HL7中国FHIR Connectathon测试实施指南
2024.5.5 - release

本指南适用于HL7中国的FHIR Connectathon测试。

Resource Profile: 文档元数据本地化定义

Defining URL:http://hl7.org.cn/fhir/StructureDefinition/profile-documentreference-xds
Version:2024.5.5
Name:XDSDocumentReference
Title:文档元数据本地化定义
Status:Active as of 2024-05-05 21:11:47+0800
Definition:

文档元数据本地化定义。

Publisher:HL7中国. HL7中国,
Source Resource:XML / JSON / Turtle

本定义的正式URL为: 

http://hl7.org.cn/fhir/StructureDefinition/profile-documentreference-xds

定义内容的视图

关于定义、差异、快照以及如何解读这些表示法。

这种结构源自 DocumentReference

Summary

Mandatory: 12 elements (1 nested mandatory element)
Must-Support: 12 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

  • The element DocumentReference.content.profile.value[x] is sliced based on the value of type:$this

这种结构源自 DocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference DocumentReference
... type 1..1CodeableConcept文档的类型。例如，可以指明当前文档类型为20类健康档案之一
Binding: 健康档案共享文档类型代码表 (required)
... category 1..1CodeableConcept文档的分类。包括：PHR、EHR、EMR
Binding: 共享文档类别代码表 (required)
... subject 1..1Reference(Patient)文档内记录的患者。指向患者资源
... practiceSetting S0..1CodeableConcept文档记录业务活动的医学专业。
Binding: 临床医学专业代码表 (required)
... period S0..1Period文档记录业务活动的起止时间。
.... start 1..1dateTime开始时间。
.... end S0..1dateTime结束时间。如果存在结束时间则必须给出。
... date S0..1instant该文档元数据资源的生成时间
... author 1..1Reference(Practitioner)文档的作者。一般指代文档记录业务活动的责任医师
... relatesTo S0..*BackboneElement指向其它文档，记录本文档与其它文档之间的关系。包括：替换、追加、转换、签名
... securityLabel S0..*CodeableConcept记录文档的安全标签
... content 1..1BackboneElementDocument referenced
.... attachment
..... contentType S1..1code文档内容的MimeType
..... data 0..0
..... url S1..1url指向存储文档的Binary资源的地址
..... size S1..1integer64文档的大小。原始数据的大小，而不是进行Base64算法后的值
..... hash S1..1base64Binary文档内容进行摘要算法的Base64编码值。摘要算法为性价比最高的SHA1
..... title 1..1string文档的标题
..... creation S1..1dateTime文档的生成时间
.... profile 1..*BackboneElementContent profile rules for the document
..... value[x] 1..1Coding文档的格式，由此判定文档的处理规则
Slice: Unordered, Open by type:$this
..... valueCoding 1..1CodingCode|uri|canonical
Binding: 文档处理格式代码表 (required)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference C0..*DocumentReferenceA reference to a document
docRef-1: facilityType SHALL only be present if context is not an encounter
docRef-2: practiceSetting SHALL only be present if context is not present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguagesStarter Set
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness identifiers for the document
... version Σ0..1stringAn explicitly assigned identifer of a variation of the content in the DocumentReference
... basedOn 0..*Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | VisionPrescription)Procedure that caused this media to be created
... status ?!Σ1..1codecurrent | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

... docStatus Σ0..1coderegistered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: CompositionStatus (required): Status of the underlying document.

... modality Σ0..*CodeableConceptImaging modality used
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (extensible): Type of acquired data in the instance.


... type Σ1..1CodeableConcept文档的类型。例如，可以指明当前文档类型为20类健康档案之一
Binding: 健康档案共享文档类型代码表 (required)
... category Σ1..1CodeableConcept文档的分类。包括：PHR、EHR、EMR
Binding: 共享文档类别代码表 (required)
... subject Σ1..1Reference(Patient)文档内记录的患者。指向患者资源
... context C0..*Reference(Appointment | Encounter | EpisodeOfCare)Context of the document content
... event 0..*CodeableReference()Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


... bodySite Σ0..*CodeableReference(BodyStructure)Body part included
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts


... facilityType SC0..1CodeableConcept文档记录业务活动的场所类型。
Binding: 设施类型代码表 (required)
... practiceSetting SC0..1CodeableConcept文档记录业务活动的医学专业。
Binding: 临床医学专业代码表 (required)
... period SΣ0..1Period文档记录业务活动的起止时间。
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC1..1dateTime开始时间。
.... end SΣC0..1dateTime结束时间。如果存在结束时间则必须给出。
... date SΣ0..1instant该文档元数据资源的生成时间
... author Σ1..1Reference(Practitioner)文档的作者。一般指代文档记录业务活动的责任医师
... attester 0..*BackboneElementAttests to accuracy of the document
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1CodeableConceptpersonal | professional | legal | official
Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a document.

.... time 0..1dateTimeWhen the document was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the document
... custodian 0..1Reference(Organization)Organization which maintains the document
... relatesTo SΣ0..*BackboneElement指向其它文档，记录本文档与其它文档之间的关系。包括：替换、追加、转换、签名
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1CodeableConceptThe relationship type with another document
Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.

.... target Σ1..1Reference(DocumentReference)Target of the relationship
... description Σ0..1markdownHuman-readable description
... securityLabel SΣ0..*CodeableConcept记录文档的安全标签
Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System.


... content Σ1..1BackboneElementDocument referenced
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... attachment Σ1..1AttachmentWhere to access the document
..... id 0..1idUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType SΣC1..1code文档内容的MimeType
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)


Example General: text/plain; charset=UTF-8, image/png
..... language Σ0..1codeHuman language of the content (BCP-47)
Binding: AllLanguages (required): IETF language tag for a human language.

Additional BindingsPurpose
CommonLanguagesStarter Set

Example General: en-AU
..... url SΣ1..1url指向存储文档的Binary资源的地址
Example General: http://www.acme.com/logo-small.png
..... size SΣ1..1integer64文档的大小。原始数据的大小，而不是进行Base64算法后的值
..... hash SΣ1..1base64Binary文档内容进行摘要算法的Base64编码值。摘要算法为性价比最高的SHA1
..... title Σ1..1string文档的标题
Example General: Official Corporate Logo
..... creation SΣ1..1dateTime文档的生成时间
..... height 0..1positiveIntHeight of the image in pixels (photo/video)
..... width 0..1positiveIntWidth of the image in pixels (photo/video)
..... frames 0..1positiveIntNumber of frames if > 1 (photo)
..... duration 0..1decimalLength in seconds (audio / video)
..... pages 0..1positiveIntNumber of printed pages
.... profile Σ1..*BackboneElementContent profile rules for the document
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... Slices for value[x] Σ1..1Coding文档的格式，由此判定文档的处理规则
Slice: Unordered, Closed by type:$this
Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.

...... value[x]:valueCoding Σ1..1CodingCode|uri|canonical
Binding: 文档处理格式代码表 (required)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference 0..*DocumentReferenceA reference to a document
... facilityType C0..1CodeableConcept文档记录业务活动的场所类型。
Binding: 设施类型代码表 (required)
... practiceSetting C0..1CodeableConcept文档记录业务活动的医学专业。
Binding: 临床医学专业代码表 (required)
... period Σ0..1Period文档记录业务活动的起止时间。
.... end ΣC0..1dateTime结束时间。如果存在结束时间则必须给出。
... relatesTo Σ0..*BackboneElement指向其它文档，记录本文档与其它文档之间的关系。包括：替换、追加、转换、签名
... securityLabel Σ0..*CodeableConcept记录文档的安全标签
Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System.


... content Σ1..1BackboneElementDocument referenced
.... attachment Σ1..1AttachmentWhere to access the document
..... contentType ΣC1..1code文档内容的MimeType
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)

..... url Σ1..1url指向存储文档的Binary资源的地址
..... size Σ1..1integer64文档的大小。原始数据的大小，而不是进行Base64算法后的值
..... hash Σ1..1base64Binary文档内容进行摘要算法的Base64编码值。摘要算法为性价比最高的SHA1
..... creation Σ1..1dateTime文档的生成时间

doco Documentation for this format

这种结构源自 DocumentReference

Summary

Mandatory: 12 elements (1 nested mandatory element)
Must-Support: 12 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

  • The element DocumentReference.content.profile.value[x] is sliced based on the value of type:$this

差异视图

这种结构源自 DocumentReference

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference DocumentReference
... type 1..1CodeableConcept文档的类型。例如，可以指明当前文档类型为20类健康档案之一
Binding: 健康档案共享文档类型代码表 (required)
... category 1..1CodeableConcept文档的分类。包括：PHR、EHR、EMR
Binding: 共享文档类别代码表 (required)
... subject 1..1Reference(Patient)文档内记录的患者。指向患者资源
... practiceSetting S0..1CodeableConcept文档记录业务活动的医学专业。
Binding: 临床医学专业代码表 (required)
... period S0..1Period文档记录业务活动的起止时间。
.... start 1..1dateTime开始时间。
.... end S0..1dateTime结束时间。如果存在结束时间则必须给出。
... date S0..1instant该文档元数据资源的生成时间
... author 1..1Reference(Practitioner)文档的作者。一般指代文档记录业务活动的责任医师
... relatesTo S0..*BackboneElement指向其它文档，记录本文档与其它文档之间的关系。包括：替换、追加、转换、签名
... securityLabel S0..*CodeableConcept记录文档的安全标签
... content 1..1BackboneElementDocument referenced
.... attachment
..... contentType S1..1code文档内容的MimeType
..... data 0..0
..... url S1..1url指向存储文档的Binary资源的地址
..... size S1..1integer64文档的大小。原始数据的大小，而不是进行Base64算法后的值
..... hash S1..1base64Binary文档内容进行摘要算法的Base64编码值。摘要算法为性价比最高的SHA1
..... title 1..1string文档的标题
..... creation S1..1dateTime文档的生成时间
.... profile 1..*BackboneElementContent profile rules for the document
..... value[x] 1..1Coding文档的格式，由此判定文档的处理规则
Slice: Unordered, Open by type:$this
..... valueCoding 1..1CodingCode|uri|canonical
Binding: 文档处理格式代码表 (required)

doco Documentation for this format

快照视图

NameFlagsCard.TypeDescription & Constraintsdoco
.. DocumentReference C0..*DocumentReferenceA reference to a document
docRef-1: facilityType SHALL only be present if context is not an encounter
docRef-2: practiceSetting SHALL only be present if context is not present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguagesStarter Set
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness identifiers for the document
... version Σ0..1stringAn explicitly assigned identifer of a variation of the content in the DocumentReference
... basedOn 0..*Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | VisionPrescription)Procedure that caused this media to be created
... status ?!Σ1..1codecurrent | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.

... docStatus Σ0..1coderegistered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: CompositionStatus (required): Status of the underlying document.

... modality Σ0..*CodeableConceptImaging modality used
Binding: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (extensible): Type of acquired data in the instance.


... type Σ1..1CodeableConcept文档的类型。例如，可以指明当前文档类型为20类健康档案之一
Binding: 健康档案共享文档类型代码表 (required)
... category Σ1..1CodeableConcept文档的分类。包括：PHR、EHR、EMR
Binding: 共享文档类别代码表 (required)
... subject Σ1..1Reference(Patient)文档内记录的患者。指向患者资源
... context C0..*Reference(Appointment | Encounter | EpisodeOfCare)Context of the document content
... event 0..*CodeableReference()Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.


... bodySite Σ0..*CodeableReference(BodyStructure)Body part included
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts


... facilityType SC0..1CodeableConcept文档记录业务活动的场所类型。
Binding: 设施类型代码表 (required)
... practiceSetting SC0..1CodeableConcept文档记录业务活动的医学专业。
Binding: 临床医学专业代码表 (required)
... period SΣ0..1Period文档记录业务活动的起止时间。
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC1..1dateTime开始时间。
.... end SΣC0..1dateTime结束时间。如果存在结束时间则必须给出。
... date SΣ0..1instant该文档元数据资源的生成时间
... author Σ1..1Reference(Practitioner)文档的作者。一般指代文档记录业务活动的责任医师
... attester 0..*BackboneElementAttests to accuracy of the document
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... mode 1..1CodeableConceptpersonal | professional | legal | official
Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a document.

.... time 0..1dateTimeWhen the document was attested
.... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the document
... custodian 0..1Reference(Organization)Organization which maintains the document
... relatesTo SΣ0..*BackboneElement指向其它文档，记录本文档与其它文档之间的关系。包括：替换、追加、转换、签名
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1CodeableConceptThe relationship type with another document
Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.

.... target Σ1..1Reference(DocumentReference)Target of the relationship
... description Σ0..1markdownHuman-readable description
... securityLabel SΣ0..*CodeableConcept记录文档的安全标签
Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System.


... content Σ1..1BackboneElementDocument referenced
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... attachment Σ1..1AttachmentWhere to access the document
..... id 0..1idUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType SΣC1..1code文档内容的MimeType
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)


Example General: text/plain; charset=UTF-8, image/png
..... language Σ0..1codeHuman language of the content (BCP-47)
Binding: AllLanguages (required): IETF language tag for a human language.

Additional BindingsPurpose
CommonLanguagesStarter Set

Example General: en-AU
..... url SΣ1..1url指向存储文档的Binary资源的地址
Example General: http://www.acme.com/logo-small.png
..... size SΣ1..1integer64文档的大小。原始数据的大小，而不是进行Base64算法后的值
..... hash SΣ1..1base64Binary文档内容进行摘要算法的Base64编码值。摘要算法为性价比最高的SHA1
..... title Σ1..1string文档的标题
Example General: Official Corporate Logo
..... creation SΣ1..1dateTime文档的生成时间
..... height 0..1positiveIntHeight of the image in pixels (photo/video)
..... width 0..1positiveIntWidth of the image in pixels (photo/video)
..... frames 0..1positiveIntNumber of frames if > 1 (photo)
..... duration 0..1decimalLength in seconds (audio / video)
..... pages 0..1positiveIntNumber of printed pages
.... profile Σ1..*BackboneElementContent profile rules for the document
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... Slices for value[x] Σ1..1Coding文档的格式，由此判定文档的处理规则
Slice: Unordered, Closed by type:$this
Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.

...... value[x]:valueCoding Σ1..1CodingCode|uri|canonical
Binding: 文档处理格式代码表 (required)

doco Documentation for this format

 

本定义的其它表示法: Schematron

Terminology Bindings

PathConformanceValueSetURI
DocumentReference.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
DocumentReference.statusrequiredDocumentReferenceStatus
http://hl7.org/fhir/ValueSet/document-reference-status|5.0.0
from the FHIR Standard
DocumentReference.docStatusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|5.0.0
from the FHIR Standard
DocumentReference.modalityextensiblehttp://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
DocumentReference.typerequiredEHRDocumentType (a valid code from 健康档案共享文档类型代码表)
http://hl7.org.cn/fhir/ValueSet/ehr-document-type
from this IG
DocumentReference.categoryrequiredDocumentCategory (a valid code from 共享文档类别代码表)
http://hl7.org.cn/fhir/ValueSet/document-category
from this IG
DocumentReference.eventexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
DocumentReference.facilityTyperequiredVSFacilityTypeCode
http://hl7.org.cn/fhir/ValueSet/facility-typecode
from this IG
DocumentReference.practiceSettingrequiredVSPracticeSettingCode
http://hl7.org.cn/fhir/ValueSet/practice-setting-code
from this IG
DocumentReference.attester.modepreferredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode
from the FHIR Standard
DocumentReference.relatesTo.codeextensibleDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type
from the FHIR Standard
DocumentReference.securityLabelexampleSecurityLabelExamples
http://hl7.org/fhir/ValueSet/security-label-examples
from the FHIR Standard
DocumentReference.content.attachment.contentTyperequiredMimeTypes (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|5.0.0
from the FHIR Standard
DocumentReference.content.attachment.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
DocumentReference.content.profile.value[x]preferredHL7FormatCodes
http://terminology.hl7.org/ValueSet/v3-HL7FormatCodes
DocumentReference.content.profile.value[x]:valueCodingrequiredVSDocumentFormatCode (a valid code from 文档处理格式代码表)
http://hl7.org.cn/fhir/ValueSet/document-formatcode
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
docRef-1warningDocumentReferencefacilityType SHALL only be present if context is not an encounter
: facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2warningDocumentReferencepracticeSetting SHALL only be present if context is not present
: practiceSetting.empty() or context.where(resolve() is Encounter).empty()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()