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 2025-02-03 04:29:41+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 1 is sliced based on the value of DocumentReference.identifier
  • The element 1 is sliced based on the value of DocumentReference.context.related

This structure is derived from MRDocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* MRDocumentReference A reference to a document
... Slices for identifier 0..* Identifier Other identifiers for the document
Slice: Unordered, Open by pattern:type
.... identifier:identifierLPN S 0..1 AULocalPrescriptionIdentifier Local Prescription Identifier
..... system 1..1 uri MediRecords tenant ID prefixed with 'urn:uuid:'
..... value 1..1 string MediRecords script number, e.g. 4010
..... assigner
...... display 1..1 string MediRecords tenant name
... type 1..1 CodeableConcept Prescription for medication
... category 1..1 CodeableConcept Prescription for medication
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57833-6
..... display 1..1 string Representation defined by the system
Fixed Value: Prescription for medication
... author S 1..1 Reference(MR Practitioner) Author of prescription
... content
.... attachment
..... contentType 1..1 code application/pdf
Required Pattern: application/pdf
... context
.... Slices for related 0..* Reference(Resource) Related identifiers or resources
Slice: Unordered, Open by type:$this
..... related:prescription S 0..1 Reference(MedicationRequest) Reference to related prescription MedicationRequest

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* MRDocumentReference A reference to a document
... id Σ 0..1 id Logical id of this artifact
... meta S 0..1 MRMeta Metadata about a resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security SΣC 0..* Coding Security 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 Σ 0..* Coding Tags 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 ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... recipient 0..1 (Complex) MR DocumentReference Recipient Extension
URL: https://fhir.medirecords.com/StructureDefinition/mr-document-ref-recipient-extn
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://fhir.medirecords.com/StructureDefinition/mr-document-ref-recipient-extn"
..... value[x] 1..1 Reference(MR Practitioner | MR Organisation | MR Patient) Document recipient
.... documentTitle 0..1 string MR DocumentReference Title Extension
URL: https://fhir.medirecords.com/StructureDefinition/mr-document-ref-title-extn
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Master Version Specific Identifier
... Slices for identifier Σ 0..* Identifier Other identifiers for the document
Slice: Unordered, Open by pattern:type
.... identifier:identifierLPN S 0..1 AULocalPrescriptionIdentifier Local Prescription Identifier
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Coded 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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org.au/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LPN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri MediRecords tenant ID prefixed with 'urn:uuid:'
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string MediRecords script number, e.g. 4010
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 1..1 Reference(Organization) Organisation that assigned the prescription identifier
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 1..1 string MediRecords tenant name
... status ?!SΣC 1..1 code Indicates 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 SΣ 0..1 code Indicates 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 SΣ 1..1 CodeableConcept Prescription for medication
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.

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



Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57833-6
..... display 1..1 string Representation defined by the system
Fixed Value: Prescription for medication
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(MR Patient) The patient who is the subject of the document
... date SΣ 1..1 instant Prescription date
... author SΣ 1..1 Reference(MR Practitioner) Author of prescription
... authenticator 0..1 Reference(MR Practitioner) The user from the practice who checked the document on upload
... custodian S 1..1 Reference(MR Organisation) Organization which maintains the document
... relatesTo Σ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target Σ 1..1 Reference(DocumentReference) Target of the relationship
... description Σ 0..1 string Human-readable description
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: All Security Labels (extensible): 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Where to access the document
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType SΣ 1..1 code application/pdf
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


Required Pattern: application/pdf
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
..... data S 0..1 base64Binary Data inline, base64ed
..... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size SΣ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title SΣ 0..1 string The file name of the attachment
Example General: Official Corporate Logo
..... creation Σ 0..1 dateTime Date attachment was first created
.... format Σ 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.

... context Σ 0..1 BackboneElement Clinical context of document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter S 0..1 Reference(MR Encounter | MR Encounter Admission) Context of the document content
.... event 0..* CodeableConcept Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period Time of service that is being documented
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.

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

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* MRDocumentReference A reference to a document
... meta 0..1 MRMeta Metadata about a resource
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... security ΣC 0..* Coding Security 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
... Slices for identifier Content/Rules for all slices
.... identifier:identifierLPN 0..1 AULocalPrescriptionIdentifier Local Prescription Identifier
... status ?!ΣC 1..1 code Indicates 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 Σ 1..1 CodeableConcept Prescription for medication
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.

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



Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57833-6
..... display 1..1 string Representation defined by the system
Fixed Value: Prescription for medication
... subject Σ 1..1 Reference(MR Patient) The patient who is the subject of the document
... date Σ 1..1 instant Prescription date
... author Σ 1..1 Reference(MR Practitioner) Author of prescription
... custodian 1..1 Reference(MR Organisation) Organization which maintains the document
... content Σ 1..* BackboneElement Document referenced
.... attachment Σ 1..1 Attachment Where to access the document
..... contentType Σ 1..1 code application/pdf
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


Required Pattern: application/pdf
..... data 0..1 base64Binary Data inline, base64ed
..... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
..... title Σ 0..1 string The file name of the attachment
... context Σ 0..1 BackboneElement Clinical context of document
.... encounter 0..1 Reference(MR Encounter | MR Encounter Admission) Context of the document content
.... Slices for related Content/Rules for all slices
..... related:prescription 0..1 Reference(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 1 is sliced based on the value of DocumentReference.identifier
  • The element 1 is sliced based on the value of DocumentReference.context.related

Differential View

This structure is derived from MRDocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* MRDocumentReference A reference to a document
... Slices for identifier 0..* Identifier Other identifiers for the document
Slice: Unordered, Open by pattern:type
.... identifier:identifierLPN S 0..1 AULocalPrescriptionIdentifier Local Prescription Identifier
..... system 1..1 uri MediRecords tenant ID prefixed with 'urn:uuid:'
..... value 1..1 string MediRecords script number, e.g. 4010
..... assigner
...... display 1..1 string MediRecords tenant name
... type 1..1 CodeableConcept Prescription for medication
... category 1..1 CodeableConcept Prescription for medication
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57833-6
..... display 1..1 string Representation defined by the system
Fixed Value: Prescription for medication
... author S 1..1 Reference(MR Practitioner) Author of prescription
... content
.... attachment
..... contentType 1..1 code application/pdf
Required Pattern: application/pdf
... context
.... Slices for related 0..* Reference(Resource) Related identifiers or resources
Slice: Unordered, Open by type:$this
..... related:prescription S 0..1 Reference(MedicationRequest) Reference to related prescription MedicationRequest

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* MRDocumentReference A reference to a document
... id Σ 0..1 id Logical id of this artifact
... meta S 0..1 MRMeta Metadata about a resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security SΣC 0..* Coding Security 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 Σ 0..* Coding Tags 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 ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... recipient 0..1 (Complex) MR DocumentReference Recipient Extension
URL: https://fhir.medirecords.com/StructureDefinition/mr-document-ref-recipient-extn
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://fhir.medirecords.com/StructureDefinition/mr-document-ref-recipient-extn"
..... value[x] 1..1 Reference(MR Practitioner | MR Organisation | MR Patient) Document recipient
.... documentTitle 0..1 string MR DocumentReference Title Extension
URL: https://fhir.medirecords.com/StructureDefinition/mr-document-ref-title-extn
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Master Version Specific Identifier
... Slices for identifier Σ 0..* Identifier Other identifiers for the document
Slice: Unordered, Open by pattern:type
.... identifier:identifierLPN S 0..1 AULocalPrescriptionIdentifier Local Prescription Identifier
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Coded 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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org.au/CodeSystem/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LPN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 1..1 uri MediRecords tenant ID prefixed with 'urn:uuid:'
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string MediRecords script number, e.g. 4010
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 1..1 Reference(Organization) Organisation that assigned the prescription identifier
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 1..1 string MediRecords tenant name
... status ?!SΣC 1..1 code Indicates 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 SΣ 0..1 code Indicates 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 SΣ 1..1 CodeableConcept Prescription for medication
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.

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



Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 57833-6
..... display 1..1 string Representation defined by the system
Fixed Value: Prescription for medication
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(MR Patient) The patient who is the subject of the document
... date SΣ 1..1 instant Prescription date
... author SΣ 1..1 Reference(MR Practitioner) Author of prescription
... authenticator 0..1 Reference(MR Practitioner) The user from the practice who checked the document on upload
... custodian S 1..1 Reference(MR Organisation) Organization which maintains the document
... relatesTo Σ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target Σ 1..1 Reference(DocumentReference) Target of the relationship
... description Σ 0..1 string Human-readable description
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: All Security Labels (extensible): 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Where to access the document
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType SΣ 1..1 code application/pdf
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


Required Pattern: application/pdf
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
..... data S 0..1 base64Binary Data inline, base64ed
..... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size SΣ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title SΣ 0..1 string The file name of the attachment
Example General: Official Corporate Logo
..... creation Σ 0..1 dateTime Date attachment was first created
.... format Σ 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.

... context Σ 0..1 BackboneElement Clinical context of document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter S 0..1 Reference(MR Encounter | MR Encounter Admission) Context of the document content
.... event 0..* CodeableConcept Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


.... period Σ 0..1 Period Time of service that is being documented
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.

.... practiceSetting 0..1 CodeableConcept Additional 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..1 Reference(Patient) Patient demographics from source
.... Slices for related 0..* Reference(Resource) Related identifiers or resources
Slice: Unordered, Open by type:$this
..... related:prescription S 0..1 Reference(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
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
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
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
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')