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: 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: 10 description: {short: Human-readable description, type: markdown, isSummary: true, index: 22} 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: 12} docStatus: short: preliminary | final | amended | entered-in-error type: code binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/composition-status|4.5.0'} isSummary: true index: 3 encounter: short: Context of the document content refers: ['http://hl7.org/fhir/StructureDefinition/Encounter'] type: Reference array: true index: 7 content: min: 1 short: Document referenced index: 24 type: BackboneElement array: true elements: attachment: {short: Where to access the document, type: Attachment, isSummary: true, index: 25} format: short: Format/content rules for the document type: Coding binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/formatcodes'} isSummary: true index: 26 identifier: {short: Identifier of the attachment binary, type: Identifier, isSummary: true, index: 27} required: [attachment] isSummary: true attester: short: Attests to accuracy of composition type: BackboneElement array: true index: 14 elements: mode: short: personal | professional | legal | official type: code binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/document-attestation-mode|4.5.0'} index: 15 time: {short: When the composition was attested, type: dateTime, index: 16} party: 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 index: 17 required: [mode] 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 related: short: Related identifiers or resources refers: ['http://hl7.org/fhir/StructureDefinition/Resource'] type: Reference array: true index: 29 facilityType: short: Kind of facility where patient was seen type: CodeableConcept binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/c80-facilitycodes'} index: 9 author: 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 array: true isSummary: true index: 13 event: short: Main clinical acts documented type: CodeableConcept array: true binding: {strength: example, valueSet: 'http://terminology.hl7.org/ValueSet/v3-ActCode'} index: 8 custodian: short: Organization which maintains the document refers: ['http://hl7.org/fhir/StructureDefinition/Organization'] type: Reference index: 18 sourcePatientInfo: short: Patient demographics from source refers: ['http://hl7.org/fhir/StructureDefinition/Patient'] type: Reference index: 28 status: isModifier: true short: current | superseded | entered-in-error type: code binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/document-reference-status|4.5.0'} 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: 0} relatesTo: short: Relationships to other documents type: BackboneElement array: true isSummary: true index: 19 elements: code: short: replaces | transforms | signs | appends type: code binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/document-relationship-type|4.5.0'} isSummary: true index: 20 target: short: Target of the relationship refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference'] type: Reference isSummary: true index: 21 required: [target, code] period: {short: Time of service that is being documented, type: Period, isSummary: true, index: 11} basedOn: short: Procedure that caused this media to be created refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'http://hl7.org/fhir/StructureDefinition/ServiceRequest'] type: Reference array: true index: 1 securityLabel: short: Document security-tags type: CodeableConcept array: true binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/security-labels'} isSummary: true index: 23 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/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 isSummary: true index: 6 package_version: 4.5.0 class: resource kind: resource url: http://hl7.org/fhir/StructureDefinition/DocumentReference base: http://hl7.org/fhir/StructureDefinition/DomainResource version: 4.5.0 required: [status, content]