DocumentReference

draftResource52 elementsv5.0.0

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.

Metadata

hl7.org/fhir

Canonical URL: http://hl7.org/fhir/StructureDefinition/DocumentReference
ID: DocumentReference
Type
Base Definition
Derivation: specialization
Publisher: Health Level Seven International (Orders and Observations)
Version: 5.0.0

Path	Card.	Type	Description
`DocumentReference`	`0..*`		A reference to a document
`id`	`0..1`	string	Logical id of this artifact
`meta`	`0..1`	Meta	Metadata about the resource
`implicitRules`	`0..1`	uri	A set of rules under which this content was created
`language`	`0..1`	code	Language of the resource contentrequired: all-languages
`text`	`0..1`	Narrative	Text summary of the resource, for human interpretation
`contained`	`0..*`	Resource	Contained, inline Resources
`extension`	`0..*`	Extension	Additional content defined by implementations
`modifierExtension`	`0..*`	Extension	Extensions that cannot be ignored
`identifier`	`0..*`	Identifier	Business identifiers for the document
`version`	`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`status`	`1..1`	code	current \| superseded \| entered-in-errorrequired: document-reference-status
`docStatus`	`0..1`	code	registered \| partial \| preliminary \| final \| amended \| corrected \| appended \| cancelled \| entered-in-error \| deprecated \| unknownrequired: composition-status
`modality`	`0..*`	CodeableConcept	Imaging modality usedextensible: sect_CID_33.html
`type`	`0..1`	CodeableConcept	Kind of document (LOINC if possible)preferred: doc-typecodes
`category`	`0..*`	CodeableConcept	Categorization of documentexample: referenced-item-category
`subject`	`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 documentedexample: v3-ActCode
`bodySite`	`0..*`	CodeableReference	Body part includedexample: body-site
`facilityType`	`0..1`	CodeableConcept	Kind of facility where patient was seenexample: c80-facilitycodes
`practiceSetting`	`0..1`	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty)example: c80-practice-codes
`period`	`0..1`	Period	Time of service that is being documented
`date`	`0..1`	instant	When this document reference was created
`author`	`0..*`	Reference	Who and/or what authored the document
`attester`	`0..*`	BackboneElement	Attests to accuracy of the document
`custodian`	`0..1`	Reference	Organization which maintains the document
`relatesTo`	`0..*`	BackboneElement	Relationships to other documents
`description`	`0..1`	markdown	Human-readable description
`securityLabel`	`0..*`	CodeableConcept	Document security-tagsexample: security-label-examples
`content`	`1..*`	BackboneElement	Document referenced