http://hl7.org/fhir/StructureDefinition/DocumentReference|5.0.0

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.

Structure JSON Dependencies FHIRSchema Other Versions Dependant (0)Elements Summary

Name	Flags	Card	Type	Description & Constraints
DocumentReference		0..*		A reference to a document
identifier	Σ	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	Procedure that caused this media to be created
status *	?!Σ	1..1	code	current \| superseded \| entered-in-error DocumentReferenceStatus (required)
docStatus	Σ	0..1	code	registered \| partial \| preliminary \| final \| amended \| corrected \| appended \| cancelled \| entered-in-error \| deprecated \| unknown ReferredDocumentStatus (required)
modality	Σ	0..*	CodeableConcept	Imaging modality used ImagingModality (extensible)
type	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) DocumentType (preferred)
category	Σ	0..*	CodeableConcept	Categorization of document ReferencedItemCategory (example)
subject	Σ	0..1	Reference	Who/what is the subject of the document
context		0..*	Reference	Context of the document content
event		0..*	CodeableReference	Main clinical acts documented DocumentEventType (example)
bodySite	Σ	0..*	CodeableReference	Body part included BodySite (example)
facilityType		0..1	CodeableConcept	Kind of facility where patient was seen DocumentC80FacilityType (example)
practiceSetting		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) DocumentC80PracticeSetting (example)
period	Σ	0..1	Period	Time of service that is being documented
date	Σ	0..1	instant	When this document reference was created
author	Σ	0..*	Reference	Who and/or what authored the document
attester		0..*	BackboneElement	Attests to accuracy of the document
mode *		1..1	CodeableConcept	personal \| professional \| legal \| official DocumentAttestationMode (preferred)
time		0..1	dateTime	When the document was attested
party		0..1	Reference	Who attested the document
custodian		0..1	Reference	Organization which maintains the document
relatesTo	Σ	0..*	BackboneElement	Relationships to other documents
code *	Σ	1..1	CodeableConcept	The relationship type with another document DocumentRelationshipType (extensible)
target *	Σ	1..1	Reference	Target of the relationship
description	Σ	0..1	markdown	Human-readable description
securityLabel	Σ	0..*	CodeableConcept	Document security-tags SecurityLabels (example)
content *	Σ	1..*	BackboneElement	Document referenced
attachment *	Σ	1..1	Attachment	Where to access the document
profile	Σ	0..*	BackboneElement	Content profile rules for the document
value[x] *	Σ	1..1		Code\|uri\|canonical DocumentFormat (preferred)
valueCoding *	Σ	1..1	Coding	DocumentFormat (preferred)
valueUri *	Σ	1..1	uri	DocumentFormat (preferred)
valueCanonical *	Σ	1..1	canonical	DocumentFormat (preferred)