Guía MHD para HSI, Provincia de Buenos Aires.
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Guía MHD para HSI, Provincia de Buenos Aires. - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ReferenciaDocumental

Official URL: http://mhd.ri.hsisalud.org/StructureDefinition/ReferenciaDocumental Version: 0.1.0
Draft as of 2026-08-07 Computable Name: ReferenciaDocumental

Perfil asociado al la refetrencia documental para HSI en un modelo MHD, consderado para transacciones asociadas a una ITI-65 e ITI-67. Se considera en el perfil la asociación de documentos de tipo IPS, referenciados a la Guía Core Argentna AR.FHIR.CORE

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* MinimalDocumentReference A reference to a document
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... masterIdentifier S 1..1 UniqueIdIdentifier Identificador único para el documento IPS nacional referenciado. Es el identificador principal del IPS
Example Ejemplo de identificador maestro: {"system":"https://repositorio.cl/documentos/ips","value":"IPS-2026-00001"}
... Slices for identifier SΣ 0..* Identifier Identificador alternativo para el documento IPS nacional referenciado. Es un identificador secundario del IPS
Slice: Unordered, Open by value:use
.... identifier:entryUUID 0..* EntryUUIDIdentifier An identifier intended for computation
... type SΣ 1..1 CodeableConcept Tipo de documento referenciado
Binding: Tipos de Documento Clínico para DocumentReference (extensible)
... category SΣ 1..1 CodeableConcept Categoría del documento referenciado
Binding: Categorías de Documento Clínico para DocumentReference (extensible)
.... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Resumen clínico de paciente
... subject SΣ 1..1 Reference(Paciente Argentino) Paciente al que se refiere el documento IPS nacional referenciado
... date SΣ 1..1 instant Fecha de creación del documento IPS nacional referenciado
... author SΣ 1..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Autor del documento o IPS nacional referenciado
... relatesTo SΣ 0..* BackboneElement Relationships to other documents
.... 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
... securityLabel SΣ 0..* CodeableConcept Etiqueta de seguridad del documento IPS nacional referenciado
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... content SΣ 1..1 BackboneElement Contenido del documento (IPS u otro) nacional referenciado con url reltiva en caso de ser X-Road, o url absoluta en caso de ser un repositorio FHIR. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital.
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:ContentDoc S 0..* (Complex) Extensiones del documento IPS nacional referenciado a Server FHIR
URL: http://mhd.ri.hsisalud.org/StructureDefinition/ContentDoc
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://mhd.ri.hsisalud.org/StructureDefinition/ContentDoc"
...... value[x] 0..1 Attachment Value of extension
....... 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.
Required Pattern: application/fhir+json
....... url SΣ 1..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
Example Ejemplo de documento IPS referenciado en Repo FHIR, si fuera Binary sería /Binary/ips-xxx, si fuera un Bundle tipo document sería /Binary/ips-xxx: /Bundle/ips-xxx
....... size SΣ 0..1 unsignedInt Number of bytes of content (if url provided)
....... hash SΣ 0..1 base64Binary Hash of the data (sha-1, base64ed)
....... title SΣ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
....... creation SΣ 0..1 dateTime Date attachment was first created
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment SΣ 1..1 Attachment Definición del archivo adjunto que contiene el documento referenciado
..... 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.
Required Pattern: application/fhir+json
..... language SΣ 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
..... url SΣ 1..1 url URL del archivo adjunto que contiene el documento referenciado, en formato FHIR IPS, Binary IPS u otro documnento en esos formatos .
Example General: http://www.acme.com/logo-small.png
Example Ejemplo de IPS referenciado en X-Road: /pba/tndXroad/santamarina/docs/ips-xxx
..... hash SΣ 0..1 base64Binary Hash del archivo adjunto que contiene el documento IPS nacional referenciado
..... title SΣ 0..1 string Título del archivo adjunto que contiene el documento referenciado
Example General: Official Corporate Logo
Example Ejemplo de Título del documento contenido referenciado via X-Road: IPS-001
..... creation SΣ 0..1 dateTime Date attachment was first created
.... format SΣ 0..1 Coding Format/content rules for the document
Binding: IHE ValueSet of Format Codes for use with Document Sharing (preferred)
... context SΣ 1..1 BackboneElement Contexto del documento IPS nacional u otro referenciado
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... period SΣ 0..1 Period Periodo de tiempo al que se refiere el documento IPS nacional u otro referenciado
.... facilityType S 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
.... practiceSetting S 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 S 0..1 Reference(Patient) Patient demographics from source

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required MHD DocumentReference status codes 📦4.2.2 Mobile access to Health Documents v4.2
DocumentReference.type Base extensible Tipos de Documento Clínico para DocumentReference 📦0.1.0 This IG
DocumentReference.category Base extensible Categorías de Documento Clínico para DocumentReference 📦0.1.0 This IG
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📦4.0.1 FHIR Std.
DocumentReference.content.​extension:ContentDoc.​value[x].contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.language Base preferred Common Languages 📦4.0.1 FHIR Std.
DocumentReference.content.​format Base preferred IHE ValueSet of Format Codes for use with Document Sharing 📦1.2.0 IHE FormatCode Vocabulary v1.2
DocumentReference.context.​facilityType Base example Facility Type Code Value Set 📦4.0.1 FHIR Std.
DocumentReference.context.​practiceSetting Base example Practice Setting Code Value Set 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

This structure is derived from MinimalDocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference MinimalDocumentReference
... masterIdentifier S 1..1 UniqueIdIdentifier Identificador único para el documento IPS nacional referenciado. Es el identificador principal del IPS
Example Ejemplo de identificador maestro: {"system":"https://repositorio.cl/documentos/ips","value":"IPS-2026-00001"}
... identifier 0..* Identifier Identificador alternativo para el documento IPS nacional referenciado. Es un identificador secundario del IPS
... status S 1..1 code Estado de la referencia al documento IPS: current|superseded|entered-in-error
.... coding
..... system 0..1 uri Identity of the terminology system
Example Para IPS: http://loinc.org
..... code 0..1 code Symbol in syntax defined by the system
Example Código Loinc para IPS: 34133-9
..... display 0..1 string Representation defined by the system
Example El display asociado: Summary of episode note
... category 1..1 CodeableConcept Categoría del documento referenciado
Binding: Categorías de Documento Clínico para DocumentReference (extensible)
.... coding
..... system 0..1 uri Identity of the terminology system
Example Para IPS: http://loinc.org
..... code 0..1 code Symbol in syntax defined by the system
Example Loinc Asociado: 60591-5
..... display 0..1 string Representation defined by the system
Example Display asociado al código Loinc: Patient summary Document
.... text 0..1 string Plain text representation of the concept
Required Pattern: Resumen clínico de paciente
... subject 1..1 Reference(Paciente Argentino) Paciente al que se refiere el documento IPS nacional referenciado
... date 1..1 instant Fecha de creación del documento IPS nacional referenciado
... author 1..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Autor del documento o IPS nacional referenciado
... securityLabel 0..* CodeableConcept Etiqueta de seguridad del documento IPS nacional referenciado
... content S 1..1 BackboneElement Contenido del documento (IPS u otro) nacional referenciado con url reltiva en caso de ser X-Road, o url absoluta en caso de ser un repositorio FHIR. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital.
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:ContentDoc S 0..* (Complex) Extensiones del documento IPS nacional referenciado a Server FHIR
URL: http://mhd.ri.hsisalud.org/StructureDefinition/ContentDoc
...... value[x]
....... contentType 1..1 code Mime type of the content, with charset etc.
Required Pattern: application/fhir+json
....... url 1..1 url Uri where the data can be found
Example Ejemplo de documento IPS referenciado en Repo FHIR, si fuera Binary sería /Binary/ips-xxx, si fuera un Bundle tipo document sería /Binary/ips-xxx: /Bundle/ips-xxx
.... attachment S 1..1 Attachment Definición del archivo adjunto que contiene el documento referenciado
..... contentType S 1..1 code Mime type of the content, with charset etc.
Required Pattern: application/fhir+json
..... url S 1..1 url URL del archivo adjunto que contiene el documento referenciado, en formato FHIR IPS, Binary IPS u otro documnento en esos formatos .
Example Ejemplo de IPS referenciado en X-Road: /pba/tndXroad/santamarina/docs/ips-xxx
..... hash S 0..1 base64Binary Hash del archivo adjunto que contiene el documento IPS nacional referenciado
..... title S 0..1 string Título del archivo adjunto que contiene el documento referenciado
Example Ejemplo de Título del documento contenido referenciado via X-Road: IPS-001
... context S 1..1 BackboneElement Contexto del documento IPS nacional u otro referenciado
.... period 0..1 Period Periodo de tiempo al que se refiere el documento IPS nacional u otro referenciado

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.type Base extensible Tipos de Documento Clínico para DocumentReference 📦0.1.0 This IG
DocumentReference.category Base extensible Categorías de Documento Clínico para DocumentReference 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* MinimalDocumentReference A reference to a document
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the 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 Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... masterIdentifier S 1..1 UniqueIdIdentifier Identificador único para el documento IPS nacional referenciado. Es el identificador principal del IPS
Example Ejemplo de identificador maestro: {"system":"https://repositorio.cl/documentos/ips","value":"IPS-2026-00001"}
... Slices for identifier SΣ 0..* Identifier Identificador alternativo para el documento IPS nacional referenciado. Es un identificador secundario del IPS
Slice: Unordered, Open by value:use
.... identifier:entryUUID 0..* EntryUUIDIdentifier An identifier intended for computation
... status ?!SΣ 1..1 code Estado de la referencia al documento IPS: current|superseded|entered-in-error
Binding: MHD DocumentReference status codes (required)
... type SΣ 1..1 CodeableConcept Tipo de documento referenciado
Binding: Tipos de Documento Clínico para DocumentReference (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
Example Para IPS: http://loinc.org
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Example Código Loinc para IPS: 34133-9
..... display Σ 0..1 string Representation defined by the system
Example El display asociado: Summary of episode note
..... 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
... category SΣ 1..1 CodeableConcept Categoría del documento referenciado
Binding: Categorías de Documento Clínico para DocumentReference (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
Example Para IPS: http://loinc.org
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Example Loinc Asociado: 60591-5
..... display Σ 0..1 string Representation defined by the system
Example Display asociado al código Loinc: Patient summary Document
..... 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
Required Pattern: Resumen clínico de paciente
... subject SΣ 1..1 Reference(Paciente Argentino) Paciente al que se refiere el documento IPS nacional referenciado
... date SΣ 1..1 instant Fecha de creación del documento IPS nacional referenciado
... author SΣ 1..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Autor del documento o IPS nacional referenciado
... authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what authenticated the document
... custodian 0..1 Reference(Organization) Organization which maintains the document
... relatesTo SΣ 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 SΣ 0..* CodeableConcept Etiqueta de seguridad del documento IPS nacional referenciado
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... content SΣ 1..1 BackboneElement Contenido del documento (IPS u otro) nacional referenciado con url reltiva en caso de ser X-Road, o url absoluta en caso de ser un repositorio FHIR. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital.
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:ContentDoc S 0..* (Complex) Extensiones del documento IPS nacional referenciado a Server FHIR
URL: http://mhd.ri.hsisalud.org/StructureDefinition/ContentDoc
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://mhd.ri.hsisalud.org/StructureDefinition/ContentDoc"
...... value[x] 0..1 Attachment Value of extension
....... 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.
Required Pattern: application/fhir+json
....... 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 0..1 base64Binary Data inline, base64ed
....... url SΣ 1..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
Example Ejemplo de documento IPS referenciado en Repo FHIR, si fuera Binary sería /Binary/ips-xxx, si fuera un Bundle tipo document sería /Binary/ips-xxx: /Bundle/ips-xxx
....... size SΣ 0..1 unsignedInt Number of bytes of content (if url provided)
....... hash SΣ 0..1 base64Binary Hash of the data (sha-1, base64ed)
....... title SΣ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
....... creation SΣ 0..1 dateTime Date attachment was first created
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment SΣ 1..1 Attachment Definición del archivo adjunto que contiene el documento referenciado
..... 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.
Required Pattern: application/fhir+json
..... language SΣ 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
..... url SΣ 1..1 url URL del archivo adjunto que contiene el documento referenciado, en formato FHIR IPS, Binary IPS u otro documnento en esos formatos .
Example General: http://www.acme.com/logo-small.png
Example Ejemplo de IPS referenciado en X-Road: /pba/tndXroad/santamarina/docs/ips-xxx
..... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash SΣ 0..1 base64Binary Hash del archivo adjunto que contiene el documento IPS nacional referenciado
..... title SΣ 0..1 string Título del archivo adjunto que contiene el documento referenciado
Example General: Official Corporate Logo
Example Ejemplo de Título del documento contenido referenciado via X-Road: IPS-001
..... creation SΣ 0..1 dateTime Date attachment was first created
.... format SΣ 0..1 Coding Format/content rules for the document
Binding: IHE ValueSet of Format Codes for use with Document Sharing (preferred)
... context SΣ 1..1 BackboneElement Contexto del documento IPS nacional u otro referenciado
.... 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 0..* Reference(Encounter | EpisodeOfCare) 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 Periodo de tiempo al que se refiere el documento IPS nacional u otro referenciado
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... facilityType S 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
.... practiceSetting S 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 S 0..1 Reference(Patient) Patient demographics from source
..... 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 0..1 string Text alternative for the resource
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.meta.​security Base extensible SecurityLabels 📦4.0.1 FHIR Std.
DocumentReference.meta.​tag Base example Common Tags 📦4.0.1 FHIR Std.
DocumentReference.language Base preferred Common Languages 📦4.0.1 FHIR Std.
DocumentReference.status Base required MHD DocumentReference status codes 📦4.2.2 Mobile access to Health Documents v4.2
DocumentReference.type Base extensible Tipos de Documento Clínico para DocumentReference 📦0.1.0 This IG
DocumentReference.category Base extensible Categorías de Documento Clínico para DocumentReference 📦0.1.0 This IG
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📦4.0.1 FHIR Std.
DocumentReference.content.​extension:ContentDoc.​value[x].contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​extension:ContentDoc.​value[x].language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.language Base preferred Common Languages 📦4.0.1 FHIR Std.
DocumentReference.content.​format Base preferred IHE ValueSet of Format Codes for use with Document Sharing 📦1.2.0 IHE FormatCode Vocabulary v1.2
DocumentReference.context.​event Base example v3 Code System ActCode 📦3.0.0 THO v7.3
DocumentReference.context.​facilityType Base example Facility Type Code Value Set 📦4.0.1 FHIR Std.
DocumentReference.context.​practiceSetting Base example Practice Setting Code Value Set 📦4.0.1 FHIR Std.
DocumentReference.context.​sourcePatientInfo.type Base extensible ResourceType 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

This structure is derived from MinimalDocumentReference

Summary

Mandatory: 6 elements
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* MinimalDocumentReference A reference to a document
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... masterIdentifier S 1..1 UniqueIdIdentifier Identificador único para el documento IPS nacional referenciado. Es el identificador principal del IPS
Example Ejemplo de identificador maestro: {"system":"https://repositorio.cl/documentos/ips","value":"IPS-2026-00001"}
... Slices for identifier SΣ 0..* Identifier Identificador alternativo para el documento IPS nacional referenciado. Es un identificador secundario del IPS
Slice: Unordered, Open by value:use
.... identifier:entryUUID 0..* EntryUUIDIdentifier An identifier intended for computation
... type SΣ 1..1 CodeableConcept Tipo de documento referenciado
Binding: Tipos de Documento Clínico para DocumentReference (extensible)
... category SΣ 1..1 CodeableConcept Categoría del documento referenciado
Binding: Categorías de Documento Clínico para DocumentReference (extensible)
.... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Resumen clínico de paciente
... subject SΣ 1..1 Reference(Paciente Argentino) Paciente al que se refiere el documento IPS nacional referenciado
... date SΣ 1..1 instant Fecha de creación del documento IPS nacional referenciado
... author SΣ 1..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Autor del documento o IPS nacional referenciado
... relatesTo SΣ 0..* BackboneElement Relationships to other documents
.... 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
... securityLabel SΣ 0..* CodeableConcept Etiqueta de seguridad del documento IPS nacional referenciado
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... content SΣ 1..1 BackboneElement Contenido del documento (IPS u otro) nacional referenciado con url reltiva en caso de ser X-Road, o url absoluta en caso de ser un repositorio FHIR. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital.
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:ContentDoc S 0..* (Complex) Extensiones del documento IPS nacional referenciado a Server FHIR
URL: http://mhd.ri.hsisalud.org/StructureDefinition/ContentDoc
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://mhd.ri.hsisalud.org/StructureDefinition/ContentDoc"
...... value[x] 0..1 Attachment Value of extension
....... 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.
Required Pattern: application/fhir+json
....... url SΣ 1..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
Example Ejemplo de documento IPS referenciado en Repo FHIR, si fuera Binary sería /Binary/ips-xxx, si fuera un Bundle tipo document sería /Binary/ips-xxx: /Bundle/ips-xxx
....... size SΣ 0..1 unsignedInt Number of bytes of content (if url provided)
....... hash SΣ 0..1 base64Binary Hash of the data (sha-1, base64ed)
....... title SΣ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
....... creation SΣ 0..1 dateTime Date attachment was first created
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment SΣ 1..1 Attachment Definición del archivo adjunto que contiene el documento referenciado
..... 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.
Required Pattern: application/fhir+json
..... language SΣ 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
..... url SΣ 1..1 url URL del archivo adjunto que contiene el documento referenciado, en formato FHIR IPS, Binary IPS u otro documnento en esos formatos .
Example General: http://www.acme.com/logo-small.png
Example Ejemplo de IPS referenciado en X-Road: /pba/tndXroad/santamarina/docs/ips-xxx
..... hash SΣ 0..1 base64Binary Hash del archivo adjunto que contiene el documento IPS nacional referenciado
..... title SΣ 0..1 string Título del archivo adjunto que contiene el documento referenciado
Example General: Official Corporate Logo
Example Ejemplo de Título del documento contenido referenciado via X-Road: IPS-001
..... creation SΣ 0..1 dateTime Date attachment was first created
.... format SΣ 0..1 Coding Format/content rules for the document
Binding: IHE ValueSet of Format Codes for use with Document Sharing (preferred)
... context SΣ 1..1 BackboneElement Contexto del documento IPS nacional u otro referenciado
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... period SΣ 0..1 Period Periodo de tiempo al que se refiere el documento IPS nacional u otro referenciado
.... facilityType S 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
.... practiceSetting S 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 S 0..1 Reference(Patient) Patient demographics from source

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required MHD DocumentReference status codes 📦4.2.2 Mobile access to Health Documents v4.2
DocumentReference.type Base extensible Tipos de Documento Clínico para DocumentReference 📦0.1.0 This IG
DocumentReference.category Base extensible Categorías de Documento Clínico para DocumentReference 📦0.1.0 This IG
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📦4.0.1 FHIR Std.
DocumentReference.content.​extension:ContentDoc.​value[x].contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.language Base preferred Common Languages 📦4.0.1 FHIR Std.
DocumentReference.content.​format Base preferred IHE ValueSet of Format Codes for use with Document Sharing 📦1.2.0 IHE FormatCode Vocabulary v1.2
DocumentReference.context.​facilityType Base example Facility Type Code Value Set 📦4.0.1 FHIR Std.
DocumentReference.context.​practiceSetting Base example Practice Setting Code Value Set 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Differential View

This structure is derived from MinimalDocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference MinimalDocumentReference
... masterIdentifier S 1..1 UniqueIdIdentifier Identificador único para el documento IPS nacional referenciado. Es el identificador principal del IPS
Example Ejemplo de identificador maestro: {"system":"https://repositorio.cl/documentos/ips","value":"IPS-2026-00001"}
... identifier 0..* Identifier Identificador alternativo para el documento IPS nacional referenciado. Es un identificador secundario del IPS
... status S 1..1 code Estado de la referencia al documento IPS: current|superseded|entered-in-error
.... coding
..... system 0..1 uri Identity of the terminology system
Example Para IPS: http://loinc.org
..... code 0..1 code Symbol in syntax defined by the system
Example Código Loinc para IPS: 34133-9
..... display 0..1 string Representation defined by the system
Example El display asociado: Summary of episode note
... category 1..1 CodeableConcept Categoría del documento referenciado
Binding: Categorías de Documento Clínico para DocumentReference (extensible)
.... coding
..... system 0..1 uri Identity of the terminology system
Example Para IPS: http://loinc.org
..... code 0..1 code Symbol in syntax defined by the system
Example Loinc Asociado: 60591-5
..... display 0..1 string Representation defined by the system
Example Display asociado al código Loinc: Patient summary Document
.... text 0..1 string Plain text representation of the concept
Required Pattern: Resumen clínico de paciente
... subject 1..1 Reference(Paciente Argentino) Paciente al que se refiere el documento IPS nacional referenciado
... date 1..1 instant Fecha de creación del documento IPS nacional referenciado
... author 1..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Autor del documento o IPS nacional referenciado
... securityLabel 0..* CodeableConcept Etiqueta de seguridad del documento IPS nacional referenciado
... content S 1..1 BackboneElement Contenido del documento (IPS u otro) nacional referenciado con url reltiva en caso de ser X-Road, o url absoluta en caso de ser un repositorio FHIR. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital.
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:ContentDoc S 0..* (Complex) Extensiones del documento IPS nacional referenciado a Server FHIR
URL: http://mhd.ri.hsisalud.org/StructureDefinition/ContentDoc
...... value[x]
....... contentType 1..1 code Mime type of the content, with charset etc.
Required Pattern: application/fhir+json
....... url 1..1 url Uri where the data can be found
Example Ejemplo de documento IPS referenciado en Repo FHIR, si fuera Binary sería /Binary/ips-xxx, si fuera un Bundle tipo document sería /Binary/ips-xxx: /Bundle/ips-xxx
.... attachment S 1..1 Attachment Definición del archivo adjunto que contiene el documento referenciado
..... contentType S 1..1 code Mime type of the content, with charset etc.
Required Pattern: application/fhir+json
..... url S 1..1 url URL del archivo adjunto que contiene el documento referenciado, en formato FHIR IPS, Binary IPS u otro documnento en esos formatos .
Example Ejemplo de IPS referenciado en X-Road: /pba/tndXroad/santamarina/docs/ips-xxx
..... hash S 0..1 base64Binary Hash del archivo adjunto que contiene el documento IPS nacional referenciado
..... title S 0..1 string Título del archivo adjunto que contiene el documento referenciado
Example Ejemplo de Título del documento contenido referenciado via X-Road: IPS-001
... context S 1..1 BackboneElement Contexto del documento IPS nacional u otro referenciado
.... period 0..1 Period Periodo de tiempo al que se refiere el documento IPS nacional u otro referenciado

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.type Base extensible Tipos de Documento Clínico para DocumentReference 📦0.1.0 This IG
DocumentReference.category Base extensible Categorías de Documento Clínico para DocumentReference 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* MinimalDocumentReference A reference to a document
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the 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 Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... masterIdentifier S 1..1 UniqueIdIdentifier Identificador único para el documento IPS nacional referenciado. Es el identificador principal del IPS
Example Ejemplo de identificador maestro: {"system":"https://repositorio.cl/documentos/ips","value":"IPS-2026-00001"}
... Slices for identifier SΣ 0..* Identifier Identificador alternativo para el documento IPS nacional referenciado. Es un identificador secundario del IPS
Slice: Unordered, Open by value:use
.... identifier:entryUUID 0..* EntryUUIDIdentifier An identifier intended for computation
... status ?!SΣ 1..1 code Estado de la referencia al documento IPS: current|superseded|entered-in-error
Binding: MHD DocumentReference status codes (required)
... type SΣ 1..1 CodeableConcept Tipo de documento referenciado
Binding: Tipos de Documento Clínico para DocumentReference (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
Example Para IPS: http://loinc.org
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Example Código Loinc para IPS: 34133-9
..... display Σ 0..1 string Representation defined by the system
Example El display asociado: Summary of episode note
..... 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
... category SΣ 1..1 CodeableConcept Categoría del documento referenciado
Binding: Categorías de Documento Clínico para DocumentReference (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
Example Para IPS: http://loinc.org
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Example Loinc Asociado: 60591-5
..... display Σ 0..1 string Representation defined by the system
Example Display asociado al código Loinc: Patient summary Document
..... 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
Required Pattern: Resumen clínico de paciente
... subject SΣ 1..1 Reference(Paciente Argentino) Paciente al que se refiere el documento IPS nacional referenciado
... date SΣ 1..1 instant Fecha de creación del documento IPS nacional referenciado
... author SΣ 1..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Autor del documento o IPS nacional referenciado
... authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what authenticated the document
... custodian 0..1 Reference(Organization) Organization which maintains the document
... relatesTo SΣ 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 SΣ 0..* CodeableConcept Etiqueta de seguridad del documento IPS nacional referenciado
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... content SΣ 1..1 BackboneElement Contenido del documento (IPS u otro) nacional referenciado con url reltiva en caso de ser X-Road, o url absoluta en caso de ser un repositorio FHIR. Se define como un campo obligatorio, y se recomienda usar el valor 'Attachment' para indicar que el contenido del documento referenciado es un archivo adjunto que contiene el documento clínico en formato digital.
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:ContentDoc S 0..* (Complex) Extensiones del documento IPS nacional referenciado a Server FHIR
URL: http://mhd.ri.hsisalud.org/StructureDefinition/ContentDoc
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..0 Extension
Slice: Unordered, Open by value:url
...... url 1..1 uri "http://mhd.ri.hsisalud.org/StructureDefinition/ContentDoc"
...... value[x] 0..1 Attachment Value of extension
....... 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.
Required Pattern: application/fhir+json
....... 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 0..1 base64Binary Data inline, base64ed
....... url SΣ 1..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
Example Ejemplo de documento IPS referenciado en Repo FHIR, si fuera Binary sería /Binary/ips-xxx, si fuera un Bundle tipo document sería /Binary/ips-xxx: /Bundle/ips-xxx
....... size SΣ 0..1 unsignedInt Number of bytes of content (if url provided)
....... hash SΣ 0..1 base64Binary Hash of the data (sha-1, base64ed)
....... title SΣ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
....... creation SΣ 0..1 dateTime Date attachment was first created
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment SΣ 1..1 Attachment Definición del archivo adjunto que contiene el documento referenciado
..... 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.
Required Pattern: application/fhir+json
..... language SΣ 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
..... url SΣ 1..1 url URL del archivo adjunto que contiene el documento referenciado, en formato FHIR IPS, Binary IPS u otro documnento en esos formatos .
Example General: http://www.acme.com/logo-small.png
Example Ejemplo de IPS referenciado en X-Road: /pba/tndXroad/santamarina/docs/ips-xxx
..... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash SΣ 0..1 base64Binary Hash del archivo adjunto que contiene el documento IPS nacional referenciado
..... title SΣ 0..1 string Título del archivo adjunto que contiene el documento referenciado
Example General: Official Corporate Logo
Example Ejemplo de Título del documento contenido referenciado via X-Road: IPS-001
..... creation SΣ 0..1 dateTime Date attachment was first created
.... format SΣ 0..1 Coding Format/content rules for the document
Binding: IHE ValueSet of Format Codes for use with Document Sharing (preferred)
... context SΣ 1..1 BackboneElement Contexto del documento IPS nacional u otro referenciado
.... 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 0..* Reference(Encounter | EpisodeOfCare) 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 Periodo de tiempo al que se refiere el documento IPS nacional u otro referenciado
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... facilityType S 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
.... practiceSetting S 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 S 0..1 Reference(Patient) Patient demographics from source
..... 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 0..1 string Text alternative for the resource
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.meta.​security Base extensible SecurityLabels 📦4.0.1 FHIR Std.
DocumentReference.meta.​tag Base example Common Tags 📦4.0.1 FHIR Std.
DocumentReference.language Base preferred Common Languages 📦4.0.1 FHIR Std.
DocumentReference.status Base required MHD DocumentReference status codes 📦4.2.2 Mobile access to Health Documents v4.2
DocumentReference.type Base extensible Tipos de Documento Clínico para DocumentReference 📦0.1.0 This IG
DocumentReference.category Base extensible Categorías de Documento Clínico para DocumentReference 📦0.1.0 This IG
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📦4.0.1 FHIR Std.
DocumentReference.content.​extension:ContentDoc.​value[x].contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​extension:ContentDoc.​value[x].language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.language Base preferred Common Languages 📦4.0.1 FHIR Std.
DocumentReference.content.​format Base preferred IHE ValueSet of Format Codes for use with Document Sharing 📦1.2.0 IHE FormatCode Vocabulary v1.2
DocumentReference.context.​event Base example v3 Code System ActCode 📦3.0.0 THO v7.3
DocumentReference.context.​facilityType Base example Facility Type Code Value Set 📦4.0.1 FHIR Std.
DocumentReference.context.​practiceSetting Base example Practice Setting Code Value Set 📦4.0.1 FHIR Std.
DocumentReference.context.​sourcePatientInfo.type Base extensible ResourceType 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

This structure is derived from MinimalDocumentReference

Summary

Mandatory: 6 elements
Must-Support: 10 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron