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Resource Profile: EPA MHD DocumentReference

Dieses Profil erweitert die IHE MHD Minimal DocumentReference-Ressource mit ePA 3.0 Metadaten-Einschränkungen.

Usage:

• Use this Resource Profile: EPA Document Search Result Bundle
• Examples for this Resource Profile: DocumentReference/b2d5f8db-48ca-43c4-a540-6c8f2e853913
• CapabilityStatements using this Resource Profile: EPA MHD Service (Document Consumer - Client) and ePA MHD Service (Document Responder - Server)

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	MinimalDocumentReference	A reference to a document dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
masterIdentifier		1..1	UniqueIdIdentifier	An identifier intended for computation ele-1: All FHIR elements must have a @value or children
Slices for identifier	SΣ	0..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use ele-1: All FHIR elements must have a @value or children
identifier:entryUUID	S	0..*	EntryUUIDIdentifier	An identifier intended for computation ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	Status des Dokuments Binding: MHD DocumentReference status codes (required) ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	CodeableConcept	Art des Dokuments Binding: DocumentTypeValueSet (preferred): Precise type of clinical document. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Type Code ValueSet für ePA (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
category	SΣ	1..1	CodeableConcept	Grobe Klassifizierung des Dokuments Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Class Code ValueSet für ePA (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient)	Systemweit eindeutige Kennung des Patienten ele-1: All FHIR elements must have a @value or children
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
date	SΣ	0..1	instant	Das Erzeugungsdatum wird in content.attachment.creation abgebildet. ele-1: All FHIR elements must have a @value or children
author	SΣ	1..*	Reference(Patient | Practitioner | Organization)	Person oder System, welche(s) das Dokument erstellt hat ele-1: All FHIR elements must have a @value or children
identifier	SΣ	0..1	IdentifierKvid10, IdentifierTelematikId	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
authenticator	S	0..1	Reference(Practitioner | Organization)	Rechtlich Verantwortlicher für das Dokument ele-1: All FHIR elements must have a @value or children
identifier	SΣ	1..1	IdentifierTelematikId	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. ele-1: All FHIR elements must have a @value or children
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship ele-1: All FHIR elements must have a @value or children
description	SΣ	0..1	string	Ergänzende Hinweise in Freitext ele-1: All FHIR elements must have a @value or children
securityLabel	SΣ	0..*	CodeableConcept	Vertraulichkeitskennzeichnung und Datenkategorie des Dokuments Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: MHD Security Label Value Set for ePA (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
content	Σ	1..1	BackboneElement	Document referenced ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
attachment	Σ	1..1	Attachment	Where to access the document ele-1: All FHIR elements must have a @value or children
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: IHE XDS MIME Type ValueSet for ePA (required) ele-1: All FHIR elements must have a @value or children Example General: text/plain; charset=UTF-8, image/png
language	SΣ	1..1	code	Sprache, in der das Dokument abgefasst ist Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding ele-1: All FHIR elements must have a @value or children Example General: en-AU
url	SΣ	1..1	url	URI für das Dokument ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	Größe des Dokuments in Bytes ele-1: All FHIR elements must have a @value or children
hash	SΣ	0..1	base64Binary	Kryptographische Prüfsumme des Dokuments ele-1: All FHIR elements must have a @value or children
title	SΣ	1..1	string	Titel des Dokuments ele-1: All FHIR elements must have a @value or children Example General: Official Corporate Logo
creation	SΣ	1..1	dateTime	Erstellungszeitpunkt des Dokuments ele-1: All FHIR elements must have a @value or children
format	SΣ	1..1	Coding	Global eindeutiger Code für das Dokumentenformat Binding: IHE XDS Format Code ValueSet für ePA (required) ele-1: All FHIR elements must have a @value or children
context	Σ	0..1	BackboneElement	Clinical context of document ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
event	S	0..*	CodeableConcept	Ereignisse, die zur Erstellung des Dokuments geführt haben Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Event Code ValueSet für ePA (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
period	SΣ	0..1	Period	Time of service that is being documented ele-1: All FHIR elements must have a @value or children
start	SΣC	0..1	dateTime	Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis begonnen wurde ele-1: All FHIR elements must have a @value or children
end	SΣC	0..1	dateTime	Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis beendet wurde ele-1: All FHIR elements must have a @value or children
facilityType	S	1..1	CodeableConcept	Art der Einrichtung, in der das dokumentierte Ereignis stattgefunden hat Binding: FacilityTypeCodeValueSet (example): XDS Facility Type. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Healthcare Facility Type Code ValueSet für ePA (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
practiceSetting	S	0..1	CodeableConcept	Art der Fachrichtung der erstellenden Einrichtung, in der das dokumentiere Ereignis stattgefunden hat Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty). ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Practice Setting Code ValueSet für ePA (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
sourcePatientInfo	S	0..1	Reference(Patient)	Patient demographics from source ele-1: All FHIR elements must have a @value or children
reference	SΣC	0..1	string	Demographische Daten zum Patienten im Quellsystem ele-1: All FHIR elements must have a @value or children
identifier	SΣ	0..1	Identifier	Kennung des Patienten im Quellsystem ele-1: All FHIR elements must have a @value or children
related	S	0..*	Reference(Resource)	Liste von IDs, mit denen das Dokument assoziiert wird ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.status	required	DocumentReferenceStats https://profiles.ihe.net/ITI/MHD/ValueSet/DocumentReferenceStats
DocumentReference.type	preferred	DocumentTypeValueSet http://hl7.org/fhir/ValueSet/c80-doc-typecodes from the FHIR Standard
DocumentReference.type.coding	required	EPAXDSTypeCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-type-code-vs
DocumentReference.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
DocumentReference.category.coding	required	EPAXDSClassCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-class-code-vs
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.securityLabel.coding	required	EPAMHDSecurityLabelVS https://gematik.de/fhir/terminology/ValueSet/epa-mhd-security-label-vs
DocumentReference.content.attachment.contentType	required	EPAXDSMimeTypeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-mime-type-vs
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	required	EPAXDSFormatCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-format-code-vs
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.event.coding	required	EPAXDSEventCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-event-code-vs
DocumentReference.context.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes from the FHIR Standard
DocumentReference.context.facilityType.coding	required	EPAXDSHealthcareFacilityTypeCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-healthcare-facility-type-code-vs
DocumentReference.context.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
DocumentReference.context.practiceSetting.coding	required	EPAXDSPracticeSettingCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-practice-setting-code-vs

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()

This structure is derived from MinimalDocumentReference

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	MinimalDocumentReference	A reference to a document
meta
profile		0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
masterIdentifier		1..1	UniqueIdIdentifier	An identifier intended for computation
identifier		0..*	Identifier	Other identifiers for the document
Slices for identifier				Content/Rules for all slices
identifier:entryUUID	S	0..*	EntryUUIDIdentifier	An identifier intended for computation
status	S	1..1	code	Status des Dokuments
docStatus		0..0	code
type		1..1	CodeableConcept	Art des Dokuments
coding	S	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Type Code ValueSet für ePA (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
category		1..1	CodeableConcept	Grobe Klassifizierung des Dokuments
coding	S	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Class Code ValueSet für ePA (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
subject		1..1	Reference(Patient)	Systemweit eindeutige Kennung des Patienten
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
date		0..1	instant	Das Erzeugungsdatum wird in content.attachment.creation abgebildet.
author		1..*	Reference(Patient | Practitioner | Organization)	Person oder System, welche(s) das Dokument erstellt hat
identifier	S	0..1	IdentifierKvid10, IdentifierTelematikId	Logical reference, when literal reference is not known
authenticator	S	0..1	Reference(Practitioner | Organization)	Rechtlich Verantwortlicher für das Dokument
identifier	S	1..1	IdentifierTelematikId	Logical reference, when literal reference is not known
custodian		0..0
relatesTo		0..*	BackboneElement	Relationships to other documents
description	S	0..1	string	Ergänzende Hinweise in Freitext
securityLabel		0..*	CodeableConcept	Vertraulichkeitskennzeichnung und Datenkategorie des Dokuments
coding	S	0..*	Coding	Code defined by a terminology system Binding: MHD Security Label Value Set for ePA (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
content
attachment
contentType	S	1..1	code	Mime type of the content, with charset etc. Binding: IHE XDS MIME Type ValueSet for ePA (required)
language		1..1	code	Sprache, in der das Dokument abgefasst ist
url	S	1..1	url	URI für das Dokument
size	S	0..1	unsignedInt	Größe des Dokuments in Bytes
hash	S	0..1	base64Binary	Kryptographische Prüfsumme des Dokuments
title	S	1..1	string	Titel des Dokuments
creation		1..1	dateTime	Erstellungszeitpunkt des Dokuments
format		1..1	Coding	Global eindeutiger Code für das Dokumentenformat Binding: IHE XDS Format Code ValueSet für ePA (required)
context
encounter		0..0
event	S	0..*	CodeableConcept	Ereignisse, die zur Erstellung des Dokuments geführt haben
coding	S	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Event Code ValueSet für ePA (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
period
start	S	0..1	dateTime	Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis begonnen wurde
end	S	0..1	dateTime	Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis beendet wurde
facilityType		1..1	CodeableConcept	Art der Einrichtung, in der das dokumentierte Ereignis stattgefunden hat
coding	S	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Healthcare Facility Type Code ValueSet für ePA (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
practiceSetting		0..1	CodeableConcept	Art der Fachrichtung der erstellenden Einrichtung, in der das dokumentiere Ereignis stattgefunden hat
coding	S	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Practice Setting Code ValueSet für ePA (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
sourcePatientInfo
reference	S	0..1	string	Demographische Daten zum Patienten im Quellsystem
identifier	S	0..1	Identifier	Kennung des Patienten im Quellsystem
related	S	0..*	Reference(Resource)	Liste von IDs, mit denen das Dokument assoziiert wird
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DocumentReference.type.coding	required	EPAXDSTypeCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-type-code-vs
DocumentReference.category.coding	required	EPAXDSClassCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-class-code-vs
DocumentReference.securityLabel.coding	required	EPAMHDSecurityLabelVS https://gematik.de/fhir/terminology/ValueSet/epa-mhd-security-label-vs
DocumentReference.content.attachment.contentType	required	EPAXDSMimeTypeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-mime-type-vs
DocumentReference.content.format	required	EPAXDSFormatCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-format-code-vs
DocumentReference.context.event.coding	required	EPAXDSEventCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-event-code-vs
DocumentReference.context.facilityType.coding	required	EPAXDSHealthcareFacilityTypeCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-healthcare-facility-type-code-vs
DocumentReference.context.practiceSetting.coding	required	EPAXDSPracticeSettingCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-practice-setting-code-vs

Name	Flags	Card.	Type	Description & Constraints
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
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
masterIdentifier		1..1	UniqueIdIdentifier	An identifier intended for computation
Slices for identifier	SΣ	0..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID	S	0..*	EntryUUIDIdentifier	An identifier intended for computation
status	?!SΣ	1..1	code	Status des Dokuments Binding: MHD DocumentReference status codes (required)
type	SΣ	1..1	CodeableConcept	Art des Dokuments Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Type Code ValueSet für ePA (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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	Grobe Klassifizierung des Dokuments Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
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	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Class Code ValueSet für ePA (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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
subject	SΣ	1..1	Reference(Patient)	Systemweit eindeutige Kennung des Patienten
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	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
date	SΣ	0..1	instant	Das Erzeugungsdatum wird in content.attachment.creation abgebildet.
author	SΣ	1..*	Reference(Patient | Practitioner | Organization)	Person oder System, welche(s) das Dokument erstellt hat
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	SΣ	0..1	IdentifierKvid10, IdentifierTelematikId	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
authenticator	S	0..1	Reference(Practitioner | Organization)	Rechtlich Verantwortlicher für das Dokument
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	SΣ	1..1	IdentifierTelematikId	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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	SΣ	0..1	string	Ergänzende Hinweise in Freitext
securityLabel	SΣ	0..*	CodeableConcept	Vertraulichkeitskennzeichnung und Datenkategorie des Dokuments Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification 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
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: MHD Security Label Value Set for ePA (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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
content	Σ	1..1	BackboneElement	Document referenced
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	Σ	1..1	Attachment	Where to access the document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: IHE XDS MIME Type ValueSet for ePA (required) Example General: text/plain; charset=UTF-8, image/png
language	SΣ	1..1	code	Sprache, in der das Dokument abgefasst ist Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
url	SΣ	1..1	url	URI für das Dokument Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	Größe des Dokuments in Bytes
hash	SΣ	0..1	base64Binary	Kryptographische Prüfsumme des Dokuments
title	SΣ	1..1	string	Titel des Dokuments Example General: Official Corporate Logo
creation	SΣ	1..1	dateTime	Erstellungszeitpunkt des Dokuments
format	SΣ	1..1	Coding	Global eindeutiger Code für das Dokumentenformat Binding: IHE XDS Format Code ValueSet für ePA (required)
context	Σ	0..1	BackboneElement	Clinical context of document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	S	0..*	CodeableConcept	Ereignisse, die zur Erstellung des Dokuments geführt haben Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
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	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Event Code ValueSet für ePA (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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
period	SΣ	0..1	Period	Time of service that is being documented
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	SΣC	0..1	dateTime	Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis begonnen wurde
end	SΣC	0..1	dateTime	Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis beendet wurde
facilityType	S	1..1	CodeableConcept	Art der Einrichtung, in der das dokumentierte Ereignis stattgefunden hat Binding: FacilityTypeCodeValueSet (example): XDS Facility 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
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Healthcare Facility Type Code ValueSet für ePA (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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
practiceSetting	S	0..1	CodeableConcept	Art der Fachrichtung der erstellenden Einrichtung, in der das dokumentiere Ereignis stattgefunden hat Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
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	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Practice Setting Code ValueSet für ePA (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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
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	SΣC	0..1	string	Demographische Daten zum Patienten im Quellsystem
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	SΣ	0..1	Identifier	Kennung des Patienten im Quellsystem
display	Σ	0..1	string	Text alternative for the resource
related	S	0..*	Reference(Resource)	Liste von IDs, mit denen das Dokument assoziiert wird
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
DocumentReference.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
DocumentReference.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.status	required	DocumentReferenceStats https://profiles.ihe.net/ITI/MHD/ValueSet/DocumentReferenceStats
DocumentReference.type	preferred	DocumentTypeValueSet http://hl7.org/fhir/ValueSet/c80-doc-typecodes from the FHIR Standard
DocumentReference.type.coding	required	EPAXDSTypeCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-type-code-vs
DocumentReference.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
DocumentReference.category.coding	required	EPAXDSClassCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-class-code-vs
DocumentReference.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DocumentReference.author.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DocumentReference.authenticator.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
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.securityLabel.coding	required	EPAMHDSecurityLabelVS https://gematik.de/fhir/terminology/ValueSet/epa-mhd-security-label-vs
DocumentReference.content.attachment.contentType	required	EPAXDSMimeTypeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-mime-type-vs
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	required	EPAXDSFormatCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-format-code-vs
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.event.coding	required	EPAXDSEventCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-event-code-vs
DocumentReference.context.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes from the FHIR Standard
DocumentReference.context.facilityType.coding	required	EPAXDSHealthcareFacilityTypeCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-healthcare-facility-type-code-vs
DocumentReference.context.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
DocumentReference.context.practiceSetting.coding	required	EPAXDSPracticeSettingCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-practice-setting-code-vs
DocumentReference.context.sourcePatientInfo.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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()

This structure is derived from MinimalDocumentReference

Summary

Mandatory: 9 elements(20 nested mandatory elements)
Must-Support: 42 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• Identifier-Profil für die Telematik-ID (http://fhir.de/StructureDefinition/identifier-telematik-id)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	MinimalDocumentReference	A reference to a document dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
masterIdentifier		1..1	UniqueIdIdentifier	An identifier intended for computation ele-1: All FHIR elements must have a @value or children
Slices for identifier	SΣ	0..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use ele-1: All FHIR elements must have a @value or children
identifier:entryUUID	S	0..*	EntryUUIDIdentifier	An identifier intended for computation ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	Status des Dokuments Binding: MHD DocumentReference status codes (required) ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	CodeableConcept	Art des Dokuments Binding: DocumentTypeValueSet (preferred): Precise type of clinical document. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Type Code ValueSet für ePA (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
category	SΣ	1..1	CodeableConcept	Grobe Klassifizierung des Dokuments Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Class Code ValueSet für ePA (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient)	Systemweit eindeutige Kennung des Patienten ele-1: All FHIR elements must have a @value or children
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
date	SΣ	0..1	instant	Das Erzeugungsdatum wird in content.attachment.creation abgebildet. ele-1: All FHIR elements must have a @value or children
author	SΣ	1..*	Reference(Patient | Practitioner | Organization)	Person oder System, welche(s) das Dokument erstellt hat ele-1: All FHIR elements must have a @value or children
identifier	SΣ	0..1	IdentifierKvid10, IdentifierTelematikId	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
authenticator	S	0..1	Reference(Practitioner | Organization)	Rechtlich Verantwortlicher für das Dokument ele-1: All FHIR elements must have a @value or children
identifier	SΣ	1..1	IdentifierTelematikId	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. ele-1: All FHIR elements must have a @value or children
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship ele-1: All FHIR elements must have a @value or children
description	SΣ	0..1	string	Ergänzende Hinweise in Freitext ele-1: All FHIR elements must have a @value or children
securityLabel	SΣ	0..*	CodeableConcept	Vertraulichkeitskennzeichnung und Datenkategorie des Dokuments Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: MHD Security Label Value Set for ePA (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
content	Σ	1..1	BackboneElement	Document referenced ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
attachment	Σ	1..1	Attachment	Where to access the document ele-1: All FHIR elements must have a @value or children
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: IHE XDS MIME Type ValueSet for ePA (required) ele-1: All FHIR elements must have a @value or children Example General: text/plain; charset=UTF-8, image/png
language	SΣ	1..1	code	Sprache, in der das Dokument abgefasst ist Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding ele-1: All FHIR elements must have a @value or children Example General: en-AU
url	SΣ	1..1	url	URI für das Dokument ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	Größe des Dokuments in Bytes ele-1: All FHIR elements must have a @value or children
hash	SΣ	0..1	base64Binary	Kryptographische Prüfsumme des Dokuments ele-1: All FHIR elements must have a @value or children
title	SΣ	1..1	string	Titel des Dokuments ele-1: All FHIR elements must have a @value or children Example General: Official Corporate Logo
creation	SΣ	1..1	dateTime	Erstellungszeitpunkt des Dokuments ele-1: All FHIR elements must have a @value or children
format	SΣ	1..1	Coding	Global eindeutiger Code für das Dokumentenformat Binding: IHE XDS Format Code ValueSet für ePA (required) ele-1: All FHIR elements must have a @value or children
context	Σ	0..1	BackboneElement	Clinical context of document ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
event	S	0..*	CodeableConcept	Ereignisse, die zur Erstellung des Dokuments geführt haben Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Event Code ValueSet für ePA (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
period	SΣ	0..1	Period	Time of service that is being documented ele-1: All FHIR elements must have a @value or children
start	SΣC	0..1	dateTime	Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis begonnen wurde ele-1: All FHIR elements must have a @value or children
end	SΣC	0..1	dateTime	Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis beendet wurde ele-1: All FHIR elements must have a @value or children
facilityType	S	1..1	CodeableConcept	Art der Einrichtung, in der das dokumentierte Ereignis stattgefunden hat Binding: FacilityTypeCodeValueSet (example): XDS Facility Type. ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Healthcare Facility Type Code ValueSet für ePA (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
practiceSetting	S	0..1	CodeableConcept	Art der Fachrichtung der erstellenden Einrichtung, in der das dokumentiere Ereignis stattgefunden hat Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty). ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Practice Setting Code ValueSet für ePA (required) ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
sourcePatientInfo	S	0..1	Reference(Patient)	Patient demographics from source ele-1: All FHIR elements must have a @value or children
reference	SΣC	0..1	string	Demographische Daten zum Patienten im Quellsystem ele-1: All FHIR elements must have a @value or children
identifier	SΣ	0..1	Identifier	Kennung des Patienten im Quellsystem ele-1: All FHIR elements must have a @value or children
related	S	0..*	Reference(Resource)	Liste von IDs, mit denen das Dokument assoziiert wird ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.status	required	DocumentReferenceStats https://profiles.ihe.net/ITI/MHD/ValueSet/DocumentReferenceStats
DocumentReference.type	preferred	DocumentTypeValueSet http://hl7.org/fhir/ValueSet/c80-doc-typecodes from the FHIR Standard
DocumentReference.type.coding	required	EPAXDSTypeCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-type-code-vs
DocumentReference.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
DocumentReference.category.coding	required	EPAXDSClassCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-class-code-vs
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.securityLabel.coding	required	EPAMHDSecurityLabelVS https://gematik.de/fhir/terminology/ValueSet/epa-mhd-security-label-vs
DocumentReference.content.attachment.contentType	required	EPAXDSMimeTypeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-mime-type-vs
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	required	EPAXDSFormatCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-format-code-vs
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.event.coding	required	EPAXDSEventCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-event-code-vs
DocumentReference.context.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes from the FHIR Standard
DocumentReference.context.facilityType.coding	required	EPAXDSHealthcareFacilityTypeCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-healthcare-facility-type-code-vs
DocumentReference.context.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
DocumentReference.context.practiceSetting.coding	required	EPAXDSPracticeSettingCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-practice-setting-code-vs

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()

Differential View

This structure is derived from MinimalDocumentReference

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	MinimalDocumentReference	A reference to a document
meta
profile		0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
masterIdentifier		1..1	UniqueIdIdentifier	An identifier intended for computation
identifier		0..*	Identifier	Other identifiers for the document
Slices for identifier				Content/Rules for all slices
identifier:entryUUID	S	0..*	EntryUUIDIdentifier	An identifier intended for computation
status	S	1..1	code	Status des Dokuments
docStatus		0..0	code
type		1..1	CodeableConcept	Art des Dokuments
coding	S	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Type Code ValueSet für ePA (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
category		1..1	CodeableConcept	Grobe Klassifizierung des Dokuments
coding	S	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Class Code ValueSet für ePA (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
subject		1..1	Reference(Patient)	Systemweit eindeutige Kennung des Patienten
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
date		0..1	instant	Das Erzeugungsdatum wird in content.attachment.creation abgebildet.
author		1..*	Reference(Patient | Practitioner | Organization)	Person oder System, welche(s) das Dokument erstellt hat
identifier	S	0..1	IdentifierKvid10, IdentifierTelematikId	Logical reference, when literal reference is not known
authenticator	S	0..1	Reference(Practitioner | Organization)	Rechtlich Verantwortlicher für das Dokument
identifier	S	1..1	IdentifierTelematikId	Logical reference, when literal reference is not known
custodian		0..0
relatesTo		0..*	BackboneElement	Relationships to other documents
description	S	0..1	string	Ergänzende Hinweise in Freitext
securityLabel		0..*	CodeableConcept	Vertraulichkeitskennzeichnung und Datenkategorie des Dokuments
coding	S	0..*	Coding	Code defined by a terminology system Binding: MHD Security Label Value Set for ePA (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
content
attachment
contentType	S	1..1	code	Mime type of the content, with charset etc. Binding: IHE XDS MIME Type ValueSet for ePA (required)
language		1..1	code	Sprache, in der das Dokument abgefasst ist
url	S	1..1	url	URI für das Dokument
size	S	0..1	unsignedInt	Größe des Dokuments in Bytes
hash	S	0..1	base64Binary	Kryptographische Prüfsumme des Dokuments
title	S	1..1	string	Titel des Dokuments
creation		1..1	dateTime	Erstellungszeitpunkt des Dokuments
format		1..1	Coding	Global eindeutiger Code für das Dokumentenformat Binding: IHE XDS Format Code ValueSet für ePA (required)
context
encounter		0..0
event	S	0..*	CodeableConcept	Ereignisse, die zur Erstellung des Dokuments geführt haben
coding	S	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Event Code ValueSet für ePA (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
period
start	S	0..1	dateTime	Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis begonnen wurde
end	S	0..1	dateTime	Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis beendet wurde
facilityType		1..1	CodeableConcept	Art der Einrichtung, in der das dokumentierte Ereignis stattgefunden hat
coding	S	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Healthcare Facility Type Code ValueSet für ePA (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
practiceSetting		0..1	CodeableConcept	Art der Fachrichtung der erstellenden Einrichtung, in der das dokumentiere Ereignis stattgefunden hat
coding	S	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Practice Setting Code ValueSet für ePA (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
sourcePatientInfo
reference	S	0..1	string	Demographische Daten zum Patienten im Quellsystem
identifier	S	0..1	Identifier	Kennung des Patienten im Quellsystem
related	S	0..*	Reference(Resource)	Liste von IDs, mit denen das Dokument assoziiert wird
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DocumentReference.type.coding	required	EPAXDSTypeCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-type-code-vs
DocumentReference.category.coding	required	EPAXDSClassCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-class-code-vs
DocumentReference.securityLabel.coding	required	EPAMHDSecurityLabelVS https://gematik.de/fhir/terminology/ValueSet/epa-mhd-security-label-vs
DocumentReference.content.attachment.contentType	required	EPAXDSMimeTypeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-mime-type-vs
DocumentReference.content.format	required	EPAXDSFormatCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-format-code-vs
DocumentReference.context.event.coding	required	EPAXDSEventCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-event-code-vs
DocumentReference.context.facilityType.coding	required	EPAXDSHealthcareFacilityTypeCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-healthcare-facility-type-code-vs
DocumentReference.context.practiceSetting.coding	required	EPAXDSPracticeSettingCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-practice-setting-code-vs

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
masterIdentifier		1..1	UniqueIdIdentifier	An identifier intended for computation
Slices for identifier	SΣ	0..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use
identifier:entryUUID	S	0..*	EntryUUIDIdentifier	An identifier intended for computation
status	?!SΣ	1..1	code	Status des Dokuments Binding: MHD DocumentReference status codes (required)
type	SΣ	1..1	CodeableConcept	Art des Dokuments Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Type Code ValueSet für ePA (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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	Grobe Klassifizierung des Dokuments Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
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	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Class Code ValueSet für ePA (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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
subject	SΣ	1..1	Reference(Patient)	Systemweit eindeutige Kennung des Patienten
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	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
date	SΣ	0..1	instant	Das Erzeugungsdatum wird in content.attachment.creation abgebildet.
author	SΣ	1..*	Reference(Patient | Practitioner | Organization)	Person oder System, welche(s) das Dokument erstellt hat
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	SΣ	0..1	IdentifierKvid10, IdentifierTelematikId	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
authenticator	S	0..1	Reference(Practitioner | Organization)	Rechtlich Verantwortlicher für das Dokument
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	SΣ	1..1	IdentifierTelematikId	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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	SΣ	0..1	string	Ergänzende Hinweise in Freitext
securityLabel	SΣ	0..*	CodeableConcept	Vertraulichkeitskennzeichnung und Datenkategorie des Dokuments Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification 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
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: MHD Security Label Value Set for ePA (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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
content	Σ	1..1	BackboneElement	Document referenced
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	Σ	1..1	Attachment	Where to access the document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: IHE XDS MIME Type ValueSet for ePA (required) Example General: text/plain; charset=UTF-8, image/png
language	SΣ	1..1	code	Sprache, in der das Dokument abgefasst ist Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
url	SΣ	1..1	url	URI für das Dokument Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	Größe des Dokuments in Bytes
hash	SΣ	0..1	base64Binary	Kryptographische Prüfsumme des Dokuments
title	SΣ	1..1	string	Titel des Dokuments Example General: Official Corporate Logo
creation	SΣ	1..1	dateTime	Erstellungszeitpunkt des Dokuments
format	SΣ	1..1	Coding	Global eindeutiger Code für das Dokumentenformat Binding: IHE XDS Format Code ValueSet für ePA (required)
context	Σ	0..1	BackboneElement	Clinical context of document
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	S	0..*	CodeableConcept	Ereignisse, die zur Erstellung des Dokuments geführt haben Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
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	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Event Code ValueSet für ePA (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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
period	SΣ	0..1	Period	Time of service that is being documented
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	SΣC	0..1	dateTime	Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis begonnen wurde
end	SΣC	0..1	dateTime	Zeitpunkt, an dem das im Dokument dokumentierte (Behandlungs-)Ereignis beendet wurde
facilityType	S	1..1	CodeableConcept	Art der Einrichtung, in der das dokumentierte Ereignis stattgefunden hat Binding: FacilityTypeCodeValueSet (example): XDS Facility 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
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Healthcare Facility Type Code ValueSet für ePA (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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
practiceSetting	S	0..1	CodeableConcept	Art der Fachrichtung der erstellenden Einrichtung, in der das dokumentiere Ereignis stattgefunden hat Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
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	SΣ	0..*	Coding	Code defined by a terminology system Binding: IHE XDS Practice Setting Code ValueSet für ePA (required)
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
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
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	SΣC	0..1	string	Demographische Daten zum Patienten im Quellsystem
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	SΣ	0..1	Identifier	Kennung des Patienten im Quellsystem
display	Σ	0..1	string	Text alternative for the resource
related	S	0..*	Reference(Resource)	Liste von IDs, mit denen das Dokument assoziiert wird
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
DocumentReference.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
DocumentReference.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.status	required	DocumentReferenceStats https://profiles.ihe.net/ITI/MHD/ValueSet/DocumentReferenceStats
DocumentReference.type	preferred	DocumentTypeValueSet http://hl7.org/fhir/ValueSet/c80-doc-typecodes from the FHIR Standard
DocumentReference.type.coding	required	EPAXDSTypeCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-type-code-vs
DocumentReference.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
DocumentReference.category.coding	required	EPAXDSClassCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-class-code-vs
DocumentReference.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DocumentReference.author.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DocumentReference.authenticator.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
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.securityLabel.coding	required	EPAMHDSecurityLabelVS https://gematik.de/fhir/terminology/ValueSet/epa-mhd-security-label-vs
DocumentReference.content.attachment.contentType	required	EPAXDSMimeTypeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-mime-type-vs
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	required	EPAXDSFormatCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-format-code-vs
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.event.coding	required	EPAXDSEventCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-event-code-vs
DocumentReference.context.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes from the FHIR Standard
DocumentReference.context.facilityType.coding	required	EPAXDSHealthcareFacilityTypeCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-healthcare-facility-type-code-vs
DocumentReference.context.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
DocumentReference.context.practiceSetting.coding	required	EPAXDSPracticeSettingCodeVS https://gematik.de/fhir/terminology/ValueSet/epa-xds-practice-setting-code-vs
DocumentReference.context.sourcePatientInfo.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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()

This structure is derived from MinimalDocumentReference

Summary

Mandatory: 9 elements(20 nested mandatory elements)
Must-Support: 42 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
• Identifier-Profil für die Telematik-ID (http://fhir.de/StructureDefinition/identifier-telematik-id)