http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1
A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text.
| Name | Flags | Card | Type | Description & Constraints |
|---|---|---|---|---|
DocumentReference | 0..* | A reference to a document | ||
Σ | 0..1 | Identifier | Master Version Specific Identifier | |
Σ | 0..* | Identifier | Other identifiers for the document | |
?!Σ | 1..1 | code | current | superseded | entered-in-error DocumentReferenceStatus (required) | |
Σ | 0..1 | code | preliminary | final | amended | entered-in-error ReferredDocumentStatus (required) | |
Σ | 0..1 | CodeableConcept | Kind of document (LOINC if possible) DocumentC80Type (preferred) | |
Σ | 0..* | CodeableConcept | Categorization of document DocumentC80Class (example) | |
Σ | 0..1 | Reference | Who/what is the subject of the document | |
Σ | 0..1 | instant | When this document reference was created | |
Σ | 0..* | Reference | Who and/or what authored the document | |
| 0..1 | Reference | Who/what authenticated the document | ||
| 0..1 | Reference | Organization which maintains the document | ||
Σ | 0..* | BackboneElement | Relationships to other documents | |
Σ | 1..1 | code | replaces | transforms | signs | appends DocumentRelationshipType (required) | |
Σ | 1..1 | Reference | Target of the relationship | |
Σ | 0..1 | string | Human-readable description | |
Σ | 0..* | CodeableConcept | Document security-tags SecurityLabels (extensible) | |
Σ | 1..* | BackboneElement | Document referenced | |
Σ | 1..1 | Attachment | Where to access the document | |
Σ | 0..1 | Coding | Format/content rules for the document DocumentFormat (preferred) | |
Σ | 0..1 | BackboneElement | Clinical context of document | |
| 0..* | Reference | Context of the document content | ||
| 0..* | CodeableConcept | Main clinical acts documented DocumentEventType (example) | ||
Σ | 0..1 | Period | Time of service that is being documented | |
| 0..1 | CodeableConcept | Kind of facility where patient was seen DocumentC80FacilityType (example) | ||
| 0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) DocumentC80PracticeSetting (example) | ||
| 0..1 | Reference | Patient demographics from source | ||
| 0..* | Reference | Related identifiers or resources |