My Health Record FHIR IG
1.3.0 - active Australia flag

My Health Record FHIR IG - Local Development build (v1.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: MHR DocumentReference

Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-documentreference-mhr-1 Version: 1.3.0
Active as of 2024-10-25 Computable Name: MHRDocumentReference

Copyright/Legal: Copyright © 2024 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.

The purpose of this profile is to provide a representation of a document reference for CDA documents in My Health Record. This profile supports describing a document that is made available to a system and is used for documents that are not authored and assembled in FHIR e.g. documents whose form is an attachment. This profile is derived from the DocumentReference resource and describes the data structures and obligations to be met when conforming to this profile.

Usage scenarios

The following are supported usage scenarios for this profile:

  • Reference the location of a CDA document in the My Health Record system

Profile specific guidance

  • The system will map docStatus as 'Final' if the 'Extrinsic object status' is 'Approved'. The system may not populate docStatus for other scenarios.
  • The author element will reference a contained resource if it is a 'Practitioner', and direct reference if it is a 'Patient'

Usage:

Formal Views of Profile Content

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

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... masterIdentifier SO 1..1 Identifier Master Version Specific Identifier
ObligationsActor
SHALL:handle MHR Gateway Requester
... identifier SO 1..1 Identifier Other identifiers for the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... status SO 1..1 code current | superseded | entered-in-error
ObligationsActor
SHALL:handle MHR Gateway Requester
... type SO 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: My Health Record Record Type . (extensible)
ObligationsActor
SHALL:handle MHR Gateway Requester
... category SO 1..* CodeableConcept Categorization of document
Binding: My Health Record Record Class . (extensible)
ObligationsActor
SHALL:handle MHR Gateway Requester
... subject SO 1..1 Reference(MHR Patient) Who/what is the subject of the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... date SO 1..1 instant When this document reference was created
ObligationsActor
SHALL:handle MHR Gateway Requester
... author SO 1..1 Reference(MHR Patient | AU Core Practitioner) Who and/or what authored the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... custodian SO 1..1 Reference(AU Core Organization) Organization which maintains the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... description SO 0..1 string Human-readable description
ObligationsActor
SHALL:handle MHR Gateway Requester
... content SO 1..* BackboneElement Document referenced
ObligationsActor
SHALL:handle MHR Gateway Requester
.... attachment SO 1..1 Attachment Where to access the document
ObligationsActor
SHALL:handle MHR Gateway Requester
.... format SO 0..1 Coding Format/content rules for the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... context SO 0..1 BackboneElement Clinical context of document
ObligationsActor
SHALL:handle MHR Gateway Requester
.... period SO 0..1 Period Time of service that is being documented
ObligationsActor
SHALL:handle MHR Gateway Requester
.... facilityType SO 0..1 CodeableConcept Kind of facility where patient was seen
ObligationsActor
SHALL:handle MHR Gateway Requester
.... practiceSetting SO 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
ObligationsActor
SHALL:handle MHR Gateway Requester

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DocumentReference.typeextensibleMyHealthRecordRecordType .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1
DocumentReference.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier SOΣ 1..1 Identifier Master Version Specific Identifier
ObligationsActor
SHALL:handle MHR Gateway Requester
... status ?!SOΣ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

ObligationsActor
SHALL:handle MHR Gateway Requester
... docStatus SOΣ 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.

ObligationsActor
SHALL:handle MHR Gateway Requester
... type SOΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: My Health Record Record Type . (extensible)
ObligationsActor
SHALL:handle MHR Gateway Requester
... category SOΣ 1..* CodeableConcept Categorization of document
Binding: My Health Record Record Class . (extensible)
ObligationsActor
SHALL:handle MHR Gateway Requester
... subject SOΣ 1..1 Reference(MHR Patient) Who/what is the subject of the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... date SOΣ 1..1 instant When this document reference was created
ObligationsActor
SHALL:handle MHR Gateway Requester
... author SOΣ 1..1 Reference(MHR Patient | AU Core Practitioner) Who and/or what authored the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... custodian SO 1..1 Reference(AU Core Organization) Organization which maintains the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... description SOΣ 0..1 string Human-readable description
ObligationsActor
SHALL:handle MHR Gateway Requester
... content SOΣ 1..* BackboneElement Document referenced
ObligationsActor
SHALL:handle MHR Gateway Requester
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment SOΣ 1..1 Attachment Where to access the document
ObligationsActor
SHALL:handle MHR Gateway Requester
.... format SOΣ 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.

ObligationsActor
SHALL:handle MHR Gateway Requester
... context SOΣ 0..1 BackboneElement Clinical context of document
ObligationsActor
SHALL:handle MHR Gateway Requester
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... period SOΣ 0..1 Period Time of service that is being documented
ObligationsActor
SHALL:handle MHR Gateway Requester
.... facilityType SO 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.

ObligationsActor
SHALL:handle MHR Gateway Requester
.... practiceSetting SO 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).

ObligationsActor
SHALL:handle MHR Gateway Requester

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
from the FHIR Standard
DocumentReference.docStatusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
DocumentReference.typeextensibleMyHealthRecordRecordType .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1
DocumentReference.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
DocumentReference.content.formatpreferredDocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem)
http://hl7.org/fhir/ValueSet/formatcodes
from the FHIR Standard
DocumentReference.context.facilityTypeexampleFacilityTypeCodeValueSet
http://hl7.org/fhir/ValueSet/c80-facilitycodes
from the FHIR Standard
DocumentReference.context.practiceSettingexamplePracticeSettingCodeValueSet
http://hl7.org/fhir/ValueSet/c80-practice-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier SOΣ 1..1 Identifier Master Version Specific Identifier
ObligationsActor
SHALL:handle MHR Gateway Requester
... identifier SOΣ 1..1 Identifier Other identifiers for the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... status ?!SOΣ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

ObligationsActor
SHALL:handle MHR Gateway Requester
... docStatus SOΣ 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.

ObligationsActor
SHALL:handle MHR Gateway Requester
... type SOΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: My Health Record Record Type . (extensible)
ObligationsActor
SHALL:handle MHR Gateway Requester
... category SOΣ 1..* CodeableConcept Categorization of document
Binding: My Health Record Record Class . (extensible)
ObligationsActor
SHALL:handle MHR Gateway Requester
... subject SOΣ 1..1 Reference(MHR Patient) Who/what is the subject of the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... date SOΣ 1..1 instant When this document reference was created
ObligationsActor
SHALL:handle MHR Gateway Requester
... author SOΣ 1..1 Reference(MHR Patient | AU Core Practitioner) Who and/or what authored the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what authenticated the document
... custodian SO 1..1 Reference(AU Core Organization) Organization which maintains the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... relatesTo Σ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target Σ 1..1 Reference(DocumentReference) Target of the relationship
... description SOΣ 0..1 string Human-readable description
ObligationsActor
SHALL:handle MHR Gateway Requester
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


... content SOΣ 1..* BackboneElement Document referenced
ObligationsActor
SHALL:handle MHR Gateway Requester
.... 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 SOΣ 1..1 Attachment Where to access the document
ObligationsActor
SHALL:handle MHR Gateway Requester
.... format SOΣ 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.

ObligationsActor
SHALL:handle MHR Gateway Requester
... context SOΣ 0..1 BackboneElement Clinical context of document
ObligationsActor
SHALL:handle MHR Gateway Requester
.... 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 SOΣ 0..1 Period Time of service that is being documented
ObligationsActor
SHALL:handle MHR Gateway Requester
.... facilityType SO 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.

ObligationsActor
SHALL:handle MHR Gateway Requester
.... practiceSetting SO 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).

ObligationsActor
SHALL:handle MHR Gateway Requester
.... sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DocumentReference.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
from the FHIR Standard
DocumentReference.docStatusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
DocumentReference.typeextensibleMyHealthRecordRecordType .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1
DocumentReference.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
DocumentReference.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
DocumentReference.content.formatpreferredDocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem)
http://hl7.org/fhir/ValueSet/formatcodes
from the FHIR Standard
DocumentReference.context.eventexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityTypeexampleFacilityTypeCodeValueSet
http://hl7.org/fhir/ValueSet/c80-facilitycodes
from the FHIR Standard
DocumentReference.context.practiceSettingexamplePracticeSettingCodeValueSet
http://hl7.org/fhir/ValueSet/c80-practice-codes
from the FHIR Standard

Differential View

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... masterIdentifier SO 1..1 Identifier Master Version Specific Identifier
ObligationsActor
SHALL:handle MHR Gateway Requester
... identifier SO 1..1 Identifier Other identifiers for the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... status SO 1..1 code current | superseded | entered-in-error
ObligationsActor
SHALL:handle MHR Gateway Requester
... type SO 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: My Health Record Record Type . (extensible)
ObligationsActor
SHALL:handle MHR Gateway Requester
... category SO 1..* CodeableConcept Categorization of document
Binding: My Health Record Record Class . (extensible)
ObligationsActor
SHALL:handle MHR Gateway Requester
... subject SO 1..1 Reference(MHR Patient) Who/what is the subject of the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... date SO 1..1 instant When this document reference was created
ObligationsActor
SHALL:handle MHR Gateway Requester
... author SO 1..1 Reference(MHR Patient | AU Core Practitioner) Who and/or what authored the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... custodian SO 1..1 Reference(AU Core Organization) Organization which maintains the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... description SO 0..1 string Human-readable description
ObligationsActor
SHALL:handle MHR Gateway Requester
... content SO 1..* BackboneElement Document referenced
ObligationsActor
SHALL:handle MHR Gateway Requester
.... attachment SO 1..1 Attachment Where to access the document
ObligationsActor
SHALL:handle MHR Gateway Requester
.... format SO 0..1 Coding Format/content rules for the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... context SO 0..1 BackboneElement Clinical context of document
ObligationsActor
SHALL:handle MHR Gateway Requester
.... period SO 0..1 Period Time of service that is being documented
ObligationsActor
SHALL:handle MHR Gateway Requester
.... facilityType SO 0..1 CodeableConcept Kind of facility where patient was seen
ObligationsActor
SHALL:handle MHR Gateway Requester
.... practiceSetting SO 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
ObligationsActor
SHALL:handle MHR Gateway Requester

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DocumentReference.typeextensibleMyHealthRecordRecordType .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1
DocumentReference.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier SOΣ 1..1 Identifier Master Version Specific Identifier
ObligationsActor
SHALL:handle MHR Gateway Requester
... status ?!SOΣ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

ObligationsActor
SHALL:handle MHR Gateway Requester
... docStatus SOΣ 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.

ObligationsActor
SHALL:handle MHR Gateway Requester
... type SOΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: My Health Record Record Type . (extensible)
ObligationsActor
SHALL:handle MHR Gateway Requester
... category SOΣ 1..* CodeableConcept Categorization of document
Binding: My Health Record Record Class . (extensible)
ObligationsActor
SHALL:handle MHR Gateway Requester
... subject SOΣ 1..1 Reference(MHR Patient) Who/what is the subject of the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... date SOΣ 1..1 instant When this document reference was created
ObligationsActor
SHALL:handle MHR Gateway Requester
... author SOΣ 1..1 Reference(MHR Patient | AU Core Practitioner) Who and/or what authored the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... custodian SO 1..1 Reference(AU Core Organization) Organization which maintains the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... description SOΣ 0..1 string Human-readable description
ObligationsActor
SHALL:handle MHR Gateway Requester
... content SOΣ 1..* BackboneElement Document referenced
ObligationsActor
SHALL:handle MHR Gateway Requester
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment SOΣ 1..1 Attachment Where to access the document
ObligationsActor
SHALL:handle MHR Gateway Requester
.... format SOΣ 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.

ObligationsActor
SHALL:handle MHR Gateway Requester
... context SOΣ 0..1 BackboneElement Clinical context of document
ObligationsActor
SHALL:handle MHR Gateway Requester
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... period SOΣ 0..1 Period Time of service that is being documented
ObligationsActor
SHALL:handle MHR Gateway Requester
.... facilityType SO 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.

ObligationsActor
SHALL:handle MHR Gateway Requester
.... practiceSetting SO 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).

ObligationsActor
SHALL:handle MHR Gateway Requester

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
from the FHIR Standard
DocumentReference.docStatusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
DocumentReference.typeextensibleMyHealthRecordRecordType .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1
DocumentReference.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
DocumentReference.content.formatpreferredDocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem)
http://hl7.org/fhir/ValueSet/formatcodes
from the FHIR Standard
DocumentReference.context.facilityTypeexampleFacilityTypeCodeValueSet
http://hl7.org/fhir/ValueSet/c80-facilitycodes
from the FHIR Standard
DocumentReference.context.practiceSettingexamplePracticeSettingCodeValueSet
http://hl7.org/fhir/ValueSet/c80-practice-codes
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier SOΣ 1..1 Identifier Master Version Specific Identifier
ObligationsActor
SHALL:handle MHR Gateway Requester
... identifier SOΣ 1..1 Identifier Other identifiers for the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... status ?!SOΣ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

ObligationsActor
SHALL:handle MHR Gateway Requester
... docStatus SOΣ 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.

ObligationsActor
SHALL:handle MHR Gateway Requester
... type SOΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: My Health Record Record Type . (extensible)
ObligationsActor
SHALL:handle MHR Gateway Requester
... category SOΣ 1..* CodeableConcept Categorization of document
Binding: My Health Record Record Class . (extensible)
ObligationsActor
SHALL:handle MHR Gateway Requester
... subject SOΣ 1..1 Reference(MHR Patient) Who/what is the subject of the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... date SOΣ 1..1 instant When this document reference was created
ObligationsActor
SHALL:handle MHR Gateway Requester
... author SOΣ 1..1 Reference(MHR Patient | AU Core Practitioner) Who and/or what authored the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what authenticated the document
... custodian SO 1..1 Reference(AU Core Organization) Organization which maintains the document
ObligationsActor
SHALL:handle MHR Gateway Requester
... relatesTo Σ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

.... target Σ 1..1 Reference(DocumentReference) Target of the relationship
... description SOΣ 0..1 string Human-readable description
ObligationsActor
SHALL:handle MHR Gateway Requester
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


... content SOΣ 1..* BackboneElement Document referenced
ObligationsActor
SHALL:handle MHR Gateway Requester
.... 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 SOΣ 1..1 Attachment Where to access the document
ObligationsActor
SHALL:handle MHR Gateway Requester
.... format SOΣ 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.

ObligationsActor
SHALL:handle MHR Gateway Requester
... context SOΣ 0..1 BackboneElement Clinical context of document
ObligationsActor
SHALL:handle MHR Gateway Requester
.... 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 SOΣ 0..1 Period Time of service that is being documented
ObligationsActor
SHALL:handle MHR Gateway Requester
.... facilityType SO 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.

ObligationsActor
SHALL:handle MHR Gateway Requester
.... practiceSetting SO 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).

ObligationsActor
SHALL:handle MHR Gateway Requester
.... sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DocumentReference.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
from the FHIR Standard
DocumentReference.docStatusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
DocumentReference.typeextensibleMyHealthRecordRecordType .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1
DocumentReference.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
DocumentReference.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
DocumentReference.content.formatpreferredDocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem)
http://hl7.org/fhir/ValueSet/formatcodes
from the FHIR Standard
DocumentReference.context.eventexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityTypeexampleFacilityTypeCodeValueSet
http://hl7.org/fhir/ValueSet/c80-facilitycodes
from the FHIR Standard
DocumentReference.context.practiceSettingexamplePracticeSettingCodeValueSet
http://hl7.org/fhir/ValueSet/c80-practice-codes
from the FHIR Standard

 

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