Profile Comparison between http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-documentreference vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-adi-documentreference

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/DocumentReference
copyright	Used by permission of HL7 International all rights reserved Creative Commons License	Used by permission of HL7 International, all rights reserved Creative Commons License	Values Differ
date	2022-08-02	2023-10-17	Values Differ
description	Minimum expectations for a DocumentReference resource when accessed via a International Patient Access API	The US Core Advance Directive Information (ADI) DocumentReference Profile inherits from the FHIR [DocumentReference](https://hl7.org/fhir/R4/documentreference.html) resource; refer to it for scope and usage definitions. This profile and the [US Core Observation ADI Documentation Profile](StructureDefinition-us-core-observation-adi-documentation.html) meet the [U.S. Core Data for Interoperability (USCDI)](https://www.healthit.gov/isp/united-states-core-data-interoperability-uscdi) *Advance Directive Observation* Data Element requirements. It sets minimum expectations for searching and fetching patient Advance Directive Information (ADI) documents using the DocumentReference resource. Examples of advance healthcare directive documents include physician order for life sustaining treatment (POLST), do not resuscitate order (DNR), and medical power of attorney. In addition to the document contents, it communicates the type of advance directive document, the author, the verifier, and other properties. To represent whether advance directive documents exist for a patient, see the US Core Observation ADI Documentation Profile. This profile sets minimum expectations for searching and fetching patient ADI documents using the DocumentReference resource. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001		Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1]		urn:iso:std:iso:3166#US	Added the item 'urn:iso:std:iso:3166#US'
kind	resource
name	IPADocumentReference	USCoreADIDocumentReferenceProfile	Values Differ
publisher	HL7 International / Patient Care	HL7 International / Cross-Group Projects	Values Differ
purpose
status	active
title	IPA-DocumentReference	US Core ADI DocumentReference Profile	Values Differ
type	DocumentReference
url	http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-documentreference	http://hl7.org/fhir/us/core/StructureDefinition/us-core-adi-documentreference	Values Differ
version	1.1.0	8.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
DocumentReference		0..*	DocumentReference	A reference to a document		0..*	DocumentReference	A reference to a document
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	Σ	0..1	Identifier	Master Version Specific Identifier	Σ	0..1	Identifier	Master Version Specific Identifier
identifier	Σ	0..*	Identifier	Other identifiers for the document	SΣ	0..*	Identifier	Other identifiers for the document	Elements differ in definition for mustSupport: 'false' vs 'true'
status	?!SOΣ	1..1	code	current | superseded | entered-in-error Binding: ?? (required): The status of the document reference. Obligations Actor SHALL:populate-if-known Server SHALL:handle Client	?!SΣ	1..1	code	current | superseded | entered-in-error Binding: ?? (required)
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: ?? (required): Status of the underlying document.	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: ?? (required): Status of the underlying document.
type	SOΣ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: ?? (preferred): Precise type of clinical document. Obligations Actor SHALL:populate-if-known Server SHALL:handle Client	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: ?? (extensible): Advance Directives Content Type	Element minimum cardinalities differ: '0' vs '1'
category	SOΣ	0..*	CodeableConcept	Categorization of document Binding: ?? (example): High-level kind of a clinical document at a macro level. Obligations Actor SHALL:populate-if-known Server SHOULD:handle Client	SΣ	1..*	CodeableConcept	Categorization of document Slice: Unordered, Open by value:$this Binding: ?? (example): High-level kind of a clinical document at a macro level.	Element minimum cardinalities differ: '0' vs '1'
subject	SOΣ	1..1	Reference(IPA-Patient)	Who/what is the subject of the document Obligations Actor SHALL:populate-if-known Server SHALL:handle Client	SΣ	1..1	Reference(US Core Patient Profile S | Practitioner | Group | Device)	Who/what is the subject of the document
date	SOΣ	0..1	instant	When this document reference was created Obligations Actor SHALL:populate-if-known Server	SΣ	0..1	instant	When this document reference was created
author	SOΣ	0..*	Reference(IPA-Practitioner | IPA-PractitionerRole | Organization | Device | IPA-Patient | RelatedPerson)	Who and/or what authored the document Obligations Actor SHALL:populate-if-known Server SHOULD:handle Client	SΣ	0..*	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device)	Who and/or what authored the document
authenticator		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who/what authenticated the document	S	0..1	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core PractitionerRole Profile)	Who/what authenticated the document	Elements differ in definition for mustSupport: 'false' vs 'true'
custodian		0..1	Reference(Organization)	Organization which maintains the document		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	Σ	0..*	BackboneElement	Relationships to other documents	Σ	0..*	BackboneElement	Relationships to other documents
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents.	Σ	1..1	code	replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents.
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship	Σ	1..1	Reference(DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description	Σ	0..1	string	Human-readable description
securityLabel	Σ	0..*	CodeableConcept	Document security-tags Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	CodeableConcept	Document security-tags Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content	SOΣ	1..*	BackboneElement	Document referenced Obligations Actor SHALL:populate-if-known Server SHALL:handle Client	SΣ	1..*	BackboneElement	Document referenced
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SOΣC	1..1	Attachment	Where to access the document Constraints: ipa-doc-1 Obligations Actor SHALL:populate-if-known Server SHALL:handle Client	SΣC	1..1	Attachment	Where to access the document Constraints: us-core-6
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SOΣ	1..1	code	Mime type of the content, with charset etc. Binding: ?? (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png Obligations Actor SHALL:populate-if-known Server SHALL:handle Client	SΣ	0..1	code	Mime type of the content, with charset etc. Binding: ?? (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png	Element minimum cardinalities differ: '1' vs '0'
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding Example General: en-AU	Σ	0..1	code	Human language of the content (BCP-47) Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding Example General: en-AU
data	SO	0..1	base64Binary	Data inline, base64ed Obligations Actor SHALL:populate-if-known Server SHALL:handle Client	SC	0..1	base64Binary	Data inline, base64ed
url	SOΣ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png Obligations Actor SHALL:populate-if-known Server SHALL:handle Client	SΣC	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created	Σ	0..1	dateTime	Date attachment was first created
format	SOΣ	0..1	Coding	Format/content rules for the document Binding: ?? (preferred): Document Format Codes. Obligations Actor SHALL:populate-if-known Server SHALL:handle Client	SΣ	0..1	Coding	Format/content rules for the document Binding: ?? (extensible)
context	SOΣ	0..1	BackboneElement	Clinical context of document Obligations Actor SHALL:populate-if-known Server SHALL:handle Client	Σ	0..1	BackboneElement	Clinical context of document	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
encounter	SO	0..1	Reference(Encounter | EpisodeOfCare)	Context of the document content Obligations Actor SHALL:populate-if-known Server SHALL:handle Client		0..*	Reference(Encounter | EpisodeOfCare)	Context of the document content	Elements differ in definition for mustSupport: 'true' vs 'false' Element maximum cardinalities differ: '1' vs '2147483647'
event		0..*	CodeableConcept	Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented.		0..*	CodeableConcept	Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented.
period	SOΣ	0..1	Period	Time of service that is being documented Obligations Actor SHALL:populate-if-known Server SHALL:handle Client	Σ	0..1	Period	Time of service that is being documented	Elements differ in definition for mustSupport: 'true' vs 'false'
facilityType		0..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.		0..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.
practiceSetting		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).
sourcePatientInfo		0..1	Reference(Patient)	Patient demographics from source		0..1	Reference(Patient)	Patient demographics from source
related		0..*	Reference(Resource)	Related identifiers or resources		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format