Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	CHCoreDocumentReference	MedNet Interface (MNI) - DocumentReference
id	SΣ	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
status	?!SΣ	1..1	code	Fixed value: current Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current
type	SΣ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: DocumentEntry.typeCode (preferred)
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	SΣ	1..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	SΣ	1..1	code	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.typeCode.html
display	SΣ	0..1	string	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.typeCode.html
category	SΣ	0..*	CodeableConcept	Categorization of document Binding: DocumentEntry.classCode (preferred)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	SΣ	1..1	code	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.classCode.html
display	SΣ	0..1	string	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.classCode.html
coding:esanita	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://www.esanita.ch
code	SΣ	1..1	code	Should be set if the document has to be uploaded to the EPD Fixed Value: epd
content	SΣ	1..*	BackboneElement	Document referenced
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣ	1..1	Attachment	Where to access the document
contentType	SΣC	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Constraints: ch-docref-1 Example General: text/plain; charset=UTF-8, image/png
data	S	0..1	base64Binary	Data inline, base64ed
url	SΣ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	SΣ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	SΣ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	SΣ	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.status	Base	required	DocumentReferenceStatus	📍4.0.1	FHIR Std.
DocumentReference.type	Base	preferred	DocumentEntry.typeCode	📦3.3.0	CH Term v3.3
DocumentReference.category	Base	preferred	DocumentEntry.classCode	📦3.3.0	CH Term v3.3
DocumentReference.content.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-docref-1	warning	DocumentReference.content.attachment.contentType	The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType	memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	CHCoreDocumentReference	MedNet Interface (MNI) - DocumentReference
id	S	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
implicitRules		0..0		A set of rules under which this content was created
modifierExtension		0..0		Extension
status	S	1..1	code	Fixed value: current Fixed Value: current
type	S	0..1	CodeableConcept	Kind of document (LOINC if possible)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	S	1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	1..1	code	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.typeCode.html
display	S	0..1	string	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.typeCode.html
category	S	0..*	CodeableConcept	Categorization of document
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	1..1	code	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.classCode.html
display	S	0..1	string	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.classCode.html
coding:esanita	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://www.esanita.ch
code	S	1..1	code	Should be set if the document has to be uploaded to the EPD Fixed Value: epd
content	S	1..*	BackboneElement	Document referenced
attachment	S	1..1	Attachment	Where to access the document
contentType	S	1..1	code	Mime type of the content, with charset etc.
data	S	0..1	base64Binary	Data inline, base64ed
url	S	0..1	url	Uri where the data can be found
size	S	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	S	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	S	0..1	string	Label to display in place of the data
creation	S	0..1	dateTime	Date attachment was first created
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	CHCoreDocumentReference	MedNet Interface (MNI) - DocumentReference
id	SΣ	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
meta	Σ	0..1	Meta	Metadata about the resource
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
masterIdentifier	Σ	0..1	Identifier	Master Version Specific Identifier
identifier	Σ	0..*	Identifier	Other identifiers for the document
status	?!SΣ	1..1	code	Fixed value: current Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document.
type	SΣ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: DocumentEntry.typeCode (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	SΣ	1..*	Coding	Code defined by a terminology 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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.typeCode.html
display	SΣ	0..1	string	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.typeCode.html
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	0..*	CodeableConcept	Categorization of document Binding: DocumentEntry.classCode (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	SΣ	0..*	Coding	Code defined by a terminology 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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.classCode.html
display	SΣ	0..1	string	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.classCode.html
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:esanita	SΣ	0..*	Coding	Code defined by a terminology 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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://www.esanita.ch
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Should be set if the document has to be uploaded to the EPD Fixed Value: epd
display	Σ	0..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	Σ	0..1	Reference(CH Core Patient | CH Core Practitioner | Group | Device)	Who/what is the subject of the document
date	Σ	0..1	instant	When this document reference was created
author	Σ	0..*	Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | CH Core RelatedPerson)	Who and/or what authored the document
authenticator		0..1	Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)	Who/what authenticated the document
custodian		0..1	Reference(CH Core Organization)	Organization which maintains the document
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(CH Core DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description
securityLabel	Σ	0..*	CodeableConcept	Document security-tags Binding: DocumentEntry.confidentialityCode (extensible)
content	SΣ	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	SΣ	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	SΣC	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Constraints: ch-docref-1 Example General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: DocumentEntry.languageCode (preferred) Example General: en-AU
data	S	0..1	base64Binary	Data inline, base64ed
url	SΣ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	SΣ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	SΣ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	SΣ	0..1	dateTime	Date attachment was first created
format	Σ	0..1	Coding	Format/content rules for the document Binding: DocumentEntry.formatCode (preferred)
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
encounter		0..*	Reference(CH Core 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	Σ	0..1	Period	Time of service that is being documented
facilityType		0..1	CodeableConcept	Kind of facility where patient was seen Binding: DocumentEntry.healthcareFacilityTypeCode (preferred)
practiceSetting		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: DocumentEntry.practiceSettingCode (preferred)
sourcePatientInfo		0..1	Reference(CH Core Patient)	Patient demographics from source
related		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DocumentReference.status	Base	required	DocumentReferenceStatus	📍4.0.1	FHIR Std.
DocumentReference.docStatus	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
DocumentReference.type	Base	preferred	DocumentEntry.typeCode	📦3.3.0	CH Term v3.3
DocumentReference.category	Base	preferred	DocumentEntry.classCode	📦3.3.0	CH Term v3.3
DocumentReference.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.securityLabel	Base	extensible	DocumentEntry.confidentialityCode	📦3.3.0	CH Term v3.3
DocumentReference.content.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content.​attachment.language	Base	preferred	DocumentEntry.languageCode	📦3.3.0	CH Term v3.3
DocumentReference.content.​format	Base	preferred	DocumentEntry.formatCode	📦3.3.0	CH Term v3.3
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.0
DocumentReference.context.​facilityType	Base	preferred	DocumentEntry.healthcareFacilityTypeCode	📦3.3.0	CH Term v3.3
DocumentReference.context.​practiceSetting	Base	preferred	DocumentEntry.practiceSettingCode	📦3.3.0	CH Term v3.3

Constraints

Id	Grade	Path(s)	Description	Expression
ch-docref-1	warning	DocumentReference.content.attachment.contentType	The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType	memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
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()

Summary

Mandatory: 1 element(8 nested mandatory elements)
Must-Support: 24 elements
Fixed: 5 elements
Prohibited: 2 elements

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of DocumentReference.type.coding
• The element 2 is sliced based on the values of DocumentReference.category.coding

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	CHCoreDocumentReference	MedNet Interface (MNI) - DocumentReference
id	SΣ	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
status	?!SΣ	1..1	code	Fixed value: current Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current
type	SΣ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: DocumentEntry.typeCode (preferred)
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	SΣ	1..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	SΣ	1..1	code	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.typeCode.html
display	SΣ	0..1	string	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.typeCode.html
category	SΣ	0..*	CodeableConcept	Categorization of document Binding: DocumentEntry.classCode (preferred)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	SΣ	1..1	code	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.classCode.html
display	SΣ	0..1	string	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.classCode.html
coding:esanita	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://www.esanita.ch
code	SΣ	1..1	code	Should be set if the document has to be uploaded to the EPD Fixed Value: epd
content	SΣ	1..*	BackboneElement	Document referenced
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣ	1..1	Attachment	Where to access the document
contentType	SΣC	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Constraints: ch-docref-1 Example General: text/plain; charset=UTF-8, image/png
data	S	0..1	base64Binary	Data inline, base64ed
url	SΣ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	SΣ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	SΣ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	SΣ	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.status	Base	required	DocumentReferenceStatus	📍4.0.1	FHIR Std.
DocumentReference.type	Base	preferred	DocumentEntry.typeCode	📦3.3.0	CH Term v3.3
DocumentReference.category	Base	preferred	DocumentEntry.classCode	📦3.3.0	CH Term v3.3
DocumentReference.content.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-docref-1	warning	DocumentReference.content.attachment.contentType	The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType	memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	CHCoreDocumentReference	MedNet Interface (MNI) - DocumentReference
id	S	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
implicitRules		0..0		A set of rules under which this content was created
modifierExtension		0..0		Extension
status	S	1..1	code	Fixed value: current Fixed Value: current
type	S	0..1	CodeableConcept	Kind of document (LOINC if possible)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	S	1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	1..1	code	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.typeCode.html
display	S	0..1	string	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.typeCode.html
category	S	0..*	CodeableConcept	Categorization of document
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	1..1	code	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.classCode.html
display	S	0..1	string	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.classCode.html
coding:esanita	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://www.esanita.ch
code	S	1..1	code	Should be set if the document has to be uploaded to the EPD Fixed Value: epd
content	S	1..*	BackboneElement	Document referenced
attachment	S	1..1	Attachment	Where to access the document
contentType	S	1..1	code	Mime type of the content, with charset etc.
data	S	0..1	base64Binary	Data inline, base64ed
url	S	0..1	url	Uri where the data can be found
size	S	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	S	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	S	0..1	string	Label to display in place of the data
creation	S	0..1	dateTime	Date attachment was first created
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	CHCoreDocumentReference	MedNet Interface (MNI) - DocumentReference
id	SΣ	0..1	id	The id is unique within the space of all resources of the same type on the same server It can be any combination of upper- or lower-case ASCII letters 'A'..'Z', and 'a'..'z', numerals ('0'..'9'), '-' and '.' with a length limit of 64 characters. (This might be an integer, an un-prefixed OID, UUID or any other identifier pattern that meets these constraints.)
meta	Σ	0..1	Meta	Metadata about the resource
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
masterIdentifier	Σ	0..1	Identifier	Master Version Specific Identifier
identifier	Σ	0..*	Identifier	Other identifiers for the document
status	?!SΣ	1..1	code	Fixed value: current Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document.
type	SΣ	0..1	CodeableConcept	Kind of document (LOINC if possible) Binding: DocumentEntry.typeCode (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	SΣ	1..*	Coding	Code defined by a terminology 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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.typeCode.html
display	SΣ	0..1	string	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.typeCode.html
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	0..*	CodeableConcept	Categorization of document Binding: DocumentEntry.classCode (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system, value:code
coding:snomed	SΣ	0..*	Coding	Code defined by a terminology 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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.classCode.html
display	SΣ	0..1	string	see http://fhir.ch/ig/ch-epr-term/ValueSet-DocumentEntry.classCode.html
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:esanita	SΣ	0..*	Coding	Code defined by a terminology 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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://www.esanita.ch
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Should be set if the document has to be uploaded to the EPD Fixed Value: epd
display	Σ	0..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	Σ	0..1	Reference(CH Core Patient | CH Core Practitioner | Group | Device)	Who/what is the subject of the document
date	Σ	0..1	instant	When this document reference was created
author	Σ	0..*	Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization | Device | CH Core Patient | CH Core RelatedPerson)	Who and/or what authored the document
authenticator		0..1	Reference(CH Core Practitioner | CH Core PractitionerRole | CH Core Organization)	Who/what authenticated the document
custodian		0..1	Reference(CH Core Organization)	Organization which maintains the document
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(CH Core DocumentReference)	Target of the relationship
description	Σ	0..1	string	Human-readable description
securityLabel	Σ	0..*	CodeableConcept	Document security-tags Binding: DocumentEntry.confidentialityCode (extensible)
content	SΣ	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	SΣ	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	SΣC	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Constraints: ch-docref-1 Example General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: DocumentEntry.languageCode (preferred) Example General: en-AU
data	S	0..1	base64Binary	Data inline, base64ed
url	SΣ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	SΣ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	SΣ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	SΣ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	SΣ	0..1	dateTime	Date attachment was first created
format	Σ	0..1	Coding	Format/content rules for the document Binding: DocumentEntry.formatCode (preferred)
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
encounter		0..*	Reference(CH Core 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	Σ	0..1	Period	Time of service that is being documented
facilityType		0..1	CodeableConcept	Kind of facility where patient was seen Binding: DocumentEntry.healthcareFacilityTypeCode (preferred)
practiceSetting		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: DocumentEntry.practiceSettingCode (preferred)
sourcePatientInfo		0..1	Reference(CH Core Patient)	Patient demographics from source
related		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DocumentReference.status	Base	required	DocumentReferenceStatus	📍4.0.1	FHIR Std.
DocumentReference.docStatus	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
DocumentReference.type	Base	preferred	DocumentEntry.typeCode	📦3.3.0	CH Term v3.3
DocumentReference.category	Base	preferred	DocumentEntry.classCode	📦3.3.0	CH Term v3.3
DocumentReference.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.securityLabel	Base	extensible	DocumentEntry.confidentialityCode	📦3.3.0	CH Term v3.3
DocumentReference.content.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content.​attachment.language	Base	preferred	DocumentEntry.languageCode	📦3.3.0	CH Term v3.3
DocumentReference.content.​format	Base	preferred	DocumentEntry.formatCode	📦3.3.0	CH Term v3.3
DocumentReference.context.​event	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.0
DocumentReference.context.​facilityType	Base	preferred	DocumentEntry.healthcareFacilityTypeCode	📦3.3.0	CH Term v3.3
DocumentReference.context.​practiceSetting	Base	preferred	DocumentEntry.practiceSettingCode	📦3.3.0	CH Term v3.3

Constraints

Id	Grade	Path(s)	Description	Expression
ch-docref-1	warning	DocumentReference.content.attachment.contentType	The codes from the following ValueSet are 'preferred': http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType	memberOf('http://fhir.ch/ig/ch-term/ValueSet/DocumentEntry.mimeType')
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()

Summary

Mandatory: 1 element(8 nested mandatory elements)
Must-Support: 24 elements
Fixed: 5 elements
Prohibited: 2 elements

Slices

This structure defines the following Slices:

• The element 2 is sliced based on the values of DocumentReference.type.coding
• The element 2 is sliced based on the values of DocumentReference.category.coding