Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	A reference to a document (文書の参照)
id		0..1	id	Logical id of this artifact (自動採番される論理ID)
meta		0..1	Meta	Metadata about the resource (リソースのメタデータ)
implicitRules		0..0
language		0..0
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
modifierExtension		0..0
masterIdentifier		0..0
identifier		0..*	Identifier	Other identifiers for the document (識別子) Slice: Unordered, Open by value:system
status		1..1	code	current | superseded | entered-in-error (この参照のステータス)
docStatus		0..0
type		0..1	CodeableConcept	Kind of document (LOINC if possible) (文書の種類)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (文書の種類を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (文書の種類を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (文書の種類を表すコード値)
display		1..1	string	Representation defined by the system (文書の種類の表示名)
userSelected		0..0
text		0..1	string	Plain text representation of the concept (文書の種類のテキスト表現)
category		0..*	CodeableConcept	Categorization of document (カテゴリ)
coding		0..*	Coding	Code defined by a terminology system (カテゴリを表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (カテゴリを定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (カテゴリを表すコード値)
display		1..1	string	Representation defined by the system (カテゴリの表示名)
userSelected		0..0
text		0..1	string	Plain text representation of the concept
subject		0..1	Reference(Fujitsu Patient Profile)	Who/what is the subject of the document (患者)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
date		0..1	instant	When this document reference was created (作成日時)
author		0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | Fujitsu Organization Profile)	Who and/or what authored the document (作成者)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
authenticator		0..0
custodian		0..0
relatesTo		0..0
description		0..0
securityLabel		0..0
content		1..*	BackboneElement	Document referenced (参照される文書)
id		0..0
extension		0..0
modifierExtension		0..0
attachment		1..1	Attachment	Where to access the document (ドキュメントへのアクセス)
id		0..0
extension		0..0
contentType		0..1	code	Mime type of the content, with charset etc. (MIMEタイプ)
language		0..0
data		0..1	base64Binary	Data inline, base64ed (Base64のインラインデータ)
url		0..1	url	Uri where the data can be found (データが参照できるURL)
size		0..0
hash		0..0
title		0..0
creation		0..0
format		0..1	Coding	Format/content rules for the document (文書のフォーマット)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (フォーマットを定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (フォーマットを表すコード値)
display		1..1	string	Representation defined by the system (フォーマットの表示名)
userSelected		0..0
context		0..1	BackboneElement	Clinical context of document (文書の臨床的背景)
id		0..0
extension		0..0
modifierExtension		0..0
encounter		0..*	Reference(Fujitsu Encounter Profile)	Context of the document content (入院または外来)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
event		0..0
period		0..1	Period	Time of service that is being documented (文書で説明されているサービスを受けた期間)
facilityType		0..0
practiceSetting		0..0
sourcePatientInfo		0..0
related		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	A reference to a document (文書の参照)
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Other identifiers for the document (識別子) Slice: Unordered, Open by value:system
status	?!Σ	1..1	code	current | superseded | entered-in-error (この参照のステータス) Binding: DocumentReferenceStatus (required): The status of the document reference.
type	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) (文書の種類) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (文書の種類を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (文書の種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (文書の種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (文書の種類の表示名)
text	Σ	0..1	string	Plain text representation of the concept (文書の種類のテキスト表現)
category	Σ	0..*	CodeableConcept	Categorization of document (カテゴリ) Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
coding	Σ	0..*	Coding	Code defined by a terminology system (カテゴリを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (カテゴリを定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (カテゴリを表すコード値)
display	Σ	1..1	string	Representation defined by the system (カテゴリの表示名)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Fujitsu Patient Profile)	Who/what is the subject of the document (患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
date	Σ	0..1	instant	When this document reference was created (作成日時)
author	Σ	0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | Fujitsu Organization Profile)	Who and/or what authored the document (作成者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
content	Σ	1..*	BackboneElement	Document referenced (参照される文書)
attachment	Σ	1..1	Attachment	Where to access the document (ドキュメントへのアクセス)
extension		0..0
contentType	Σ	0..1	code	Mime type of the content, with charset etc. (MIMEタイプ) Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
data		0..1	base64Binary	Data inline, base64ed (Base64のインラインデータ)
url	Σ	0..1	url	Uri where the data can be found (データが参照できるURL) Example General: http://www.acme.com/logo-small.png
format	Σ	0..1	Coding	Format/content rules for the document (文書のフォーマット) Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (フォーマットを定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (フォーマットを表すコード値)
display	Σ	1..1	string	Representation defined by the system (フォーマットの表示名)
context	Σ	0..1	BackboneElement	Clinical context of document (文書の臨床的背景)
encounter		0..*	Reference(Fujitsu Encounter Profile)	Context of the document content (入院または外来)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
period	Σ	0..1	Period	Time of service that is being documented (文書で説明されているサービスを受けた期間)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 from the FHIR Standard
DocumentReference.type	preferred	DocumentTypeValueSet http://hl7.org/fhir/ValueSet/c80-doc-typecodes from the FHIR Standard
DocumentReference.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
DocumentReference.content.attachment.contentType	required	Mime Types (a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
DocumentReference.content.format	preferred	DocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem) http://hl7.org/fhir/ValueSet/formatcodes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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
DocumentReference		0..*	DocumentReference	A reference to a document (文書の参照)
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Other identifiers for the document (識別子) Slice: Unordered, Open by value:system
status	?!Σ	1..1	code	current | superseded | entered-in-error (この参照のステータス) Binding: DocumentReferenceStatus (required): The status of the document reference.
type	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) (文書の種類) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (文書の種類を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (文書の種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (文書の種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (文書の種類の表示名)
text	Σ	0..1	string	Plain text representation of the concept (文書の種類のテキスト表現)
category	Σ	0..*	CodeableConcept	Categorization of document (カテゴリ) Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system (カテゴリを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (カテゴリを定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (カテゴリを表すコード値)
display	Σ	1..1	string	Representation defined by the system (カテゴリの表示名)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Fujitsu Patient Profile)	Who/what is the subject of the document (患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
date	Σ	0..1	instant	When this document reference was created (作成日時)
author	Σ	0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | Fujitsu Organization Profile)	Who and/or what authored the document (作成者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
content	Σ	1..*	BackboneElement	Document referenced (参照される文書)
attachment	Σ	1..1	Attachment	Where to access the document (ドキュメントへのアクセス)
extension		0..0
contentType	Σ	0..1	code	Mime type of the content, with charset etc. (MIMEタイプ) Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
data		0..1	base64Binary	Data inline, base64ed (Base64のインラインデータ)
url	Σ	0..1	url	Uri where the data can be found (データが参照できるURL) Example General: http://www.acme.com/logo-small.png
format	Σ	0..1	Coding	Format/content rules for the document (文書のフォーマット) Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (フォーマットを定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (フォーマットを表すコード値)
display	Σ	1..1	string	Representation defined by the system (フォーマットの表示名)
context	Σ	0..1	BackboneElement	Clinical context of document (文書の臨床的背景)
encounter		0..*	Reference(Fujitsu Encounter Profile)	Context of the document content (入院または外来)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
period	Σ	0..1	Period	Time of service that is being documented (文書で説明されているサービスを受けた期間)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 from the FHIR Standard
DocumentReference.type	preferred	DocumentTypeValueSet http://hl7.org/fhir/ValueSet/c80-doc-typecodes from the FHIR Standard
DocumentReference.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
DocumentReference.content.attachment.contentType	required	Mime Types (a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
DocumentReference.content.format	preferred	DocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem) http://hl7.org/fhir/ValueSet/formatcodes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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: 0 element(12 nested mandatory elements)
Prohibited: 54 elements

Structures

This structure refers to these other structures:

• Fujitsu Patient Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-patient)
• Fujitsu Practitioner Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-practitioner)
• Fujitsu PractitionerRole Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-practitionerrole)
• Fujitsu Organization Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-organization)
• Fujitsu Encounter Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-encounter)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DocumentReference.identifier

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	A reference to a document (文書の参照)
id		0..1	id	Logical id of this artifact (自動採番される論理ID)
meta		0..1	Meta	Metadata about the resource (リソースのメタデータ)
implicitRules		0..0
language		0..0
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
modifierExtension		0..0
masterIdentifier		0..0
identifier		0..*	Identifier	Other identifiers for the document (識別子) Slice: Unordered, Open by value:system
status		1..1	code	current | superseded | entered-in-error (この参照のステータス)
docStatus		0..0
type		0..1	CodeableConcept	Kind of document (LOINC if possible) (文書の種類)
id		0..0
extension		0..0
coding		0..*	Coding	Code defined by a terminology system (文書の種類を表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (文書の種類を定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (文書の種類を表すコード値)
display		1..1	string	Representation defined by the system (文書の種類の表示名)
userSelected		0..0
text		0..1	string	Plain text representation of the concept (文書の種類のテキスト表現)
category		0..*	CodeableConcept	Categorization of document (カテゴリ)
coding		0..*	Coding	Code defined by a terminology system (カテゴリを表すコード)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (カテゴリを定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (カテゴリを表すコード値)
display		1..1	string	Representation defined by the system (カテゴリの表示名)
userSelected		0..0
text		0..1	string	Plain text representation of the concept
subject		0..1	Reference(Fujitsu Patient Profile)	Who/what is the subject of the document (患者)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
date		0..1	instant	When this document reference was created (作成日時)
author		0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | Fujitsu Organization Profile)	Who and/or what authored the document (作成者)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
authenticator		0..0
custodian		0..0
relatesTo		0..0
description		0..0
securityLabel		0..0
content		1..*	BackboneElement	Document referenced (参照される文書)
id		0..0
extension		0..0
modifierExtension		0..0
attachment		1..1	Attachment	Where to access the document (ドキュメントへのアクセス)
id		0..0
extension		0..0
contentType		0..1	code	Mime type of the content, with charset etc. (MIMEタイプ)
language		0..0
data		0..1	base64Binary	Data inline, base64ed (Base64のインラインデータ)
url		0..1	url	Uri where the data can be found (データが参照できるURL)
size		0..0
hash		0..0
title		0..0
creation		0..0
format		0..1	Coding	Format/content rules for the document (文書のフォーマット)
id		0..0
extension		0..0
system		1..1	uri	Identity of the terminology system (フォーマットを定義するコード体系)
version		0..0
code		1..1	code	Symbol in syntax defined by the system (フォーマットを表すコード値)
display		1..1	string	Representation defined by the system (フォーマットの表示名)
userSelected		0..0
context		0..1	BackboneElement	Clinical context of document (文書の臨床的背景)
id		0..0
extension		0..0
modifierExtension		0..0
encounter		0..*	Reference(Fujitsu Encounter Profile)	Context of the document content (入院または外来)
id		0..0
extension		0..0
reference		1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
type		0..0
identifier		0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
display		0..0
event		0..0
period		0..1	Period	Time of service that is being documented (文書で説明されているサービスを受けた期間)
facilityType		0..0
practiceSetting		0..0
sourcePatientInfo		0..0
related		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DocumentReference		0..*	DocumentReference	A reference to a document (文書の参照)
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Other identifiers for the document (識別子) Slice: Unordered, Open by value:system
status	?!Σ	1..1	code	current | superseded | entered-in-error (この参照のステータス) Binding: DocumentReferenceStatus (required): The status of the document reference.
type	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) (文書の種類) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (文書の種類を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (文書の種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (文書の種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (文書の種類の表示名)
text	Σ	0..1	string	Plain text representation of the concept (文書の種類のテキスト表現)
category	Σ	0..*	CodeableConcept	Categorization of document (カテゴリ) Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
coding	Σ	0..*	Coding	Code defined by a terminology system (カテゴリを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (カテゴリを定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (カテゴリを表すコード値)
display	Σ	1..1	string	Representation defined by the system (カテゴリの表示名)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Fujitsu Patient Profile)	Who/what is the subject of the document (患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
date	Σ	0..1	instant	When this document reference was created (作成日時)
author	Σ	0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | Fujitsu Organization Profile)	Who and/or what authored the document (作成者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
content	Σ	1..*	BackboneElement	Document referenced (参照される文書)
attachment	Σ	1..1	Attachment	Where to access the document (ドキュメントへのアクセス)
extension		0..0
contentType	Σ	0..1	code	Mime type of the content, with charset etc. (MIMEタイプ) Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
data		0..1	base64Binary	Data inline, base64ed (Base64のインラインデータ)
url	Σ	0..1	url	Uri where the data can be found (データが参照できるURL) Example General: http://www.acme.com/logo-small.png
format	Σ	0..1	Coding	Format/content rules for the document (文書のフォーマット) Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (フォーマットを定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (フォーマットを表すコード値)
display	Σ	1..1	string	Representation defined by the system (フォーマットの表示名)
context	Σ	0..1	BackboneElement	Clinical context of document (文書の臨床的背景)
encounter		0..*	Reference(Fujitsu Encounter Profile)	Context of the document content (入院または外来)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
period	Σ	0..1	Period	Time of service that is being documented (文書で説明されているサービスを受けた期間)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 from the FHIR Standard
DocumentReference.type	preferred	DocumentTypeValueSet http://hl7.org/fhir/ValueSet/c80-doc-typecodes from the FHIR Standard
DocumentReference.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
DocumentReference.content.attachment.contentType	required	Mime Types (a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
DocumentReference.content.format	preferred	DocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem) http://hl7.org/fhir/ValueSet/formatcodes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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
DocumentReference		0..*	DocumentReference	A reference to a document (文書の参照)
id	Σ	0..1	id	Logical id of this artifact (自動採番される論理ID)
meta	Σ	0..1	Meta	Metadata about the resource (リソースのメタデータ)
text		0..1	Narrative	Text summary of the resource, for human interpretation (リソースの概要)
contained		0..*	Resource	Contained, inline Resources (リソース内リソース)
extension		0..*	Extension	Additional content defined by implementations (要素の拡張)
identifier	Σ	0..*	Identifier	Other identifiers for the document (識別子) Slice: Unordered, Open by value:system
status	?!Σ	1..1	code	current | superseded | entered-in-error (この参照のステータス) Binding: DocumentReferenceStatus (required): The status of the document reference.
type	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) (文書の種類) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
extension		0..0
coding	Σ	0..*	Coding	Code defined by a terminology system (文書の種類を表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (文書の種類を定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (文書の種類を表すコード値)
display	Σ	1..1	string	Representation defined by the system (文書の種類の表示名)
text	Σ	0..1	string	Plain text representation of the concept (文書の種類のテキスト表現)
category	Σ	0..*	CodeableConcept	Categorization of document (カテゴリ) Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system (カテゴリを表すコード)
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (カテゴリを定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (カテゴリを表すコード値)
display	Σ	1..1	string	Representation defined by the system (カテゴリの表示名)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(Fujitsu Patient Profile)	Who/what is the subject of the document (患者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
date	Σ	0..1	instant	When this document reference was created (作成日時)
author	Σ	0..*	Reference(Fujitsu Practitioner Profile | Fujitsu PractitionerRole Profile | Fujitsu Patient Profile | Fujitsu Organization Profile)	Who and/or what authored the document (作成者)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
content	Σ	1..*	BackboneElement	Document referenced (参照される文書)
attachment	Σ	1..1	Attachment	Where to access the document (ドキュメントへのアクセス)
extension		0..0
contentType	Σ	0..1	code	Mime type of the content, with charset etc. (MIMEタイプ) Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
data		0..1	base64Binary	Data inline, base64ed (Base64のインラインデータ)
url	Σ	0..1	url	Uri where the data can be found (データが参照できるURL) Example General: http://www.acme.com/logo-small.png
format	Σ	0..1	Coding	Format/content rules for the document (文書のフォーマット) Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
extension		0..0
system	Σ	1..1	uri	Identity of the terminology system (フォーマットを定義するコード体系)
code	Σ	1..1	code	Symbol in syntax defined by the system (フォーマットを表すコード値)
display	Σ	1..1	string	Representation defined by the system (フォーマットの表示名)
context	Σ	0..1	BackboneElement	Clinical context of document (文書の臨床的背景)
encounter		0..*	Reference(Fujitsu Encounter Profile)	Context of the document content (入院または外来)
extension		0..0
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL (相対URLのリテラル参照)
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known (データ取り込みで使用する論理参照)
period	Σ	0..1	Period	Time of service that is being documented (文書で説明されているサービスを受けた期間)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DocumentReference.status	required	DocumentReferenceStatus http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 from the FHIR Standard
DocumentReference.type	preferred	DocumentTypeValueSet http://hl7.org/fhir/ValueSet/c80-doc-typecodes from the FHIR Standard
DocumentReference.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
DocumentReference.content.attachment.contentType	required	Mime Types (a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
DocumentReference.content.format	preferred	DocumentReferenceFormatCodeSet (a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem) http://hl7.org/fhir/ValueSet/formatcodes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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: 0 element(12 nested mandatory elements)
Prohibited: 54 elements

Structures

This structure refers to these other structures:

• Fujitsu Patient Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-patient)
• Fujitsu Practitioner Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-practitioner)
• Fujitsu PractitionerRole Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-practitionerrole)
• Fujitsu Organization Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-organization)
• Fujitsu Encounter Profile (http://ig.fujitsu.com/healthy-living/StructureDefinition/fujitsu-encounter)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DocumentReference.identifier