Name	Flags	Card.	Type	Description & Constraints    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
Slices for identifier	Σ	1..*	Identifier	Other identifiers for the document Slice: Ordered, Open At End by value:system
identifier:PHI_CODE	Σ	1..1	Identifier	PHI_CODE 식별자 (PHI_CODE Identifier)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	PHI_CODE 식별체계 식별자 (System of PHI_CODE Identifier) Fixed Value: https://connectdtx.net/phicode
value	Σ	1..1	string	PHI_CODE(플랫폼에서 전달한 값) (PHI_CODE value from JanuSync Platform) Example General: 123456
status	?!Σ	1..1	code	문서참조의 상태 (Document reference status) Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current
type	Σ	1..1	CodeableConcept	문서의 유형 (Document Type) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: DocumentTypeValueSet (preferred)
subject	Σ	1..1	Reference(JanuSync Patient)	문서의 대상 (Subject of the document)
date	Σ	1..1	instant	문서의 작성 시점 (Document creation time)
author	Σ	1..1	Reference(JanuSync DTx Device)	문서 작성자 (Document author)
Slices for content	Σ	1..*	BackboneElement	결과 리포트 (Result report) Slice: Ordered, Closed by value:attachment.contentType
content:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	Σ	1..1	Attachment	Where to access the document
content:pdf	Σ	0..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	결과 리포트 형식(PDF) (Result report Format(PDF)) Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Fixed Value: application/pdf
data		1..1	base64Binary	결과 리포트 Base64 (Base64 of Result report file)
content:image	Σ	0..*	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	결과 리포트 형식(image) (Result report Format(Image)) Binding: Mime Types (required) Required Pattern: image/*
data		1..1	base64Binary	결과 리포트 Base64 (Base64 of Result report file)
context	Σ	1..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	1..1	Period	DTx서비스가 시행된 기간 (Period of Digital Therapeutics (DTx) service deployment)
start	ΣC	1..1	dateTime	DTx서비스의 최초 사용시간 (First usage timestamp of Digital Therapeutics (DTx) service)
end	ΣC	0..1	dateTime	DTx서비스의 종료시간(종료되지 않은 경우 빈 값) (End time of Digital Therapeutics (DTx) service (blank if not ended))
related		0..*	Reference(JanuSync ServiceRequest)	연관된 DTx처방 (Related DTx prescription)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.identifier:PHI_CODE.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DocumentReference.status	Base	required	DocumentReferenceStatus	📍4.0.1	FHIR Std.
DocumentReference.type	Base	preferred	Document Type Value Set	📍4.0.1	FHIR Std.
DocumentReference.type.​coding	Base	preferred	Document Type Value Set	📦4.0.1	FHIR Std.
DocumentReference.content:pdf.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content:image.​attachment.contentType	Base	required	MimeType	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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    Filter: Bindings Constraints Obligations
DocumentReference		0..*	DocumentReference	A reference to a document
Slices for identifier		1..*	Identifier	Other identifiers for the document Slice: Ordered, Open At End by value:system
identifier:PHI_CODE		1..1	Identifier	PHI_CODE 식별자 (PHI_CODE Identifier)
system		1..1	uri	PHI_CODE 식별체계 식별자 (System of PHI_CODE Identifier) Fixed Value: https://connectdtx.net/phicode
value		1..1	string	PHI_CODE(플랫폼에서 전달한 값) (PHI_CODE value from JanuSync Platform)
status		1..1	code	문서참조의 상태 (Document reference status) Fixed Value: current
type		1..1	CodeableConcept	문서의 유형 (Document Type)
coding		1..1	Coding	Code defined by a terminology system Binding: DocumentTypeValueSet (preferred)
subject		1..1	Reference(JanuSync Patient)	문서의 대상 (Subject of the document)
date		1..1	instant	문서의 작성 시점 (Document creation time)
author		1..1	Reference(JanuSync DTx Device)	문서 작성자 (Document author)
Slices for content		1..*	BackboneElement	결과 리포트 (Result report) Slice: Ordered, Closed by value:attachment.contentType
content:pdf		0..1	BackboneElement	Document referenced
attachment
contentType		1..1	code	결과 리포트 형식(PDF) (Result report Format(PDF)) Fixed Value: application/pdf
data		1..1	base64Binary	결과 리포트 Base64 (Base64 of Result report file)
content:image		0..*	BackboneElement	Document referenced
attachment
contentType		1..1	code	결과 리포트 형식(image) (Result report Format(Image)) Binding: Mime Types (required) Required Pattern: image/*
data		1..1	base64Binary	결과 리포트 Base64 (Base64 of Result report file)
context		1..1	BackboneElement	Clinical context of document
period		1..1	Period	DTx서비스가 시행된 기간 (Period of Digital Therapeutics (DTx) service deployment)
start		1..1	dateTime	DTx서비스의 최초 사용시간 (First usage timestamp of Digital Therapeutics (DTx) service)
end		0..1	dateTime	DTx서비스의 종료시간(종료되지 않은 경우 빈 값) (End time of Digital Therapeutics (DTx) service (blank if not ended))
related		0..*	Reference(JanuSync ServiceRequest)	연관된 DTx처방 (Related DTx prescription)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.type.​coding	Base	preferred	Document Type Value Set	📦4.0.1	FHIR Std.
DocumentReference.content:image.​attachment.contentType	Base	required	MimeType	📦4.0.1	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    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. Additional Bindings Purpose AllLanguages Max Binding
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
Slices for identifier	Σ	1..*	Identifier	Other identifiers for the document Slice: Ordered, Open At End by value:system
identifier:PHI_CODE	Σ	1..1	Identifier	PHI_CODE 식별자 (PHI_CODE Identifier)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	PHI_CODE 식별체계 식별자 (System of PHI_CODE Identifier) Fixed Value: https://connectdtx.net/phicode
value	Σ	1..1	string	PHI_CODE(플랫폼에서 전달한 값) (PHI_CODE value from JanuSync Platform) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	문서참조의 상태 (Document reference status) Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document.
type	Σ	1..1	CodeableConcept	문서의 유형 (Document Type) Binding: DocumentTypeValueSet (preferred): Precise type of clinical 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
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: DocumentTypeValueSet (preferred)
text	Σ	0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(JanuSync Patient)	문서의 대상 (Subject of the document)
date	Σ	1..1	instant	문서의 작성 시점 (Document creation time)
author	Σ	1..1	Reference(JanuSync DTx Device)	문서 작성자 (Document author)
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.
Slices for content	Σ	1..*	BackboneElement	결과 리포트 (Result report) Slice: Ordered, Closed by value:attachment.contentType
content:All Slices				Content/Rules for all slices
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
format	Σ	0..1	Coding	Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
content:pdf	Σ	0..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	결과 리포트 형식(PDF) (Result report Format(PDF)) Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Fixed Value: application/pdf
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		1..1	base64Binary	결과 리포트 Base64 (Base64 of Result report file)
url	Σ	0..1	url	Uri where the data can be found Example 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 Example 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.
content:image	Σ	0..*	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	결과 리포트 형식(image) (Result report Format(Image)) Binding: Mime Types (required) Required Pattern: image/*
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		1..1	base64Binary	결과 리포트 Base64 (Base64 of Result report file)
url	Σ	0..1	url	Uri where the data can be found Example 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 Example 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		0..*	Reference(Encounter | EpisodeOfCare)	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	1..1	Period	DTx서비스가 시행된 기간 (Period of Digital Therapeutics (DTx) service deployment)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	DTx서비스의 최초 사용시간 (First usage timestamp of Digital Therapeutics (DTx) service)
end	ΣC	0..1	dateTime	DTx서비스의 종료시간(종료되지 않은 경우 빈 값) (End time of Digital Therapeutics (DTx) service (blank if not ended))
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(JanuSync ServiceRequest)	연관된 DTx처방 (Related DTx prescription)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DocumentReference.identifier:PHI_CODE.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DocumentReference.identifier:PHI_CODE.​type	Base	extensible	IdentifierType	📍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.type.​coding	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.securityLabel	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
DocumentReference.content.​format	Base	preferred	DocumentReference Format Code Set	📍4.0.1	FHIR Std.
DocumentReference.content:pdf.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content:pdf.​attachment.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DocumentReference.content:pdf.​format	Base	preferred	DocumentReference Format Code Set	📍4.0.1	FHIR Std.
DocumentReference.content:image.​attachment.contentType	Base	required	MimeType	📦4.0.1	FHIR Std.
DocumentReference.content:image.​attachment.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DocumentReference.content:image.​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 v7.0
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
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: 12 elements(4 nested mandatory elements)
Fixed: 3 elements

Structures

This structure refers to these other structures:

• JanuSync Patient (http://connectdtx.kr/fhir/StructureDefinition/janusync-patient)
• JanuSync DTx Device (http://connectdtx.kr/fhir/StructureDefinition/janusync-dtx-device)
• JanuSync ServiceRequest (http://connectdtx.kr/fhir/StructureDefinition/janusync-servicerequest)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DocumentReference.identifier (ordered, Open at End)
• The element 1 is sliced based on the value of DocumentReference.content (ordered, Closed)

Name	Flags	Card.	Type	Description & Constraints    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
Slices for identifier	Σ	1..*	Identifier	Other identifiers for the document Slice: Ordered, Open At End by value:system
identifier:PHI_CODE	Σ	1..1	Identifier	PHI_CODE 식별자 (PHI_CODE Identifier)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	PHI_CODE 식별체계 식별자 (System of PHI_CODE Identifier) Fixed Value: https://connectdtx.net/phicode
value	Σ	1..1	string	PHI_CODE(플랫폼에서 전달한 값) (PHI_CODE value from JanuSync Platform) Example General: 123456
status	?!Σ	1..1	code	문서참조의 상태 (Document reference status) Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current
type	Σ	1..1	CodeableConcept	문서의 유형 (Document Type) Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: DocumentTypeValueSet (preferred)
subject	Σ	1..1	Reference(JanuSync Patient)	문서의 대상 (Subject of the document)
date	Σ	1..1	instant	문서의 작성 시점 (Document creation time)
author	Σ	1..1	Reference(JanuSync DTx Device)	문서 작성자 (Document author)
Slices for content	Σ	1..*	BackboneElement	결과 리포트 (Result report) Slice: Ordered, Closed by value:attachment.contentType
content:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	Σ	1..1	Attachment	Where to access the document
content:pdf	Σ	0..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	결과 리포트 형식(PDF) (Result report Format(PDF)) Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Fixed Value: application/pdf
data		1..1	base64Binary	결과 리포트 Base64 (Base64 of Result report file)
content:image	Σ	0..*	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	결과 리포트 형식(image) (Result report Format(Image)) Binding: Mime Types (required) Required Pattern: image/*
data		1..1	base64Binary	결과 리포트 Base64 (Base64 of Result report file)
context	Σ	1..1	BackboneElement	Clinical context of document
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	1..1	Period	DTx서비스가 시행된 기간 (Period of Digital Therapeutics (DTx) service deployment)
start	ΣC	1..1	dateTime	DTx서비스의 최초 사용시간 (First usage timestamp of Digital Therapeutics (DTx) service)
end	ΣC	0..1	dateTime	DTx서비스의 종료시간(종료되지 않은 경우 빈 값) (End time of Digital Therapeutics (DTx) service (blank if not ended))
related		0..*	Reference(JanuSync ServiceRequest)	연관된 DTx처방 (Related DTx prescription)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.identifier:PHI_CODE.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DocumentReference.status	Base	required	DocumentReferenceStatus	📍4.0.1	FHIR Std.
DocumentReference.type	Base	preferred	Document Type Value Set	📍4.0.1	FHIR Std.
DocumentReference.type.​coding	Base	preferred	Document Type Value Set	📦4.0.1	FHIR Std.
DocumentReference.content:pdf.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content:image.​attachment.contentType	Base	required	MimeType	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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    Filter: Bindings Constraints Obligations
DocumentReference		0..*	DocumentReference	A reference to a document
Slices for identifier		1..*	Identifier	Other identifiers for the document Slice: Ordered, Open At End by value:system
identifier:PHI_CODE		1..1	Identifier	PHI_CODE 식별자 (PHI_CODE Identifier)
system		1..1	uri	PHI_CODE 식별체계 식별자 (System of PHI_CODE Identifier) Fixed Value: https://connectdtx.net/phicode
value		1..1	string	PHI_CODE(플랫폼에서 전달한 값) (PHI_CODE value from JanuSync Platform)
status		1..1	code	문서참조의 상태 (Document reference status) Fixed Value: current
type		1..1	CodeableConcept	문서의 유형 (Document Type)
coding		1..1	Coding	Code defined by a terminology system Binding: DocumentTypeValueSet (preferred)
subject		1..1	Reference(JanuSync Patient)	문서의 대상 (Subject of the document)
date		1..1	instant	문서의 작성 시점 (Document creation time)
author		1..1	Reference(JanuSync DTx Device)	문서 작성자 (Document author)
Slices for content		1..*	BackboneElement	결과 리포트 (Result report) Slice: Ordered, Closed by value:attachment.contentType
content:pdf		0..1	BackboneElement	Document referenced
attachment
contentType		1..1	code	결과 리포트 형식(PDF) (Result report Format(PDF)) Fixed Value: application/pdf
data		1..1	base64Binary	결과 리포트 Base64 (Base64 of Result report file)
content:image		0..*	BackboneElement	Document referenced
attachment
contentType		1..1	code	결과 리포트 형식(image) (Result report Format(Image)) Binding: Mime Types (required) Required Pattern: image/*
data		1..1	base64Binary	결과 리포트 Base64 (Base64 of Result report file)
context		1..1	BackboneElement	Clinical context of document
period		1..1	Period	DTx서비스가 시행된 기간 (Period of Digital Therapeutics (DTx) service deployment)
start		1..1	dateTime	DTx서비스의 최초 사용시간 (First usage timestamp of Digital Therapeutics (DTx) service)
end		0..1	dateTime	DTx서비스의 종료시간(종료되지 않은 경우 빈 값) (End time of Digital Therapeutics (DTx) service (blank if not ended))
related		0..*	Reference(JanuSync ServiceRequest)	연관된 DTx처방 (Related DTx prescription)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.type.​coding	Base	preferred	Document Type Value Set	📦4.0.1	FHIR Std.
DocumentReference.content:image.​attachment.contentType	Base	required	MimeType	📦4.0.1	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    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. Additional Bindings Purpose AllLanguages Max Binding
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
Slices for identifier	Σ	1..*	Identifier	Other identifiers for the document Slice: Ordered, Open At End by value:system
identifier:PHI_CODE	Σ	1..1	Identifier	PHI_CODE 식별자 (PHI_CODE Identifier)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	PHI_CODE 식별체계 식별자 (System of PHI_CODE Identifier) Fixed Value: https://connectdtx.net/phicode
value	Σ	1..1	string	PHI_CODE(플랫폼에서 전달한 값) (PHI_CODE value from JanuSync Platform) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	문서참조의 상태 (Document reference status) Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Status of the underlying document.
type	Σ	1..1	CodeableConcept	문서의 유형 (Document Type) Binding: DocumentTypeValueSet (preferred): Precise type of clinical 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
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: DocumentTypeValueSet (preferred)
text	Σ	0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of document Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(JanuSync Patient)	문서의 대상 (Subject of the document)
date	Σ	1..1	instant	문서의 작성 시점 (Document creation time)
author	Σ	1..1	Reference(JanuSync DTx Device)	문서 작성자 (Document author)
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.
Slices for content	Σ	1..*	BackboneElement	결과 리포트 (Result report) Slice: Ordered, Closed by value:attachment.contentType
content:All Slices				Content/Rules for all slices
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
format	Σ	0..1	Coding	Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
content:pdf	Σ	0..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	결과 리포트 형식(PDF) (Result report Format(PDF)) Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Fixed Value: application/pdf
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		1..1	base64Binary	결과 리포트 Base64 (Base64 of Result report file)
url	Σ	0..1	url	Uri where the data can be found Example 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 Example 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.
content:image	Σ	0..*	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	결과 리포트 형식(image) (Result report Format(Image)) Binding: Mime Types (required) Required Pattern: image/*
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		1..1	base64Binary	결과 리포트 Base64 (Base64 of Result report file)
url	Σ	0..1	url	Uri where the data can be found Example 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 Example 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		0..*	Reference(Encounter | EpisodeOfCare)	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	1..1	Period	DTx서비스가 시행된 기간 (Period of Digital Therapeutics (DTx) service deployment)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	DTx서비스의 최초 사용시간 (First usage timestamp of Digital Therapeutics (DTx) service)
end	ΣC	0..1	dateTime	DTx서비스의 종료시간(종료되지 않은 경우 빈 값) (End time of Digital Therapeutics (DTx) service (blank if not ended))
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(JanuSync ServiceRequest)	연관된 DTx처방 (Related DTx prescription)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DocumentReference.identifier:PHI_CODE.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
DocumentReference.identifier:PHI_CODE.​type	Base	extensible	IdentifierType	📍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.type.​coding	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.securityLabel	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
DocumentReference.content.​format	Base	preferred	DocumentReference Format Code Set	📍4.0.1	FHIR Std.
DocumentReference.content:pdf.​attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content:pdf.​attachment.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DocumentReference.content:pdf.​format	Base	preferred	DocumentReference Format Code Set	📍4.0.1	FHIR Std.
DocumentReference.content:image.​attachment.contentType	Base	required	MimeType	📦4.0.1	FHIR Std.
DocumentReference.content:image.​attachment.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DocumentReference.content:image.​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 v7.0
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
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: 12 elements(4 nested mandatory elements)
Fixed: 3 elements

Structures

This structure refers to these other structures:

• JanuSync Patient (http://connectdtx.kr/fhir/StructureDefinition/janusync-patient)
• JanuSync DTx Device (http://connectdtx.kr/fhir/StructureDefinition/janusync-dtx-device)
• JanuSync ServiceRequest (http://connectdtx.kr/fhir/StructureDefinition/janusync-servicerequest)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DocumentReference.identifier (ordered, Open at End)
• The element 1 is sliced based on the value of DocumentReference.content (ordered, Closed)