description: A reference to a document.
package_name: hl7.fhir.core
derivation: specialization
name: DocumentReference
type: DocumentReference
elements:
  description: {short: Human-readable description, type: string, isSummary: true, index: 16}
  category:
    short: Categorization of document
    type: CodeableConcept
    array: true
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/document-classcodes'}
    isSummary: true
    index: 5
  date: {short: When this document reference was created, type: instant, isSummary: true, index: 7}
  docStatus:
    short: preliminary | final | appended | amended | entered-in-error
    type: code
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/composition-status'}
    isSummary: true
    index: 3
  content:
    min: 1
    short: Document referenced
    index: 18
    type: BackboneElement
    array: true
    elements:
      attachment: {short: Where to access the document, type: Attachment, isSummary: true, index: 19}
      format:
        short: Format/content rules for the document
        type: Coding
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/formatcodes'}
        isSummary: true
        index: 20
    required: [attachment]
    isSummary: true
  type:
    short: Kind of document (LOINC if possible)
    type: CodeableConcept
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/c80-doc-typecodes'}
    isSummary: true
    index: 4
  agent:
    short: Agent involved
    type: BackboneElement
    array: true
    isSummary: true
    index: 8
    elements:
      type:
        short: How agent participated
        type: CodeableConcept
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/participation-role-type'}
        isSummary: true
        index: 9
      who:
        short: Who and/or what authored the document
        refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
        type: Reference
        isSummary: true
        index: 10
    required: [who]
  masterIdentifier: {short: Master Version Specific Identifier, type: Identifier, isSummary: true, index: 0}
  custodian:
    short: Organization which maintains the document
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization']
    type: Reference
    index: 12
  status:
    isModifier: true
    short: current | superseded | entered-in-error
    type: code
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/document-reference-status'}
    isModifierReason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    isSummary: true
    index: 2
  identifier: {short: Other identifiers for the document, type: Identifier, array: true, isSummary: true, index: 1}
  relatesTo:
    short: Relationships to other documents
    type: BackboneElement
    array: true
    isSummary: true
    index: 13
    elements:
      code:
        short: replaces | transforms | signs | appends
        type: code
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/document-relationship-type'}
        isSummary: true
        index: 14
      target:
        short: Target of the relationship
        refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference']
        type: Reference
        isSummary: true
        index: 15
    required: [target, code]
  context:
    short: Clinical context of document
    type: BackboneElement
    isSummary: true
    index: 21
    elements:
      encounter:
        short: Context of the document  content
        refers: ['http://hl7.org/fhir/StructureDefinition/Encounter', 'http://hl7.org/fhir/StructureDefinition/EpisodeOfCare']
        type: Reference
        array: true
        index: 22
      event:
        short: Main clinical acts documented
        type: CodeableConcept
        array: true
        binding: {strength: example, valueSet: 'http://terminology.hl7.org/ValueSet/v3-ActCode'}
        index: 23
      period: {short: Time of service that is being documented, type: Period, isSummary: true, index: 24}
      facilityType:
        short: Kind of facility where patient was seen
        type: CodeableConcept
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/c80-facilitycodes'}
        index: 25
      practiceSetting:
        short: Additional details about where the content was created (e.g. clinical specialty)
        type: CodeableConcept
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/c80-practice-codes'}
        index: 26
      sourcePatientInfo:
        short: Patient demographics from source
        refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
        type: Reference
        index: 27
      related:
        short: Related identifiers or resources
        refers: ['http://hl7.org/fhir/StructureDefinition/Resource']
        type: Reference
        array: true
        index: 28
  securityLabel:
    short: Document security-tags
    type: CodeableConcept
    array: true
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/security-labels'}
    isSummary: true
    index: 17
  subject:
    short: Who/what is the subject of the document
    refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner']
    type: Reference
    isSummary: true
    index: 6
  authenticator:
    short: Who/what authenticated the document
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner']
    type: Reference
    index: 11
package_version: 3.5.0
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/DocumentReference
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: null
required: [status, content]