Conformance:

Advance Directive Information versionNumber represents a string value used to version successive replacement documents. Best practice for systems that support distributed document creation and updating is to populate the versionNumber with the timestamp created from the date/time when the version of the document is created in the system. Note: this may or may not be equivalent to the timestamp integer for Composition.date. the versionNumber timestamp always will be equivalent to the Bundle.timestamp for the document.

To better align with CDA, versionNumber should be a string label generated by converting the ClinicalDocument.effectiveTime (or Composition.date) to UTC time (-0000) and then using the YYYYMMDDhhmmss as the version.

For documents created within a system will follow the pattern that the timestamp-label versionNumber will be equivalent to the timestamp of the Composition.date and the Bundle.timestamp. However, for unstructured historical documents uploaded into a system, the timestamp-label versionNumber will be equivalent to the timestamp of the timestamp of the system dateTime when the document was uploaded, but the Composition.date will reflect the creation date of the original document, if it is available. If the creation date of the original document is not known, then Composition.date may be the system dateTime when the document is uploaded.

This profile defines constraints that represent the information needed to register an advance directive information document on a FHIR server. Temporal information is essential to the document registration process. DocumentReference.date holds the date when the document was registered and DocumentReference.content.attachment.creation holds the "creation date" associated with the document itself.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	USCoreADIDocumentReferenceProfile	A reference to a document
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:authenticationTime	S	0..1	dateTime	Authentication Time URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-authentication-time
extension:DocumentRevokeStatus	S	0..1	code	Revoke Status URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status Binding: ADI Document Revoke Status (required)
extension:DocumentReferenceVersionNumber	S	0..1	string	Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-docVersionNumber-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Other identifiers for the document
status	?!SΣ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required)
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: ADI Composition Status (required)
type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: Advance Healthcare Directive Document Types Grouper (extensible): Advance Directives Content Type
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:cdaDocument	SΣ	0..1	Coding	CDA Document Type Coding Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-HL7DocumentFormatCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:hl7-org:sdwg:pacp-structuredBody:1.3
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system Required Pattern: PACP Structured Body CDA Document
coding:fhirADIBundle	SΣ	0..1	Coding	FHIR PACP Bundle Type Coding Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:ietf:rfc:3986
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Bundle
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system Required Pattern: pacp-structuredBody:1.3
Slices for category	SΣ	1..*	CodeableConcept	Categorization of document Slice: Unordered, Open by value:$this Binding: USCoreDocumentReferenceCategory (8.0.0) (extensible)
category:adi	SΣ	0..*	CodeableConcept	Categorization of ADI document" Binding: Advance Healthcare Directive Categories LOINC (required): Advance Healthcare Directive Categories Grouper. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
subject	SΣ	1..1	Reference(US Core Patient Profile S)	Who/what is the subject of the document
date	SΣ	1..1	instant	When this document reference was created
author	SΣ	0..*	Reference(US Core PractitionerRole Profile | US Core Organization Profile | US Core Patient Profile)	Who and/or what authored the document
authenticator	S	0..1	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core PractitionerRole Profile)	Who/what authenticated the document
custodian	S	0..1	Reference(US Core Organization Profile)	Organization which maintains the document
content	SΣ	1..*	BackboneElement	Document referenced
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣC	1..1	Attachment	Where to access the document Constraints: us-core-6
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
data	SC	0..1	base64Binary	Data inline, base64ed
url	SΣC	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
creation	SΣ	1..1	dateTime	Date attachment was first created
format	SΣ	0..1	Coding	Format/content rules for the document Binding: HL7FormatCodes (2.1.0) (extensible)
context	SΣ	0..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
encounter	S	0..*	Reference(US Core Encounter Profile)	Context of the document content
period	SΣ	0..1	Period	Time of service that is being documented
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status From the FHIR Standard
DocumentReference.docStatus	required	ADICompositionStatusVS http://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS From this IG
DocumentReference.type	extensible	AdvanceHealthcareDirectiveDocumentTypesGrouper http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.41 From https://vsac.nlm.nih.gov
DocumentReference.category	extensible	USCoreDocumentReferenceCategory http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category|8.0.0
DocumentReference.category:adi	required	AdvanceHealthcareDirectiveCategoriesLOINC http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 From https://vsac.nlm.nih.gov
DocumentReference.content.attachment.contentType	required	Mime Types(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From the FHIR Standard
DocumentReference.content.format	extensible	HL7FormatCodes http://terminology.hl7.org/ValueSet/v3-HL7FormatCodes|2.1.0

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	If 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-4	error	DocumentReference	If 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-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
us-core-6	error	DocumentReference.content.attachment	DocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present. : url.exists() or data.exists()

This structure is derived from USCoreADIDocumentReferenceProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference			USCoreADIDocumentReferenceProfile
Slices for extension				Content/Rules for all slices
extension:DocumentRevokeStatus	S	0..1	code	Revoke Status URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status Binding: ADI Document Revoke Status (required)
extension:DocumentReferenceVersionNumber	S	0..1	string	Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-docVersionNumber-extension
docStatus		0..1	code	preliminary | final | amended | entered-in-error Binding: ADI Composition Status (required)
type
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:cdaDocument	S	0..1	Coding	CDA Document Type Coding Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-HL7DocumentFormatCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:hl7-org:sdwg:pacp-structuredBody:1.3
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system Required Pattern: PACP Structured Body CDA Document
coding:fhirADIBundle	S	0..1	Coding	FHIR PACP Bundle Type Coding Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: urn:ietf:rfc:3986
code		1..1	code	Symbol in syntax defined by the system Fixed Value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Bundle
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system Required Pattern: pacp-structuredBody:1.3
category		1..*	CodeableConcept	Categorization of document Binding: USCoreDocumentReferenceCategory (8.0.0) (extensible)
subject		1..1	Reference(US Core Patient Profile)	Who/what is the subject of the document
date		1..1	instant	When this document reference was created
author		0..*	Reference(US Core PractitionerRole Profile | US Core Organization Profile | US Core Patient Profile)	Who and/or what authored the document
custodian	S	0..1	Reference(US Core Organization Profile)	Organization which maintains the document
content
attachment
contentType		1..1	code	Mime type of the content, with charset etc.
creation	S	1..1	dateTime	Date attachment was first created
context	S	0..1	BackboneElement	Clinical context of document
encounter	S	0..*	Reference(US Core Encounter Profile)	Context of the document content
period	S	0..1	Period	Time of service that is being documented
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DocumentReference.docStatus	required	ADICompositionStatusVS http://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS From this IG
DocumentReference.category	extensible	USCoreDocumentReferenceCategory http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category|8.0.0

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	USCoreADIDocumentReferenceProfile	A reference to a document
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:authenticationTime	S	0..1	dateTime	Authentication Time URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-authentication-time
extension:DocumentRevokeStatus	S	0..1	code	Revoke Status URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status Binding: ADI Document Revoke Status (required)
extension:DocumentReferenceVersionNumber	S	0..1	string	Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-docVersionNumber-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	Σ	0..1	Identifier	Master Version Specific Identifier
identifier	SΣ	0..*	Identifier	Other identifiers for the document
status	?!SΣ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required)
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: ADI Composition Status (required)
type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: Advance Healthcare Directive Document Types Grouper (extensible): Advance Directives Content Type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:cdaDocument	SΣ	0..1	Coding	CDA Document Type Coding Required Pattern: At least the following
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/CodeSystem/v3-HL7DocumentFormatCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:hl7-org:sdwg:pacp-structuredBody:1.3
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system Required Pattern: PACP Structured Body CDA Document
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:fhirADIBundle	SΣ	0..1	Coding	FHIR PACP Bundle Type Coding Required Pattern: At least the following
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: urn:ietf:rfc:3986
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Bundle
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system Required Pattern: pacp-structuredBody:1.3
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
Slices for category	SΣ	1..*	CodeableConcept	Categorization of document Slice: Unordered, Open by value:$this Binding: USCoreDocumentReferenceCategory (8.0.0) (extensible)
category:adi	SΣ	0..*	CodeableConcept	Categorization of ADI document" Binding: Advance Healthcare Directive Categories LOINC (required): Advance Healthcare Directive Categories Grouper. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
subject	SΣ	1..1	Reference(US Core Patient Profile S)	Who/what is the subject of the document
date	SΣ	1..1	instant	When this document reference was created
author	SΣ	0..*	Reference(US Core PractitionerRole Profile | US Core Organization Profile | US Core Patient Profile)	Who and/or what authored the document
authenticator	S	0..1	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core PractitionerRole Profile)	Who/what authenticated the document
custodian	S	0..1	Reference(US Core Organization Profile)	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	SΣ	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	SΣC	1..1	Attachment	Where to access the document Constraints: us-core-6
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	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data	SC	0..1	base64Binary	Data inline, base64ed
url	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)
hash	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
creation	SΣ	1..1	dateTime	Date attachment was first created
format	SΣ	0..1	Coding	Format/content rules for the document Binding: HL7FormatCodes (2.1.0) (extensible)
context	SΣ	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..*	Reference(US Core Encounter Profile)	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	SΣ	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
related		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status From the FHIR Standard
DocumentReference.docStatus	required	ADICompositionStatusVS http://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS From this IG
DocumentReference.type	extensible	AdvanceHealthcareDirectiveDocumentTypesGrouper http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.41 From https://vsac.nlm.nih.gov
DocumentReference.category	extensible	USCoreDocumentReferenceCategory http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category|8.0.0
DocumentReference.category:adi	required	AdvanceHealthcareDirectiveCategoriesLOINC http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 From https://vsac.nlm.nih.gov
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 From the FHIR Standard
DocumentReference.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
DocumentReference.content.attachment.contentType	required	Mime Types(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From the FHIR Standard
DocumentReference.content.attachment.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.content.format	extensible	HL7FormatCodes http://terminology.hl7.org/ValueSet/v3-HL7FormatCodes|2.1.0
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes From the FHIR Standard
DocumentReference.context.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	If 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-4	error	DocumentReference	If 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-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
us-core-6	error	DocumentReference.content.attachment	DocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present. : url.exists() or data.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	USCoreADIDocumentReferenceProfile	A reference to a document
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:authenticationTime	S	0..1	dateTime	Authentication Time URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-authentication-time
extension:DocumentRevokeStatus	S	0..1	code	Revoke Status URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status Binding: ADI Document Revoke Status (required)
extension:DocumentReferenceVersionNumber	S	0..1	string	Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-docVersionNumber-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Other identifiers for the document
status	?!SΣ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required)
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: ADI Composition Status (required)
type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: Advance Healthcare Directive Document Types Grouper (extensible): Advance Directives Content Type
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:cdaDocument	SΣ	0..1	Coding	CDA Document Type Coding Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-HL7DocumentFormatCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:hl7-org:sdwg:pacp-structuredBody:1.3
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system Required Pattern: PACP Structured Body CDA Document
coding:fhirADIBundle	SΣ	0..1	Coding	FHIR PACP Bundle Type Coding Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:ietf:rfc:3986
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Bundle
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system Required Pattern: pacp-structuredBody:1.3
Slices for category	SΣ	1..*	CodeableConcept	Categorization of document Slice: Unordered, Open by value:$this Binding: USCoreDocumentReferenceCategory (8.0.0) (extensible)
category:adi	SΣ	0..*	CodeableConcept	Categorization of ADI document" Binding: Advance Healthcare Directive Categories LOINC (required): Advance Healthcare Directive Categories Grouper. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
subject	SΣ	1..1	Reference(US Core Patient Profile S)	Who/what is the subject of the document
date	SΣ	1..1	instant	When this document reference was created
author	SΣ	0..*	Reference(US Core PractitionerRole Profile | US Core Organization Profile | US Core Patient Profile)	Who and/or what authored the document
authenticator	S	0..1	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core PractitionerRole Profile)	Who/what authenticated the document
custodian	S	0..1	Reference(US Core Organization Profile)	Organization which maintains the document
content	SΣ	1..*	BackboneElement	Document referenced
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣC	1..1	Attachment	Where to access the document Constraints: us-core-6
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
data	SC	0..1	base64Binary	Data inline, base64ed
url	SΣC	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
creation	SΣ	1..1	dateTime	Date attachment was first created
format	SΣ	0..1	Coding	Format/content rules for the document Binding: HL7FormatCodes (2.1.0) (extensible)
context	SΣ	0..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
encounter	S	0..*	Reference(US Core Encounter Profile)	Context of the document content
period	SΣ	0..1	Period	Time of service that is being documented
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status From the FHIR Standard
DocumentReference.docStatus	required	ADICompositionStatusVS http://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS From this IG
DocumentReference.type	extensible	AdvanceHealthcareDirectiveDocumentTypesGrouper http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.41 From https://vsac.nlm.nih.gov
DocumentReference.category	extensible	USCoreDocumentReferenceCategory http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category|8.0.0
DocumentReference.category:adi	required	AdvanceHealthcareDirectiveCategoriesLOINC http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 From https://vsac.nlm.nih.gov
DocumentReference.content.attachment.contentType	required	Mime Types(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From the FHIR Standard
DocumentReference.content.format	extensible	HL7FormatCodes http://terminology.hl7.org/ValueSet/v3-HL7FormatCodes|2.1.0

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	If 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-4	error	DocumentReference	If 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-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
us-core-6	error	DocumentReference.content.attachment	DocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present. : url.exists() or data.exists()

Differential View

This structure is derived from USCoreADIDocumentReferenceProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference			USCoreADIDocumentReferenceProfile
Slices for extension				Content/Rules for all slices
extension:DocumentRevokeStatus	S	0..1	code	Revoke Status URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status Binding: ADI Document Revoke Status (required)
extension:DocumentReferenceVersionNumber	S	0..1	string	Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-docVersionNumber-extension
docStatus		0..1	code	preliminary | final | amended | entered-in-error Binding: ADI Composition Status (required)
type
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:cdaDocument	S	0..1	Coding	CDA Document Type Coding Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-HL7DocumentFormatCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:hl7-org:sdwg:pacp-structuredBody:1.3
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system Required Pattern: PACP Structured Body CDA Document
coding:fhirADIBundle	S	0..1	Coding	FHIR PACP Bundle Type Coding Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: urn:ietf:rfc:3986
code		1..1	code	Symbol in syntax defined by the system Fixed Value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Bundle
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system Required Pattern: pacp-structuredBody:1.3
category		1..*	CodeableConcept	Categorization of document Binding: USCoreDocumentReferenceCategory (8.0.0) (extensible)
subject		1..1	Reference(US Core Patient Profile)	Who/what is the subject of the document
date		1..1	instant	When this document reference was created
author		0..*	Reference(US Core PractitionerRole Profile | US Core Organization Profile | US Core Patient Profile)	Who and/or what authored the document
custodian	S	0..1	Reference(US Core Organization Profile)	Organization which maintains the document
content
attachment
contentType		1..1	code	Mime type of the content, with charset etc.
creation	S	1..1	dateTime	Date attachment was first created
context	S	0..1	BackboneElement	Clinical context of document
encounter	S	0..*	Reference(US Core Encounter Profile)	Context of the document content
period	S	0..1	Period	Time of service that is being documented
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DocumentReference.docStatus	required	ADICompositionStatusVS http://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS From this IG
DocumentReference.category	extensible	USCoreDocumentReferenceCategory http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category|8.0.0

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	USCoreADIDocumentReferenceProfile	A reference to a document
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:authenticationTime	S	0..1	dateTime	Authentication Time URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-authentication-time
extension:DocumentRevokeStatus	S	0..1	code	Revoke Status URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status Binding: ADI Document Revoke Status (required)
extension:DocumentReferenceVersionNumber	S	0..1	string	Version Number URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-docVersionNumber-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	Σ	0..1	Identifier	Master Version Specific Identifier
identifier	SΣ	0..*	Identifier	Other identifiers for the document
status	?!SΣ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required)
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: ADI Composition Status (required)
type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: Advance Healthcare Directive Document Types Grouper (extensible): Advance Directives Content Type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:cdaDocument	SΣ	0..1	Coding	CDA Document Type Coding Required Pattern: At least the following
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/CodeSystem/v3-HL7DocumentFormatCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:hl7-org:sdwg:pacp-structuredBody:1.3
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system Required Pattern: PACP Structured Body CDA Document
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:fhirADIBundle	SΣ	0..1	Coding	FHIR PACP Bundle Type Coding Required Pattern: At least the following
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: urn:ietf:rfc:3986
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-Bundle
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system Required Pattern: pacp-structuredBody:1.3
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
Slices for category	SΣ	1..*	CodeableConcept	Categorization of document Slice: Unordered, Open by value:$this Binding: USCoreDocumentReferenceCategory (8.0.0) (extensible)
category:adi	SΣ	0..*	CodeableConcept	Categorization of ADI document" Binding: Advance Healthcare Directive Categories LOINC (required): Advance Healthcare Directive Categories Grouper. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
subject	SΣ	1..1	Reference(US Core Patient Profile S)	Who/what is the subject of the document
date	SΣ	1..1	instant	When this document reference was created
author	SΣ	0..*	Reference(US Core PractitionerRole Profile | US Core Organization Profile | US Core Patient Profile)	Who and/or what authored the document
authenticator	S	0..1	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core PractitionerRole Profile)	Who/what authenticated the document
custodian	S	0..1	Reference(US Core Organization Profile)	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	SΣ	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	SΣC	1..1	Attachment	Where to access the document Constraints: us-core-6
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	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data	SC	0..1	base64Binary	Data inline, base64ed
url	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)
hash	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
creation	SΣ	1..1	dateTime	Date attachment was first created
format	SΣ	0..1	Coding	Format/content rules for the document Binding: HL7FormatCodes (2.1.0) (extensible)
context	SΣ	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..*	Reference(US Core Encounter Profile)	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	SΣ	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
related		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status From the FHIR Standard
DocumentReference.docStatus	required	ADICompositionStatusVS http://hl7.org/fhir/us/pacio-adi/ValueSet/ADICompositionStatusVS From this IG
DocumentReference.type	extensible	AdvanceHealthcareDirectiveDocumentTypesGrouper http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1115.41 From https://vsac.nlm.nih.gov
DocumentReference.category	extensible	USCoreDocumentReferenceCategory http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category|8.0.0
DocumentReference.category:adi	required	AdvanceHealthcareDirectiveCategoriesLOINC http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.69.4 From https://vsac.nlm.nih.gov
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 From the FHIR Standard
DocumentReference.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
DocumentReference.content.attachment.contentType	required	Mime Types(a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From the FHIR Standard
DocumentReference.content.attachment.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.content.format	extensible	HL7FormatCodes http://terminology.hl7.org/ValueSet/v3-HL7FormatCodes|2.1.0
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes From the FHIR Standard
DocumentReference.context.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	If 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-4	error	DocumentReference	If 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-5	error	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
us-core-6	error	DocumentReference.content.attachment	DocumentReference.content.attachment.url or DocumentReference.content.attachment.data or both SHALL be present. : url.exists() or data.exists()

This structure is derived from USCoreADIDocumentReferenceProfile

Summary

Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 9 elements

Structures

This structure refers to these other structures:

• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• US Core Encounter Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-document-revoke-status
• http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-docVersionNumber-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DocumentReference.type.coding

Maturity: 2