MediRecords FHIR Implementation Guide
1.4.1 - release


Resource Profile: MR DocumentReference Prescription

Defining URL:https://fhir.medirecords.com/StructureDefinition/mr-documentreference-prescription
Version:1.4.1
Name:MRDocumentReferencePrescription
Title:MR DocumentReference Prescription
Status:Active as of 2024-10-28 02:34:31+0000
Definition:

MediRecords DocumentReference profile for medication prescription document

Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

https://fhir.medirecords.com/StructureDefinition/mr-documentreference-prescription

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from MRDocumentReference

Summary

Mandatory: 4 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element DocumentReference.identifier is sliced based on the value of pattern:type
  • The element DocumentReference.context.related is sliced based on the value of type:$this

This structure is derived from MRDocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
​.. DocumentReference 0..*MRDocumentReferenceA reference to a document
​... Slices for identifier 0..*IdentifierOther identifiers for the document
Slice: Unordered, Open by pattern:type
​.... identifier:identifierLPN S0..1AULocalPrescriptionIdentifierLocal Prescription Identifier
​..... system 1..1uriMediRecords tenant ID prefixed with 'urn:uuid:'
​..... value 1..1stringMediRecords script number, e.g. 4010
​..... assigner
​...... display 1..1stringMediRecords tenant name
​... type 1..1CodeableConceptPrescription for medication
​... category 1..1CodeableConceptPrescription for medication
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57833-6
..... display1..1stringRepresentation defined by the system
Fixed Value: Prescription for medication
​... author S1..1Reference(MR Practitioner)Author of prescription
​... content
​.... attachment
​..... contentType 1..1codeapplication/pdf
Required Pattern: application/pdf
​... context
​.... Slices for related 0..*Reference(Resource)Related identifiers or resources
Slice: Unordered, Open by type:$this
​..... related:prescription S0..1Reference(MedicationRequest)Reference to related prescription MedicationRequest

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*MRDocumentReferenceA reference to a document
... id Σ0..1idLogical id of this artifact
... meta S0..1MRMetaMetadata about a resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated SΣ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ1..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security SΣC0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


inv-mr-meta-security-01: Medirecords supports only U, R security code
.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... recipient 0..1Reference(MR Practitioner | MR Organisation | MR Patient | MR PractitionerRole)MR DocumentReference Recipient Extension
URL: https://fhir.medirecords.com/StructureDefinition/mr-document-ref-recipient-extn
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"https://fhir.medirecords.com/StructureDefinition/mr-document-ref-recipient-extn"
.... Slices for value[x] 1..1Reference(MR Practitioner | MR Organisation | MR Patient | MR PractitionerRole)Document recipient
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(MR Practitioner | MR Organisation | MR Patient)Document recipient
... documentTitle 0..1stringMR DocumentReference Title Extension
URL: https://fhir.medirecords.com/StructureDefinition/mr-document-ref-title-extn
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... masterIdentifier Σ0..1IdentifierMaster Version Specific Identifier
... Slices for identifier Σ0..*IdentifierOther identifiers for the document
Slice: Unordered, Open by pattern:type
.... identifier:identifierLPN S0..1AULocalPrescriptionIdentifierLocal Prescription Identifier
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptCoded identifier type for local prescription identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org.au/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: LPN
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ1..1uriMediRecords tenant ID prefixed with 'urn:uuid:'
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringMediRecords script number, e.g. 4010
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ1..1Reference(Organization)Organisation that assigned the prescription identifier
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ1..1stringMediRecords tenant name
... status ?!SΣC1..1codeIndicates if document is Active(current) or Inactive(entered-in-error)
Binding: DocumentReferenceStatus (required): The status of the document reference.


inv-mr-docref-in-status-01: MediRecords supports only current - 'This is the current reference for this document' or entered-in-error - 'This reference was created in error'
... docStatus SΣ0..1codeIndicates if the document is Unchecked/Draft (preliminary) or Checked/Final (final) or Amended (amended) or Cancelled/Rejected (entered-in-error)
Binding: CompositionStatus (required): Status of the underlying document.

... type SΣ1..1CodeableConceptPrescription for medication
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.

... category SΣ1..1CodeableConceptPrescription for medication
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.



Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57833-6
..... display1..1stringRepresentation defined by the system
Fixed Value: Prescription for medication
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(MR Patient)The patient who is the subject of the document
... date SΣ1..1instantPrescription date
... author SΣ1..1Reference(MR Practitioner)Author of prescription
... authenticator 0..1Reference(MR Practitioner)The user from the practice who checked the document on upload
... custodian S1..1Reference(MR Organisation)Organization which maintains the document
... relatesTo Σ0..*BackboneElementRelationships to other documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target Σ1..1Reference(DocumentReference)Target of the relationship
... description Σ0..1stringHuman-readable description
... securityLabel Σ0..*CodeableConceptDocument security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


... content Σ1..*BackboneElementDocument referenced
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... attachment Σ1..1AttachmentWhere to access the document
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType SΣ1..1codeapplication/pdf
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


Required Pattern: application/pdf
..... language Σ0..1codeHuman language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding

Example General: en-AU
..... data S0..1base64BinaryData inline, base64ed
..... url Σ0..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size SΣ0..1unsignedIntNumber of bytes of content (if url provided)
..... hash Σ0..1base64BinaryHash of the data (sha-1, base64ed)
..... title SΣ0..1stringThe file name of the attachment
Example General: Official Corporate Logo
..... creation Σ0..1dateTimeDate attachment was first created
.... format Σ0..1CodingFormat/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.

... context Σ0..1BackboneElementClinical context of document
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... encounter S0..1Reference(MR Encounter | MR Encounter Admission)Context of the document content
.... event 0..*CodeableConceptMain clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodTime of service that is being documented
.... facilityType 0..1CodeableConceptKind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.

.... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).

.... sourcePatientInfo 0..1Reference(Patient)Patient demographics from source
.... Slices for related 0..*Reference(Resource)Related identifiers or resources
Slice: Unordered, Open by type:$this
..... related:prescription S0..1Reference(MedicationRequest)Reference to related prescription MedicationRequest

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
​.. DocumentReference 0..*MRDocumentReferenceA reference to a document
​... meta 0..1MRMetaMetadata about a resource
​.... lastUpdated Σ0..1instantWhen the resource version last changed
​.... security ΣC0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


inv-mr-meta-security-01: Medirecords supports only U, R security code
​... identifier:identifierLPN 0..1AULocalPrescriptionIdentifierLocal Prescription Identifier
​... status ?!ΣC1..1codeIndicates if document is Active(current) or Inactive(entered-in-error)
Binding: DocumentReferenceStatus (required): The status of the document reference.


inv-mr-docref-in-status-01: MediRecords supports only current - 'This is the current reference for this document' or entered-in-error - 'This reference was created in error'
​... type Σ1..1CodeableConceptPrescription for medication
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.

​... category Σ1..1CodeableConceptPrescription for medication
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.



Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57833-6
..... display1..1stringRepresentation defined by the system
Fixed Value: Prescription for medication
​... subject Σ1..1Reference(MR Patient)The patient who is the subject of the document
​... date Σ1..1instantPrescription date
​... author Σ1..1Reference(MR Practitioner)Author of prescription
​... custodian 1..1Reference(MR Organisation)Organization which maintains the document
​... content Σ1..*BackboneElementDocument referenced
​.... attachment Σ1..1AttachmentWhere to access the document
​..... contentType Σ1..1codeapplication/pdf
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


Required Pattern: application/pdf
​..... data 0..1base64BinaryData inline, base64ed
​..... size Σ0..1unsignedIntNumber of bytes of content (if url provided)
​..... title Σ0..1stringThe file name of the attachment
​... context Σ0..1BackboneElementClinical context of document
​.... encounter 0..1Reference(MR Encounter | MR Encounter Admission)Context of the document content
​.... related:prescription 0..1Reference(MedicationRequest)Reference to related prescription MedicationRequest

doco Documentation for this format

This structure is derived from MRDocumentReference

Summary

Mandatory: 4 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element DocumentReference.identifier is sliced based on the value of pattern:type
  • The element DocumentReference.context.related is sliced based on the value of type:$this

Differential View

This structure is derived from MRDocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
​.. DocumentReference 0..*MRDocumentReferenceA reference to a document
​... Slices for identifier 0..*IdentifierOther identifiers for the document
Slice: Unordered, Open by pattern:type
​.... identifier:identifierLPN S0..1AULocalPrescriptionIdentifierLocal Prescription Identifier
​..... system 1..1uriMediRecords tenant ID prefixed with 'urn:uuid:'
​..... value 1..1stringMediRecords script number, e.g. 4010
​..... assigner
​...... display 1..1stringMediRecords tenant name
​... type 1..1CodeableConceptPrescription for medication
​... category 1..1CodeableConceptPrescription for medication
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57833-6
..... display1..1stringRepresentation defined by the system
Fixed Value: Prescription for medication
​... author S1..1Reference(MR Practitioner)Author of prescription
​... content
​.... attachment
​..... contentType 1..1codeapplication/pdf
Required Pattern: application/pdf
​... context
​.... Slices for related 0..*Reference(Resource)Related identifiers or resources
Slice: Unordered, Open by type:$this
​..... related:prescription S0..1Reference(MedicationRequest)Reference to related prescription MedicationRequest

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*MRDocumentReferenceA reference to a document
... id Σ0..1idLogical id of this artifact
... meta S0..1MRMetaMetadata about a resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated SΣ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ1..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security SΣC0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


inv-mr-meta-security-01: Medirecords supports only U, R security code
.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... recipient 0..1Reference(MR Practitioner | MR Organisation | MR Patient | MR PractitionerRole)MR DocumentReference Recipient Extension
URL: https://fhir.medirecords.com/StructureDefinition/mr-document-ref-recipient-extn
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"https://fhir.medirecords.com/StructureDefinition/mr-document-ref-recipient-extn"
.... Slices for value[x] 1..1Reference(MR Practitioner | MR Organisation | MR Patient | MR PractitionerRole)Document recipient
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 1..1Reference(MR Practitioner | MR Organisation | MR Patient)Document recipient
... documentTitle 0..1stringMR DocumentReference Title Extension
URL: https://fhir.medirecords.com/StructureDefinition/mr-document-ref-title-extn
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... masterIdentifier Σ0..1IdentifierMaster Version Specific Identifier
... Slices for identifier Σ0..*IdentifierOther identifiers for the document
Slice: Unordered, Open by pattern:type
.... identifier:identifierLPN S0..1AULocalPrescriptionIdentifierLocal Prescription Identifier
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ1..1CodeableConceptCoded identifier type for local prescription identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org.au/CodeSystem/v2-0203
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: LPN
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... system Σ1..1uriMediRecords tenant ID prefixed with 'urn:uuid:'
Example General: http://www.acme.com/identifiers/patient
..... value Σ1..1stringMediRecords script number, e.g. 4010
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ1..1Reference(Organization)Organisation that assigned the prescription identifier
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ1..1stringMediRecords tenant name
... status ?!SΣC1..1codeIndicates if document is Active(current) or Inactive(entered-in-error)
Binding: DocumentReferenceStatus (required): The status of the document reference.


inv-mr-docref-in-status-01: MediRecords supports only current - 'This is the current reference for this document' or entered-in-error - 'This reference was created in error'
... docStatus SΣ0..1codeIndicates if the document is Unchecked/Draft (preliminary) or Checked/Final (final) or Amended (amended) or Cancelled/Rejected (entered-in-error)
Binding: CompositionStatus (required): Status of the underlying document.

... type SΣ1..1CodeableConceptPrescription for medication
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.

... category SΣ1..1CodeableConceptPrescription for medication
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.



Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 57833-6
..... display1..1stringRepresentation defined by the system
Fixed Value: Prescription for medication
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(MR Patient)The patient who is the subject of the document
... date SΣ1..1instantPrescription date
... author SΣ1..1Reference(MR Practitioner)Author of prescription
... authenticator 0..1Reference(MR Practitioner)The user from the practice who checked the document on upload
... custodian S1..1Reference(MR Organisation)Organization which maintains the document
... relatesTo Σ0..*BackboneElementRelationships to other documents
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1codereplaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target Σ1..1Reference(DocumentReference)Target of the relationship
... description Σ0..1stringHuman-readable description
... securityLabel Σ0..*CodeableConceptDocument security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


... content Σ1..*BackboneElementDocument referenced
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... attachment Σ1..1AttachmentWhere to access the document
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType SΣ1..1codeapplication/pdf
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


Required Pattern: application/pdf
..... language Σ0..1codeHuman language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding

Example General: en-AU
..... data S0..1base64BinaryData inline, base64ed
..... url Σ0..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size SΣ0..1unsignedIntNumber of bytes of content (if url provided)
..... hash Σ0..1base64BinaryHash of the data (sha-1, base64ed)
..... title SΣ0..1stringThe file name of the attachment
Example General: Official Corporate Logo
..... creation Σ0..1dateTimeDate attachment was first created
.... format Σ0..1CodingFormat/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.

... context Σ0..1BackboneElementClinical context of document
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... encounter S0..1Reference(MR Encounter | MR Encounter Admission)Context of the document content
.... event 0..*CodeableConceptMain clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ0..1PeriodTime of service that is being documented
.... facilityType 0..1CodeableConceptKind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.

.... practiceSetting 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).

.... sourcePatientInfo 0..1Reference(Patient)Patient demographics from source
.... Slices for related 0..*Reference(Resource)Related identifiers or resources
Slice: Unordered, Open by type:$this
..... related:prescription S0..1Reference(MedicationRequest)Reference to related prescription MedicationRequest

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / CodeURI
DocumentReference.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
DocumentReference.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
DocumentReference.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DocumentReference.identifier:identifierLPN.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
DocumentReference.identifier:identifierLPN.typeextensiblePattern: LPN
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
DocumentReference.identifier:identifierLPN.assigner.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
from the FHIR Standard
DocumentReference.docStatusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
DocumentReference.typepreferredDocumentTypeValueSet
http://hl7.org/fhir/ValueSet/c80-doc-typecodes
from the FHIR Standard
DocumentReference.categoryexamplePattern: LOINC code 57833-6("Prescription for medication")
http://hl7.org/fhir/ValueSet/document-classcodes
from the FHIR Standard
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
DocumentReference.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
DocumentReference.content.attachment.contentTyperequiredPattern: application/pdf
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DocumentReference.content.attachment.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DocumentReference.content.formatpreferredDocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem)
http://hl7.org/fhir/ValueSet/formatcodes
from the FHIR Standard
DocumentReference.context.eventexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityTypeexampleFacilityTypeCodeValueSet
http://hl7.org/fhir/ValueSet/c80-facilitycodes
from the FHIR Standard
DocumentReference.context.practiceSettingexamplePracticeSettingCodeValueSet
http://hl7.org/fhir/ValueSet/c80-practice-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
inv-mr-docref-in-status-01errorDocumentReference.statusMediRecords supports only current - 'This is the current reference for this document' or entered-in-error - 'This reference was created in error'
: $this.exists() implies ($this = 'current' or $this = 'entered-in-error')
inv-mr-meta-security-01errorDocumentReference.meta.securityMedirecords supports only U, R security code
: code.exists() implies (code = 'U' or code = 'R')