Guide d’Implémentation FHIR – Pré-admission Hospitalière en Ligne
0.1.0 - ci-build FRANCE

Guide d’Implémentation FHIR – Pré-admission Hospitalière en Ligne - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: Fr Preadmission DocumentReference Profile

Official URL: http://hl7.fr/fhir/fr/preadmission/StructureDefinition/preadmission-documentreference-fr | Version: 0.1.0
Draft as of 2026-02-24 | Computable Name: PreadmissionDocumentReferenceFr

Profil DocumentReference pour un document administratif de préadmission

### Objectif

Dans le cadre de la préadmission hospitalière, le patient est invité à fournir certains documents administratifs nécessaires à la validation de son dossier. Ces documents permettent à l’établissement de santé de vérifier l’identité, la couverture sociale du patient avant son admission.

Les documents sont modélisés dans FHIR à l’aide de la ressource `DocumentReference`, enrichie d’extensions spécifiques pour répondre aux besoins du processus de préadmission.

### Documents typiques à fournir

​Ces documents sont modélisés dans FHIR à l’aide de la ressource `DocumentReference`, avec le type de document contraint par le `ValueSet` `PreadmissionValueSetDocumentTypeFr`.

### Ressource FHIR : `DocumentReference`

La ressource `DocumentReference` est utilisée pour représenter chaque document transmis par le patient. Elle contient des métadonnées essentielles telles que le type de document, la date de création, et un lien vers le fichier téléversé.

#### Contraintes principales

- Type de document : Obligatoire, défini via l’extension `PreadmissionTypeDocumentFr`.
- Lien avec la préadmission : Chaque document doit être associé à un `Encounter` via `DocumentReference.context.encounter`.

### Critère de recherche autorisé

Dans le contexte de la préadmission, la ressource `DocumentReference` ne peut être recherchée qu’à partir de lencounter. Cela signifie que les systèmes doivent utiliser uniquement le critère `encounter` pour récupérer les documents liés à la pré-admission, conformément aux contraintes d’implémentation définies.

    documentreference?encounter=

### Bonnes pratiques

- Validation des documents : Chaque document téléversé doit être vérifié par un agent administratif pour s’assurer de sa conformité (lisibilité, validité, etc.).
- Traçabilité : Les documents doivent être horodatés et associés à un Encounter pour garantir une traçabilité complète.
- Respect des réglementations : Les documents doivent être stockés conformément aux exigences légales (RGPD, hébergement HDS, etc.).
- Gestion des erreurs : En cas de document manquant ou non conforme, une notification doit être envoyée au patient pour lui permettre de corriger ou compléter son dossier.

### Conclusion

La ressource `DocumentReference` joue un rôle clé dans la gestion des pièces justificatives pour la préadmission hospitalière. Elle garantit une organisation structurée et conforme des documents, tout en facilitant leur traitement par les agents administratifs.

Usages:

- Examples for this Profile: DocumentReference/documentreference-cni-recto
- CapabilityStatements using this Profile: Capacités serveur FHIR pour l'IG Preadmission

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DocumentReference |  | 0..* | DocumentReference | A reference to a document
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference.
type | Σ | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: preadmission-document-type-vs (required)
content | Σ | 1..* | BackboneElement | Document referenced
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
attachment | Σ | 1..1 | Attachment | Where to access the document
contentType | Σ | 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. Exemple General: text/plain; charset=UTF-8, image/png
context | Σ | 1..1 | BackboneElement | Clinical context of document
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
encounter |  | 1..1 | Reference(Fr Preadmission Encounter Profile) | Context of the document content
Documentation for this format

#### Terminology Bindings

Path | Conformité | ValueSet | URI
DocumentReference.status | required | DocumentReferenceStatus `http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1` From the FHIR Standard
DocumentReference.type | required | PreadmissionDocumentTypeFrValueSet `http://hl7.fr/fhir/fr/preadmission/ValueSet/preadmission-document-type-vs` From this IG
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

#### Constraints

Id | Grade | Path(s) | Détails | 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() |

This structure is derived from DocumentReference

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DocumentReference |  | 0..* | DocumentReference | A reference to a document
type |  | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: preadmission-document-type-vs (required)
content |  |  |  |
attachment |  |  |  |
contentType |  | 1..1 | code | Mime type of the content, with charset etc.
context |  | 1..1 | BackboneElement | Clinical context of document
encounter |  | 1..1 | Reference(Fr Preadmission Encounter Profile) | Context of the document content
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformité | ValueSet | URI
DocumentReference.type | required | PreadmissionDocumentTypeFrValueSet `http://hl7.fr/fhir/fr/preadmission/ValueSet/preadmission-document-type-vs` From this IG

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DocumentReference |  | 0..* | DocumentReference | A reference to a document
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
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
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
masterIdentifier | Σ | 0..1 | Identifier | Master Version Specific Identifier
identifier | Σ | 0..* | Identifier | Other identifiers for the document
status | ?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference.
docStatus | Σ | 0..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document.
type | Σ | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: preadmission-document-type-vs (required)
category | Σ | 0..* | CodeableConcept | Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | Σ | 0..1 | Reference(Patient | 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(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) | Who and/or what authored the document
authenticator |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Who/what authenticated the document
custodian |  | 0..1 | Reference(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(DocumentReference) | Target of the relationship
description | Σ | 0..1 | string | Human-readable description
securityLabel | Σ | 0..* | CodeableConcept | Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content | Σ | 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 | Σ | 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 | Σ | 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. Exemple General: text/plain; charset=UTF-8, image/png
language | Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Exemple General: en-AU
data |  | 0..1 | base64Binary | Data inline, base64ed
url | Σ | 0..1 | url | Uri where the data can be found Exemple General: http://www.acme.com/logo-small.png
size | Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided)
hash | Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed)
title | Σ | 0..1 | string | Label to display in place of the data Exemple General: Official Corporate Logo
creation | Σ | 0..1 | dateTime | Date attachment was first created
format | Σ | 0..1 | Coding | Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
context | Σ | 1..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 |  | 1..1 | Reference(Fr Preadmission Encounter Profile) | 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: FacilityTypeCodeValueSet (example): XDS Facility Type.
practiceSetting |  | 0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
sourcePatientInfo |  | 0..1 | Reference(Patient) | Patient demographics from source
related |  | 0..* | Reference(Resource) | Related identifiers or resources
Documentation for this format

#### Terminology Bindings

Path | Conformité | ValueSet | URI
DocumentReference.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Bindings Additionnels | But
AllLanguages | Binding Max
DocumentReference.status | required | DocumentReferenceStatus `http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1` From the FHIR Standard
DocumentReference.docStatus | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status|4.0.1` From the FHIR Standard
DocumentReference.type | required | PreadmissionDocumentTypeFrValueSet `http://hl7.fr/fhir/fr/preadmission/ValueSet/preadmission-document-type-vs` From this IG
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.securityLabel | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels` 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.attachment.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Bindings Additionnels | But
AllLanguages | Binding Max
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
DocumentReference.context.event | example | ActCode `http://terminology.hl7.org/ValueSet/v3-ActCode`
DocumentReference.context.facilityType | example | FacilityTypeCodeValueSet `http://hl7.org/fhir/ValueSet/c80-facilitycodes` From the FHIR Standard
DocumentReference.context.practiceSetting | example | PracticeSettingCodeValueSet `http://hl7.org/fhir/ValueSet/c80-practice-codes` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Détails | 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() |

This structure is derived from DocumentReference

Résumé

Mandatory: 4 elements

Structures

This structure refers to these other structures:

- Fr Preadmission Encounter Profile (http://hl7.fr/fhir/fr/preadmission/StructureDefinition/preadmission-encounter-fr)

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DocumentReference |  | 0..* | DocumentReference | A reference to a document
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference.
type | Σ | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: preadmission-document-type-vs (required)
content | Σ | 1..* | BackboneElement | Document referenced
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
attachment | Σ | 1..1 | Attachment | Where to access the document
contentType | Σ | 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. Exemple General: text/plain; charset=UTF-8, image/png
context | Σ | 1..1 | BackboneElement | Clinical context of document
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
encounter |  | 1..1 | Reference(Fr Preadmission Encounter Profile) | Context of the document content
Documentation for this format

#### Terminology Bindings

Path | Conformité | ValueSet | URI
DocumentReference.status | required | DocumentReferenceStatus `http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1` From the FHIR Standard
DocumentReference.type | required | PreadmissionDocumentTypeFrValueSet `http://hl7.fr/fhir/fr/preadmission/ValueSet/preadmission-document-type-vs` From this IG
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

#### Constraints

Id | Grade | Path(s) | Détails | 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() |

Differential View

This structure is derived from DocumentReference

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DocumentReference |  | 0..* | DocumentReference | A reference to a document
type |  | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: preadmission-document-type-vs (required)
content |  |  |  |
attachment |  |  |  |
contentType |  | 1..1 | code | Mime type of the content, with charset etc.
context |  | 1..1 | BackboneElement | Clinical context of document
encounter |  | 1..1 | Reference(Fr Preadmission Encounter Profile) | Context of the document content
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformité | ValueSet | URI
DocumentReference.type | required | PreadmissionDocumentTypeFrValueSet `http://hl7.fr/fhir/fr/preadmission/ValueSet/preadmission-document-type-vs` From this IG

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DocumentReference |  | 0..* | DocumentReference | A reference to a document
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
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
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
masterIdentifier | Σ | 0..1 | Identifier | Master Version Specific Identifier
identifier | Σ | 0..* | Identifier | Other identifiers for the document
status | ?!Σ | 1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference.
docStatus | Σ | 0..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document.
type | Σ | 1..1 | CodeableConcept | Kind of document (LOINC if possible) Binding: preadmission-document-type-vs (required)
category | Σ | 0..* | CodeableConcept | Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject | Σ | 0..1 | Reference(Patient | 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(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) | Who and/or what authored the document
authenticator |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization) | Who/what authenticated the document
custodian |  | 0..1 | Reference(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(DocumentReference) | Target of the relationship
description | Σ | 0..1 | string | Human-readable description
securityLabel | Σ | 0..* | CodeableConcept | Document security-tags Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
content | Σ | 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 | Σ | 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 | Σ | 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. Exemple General: text/plain; charset=UTF-8, image/png
language | Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Exemple General: en-AU
data |  | 0..1 | base64Binary | Data inline, base64ed
url | Σ | 0..1 | url | Uri where the data can be found Exemple General: http://www.acme.com/logo-small.png
size | Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided)
hash | Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed)
title | Σ | 0..1 | string | Label to display in place of the data Exemple General: Official Corporate Logo
creation | Σ | 0..1 | dateTime | Date attachment was first created
format | Σ | 0..1 | Coding | Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
context | Σ | 1..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 |  | 1..1 | Reference(Fr Preadmission Encounter Profile) | 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: FacilityTypeCodeValueSet (example): XDS Facility Type.
practiceSetting |  | 0..1 | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
sourcePatientInfo |  | 0..1 | Reference(Patient) | Patient demographics from source
related |  | 0..* | Reference(Resource) | Related identifiers or resources
Documentation for this format

#### Terminology Bindings

Path | Conformité | ValueSet | URI
DocumentReference.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Bindings Additionnels | But
AllLanguages | Binding Max
DocumentReference.status | required | DocumentReferenceStatus `http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1` From the FHIR Standard
DocumentReference.docStatus | required | CompositionStatus `http://hl7.org/fhir/ValueSet/composition-status|4.0.1` From the FHIR Standard
DocumentReference.type | required | PreadmissionDocumentTypeFrValueSet `http://hl7.fr/fhir/fr/preadmission/ValueSet/preadmission-document-type-vs` From this IG
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.securityLabel | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels` 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.attachment.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Bindings Additionnels | But
AllLanguages | Binding Max
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
DocumentReference.context.event | example | ActCode `http://terminology.hl7.org/ValueSet/v3-ActCode`
DocumentReference.context.facilityType | example | FacilityTypeCodeValueSet `http://hl7.org/fhir/ValueSet/c80-facilitycodes` From the FHIR Standard
DocumentReference.context.practiceSetting | example | PracticeSettingCodeValueSet `http://hl7.org/fhir/ValueSet/c80-practice-codes` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Détails | 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() |

This structure is derived from DocumentReference

Résumé

Mandatory: 4 elements

Structures

This structure refers to these other structures:

- Fr Preadmission Encounter Profile (http://hl7.fr/fhir/fr/preadmission/StructureDefinition/preadmission-encounter-fr)

Other representations of profile: CSV, Excel, Schematron