| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| TU | DomainResource | A reference to a document + Warning: facilityType SHALL only be present if context is not an encounter + Warning: practiceSetting SHALL only be present if context is not present Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | ||
| Σ | 0..* | Identifier | Business identifiers for the document | |
| Σ | 0..1 | string | An explicitly assigned identifer of a variation of the content in the DocumentReference | |
| 0..* | Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | VisionPrescription) | Procedure that caused this media to be created | ||
| ?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (Required) | |
| Σ | 0..1 | code | registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown Binding: Composition Status (Required) | |
| Σ | 0..* | CodeableConcept | Imaging modality used Binding: Modality (Extensible) | |
| Σ | 0..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: FHIR Document Type Codes (Preferred) | |
| Σ | 0..* | CodeableConcept | Categorization of document Binding: Referenced Item Category Value Set (Example) | |
| Σ | 0..1 | Reference(Any) | Who/what is the subject of the document | |
| C | 0..* | Reference(Appointment | Encounter | EpisodeOfCare) | Context of the document content | |
| 0..* | CodeableReference() | Main clinical acts documented Binding: v3 Code System ActCode (Example) | ||
| Σ | 0..* | CodeableReference(BodyStructure) | Body part included Binding: SNOMED CT Body Structures (Example) | |
| C | 0..1 | CodeableConcept | Kind of facility where patient was seen Binding: Facility Type Code Value Set (Example) | |
| C | 0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding: Practice Setting Code Value Set (Example) | |
| Σ | 0..1 | Period | Time of service that is being documented | |
| Σ | 0..1 | instant | When this document reference was created | |
| Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam) | Who and/or what authored the document | |
| 0..* | BackboneElement | Attests to accuracy of the document | ||
| 1..1 | CodeableConcept | personal | professional | legal | official Binding: Composition Attestation Mode (Preferred) | ||
| 0..1 | dateTime | When the document was attested | ||
| 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the document | ||
| 0..1 | Reference(Organization) | Organization which maintains the document | ||
| Σ | 0..* | BackboneElement | Relationships to other documents | |
| Σ | 1..1 | CodeableConcept | The relationship type with another document Binding: Document Relationship Type (Extensible) | |
| Σ | 1..1 | Reference(DocumentReference) | Target of the relationship | |
| Σ | 0..1 | markdown | Human-readable description | |
| Σ | 0..* | CodeableConcept | Document security-tags Binding: Example set of Security Labels (Example) | |
| Σ | 1..* | BackboneElement | Document referenced | |
| Σ | 1..1 | Attachment | Where to access the document | |
| Σ | 0..* | BackboneElement | Content profile rules for the document | |
| Σ | 1..1 | Code|uri|canonical Binding: HL7 ValueSet of Format Codes for use with Document Sharing (Preferred) | ||
| Coding | ||||
| uri | ||||
| canonical() | ||||