FHIR Implementation Guide for the NHS e-Referral Service

eRS-DocumentReference-1

This DocumentReference resource has been constrained to support the NHS e-Referral Service requirements.

NameCard.TypeDescription & Constraints
..DocumentReferenceDocumentReferenceA reference to a document

...type1..1CodeableConceptCategory type of document
Binding Category type of document (http://fhir.nhs.net/ValueSet/ers-attachmenttype-1)
Binding Strength Required

....coding1..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/ers-attachmenttype-1

.....code1..1CodeSymbol in syntax defined by the system
Example Value REFERRER

.....display1..1StringRepresentation defined by the system
Example Value Referrer

...indexed1..1InstantWhen this document reference created
Example Value 2016-09-05T13:24:53+00:00

...status1..1Codecurrent | superseded | entered-in-error
Binding The status of the document reference. (http://hl7.org/fhir/ValueSet/document-reference-status)
Binding Strength Required
Example Value current

...description0..1StringHuman-readable description (title)
Example Value Clinical comment as entered by clinician

...content1..*BackboneElementDocument referenced

....attachment1..1AttachmentWhere to access the document

.....attachedBy1..1ExtensionReference to the clinician responsible for the attachment
Extension http://fhir.nhs.net/StructureDefinition/extension-ers-attachedby-1

.....contentType1..1CodeMime type of the content, with charset etc.
Binding The mime type of an attachment. Any valid mime type is allowed. (http://www.rfc-editor.org/bcp/bcp13.txt)
Binding Strength Required
Example Value text/plain

.....url1..1UriURL to retrieve the attachment body
Example Value Binary/att-100763-5345434

.....size1..1UnsignedIntNumber of bytes of content (if url provided)
Example Value 23000

.....title1..1StringFile name
Example Value clinical-comment.txt

.....creation1..1DateTimeDate attachment was first created

Name Type Description & Constraints
. . Extension-eRS-AttachedBy-1 Extension This extension has been constrained to represent the clinician responsible for the attachment.
Path Name Binding Strength ValueSet
.DocumentReference.type type Required http://fhir.nhs.net/ValueSet/ers-attachmenttype-1
.DocumentReference.status status Required http://hl7.org/fhir/ValueSet/document-reference-status
.DocumentReference.relatesTo.code code Required http://hl7.org/fhir/ValueSet/document-relationship-type
.DocumentReference.content.attachment.contentType contentType Required http://www.rfc-editor.org/bcp/bcp13.txt
.DocumentReference.context.event event Example http://hl7.org/fhir/ValueSet/v3-ActCode
.DocumentReference.context.facilityType facilityType Example http://hl7.org/fhir/ValueSet/c80-facilitycodes
.DocumentReference.context.practiceSetting practiceSetting Example http://hl7.org/fhir/ValueSet/c80-practice-codes
.DocumentReference.context.related.identifier.use use Required http://hl7.org/fhir/ValueSet/identifier-use
.DocumentReference.context.related.identifier.type type Extensible http://hl7.org/fhir/ValueSet/identifier-type

eRS-DocumentReference-1

Examples Description JSON File
DocumentReference Document Reference Example