><td><a name="sp-event-code"> </a><a href="documentreference-search.html#DocumentReference-event-code">event-code</a></td><td><a href="search.html#token">token</a></td><td>Main clinical acts documented</td><td>DocumentReference.event.concept</td><td></td></tr>
<tr><td><a name="sp-event-reference"> </a><a href="documentreference-search.html#DocumentReference-event-reference">event-reference</a></td><td><a href="search.html#reference">reference</a></td><td>Main clinical acts documented</td><td>DocumentReference.event.reference</td><td></td></tr>
<tr><td><a name="sp-facility"> </a><a href="documentreference-search.html#DocumentReference-facility">facility</a></td><td><a href="search.html#token">token</a></td><td>Kind of facility where patient was seen</td><td>DocumentReference.facilityType</td><td></td></tr>
<tr><td><a name="sp-format-canonical"> </a><a href="documentreference-search.html#DocumentReference-format-canonical">format-canonical</a></td><td><a href="search.html#reference">reference</a></td><td>Profile canonical content rules for the document</td><td>(DocumentReference.content.profile.value.ofType(canonical))</td><td></td></tr>
<tr><td><a name="sp-format-code"> </a><a href="documentreference-search.html#DocumentReference-format-code">format-code</a></td><td><a href="search.html#token">token</a></td><td>Format code content rules for the document</td><td>(DocumentReference.content.profile.value.ofType(Coding))</td><td></td></tr>
<tr><td><a name="sp-format-uri"> </a><a href="documentreference-search.html#DocumentReference-format-uri">format-uri</a></td><td><a href="search.html#uri">uri</a></td><td>Profile URI content rules for the document</td><td>(DocumentReference.content.profile.value.ofType(uri))</td><td></td></tr>
<tr><td><a name="sp-identifier"> </a><a href="documentreference-search.html#clinical-identifier">identifier</a></td><td><a href="search.html#token">token</a></td><td>Identifier of the attachment binary</td><td>DocumentReference.identifier</td><td><a href="searchparameter-registry.html#clinical-identifier">65 Resources</a></td></tr>
<tr><td><a name="sp-language"> </a><a href="documentreference-search.html#DocumentReference-language">language</a></td><td><a href="search.html#token">token</a></td><td>Human language of the content (BCP-47)</td><td>DocumentReference.content.attachment.language</td><td></td></tr>
<tr><td><a name="sp-location"> </a><a href="documentreference-search.html#DocumentReference-location">location</a></td><td><a href="search.html#uri">uri</a></td><td>Uri where the data can be found</td><td>DocumentReference.content.attachment.url</td><td></td></tr>
<tr><td><a name="sp-modality"> </a><a href="documentreference-search.html#DocumentReference-modality">modality</a></td><td><a href="search.html#token">token</a></td><td>The modality used</td><td>DocumentReference.modality</td><td></td></tr>
<tr><td><a name="sp-patient"> </a><a href="documentreference-search.html#clinical-patient">patient</a></td><td><a href="search.html#reference">reference</a></td><td>Who/what is the subject of the document</td><td>DocumentReference.subject.where(resolve() is Patient)<br/>(<a href="patient.html">Patient</a>)</td><td><a href="searchparameter-registry.html#clinical-patient">66 Resources</a></td></tr>
<tr><td><a name="sp-period"> </a><a href="documentreference-search.html#DocumentReference-period">period</a></td><td><a href="search.html#date">date</a></td><td>Time of service that is being documented</td><td>DocumentReference.period</td><td></td></tr>
<tr><td><a name="sp-relatesto"> </a><a href="documentreference-search.html#DocumentReference-relatesto">relatesto</a></td><td><a href="search.html#reference">reference</a></td><td>Target of the relationship</td><td>DocumentReference.relatesTo.target</td><td></td></tr>
<tr><td><a name="sp-relation"> </a><a href="documentreference-search.html#DocumentReference-relation">relation</a></td><td><a href="search.html#token">token</a></td><td>replaces | transforms | signs | appends</td><td>DocumentReference.relatesTo.code</td><td></td></tr>
<tr><td><a name="sp-relationship"> </a><a href="documentreference-search.html#DocumentReference-relationship">relationship</a></td><td><a href="search.html#composite">composite</a></td><td>Combination of relation and relatesTo</td><td>On DocumentReference.relatesTo:<br/> relatesto: code<br/> relation: target</td><td></td></tr>
<tr><td><a name="sp-security-label"> </a><a href="documentreference-search.html#DocumentReference-security-label">security-label</a></td><td><a href="search.html#token">token</a></td><td>Document security-tags</td><td>DocumentReference.securityLabel</td><td></td></tr>
<tr><td><a name="sp-setting"> </a><a href="documentreference-search.html#DocumentReference-setting">setting</a></td><td><a href="search.html#token">token</a></td><td>Additional details about where the content was created (e.g. clinical specialty)</td><td>DocumentReference.practiceSetting</td><td></td></tr>
<tr><td><a name="sp-status"> </a><a href="documentreference-search.html#DocumentReference-status">status</a></td><td><a href="search.html#token">token</a></td><td>current | superseded | entered-in-error</td><td>DocumentReference.status</td><td></td></tr>
<tr><td><a name="sp-subject"> </a><a href="documentreference-search.html#DocumentReference-subject">subject</a></td><td><a href="search.html#reference">reference</a></td><td>Who/what is the subject of the document</td><td>DocumentReference.subject</td><td></td></tr>
<tr><td><a name="sp-type"> </a><a href="documentreference-search.html#clinical-type">type</a></td><td><a href="search.html#token">token</a></td><td>Kind of document (LOINC if possible)</td><td>DocumentReference.type</td><td><a href="searchparameter-registry.html#clinical-type">11 Resources</a></td></tr>
<tr><td><a name="sp-version"> </a><a href="documentreference-search.html#DocumentReference-version">version</a></td><td><a href="search.html#string">string</a></td><td>The business version identifier</td><td>DocumentReference.version</td><td></td></tr>
</table>
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FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-cibuild generated on Tue, Dec 12, 2023 17:06-0600.
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