Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.7 - release New Zealand flag

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.7) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ManaakiNgaTahiDocumentReference

Official URL: https://fhir-ig.digital.health.nz/shared-care/StructureDefinition/ManaakiNgaTahiDocumentReference Version: 0.1.3
Active as of 2026-10-13 Computable Name: ManaakiNgaTahiDocumentReference

DocumentReference FHIR resource for Manaaki Nga Tahi

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DocumentReference 0..* DocumentReference A reference to a document
DocumentReference.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DocumentReference.status This element is a modifier element. This element is included in summaries. 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
DocumentReference.subject This element is included in summaries. 0..1 Reference(Patient) Who/what is the subject of the document
DocumentReference.author This element is included in summaries. 0..* Reference(Practitioner) Who and/or what authored the document
DocumentReference.content This element is included in summaries. 1..* BackboneElement Document referenced
DocumentReference.content.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment This element is included in summaries. 1..1 Attachment Where to access the document

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DocumentReference 0..* DocumentReference A reference to a document
DocumentReference.implicitRules 0..0 A set of rules under which this content was created
DocumentReference.masterIdentifier 0..0 Master Version Specific Identifier
DocumentReference.subject 0..1 Reference(Patient) Who/what is the subject of the document
DocumentReference.authenticator 0..0 Who/what authenticated the document
DocumentReference.custodian 0..0 Organization which maintains the document
DocumentReference.securityLabel 0..0 Document security-tags
DocumentReference.context
DocumentReference.context.encounter 0..* Reference(Encounter) Context of the document content
DocumentReference.context.period 0..1 Period Must be in UTC timezone on the FHIR server

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
DocumentReference 0..* DocumentReference A reference to a document
DocumentReference.id This element is included in summaries. 0..1 id Logical id of this artifact
DocumentReference.meta This element is included in summaries. 0..1 Meta Metadata about the resource
DocumentReference.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
DocumentReference.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
DocumentReference.contained 0..* Resource Contained, inline Resources
DocumentReference.extension 0..* Extension Additional content defined by implementations
DocumentReference.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DocumentReference.identifier This element is included in summaries. 0..* Identifier Other identifiers for the document
DocumentReference.status This element is a modifier element. This element is included in summaries. 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
DocumentReference.docStatus This element is included in summaries. 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.
DocumentReference.type This element is included in summaries. 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
DocumentReference.category This element is included in summaries. 0..* CodeableConcept Categorization of document
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
DocumentReference.subject This element is included in summaries. 0..1 Reference(Patient) Who/what is the subject of the document
DocumentReference.date This element is included in summaries. 0..1 instant When this document reference was created
DocumentReference.author This element is included in summaries. 0..* Reference(Practitioner) Who and/or what authored the document
DocumentReference.relatesTo This element is included in summaries. 0..* BackboneElement Relationships to other documents
DocumentReference.relatesTo.id 0..1 string Unique id for inter-element referencing
DocumentReference.relatesTo.extension 0..* Extension Additional content defined by implementations
DocumentReference.relatesTo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.relatesTo.code This element is included in summaries. 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
DocumentReference.relatesTo.target This element is included in summaries. 1..1 Reference(DocumentReference) Target of the relationship
DocumentReference.description This element is included in summaries. 0..1 string Human-readable description
DocumentReference.content This element is included in summaries. 1..* BackboneElement Document referenced
DocumentReference.content.id 0..1 string Unique id for inter-element referencing
DocumentReference.content.extension 0..* Extension Additional content defined by implementations
DocumentReference.content.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment This element is included in summaries. 1..1 Attachment Where to access the document
DocumentReference.content.format This element is included in summaries. 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
DocumentReference.context This element is included in summaries. 0..1 BackboneElement Clinical context of document
DocumentReference.context.id 0..1 string Unique id for inter-element referencing
DocumentReference.context.extension 0..* Extension Additional content defined by implementations
DocumentReference.context.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.context.encounter 0..* Reference(Encounter) Context of the document content
DocumentReference.context.event 0..* CodeableConcept Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
DocumentReference.context.period This element is included in summaries. 0..1 Period Must be in UTC timezone on the FHIR server
DocumentReference.context.facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
DocumentReference.context.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).
DocumentReference.context.sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
DocumentReference.context.related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.docStatus Base required CompositionStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base preferred Document Type Value Set 📍4.0.1 FHIR Std.
DocumentReference.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.content.​format Base preferred DocumentReference Format Code Set 📍4.0.1 FHIR Std.
DocumentReference.context.​event Base example v3 Code System ActCode 📦3.0.0 THO v6.5
DocumentReference.context.​facilityType Base example Facility Type Code Value Set 📍4.0.1 FHIR Std.
DocumentReference.context.​practiceSetting Base example Practice Setting Code Value Set 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from DocumentReference

Summary

Prohibited: 5 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DocumentReference 0..* DocumentReference A reference to a document
DocumentReference.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DocumentReference.status This element is a modifier element. This element is included in summaries. 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
DocumentReference.subject This element is included in summaries. 0..1 Reference(Patient) Who/what is the subject of the document
DocumentReference.author This element is included in summaries. 0..* Reference(Practitioner) Who and/or what authored the document
DocumentReference.content This element is included in summaries. 1..* BackboneElement Document referenced
DocumentReference.content.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment This element is included in summaries. 1..1 Attachment Where to access the document

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DocumentReference 0..* DocumentReference A reference to a document
DocumentReference.implicitRules 0..0 A set of rules under which this content was created
DocumentReference.masterIdentifier 0..0 Master Version Specific Identifier
DocumentReference.subject 0..1 Reference(Patient) Who/what is the subject of the document
DocumentReference.author 0..* Reference(Practitioner) Who and/or what authored the document
DocumentReference.authenticator 0..0 Who/what authenticated the document
DocumentReference.custodian 0..0 Organization which maintains the document
DocumentReference.securityLabel 0..0 Document security-tags
DocumentReference.context
DocumentReference.context.encounter 0..* Reference(Encounter) Context of the document content
DocumentReference.context.period 0..1 Period Must be in UTC timezone on the FHIR server

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DocumentReference 0..* DocumentReference A reference to a document
DocumentReference.id This element is included in summaries. 0..1 id Logical id of this artifact
DocumentReference.meta This element is included in summaries. 0..1 Meta Metadata about the resource
DocumentReference.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
DocumentReference.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
DocumentReference.contained 0..* Resource Contained, inline Resources
DocumentReference.extension 0..* Extension Additional content defined by implementations
DocumentReference.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DocumentReference.identifier This element is included in summaries. 0..* Identifier Other identifiers for the document
DocumentReference.status This element is a modifier element. This element is included in summaries. 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
DocumentReference.docStatus This element is included in summaries. 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.
DocumentReference.type This element is included in summaries. 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
DocumentReference.category This element is included in summaries. 0..* CodeableConcept Categorization of document
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
DocumentReference.subject This element is included in summaries. 0..1 Reference(Patient) Who/what is the subject of the document
DocumentReference.date This element is included in summaries. 0..1 instant When this document reference was created
DocumentReference.author This element is included in summaries. 0..* Reference(Practitioner) Who and/or what authored the document
DocumentReference.relatesTo This element is included in summaries. 0..* BackboneElement Relationships to other documents
DocumentReference.relatesTo.id 0..1 string Unique id for inter-element referencing
DocumentReference.relatesTo.extension 0..* Extension Additional content defined by implementations
DocumentReference.relatesTo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.relatesTo.code This element is included in summaries. 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
DocumentReference.relatesTo.target This element is included in summaries. 1..1 Reference(DocumentReference) Target of the relationship
DocumentReference.description This element is included in summaries. 0..1 string Human-readable description
DocumentReference.content This element is included in summaries. 1..* BackboneElement Document referenced
DocumentReference.content.id 0..1 string Unique id for inter-element referencing
DocumentReference.content.extension 0..* Extension Additional content defined by implementations
DocumentReference.content.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment This element is included in summaries. 1..1 Attachment Where to access the document
DocumentReference.content.format This element is included in summaries. 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
DocumentReference.context This element is included in summaries. 0..1 BackboneElement Clinical context of document
DocumentReference.context.id 0..1 string Unique id for inter-element referencing
DocumentReference.context.extension 0..* Extension Additional content defined by implementations
DocumentReference.context.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.context.encounter 0..* Reference(Encounter) Context of the document content
DocumentReference.context.event 0..* CodeableConcept Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
DocumentReference.context.period This element is included in summaries. 0..1 Period Must be in UTC timezone on the FHIR server
DocumentReference.context.facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
DocumentReference.context.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).
DocumentReference.context.sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
DocumentReference.context.related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.docStatus Base required CompositionStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base preferred Document Type Value Set 📍4.0.1 FHIR Std.
DocumentReference.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.content.​format Base preferred DocumentReference Format Code Set 📍4.0.1 FHIR Std.
DocumentReference.context.​event Base example v3 Code System ActCode 📦3.0.0 THO v6.5
DocumentReference.context.​facilityType Base example Facility Type Code Value Set 📍4.0.1 FHIR Std.
DocumentReference.context.​practiceSetting Base example Practice Setting Code Value Set 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from DocumentReference

Summary

Prohibited: 5 elements

 

Other representations of profile: CSV, Excel, Schematron