| Name | Flags | Card. | Type |
Description & Constraints
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|---|---|---|---|---|
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TU | DomainResource | A reference to a document
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension |
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Σ | 0..1 | Identifier | Master Version Specific Identifier |
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Σ | 0..* | Identifier | Other identifiers for the document
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?! Σ | 1..1 | code | current | superseded | entered-in-error
DocumentReferenceStatus ( Required) |
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Σ | 0..1 | code | preliminary | final | amended | entered-in-error
CompositionStatus ( Required) |
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Σ | 0..1 | CodeableConcept | Kind of document (LOINC if possible)
Document Type Value Set ( Preferred) |
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Σ | 0..* | CodeableConcept | Categorization of document
Document Class Value Set ( Example) |
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Σ | 0..1 | Reference( Patient | Practitioner | Group | Device) | Who/what is the subject of the document |
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Σ | 0..1 | instant | When this document reference was created |
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Σ | 0..* | Reference( Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) | Who and/or what authored the document
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0..1 | Reference( Practitioner | PractitionerRole | Organization) | Who/what authenticated the document | |
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0..1 | Reference( Organization) | Organization which maintains the document | |
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Σ | 0..* | BackboneElement | Relationships to other documents
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Σ | 1..1 | code | replaces | transforms | signs | appends
DocumentRelationshipType ( Required) |
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Σ | 1..1 | Reference( DocumentReference) | Target of the relationship |
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Σ | 0..1 | string | Human-readable description |
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Σ | 0..* | CodeableConcept | Document security-tags
SecurityLabels ( Extensible) |
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Σ | 1..* | BackboneElement | Document referenced
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Σ | 1..1 | Attachment | Where to access the document |
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Σ | 0..1 | Coding | Format/content rules for the document
DocumentReference Format Code Set ( Preferred) |
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Σ | 0..1 | BackboneElement | Clinical context of document |
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0..* | Reference( Encounter | EpisodeOfCare) | Context of the document content
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0..* | CodeableConcept | Main clinical acts documented
v3 Code System ActCode ( Example) |
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Σ | 0..1 | Period | Time of service that is being documented |
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0..1 | CodeableConcept | Kind of facility where patient was seen
Facility Type Code Value Set ( Example) |
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0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty)
Practice Setting Code Value Set ( Example) |
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0..1 | Reference( Patient) | Patient demographics from source | |
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0..* | Reference( Any) | Related identifiers or resources
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Documentation for this format
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