description: A reference to a document of any kind for any purpose. While the term “document” implies a more narrow focus, for this resource this \"document\" encompasses *any* serialized object with a mime-type, it includes formal patient-centric documents (CDA), clinical notes, scanned paper, non-patient specific documents like policy text, as well as a photo, video, or audio recording acquired or used in healthcare. The DocumentReference resource provides metadata about the document so that the document can be discovered and managed. The actual content may be inline base64 encoded data or provided by direct reference. package_name: hl7.fhir.r5.core derivation: specialization name: DocumentReference type: DocumentReference elements: practiceSetting: isModifier: false short: Additional details about where the content was created (e.g. clinical specialty) type: CodeableConcept mustSupport: false binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/c80-practice-codes'} isSummary: false index: 10 description: {isModifier: false, short: Human-readable description, type: markdown, mustSupport: false, isSummary: true, index: 22} category: isModifier: false short: Categorization of document type: CodeableConcept mustSupport: false array: true binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/document-classcodes'} isSummary: true index: 5 date: {isModifier: false, short: When this document reference was created, type: instant, mustSupport: false, isSummary: true, index: 12} docStatus: isModifier: false short: preliminary | final | amended | entered-in-error | deprecated type: code mustSupport: false binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/composition-status|5.0.0-snapshot1'} isSummary: true index: 3 encounter: isModifier: false short: Context of the document content refers: ['http://hl7.org/fhir/StructureDefinition/Encounter'] type: Reference mustSupport: false array: true isSummary: false index: 7 content: min: 1 isModifier: false short: Document referenced index: 24 type: BackboneElement mustSupport: false array: true elements: attachment: {isModifier: false, short: Where to access the document, type: Attachment, mustSupport: false, isSummary: true, index: 25} format: isModifier: false short: Format/content rules for the document type: Coding mustSupport: false binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/formatcodes'} isSummary: true index: 26 identifier: {isModifier: false, short: Identifier of the attachment binary, type: Identifier, mustSupport: false, isSummary: true, index: 27} required: [attachment] isSummary: true attester: isModifier: false short: Attests to accuracy of composition index: 14 type: BackboneElement mustSupport: false array: true elements: mode: isModifier: false short: personal | professional | legal | official type: code mustSupport: false binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/document-attestation-mode|5.0.0-snapshot1'} isSummary: false index: 15 time: {isModifier: false, short: When the composition was attested, type: dateTime, mustSupport: false, isSummary: false, index: 16} party: isModifier: false short: Who attested the composition refers: ['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 mustSupport: false isSummary: false index: 17 required: [mode] isSummary: false type: isModifier: false short: Kind of document (LOINC if possible) type: CodeableConcept mustSupport: false binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/c80-doc-typecodes'} isSummary: true index: 4 related: isModifier: false short: Related identifiers or resources refers: ['http://hl7.org/fhir/StructureDefinition/Resource'] type: Reference mustSupport: false array: true isSummary: false index: 29 facilityType: isModifier: false short: Kind of facility where patient was seen type: CodeableConcept mustSupport: false binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/c80-facilitycodes'} isSummary: false index: 9 author: isModifier: false short: Who and/or what authored the document refers: ['http://hl7.org/fhir/StructureDefinition/CareTeam', '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 mustSupport: false array: true isSummary: true index: 13 event: isModifier: false short: Main clinical acts documented type: CodeableConcept mustSupport: false array: true binding: {strength: example, valueSet: 'http://terminology.hl7.org/ValueSet/v3-ActCode'} isSummary: false index: 8 custodian: isModifier: false short: Organization which maintains the document refers: ['http://hl7.org/fhir/StructureDefinition/Organization'] type: Reference mustSupport: false isSummary: false index: 18 sourcePatientInfo: isModifier: false short: Patient demographics from source refers: ['http://hl7.org/fhir/StructureDefinition/Patient'] type: Reference mustSupport: false isSummary: false index: 28 status: isModifier: true short: current | superseded | entered-in-error index: 2 type: code mustSupport: false binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/document-reference-status|5.0.0-snapshot1'} 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 identifier: {isModifier: false, short: Other identifiers for the document, type: Identifier, mustSupport: false, array: true, isSummary: true, index: 0} relatesTo: isModifier: false short: Relationships to other documents index: 19 type: BackboneElement mustSupport: false array: true elements: code: isModifier: false short: The relationship type with another document type: CodeableConcept mustSupport: false binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/document-relationship-type'} isSummary: true index: 20 target: isModifier: false short: Target of the relationship refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference'] type: Reference mustSupport: false isSummary: true index: 21 required: [target, code] isSummary: true period: {isModifier: false, short: Time of service that is being documented, type: Period, mustSupport: false, isSummary: true, index: 11} basedOn: isModifier: false short: Procedure that caused this media to be created refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'http://hl7.org/fhir/StructureDefinition/ServiceRequest'] type: Reference mustSupport: false array: true isSummary: false index: 1 securityLabel: isModifier: false short: Document security-tags type: CodeableConcept mustSupport: false array: true binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/security-labels'} isSummary: true index: 23 subject: isModifier: false 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/Location', '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/Specimen'] type: Reference mustSupport: false isSummary: true index: 6 package_version: 5.0.0-snapshot1 class: resource kind: resource url: http://hl7.org/fhir/StructureDefinition/DocumentReference base: http://hl7.org/fhir/StructureDefinition/DomainResource version: 5.0.0-snapshot1 required: [status, content]