Uzbekistan Digital Health Platform - Integrations
0.1.0 - ci-build Uzbekistan flag

Uzbekistan Digital Health Platform - Integrations - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Data Type Profile:

Computable Name:

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* DocumentReference(5.0.0) A reference to a document
Constraints: docRef-1, docRef-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 1..1 code current | superseded | entered-in-error
Binding: DocRefStatusVS (0.1.0) (required)
... docStatus SΣ 0..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: DocRefComStatusVS (0.1.0) (required)
... subject SΣ 0..1 Reference(Patient of Birth(0.1.0)) A newborn baby
... context SC 0..* Reference(Encounter of Birth(0.1.0)) When encountering a newborn baby
... practiceSetting SC 0..1 CodeableConcept Additional information about the content creation location (for example, clinical specialization)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
... period SΣ 0..1 Period Maintenance time, which is documented
... date SΣ 0..1 instant When was this document link created?
... author SΣ 0..* Reference(UZ Core Practitioner(0.3.0) | UZ Core Organization(0.3.0)) Who and/or what is the author of the document
... attester S 0..* BackboneElement Confirms the accuracy of the document.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... mode S 1..1 CodeableConcept personal | professional | legal | official
Binding: DocRefComAttVS (0.1.0) (required)
.... time S 0..1 dateTime When the document was certified
.... party S 0..1 Reference(UZ Core Organization(0.3.0)) Who certified the document?
... custodian S 0..1 Reference(UZ Core Organization(0.3.0)) The organization that maintains the document
... relatesTo SΣ 0..* BackboneElement A certificate from the hospital is attached.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 1..1 CodeableConcept The relationship type with another document
Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.
.... target SΣ 1..1 Reference(DocumentReference) The purpose of the relationship
... description SΣ 0..1 markdown A human-readable description
... content Σ 1..* BackboneElement Document referenced
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... attachment Σ 1..1 Attachment Where to access the document
.... profile SΣ 0..* BackboneElement Document Content Profile Rules
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... value[x] SΣ 1..1 Code|uri|canonical
Binding: HL7FormatCodes (2.1.0) (required)
...... valueCoding Coding
...... valueUri uri
...... valueCanonical canonical(Any)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required Document Reference Status ValueSet 📍0.1.0 This IG
DocumentReference.docStatus Base required Document Reference Status ValueSet 📍0.1.0 This IG
DocumentReference.practiceSetting Base example Practice Setting Code Value Set 📍5.0.0 FHIR Std.
DocumentReference.attester.​mode Base required Document Reference Composition Attestattion 📍0.1.0 This IG
DocumentReference.relatesTo.​code Base extensible Document Relationship Type 📍5.0.0 FHIR Std.
DocumentReference.content.​profile.value[x] Base required HL7 ValueSet of Format Codes for use with Document Sharing 📍2.1.0 THO v7.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
docRef-1 warning DocumentReference facilityType SHALL only be present if context is not an encounter facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2 warning DocumentReference practiceSetting SHALL only be present if context is not present practiceSetting.empty() or context.where(resolve() is Encounter).empty()
ele-1 error DocumentReference.implicitRules, DocumentReference.modifierExtension, DocumentReference.identifier, DocumentReference.status, DocumentReference.docStatus, DocumentReference.subject, DocumentReference.context, DocumentReference.practiceSetting, DocumentReference.period, DocumentReference.date, DocumentReference.author, DocumentReference.attester, DocumentReference.attester.modifierExtension, DocumentReference.attester.mode, DocumentReference.attester.time, DocumentReference.attester.party, DocumentReference.custodian, DocumentReference.relatesTo, DocumentReference.relatesTo.modifierExtension, DocumentReference.relatesTo.code, DocumentReference.relatesTo.target, DocumentReference.description, DocumentReference.content, DocumentReference.content.modifierExtension, DocumentReference.content.attachment, DocumentReference.content.profile, DocumentReference.content.profile.modifierExtension, DocumentReference.content.profile.value[x] All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DocumentReference.modifierExtension, DocumentReference.attester.modifierExtension, DocumentReference.relatesTo.modifierExtension, DocumentReference.content.modifierExtension, DocumentReference.content.profile.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference(5.0.0) A reference to a document
... identifier S 0..* Identifier Business identifiers for the document
... status S 1..1 code current | superseded | entered-in-error
Binding: DocRefStatusVS (0.1.0) (required)
... docStatus S 0..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: DocRefComStatusVS (0.1.0) (required)
... context S 0..* Reference(Encounter of Birth(0.1.0)) When encountering a newborn baby
... practiceSetting S 0..1 CodeableConcept Additional information about the content creation location (for example, clinical specialization)
... period S 0..1 Period Maintenance time, which is documented
... date S 0..1 instant When was this document link created?
... author S 0..* Reference(UZ Core Practitioner(0.3.0) | UZ Core Organization(0.3.0)) Who and/or what is the author of the document
... attester S 0..* BackboneElement Confirms the accuracy of the document.
.... mode S 1..1 CodeableConcept personal | professional | legal | official
Binding: DocRefComAttVS (0.1.0) (required)
.... time S 0..1 dateTime When the document was certified
.... party S 0..1 Reference(UZ Core Organization(0.3.0)) Who certified the document?
... custodian S 0..1 Reference(UZ Core Organization(0.3.0)) The organization that maintains the document
... relatesTo S 0..* BackboneElement A certificate from the hospital is attached.
.... target S 1..1 Reference(DocumentReference) The purpose of the relationship
... description S 0..1 markdown A human-readable description
... content
.... profile S 0..* BackboneElement Document Content Profile Rules
..... value[x] S 1..1 Coding, uri, canonical() Code|uri|canonical
Binding: HL7FormatCodes (2.1.0) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.status Base required Document Reference Status ValueSet 📍0.1.0 This IG
DocumentReference.docStatus Base required Document Reference Status ValueSet 📍0.1.0 This IG
DocumentReference.attester.​mode Base required Document Reference Composition Attestattion 📍0.1.0 This IG
DocumentReference.content.​profile.value[x] Base required HL7 ValueSet of Format Codes for use with Document Sharing 📍2.1.0 THO v7.0
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* DocumentReference(5.0.0) A reference to a document
Constraints: docRef-1, docRef-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business identifiers for the document
... version Σ 0..1 string An explicitly assigned identifer of a variation of the content in the DocumentReference
... basedOn 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
... status ?!SΣ 1..1 code current | superseded | entered-in-error
Binding: DocRefStatusVS (0.1.0) (required)
... docStatus SΣ 0..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: DocRefComStatusVS (0.1.0) (required)
... modality Σ 0..* CodeableConcept Imaging modality used
Binding: Modality (2025.2.20250411) (extensible): Type of acquired data in the instance.
... type Σ 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Precise type of clinical document.
... category Σ 0..* CodeableConcept Categorization of document
Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level.
... subject SΣ 0..1 Reference(Patient of Birth(0.1.0)) A newborn baby
... context SC 0..* Reference(Encounter of Birth(0.1.0)) When encountering a newborn baby
... event 0..* CodeableReference() Main clinical acts documented
Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
... bodySite Σ 0..* CodeableReference(BodyStructure) Body part included
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... facilityType C 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
... practiceSetting SC 0..1 CodeableConcept Additional information about the content creation location (for example, clinical specialization)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
... period SΣ 0..1 Period Maintenance time, which is documented
... date SΣ 0..1 instant When was this document link created?
... author SΣ 0..* Reference(UZ Core Practitioner(0.3.0) | UZ Core Organization(0.3.0)) Who and/or what is the author of the document
... attester S 0..* BackboneElement Confirms the accuracy of the document.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... mode S 1..1 CodeableConcept personal | professional | legal | official
Binding: DocRefComAttVS (0.1.0) (required)
.... time S 0..1 dateTime When the document was certified
.... party S 0..1 Reference(UZ Core Organization(0.3.0)) Who certified the document?
... custodian S 0..1 Reference(UZ Core Organization(0.3.0)) The organization that maintains the document
... relatesTo SΣ 0..* BackboneElement A certificate from the hospital is attached.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 1..1 CodeableConcept The relationship type with another document
Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.
.... target SΣ 1..1 Reference(DocumentReference) The purpose of the relationship
... description SΣ 0..1 markdown A human-readable description
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System.
... content Σ 1..* BackboneElement Document referenced
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... attachment Σ 1..1 Attachment Where to access the document
.... profile SΣ 0..* BackboneElement Document Content Profile Rules
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... value[x] SΣ 1..1 Code|uri|canonical
Binding: HL7FormatCodes (2.1.0) (required)
...... valueCoding Coding
...... valueUri uri
...... valueCanonical canonical(Any)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base required All Languages 📍5.0.0 FHIR Std.
DocumentReference.status Base required Document Reference Status ValueSet 📍0.1.0 This IG
DocumentReference.docStatus Base required Document Reference Status ValueSet 📍0.1.0 This IG
DocumentReference.modality Base extensible Modality (missing link) 📍2025.2.20250411 This IG
DocumentReference.type Base preferred FHIR Document Type Codes 📍5.0.0 FHIR Std.
DocumentReference.category Base example Referenced Item Category Value Set 📍5.0.0 FHIR Std.
DocumentReference.event Base example v3 Code System ActCode 📍3.0.0 THO v7.0
DocumentReference.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
DocumentReference.facilityType Base example Facility Type Code Value Set 📍5.0.0 FHIR Std.
DocumentReference.practiceSetting Base example Practice Setting Code Value Set 📍5.0.0 FHIR Std.
DocumentReference.attester.​mode Base required Document Reference Composition Attestattion 📍0.1.0 This IG
DocumentReference.relatesTo.​code Base extensible Document Relationship Type 📍5.0.0 FHIR Std.
DocumentReference.securityLabel Base example Example set of Security Labels 📍5.0.0 FHIR Std.
DocumentReference.content.​profile.value[x] Base required HL7 ValueSet of Format Codes for use with Document Sharing 📍2.1.0 THO v7.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
docRef-1 warning DocumentReference facilityType SHALL only be present if context is not an encounter facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2 warning DocumentReference practiceSetting SHALL only be present if context is not present practiceSetting.empty() or context.where(resolve() is Encounter).empty()
ele-1 error DocumentReference.meta, DocumentReference.implicitRules, DocumentReference.language, DocumentReference.text, DocumentReference.extension, DocumentReference.modifierExtension, DocumentReference.identifier, DocumentReference.version, DocumentReference.basedOn, DocumentReference.status, DocumentReference.docStatus, DocumentReference.modality, DocumentReference.type, DocumentReference.category, DocumentReference.subject, DocumentReference.context, DocumentReference.event, DocumentReference.bodySite, DocumentReference.facilityType, DocumentReference.practiceSetting, DocumentReference.period, DocumentReference.date, DocumentReference.author, DocumentReference.attester, DocumentReference.attester.extension, DocumentReference.attester.modifierExtension, DocumentReference.attester.mode, DocumentReference.attester.time, DocumentReference.attester.party, DocumentReference.custodian, DocumentReference.relatesTo, DocumentReference.relatesTo.extension, DocumentReference.relatesTo.modifierExtension, DocumentReference.relatesTo.code, DocumentReference.relatesTo.target, DocumentReference.description, DocumentReference.securityLabel, DocumentReference.content, DocumentReference.content.extension, DocumentReference.content.modifierExtension, DocumentReference.content.attachment, DocumentReference.content.profile, DocumentReference.content.profile.extension, DocumentReference.content.profile.modifierExtension, DocumentReference.content.profile.value[x] All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DocumentReference.extension, DocumentReference.modifierExtension, DocumentReference.attester.extension, DocumentReference.attester.modifierExtension, DocumentReference.relatesTo.extension, DocumentReference.relatesTo.modifierExtension, DocumentReference.content.extension, DocumentReference.content.modifierExtension, DocumentReference.content.profile.extension, DocumentReference.content.profile.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* DocumentReference(5.0.0) A reference to a document
Constraints: docRef-1, docRef-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 1..1 code current | superseded | entered-in-error
Binding: DocRefStatusVS (0.1.0) (required)
... docStatus SΣ 0..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: DocRefComStatusVS (0.1.0) (required)
... subject SΣ 0..1 Reference(Patient of Birth(0.1.0)) A newborn baby
... context SC 0..* Reference(Encounter of Birth(0.1.0)) When encountering a newborn baby
... practiceSetting SC 0..1 CodeableConcept Additional information about the content creation location (for example, clinical specialization)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
... period SΣ 0..1 Period Maintenance time, which is documented
... date SΣ 0..1 instant When was this document link created?
... author SΣ 0..* Reference(UZ Core Practitioner(0.3.0) | UZ Core Organization(0.3.0)) Who and/or what is the author of the document
... attester S 0..* BackboneElement Confirms the accuracy of the document.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... mode S 1..1 CodeableConcept personal | professional | legal | official
Binding: DocRefComAttVS (0.1.0) (required)
.... time S 0..1 dateTime When the document was certified
.... party S 0..1 Reference(UZ Core Organization(0.3.0)) Who certified the document?
... custodian S 0..1 Reference(UZ Core Organization(0.3.0)) The organization that maintains the document
... relatesTo SΣ 0..* BackboneElement A certificate from the hospital is attached.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 1..1 CodeableConcept The relationship type with another document
Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.
.... target SΣ 1..1 Reference(DocumentReference) The purpose of the relationship
... description SΣ 0..1 markdown A human-readable description
... content Σ 1..* BackboneElement Document referenced
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... attachment Σ 1..1 Attachment Where to access the document
.... profile SΣ 0..* BackboneElement Document Content Profile Rules
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... value[x] SΣ 1..1 Code|uri|canonical
Binding: HL7FormatCodes (2.1.0) (required)
...... valueCoding Coding
...... valueUri uri
...... valueCanonical canonical(Any)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required Document Reference Status ValueSet 📍0.1.0 This IG
DocumentReference.docStatus Base required Document Reference Status ValueSet 📍0.1.0 This IG
DocumentReference.practiceSetting Base example Practice Setting Code Value Set 📍5.0.0 FHIR Std.
DocumentReference.attester.​mode Base required Document Reference Composition Attestattion 📍0.1.0 This IG
DocumentReference.relatesTo.​code Base extensible Document Relationship Type 📍5.0.0 FHIR Std.
DocumentReference.content.​profile.value[x] Base required HL7 ValueSet of Format Codes for use with Document Sharing 📍2.1.0 THO v7.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
docRef-1 warning DocumentReference facilityType SHALL only be present if context is not an encounter facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2 warning DocumentReference practiceSetting SHALL only be present if context is not present practiceSetting.empty() or context.where(resolve() is Encounter).empty()
ele-1 error DocumentReference.implicitRules, DocumentReference.modifierExtension, DocumentReference.identifier, DocumentReference.status, DocumentReference.docStatus, DocumentReference.subject, DocumentReference.context, DocumentReference.practiceSetting, DocumentReference.period, DocumentReference.date, DocumentReference.author, DocumentReference.attester, DocumentReference.attester.modifierExtension, DocumentReference.attester.mode, DocumentReference.attester.time, DocumentReference.attester.party, DocumentReference.custodian, DocumentReference.relatesTo, DocumentReference.relatesTo.modifierExtension, DocumentReference.relatesTo.code, DocumentReference.relatesTo.target, DocumentReference.description, DocumentReference.content, DocumentReference.content.modifierExtension, DocumentReference.content.attachment, DocumentReference.content.profile, DocumentReference.content.profile.modifierExtension, DocumentReference.content.profile.value[x] All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DocumentReference.modifierExtension, DocumentReference.attester.modifierExtension, DocumentReference.relatesTo.modifierExtension, DocumentReference.content.modifierExtension, DocumentReference.content.profile.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference(5.0.0) A reference to a document
... identifier S 0..* Identifier Business identifiers for the document
... status S 1..1 code current | superseded | entered-in-error
Binding: DocRefStatusVS (0.1.0) (required)
... docStatus S 0..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: DocRefComStatusVS (0.1.0) (required)
... context S 0..* Reference(Encounter of Birth(0.1.0)) When encountering a newborn baby
... practiceSetting S 0..1 CodeableConcept Additional information about the content creation location (for example, clinical specialization)
... period S 0..1 Period Maintenance time, which is documented
... date S 0..1 instant When was this document link created?
... author S 0..* Reference(UZ Core Practitioner(0.3.0) | UZ Core Organization(0.3.0)) Who and/or what is the author of the document
... attester S 0..* BackboneElement Confirms the accuracy of the document.
.... mode S 1..1 CodeableConcept personal | professional | legal | official
Binding: DocRefComAttVS (0.1.0) (required)
.... time S 0..1 dateTime When the document was certified
.... party S 0..1 Reference(UZ Core Organization(0.3.0)) Who certified the document?
... custodian S 0..1 Reference(UZ Core Organization(0.3.0)) The organization that maintains the document
... relatesTo S 0..* BackboneElement A certificate from the hospital is attached.
.... target S 1..1 Reference(DocumentReference) The purpose of the relationship
... description S 0..1 markdown A human-readable description
... content
.... profile S 0..* BackboneElement Document Content Profile Rules
..... value[x] S 1..1 Coding, uri, canonical() Code|uri|canonical
Binding: HL7FormatCodes (2.1.0) (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.status Base required Document Reference Status ValueSet 📍0.1.0 This IG
DocumentReference.docStatus Base required Document Reference Status ValueSet 📍0.1.0 This IG
DocumentReference.attester.​mode Base required Document Reference Composition Attestattion 📍0.1.0 This IG
DocumentReference.content.​profile.value[x] Base required HL7 ValueSet of Format Codes for use with Document Sharing 📍2.1.0 THO v7.0

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* DocumentReference(5.0.0) A reference to a document
Constraints: docRef-1, docRef-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business identifiers for the document
... version Σ 0..1 string An explicitly assigned identifer of a variation of the content in the DocumentReference
... basedOn 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
... status ?!SΣ 1..1 code current | superseded | entered-in-error
Binding: DocRefStatusVS (0.1.0) (required)
... docStatus SΣ 0..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: DocRefComStatusVS (0.1.0) (required)
... modality Σ 0..* CodeableConcept Imaging modality used
Binding: Modality (2025.2.20250411) (extensible): Type of acquired data in the instance.
... type Σ 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Precise type of clinical document.
... category Σ 0..* CodeableConcept Categorization of document
Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level.
... subject SΣ 0..1 Reference(Patient of Birth(0.1.0)) A newborn baby
... context SC 0..* Reference(Encounter of Birth(0.1.0)) When encountering a newborn baby
... event 0..* CodeableReference() Main clinical acts documented
Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.
... bodySite Σ 0..* CodeableReference(BodyStructure) Body part included
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... facilityType C 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
... practiceSetting SC 0..1 CodeableConcept Additional information about the content creation location (for example, clinical specialization)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
... period SΣ 0..1 Period Maintenance time, which is documented
... date SΣ 0..1 instant When was this document link created?
... author SΣ 0..* Reference(UZ Core Practitioner(0.3.0) | UZ Core Organization(0.3.0)) Who and/or what is the author of the document
... attester S 0..* BackboneElement Confirms the accuracy of the document.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... mode S 1..1 CodeableConcept personal | professional | legal | official
Binding: DocRefComAttVS (0.1.0) (required)
.... time S 0..1 dateTime When the document was certified
.... party S 0..1 Reference(UZ Core Organization(0.3.0)) Who certified the document?
... custodian S 0..1 Reference(UZ Core Organization(0.3.0)) The organization that maintains the document
... relatesTo SΣ 0..* BackboneElement A certificate from the hospital is attached.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 1..1 CodeableConcept The relationship type with another document
Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.
.... target SΣ 1..1 Reference(DocumentReference) The purpose of the relationship
... description SΣ 0..1 markdown A human-readable description
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System.
... content Σ 1..* BackboneElement Document referenced
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... attachment Σ 1..1 Attachment Where to access the document
.... profile SΣ 0..* BackboneElement Document Content Profile Rules
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... value[x] SΣ 1..1 Code|uri|canonical
Binding: HL7FormatCodes (2.1.0) (required)
...... valueCoding Coding
...... valueUri uri
...... valueCanonical canonical(Any)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base required All Languages 📍5.0.0 FHIR Std.
DocumentReference.status Base required Document Reference Status ValueSet 📍0.1.0 This IG
DocumentReference.docStatus Base required Document Reference Status ValueSet 📍0.1.0 This IG
DocumentReference.modality Base extensible Modality (missing link) 📍2025.2.20250411 This IG
DocumentReference.type Base preferred FHIR Document Type Codes 📍5.0.0 FHIR Std.
DocumentReference.category Base example Referenced Item Category Value Set 📍5.0.0 FHIR Std.
DocumentReference.event Base example v3 Code System ActCode 📍3.0.0 THO v7.0
DocumentReference.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
DocumentReference.facilityType Base example Facility Type Code Value Set 📍5.0.0 FHIR Std.
DocumentReference.practiceSetting Base example Practice Setting Code Value Set 📍5.0.0 FHIR Std.
DocumentReference.attester.​mode Base required Document Reference Composition Attestattion 📍0.1.0 This IG
DocumentReference.relatesTo.​code Base extensible Document Relationship Type 📍5.0.0 FHIR Std.
DocumentReference.securityLabel Base example Example set of Security Labels 📍5.0.0 FHIR Std.
DocumentReference.content.​profile.value[x] Base required HL7 ValueSet of Format Codes for use with Document Sharing 📍2.1.0 THO v7.0

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
docRef-1 warning DocumentReference facilityType SHALL only be present if context is not an encounter facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2 warning DocumentReference practiceSetting SHALL only be present if context is not present practiceSetting.empty() or context.where(resolve() is Encounter).empty()
ele-1 error DocumentReference.meta, DocumentReference.implicitRules, DocumentReference.language, DocumentReference.text, DocumentReference.extension, DocumentReference.modifierExtension, DocumentReference.identifier, DocumentReference.version, DocumentReference.basedOn, DocumentReference.status, DocumentReference.docStatus, DocumentReference.modality, DocumentReference.type, DocumentReference.category, DocumentReference.subject, DocumentReference.context, DocumentReference.event, DocumentReference.bodySite, DocumentReference.facilityType, DocumentReference.practiceSetting, DocumentReference.period, DocumentReference.date, DocumentReference.author, DocumentReference.attester, DocumentReference.attester.extension, DocumentReference.attester.modifierExtension, DocumentReference.attester.mode, DocumentReference.attester.time, DocumentReference.attester.party, DocumentReference.custodian, DocumentReference.relatesTo, DocumentReference.relatesTo.extension, DocumentReference.relatesTo.modifierExtension, DocumentReference.relatesTo.code, DocumentReference.relatesTo.target, DocumentReference.description, DocumentReference.securityLabel, DocumentReference.content, DocumentReference.content.extension, DocumentReference.content.modifierExtension, DocumentReference.content.attachment, DocumentReference.content.profile, DocumentReference.content.profile.extension, DocumentReference.content.profile.modifierExtension, DocumentReference.content.profile.value[x] All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DocumentReference.extension, DocumentReference.modifierExtension, DocumentReference.attester.extension, DocumentReference.attester.modifierExtension, DocumentReference.relatesTo.extension, DocumentReference.relatesTo.modifierExtension, DocumentReference.content.extension, DocumentReference.content.modifierExtension, DocumentReference.content.profile.extension, DocumentReference.content.profile.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

 

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