Profile Comparison between https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference vs https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference

Left:MHD DocumentReference Minimal (https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference)
Right:MHD DocumentReference Minimal (https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference)

Messages

ErrorStructureDefinition.versionValues for version differ: '4.2.5-comment' vs '4.2.5'
InformationStructureDefinition.dateValues for date differ: '2026-06-16T19:21:44-05:00' vs '2026-10-18T17:32:41-05:00'

Metadata

NameValueComments
abstractfalse
    baseDefinitionhttp://hl7.org/fhir/StructureDefinition/DocumentReference
      copyright
        date2026-06-16T19:21:44-05:002026-10-18T17:32:41-05:00
        • Values Differ
        descriptionA profile on the DocumentReference resource for MHD with minimal metadata constraints. - MHD is based on the [IHE Document Sharing](https://profiles.ihe.net/ITI/HIE-Whitepaper/index.html) model, - the [3:4.1 Abstract Metadata Model](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.1.html#4.1), and - the use defined here is FHIR DocumentReference implementation of the - ebRIM implementation at [3:4.2.3.2 Document Entry](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.2.html#4.2.3.2). - with use-cases and constraints found in [3:4.3 Additional Document Sharing Requirements](https://profiles.ihe.net/ITI/TF/Volume3/ch-4.3.html#4.3)
          experimental
            fhirVersion4.0.1
              jurisdiction
                jurisdiction / jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#001
                  kindresource
                    nameMinimalDocumentReference
                      publisherIHE IT Infrastructure Technical Committee
                        purpose
                          statusactive
                            titleMHD DocumentReference Minimal
                              typeDocumentReference
                                urlhttps://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference
                                  version4.2.5-comment4.2.5
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                                  DocumentReference 0..*DocumentReferenceA reference to a document
                                  0..*DocumentReferenceA reference to a document
                                    DocumentReference.id This element is included in summaries. 0..1idLogical id of this artifact This element is included in summaries. 0..1idLogical id of this artifact
                                      DocumentReference.meta This element is included in summaries. 0..1MetaMetadata about the resource This element is included in summaries. 0..1MetaMetadata about the resource
                                        DocumentReference.meta.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                          DocumentReference.meta.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                          Slice: Unordered, Open by value:url
                                          0..*ExtensionAdditional content defined by implementations
                                          Slice: Unordered, Open by value:url
                                            DocumentReference.meta.versionId This element is included in summaries. 0..1idVersion specific identifier This element is included in summaries. 0..1idVersion specific identifier
                                              DocumentReference.meta.lastUpdated This element is included in summaries. 0..1instantWhen the resource version last changed This element is included in summaries. 0..1instantWhen the resource version last changed
                                                DocumentReference.meta.source This element is included in summaries. 0..1uriIdentifies where the resource comes from This element is included in summaries. 0..1uriIdentifies where the resource comes from
                                                  DocumentReference.meta.profile This element is included in summaries. 0..*canonical(StructureDefinition)Profiles this resource claims to conform to
                                                  This element is included in summaries. 0..*canonical(StructureDefinition)Profiles this resource claims to conform to
                                                    DocumentReference.meta.security This element is included in summaries. 0..*CodingSecurity Labels applied to this resource
                                                    Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
                                                    This element is included in summaries. 0..*CodingSecurity Labels applied to this resource
                                                    Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
                                                      DocumentReference.meta.tag This element is included in summaries. 0..*CodingTags applied to this resource
                                                      Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
                                                      This element is included in summaries. 0..*CodingTags applied to this resource
                                                      Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
                                                        DocumentReference.implicitRules This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created This element is a modifier element. This element is included in summaries. 0..1uriA set of rules under which this content was created
                                                          DocumentReference.language 0..1codeLanguage of the resource content
                                                          Binding: ?? (preferred): A human language.
                                                          Additional BindingsPurpose
                                                          ??Max Binding
                                                          0..1codeLanguage of the resource content
                                                          Binding: ?? (preferred): A human language.
                                                          Additional BindingsPurpose
                                                          ??Max Binding
                                                            DocumentReference.text 0..1NarrativeText summary of the resource, for human interpretation
                                                            This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                                                            0..1NarrativeText 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..*ResourceContained, inline Resources
                                                              0..*ResourceContained, inline Resources
                                                                DocumentReference.Slices for extension 0..*ExtensionExtension
                                                                Slice: Unordered, Open by value:url

                                                                Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                                0..*ExtensionExtension
                                                                Slice: Unordered, Open by value:url

                                                                Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                                  DocumentReference.modifierExtension This element is a modifier element. 0..0Extension
                                                                  This element is a modifier element. 0..0Extension
                                                                    DocumentReference.masterIdentifier This element is included in summaries. 1..1?? The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as wellMaster Version Specific Identifier This element is included in summaries. 1..1??Master Version Specific Identifier
                                                                      DocumentReference.Slices for identifier This element must be supported. This element is included in summaries. 0..*IdentifierOther identifiers for the document
                                                                      Slice: Unordered, Open by value:type

                                                                      Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                                      This element must be supported. This element is included in summaries. 0..*IdentifierOther identifiers for the document
                                                                      Slice: Unordered, Open by value:type

                                                                      Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
                                                                        DocumentReference.status This element is a modifier element. This element is included in summaries. 1..1codecurrent | superseded | entered-in-error
                                                                        Binding: ?? (required)
                                                                        This element is a modifier element. This element is included in summaries. 1..1codecurrent | superseded | entered-in-error
                                                                        Binding: ?? (required)
                                                                          DocumentReference.docStatus This element is included in summaries. 0..0preliminary | final | amended | entered-in-error
                                                                          Binding: ?? (required): Status of the underlying document.
                                                                          This element is included in summaries. 0..0preliminary | final | amended | entered-in-error
                                                                          Binding: ?? (required): Status of the underlying document.
                                                                            DocumentReference.type This element must be supported. This element is included in summaries. 0..1CodeableConceptKind of document (LOINC if possible)
                                                                            Binding: ?? (preferred): Precise type of clinical document.
                                                                            This element must be supported. This element is included in summaries. 0..1CodeableConceptKind of document (LOINC if possible)
                                                                            Binding: ?? (preferred): Precise type of clinical document.
                                                                              DocumentReference.category This element must be supported. This element is included in summaries. 0..1CodeableConceptCategorization of document
                                                                              Binding: ?? (example): High-level kind of a clinical document at a macro level.
                                                                              This element must be supported. This element is included in summaries. 0..1CodeableConceptCategorization of document
                                                                              Binding: ?? (example): High-level kind of a clinical document at a macro level.
                                                                                DocumentReference.subject This element must be supported. This element is included in summaries. 0..1Reference(Patient)Who/what is the subject of the document This element must be supported. This element is included in summaries. 0..1Reference(Patient)Who/what is the subject of the document
                                                                                  DocumentReference.date This element must be supported. This element is included in summaries. 0..1instantWhen this document reference was created This element must be supported. This element is included in summaries. 0..1instantWhen this document reference was created
                                                                                    DocumentReference.author This element must be supported. This element is included in summaries. 0..*Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)Who and/or what authored the document
                                                                                    This element must be supported. This element is included in summaries. 0..*Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)Who and/or what authored the document
                                                                                      DocumentReference.authenticator 0..1Reference(Practitioner | PractitionerRole | Organization)Who/what authenticated the document0..1Reference(Practitioner | PractitionerRole | Organization)Who/what authenticated the document
                                                                                        DocumentReference.custodian 0..1Reference(Organization)Organization which maintains the document0..1Reference(Organization)Organization which maintains the document
                                                                                          DocumentReference.relatesTo This element must be supported. This element is included in summaries. 0..*BackboneElementRelationships to other documents
                                                                                          This element must be supported. This element is included in summaries. 0..*BackboneElementRelationships to other documents
                                                                                            DocumentReference.relatesTo.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                              DocumentReference.relatesTo.extension 0..*ExtensionAdditional content defined by implementations
                                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                                DocumentReference.relatesTo.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                  DocumentReference.relatesTo.code This element is included in summaries. 1..1codereplaces | transforms | signs | appends
                                                                                                  Binding: ?? (required): The type of relationship between documents.
                                                                                                  This element is included in summaries. 1..1codereplaces | transforms | signs | appends
                                                                                                  Binding: ?? (required): The type of relationship between documents.
                                                                                                    DocumentReference.relatesTo.target This element is included in summaries. 1..1Reference(DocumentReference)Target of the relationship This element is included in summaries. 1..1Reference(DocumentReference)Target of the relationship
                                                                                                      DocumentReference.description This element is included in summaries. 0..1stringHuman-readable description This element is included in summaries. 0..1stringHuman-readable description
                                                                                                        DocumentReference.securityLabel This element must be supported. This element is included in summaries. 0..*CodeableConceptDocument security-tags
                                                                                                        Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
                                                                                                        This element must be supported. This element is included in summaries. 0..*CodeableConceptDocument security-tags
                                                                                                        Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
                                                                                                          DocumentReference.content This element is included in summaries. 1..1BackboneElementDocument referenced
                                                                                                          This element is included in summaries. 1..1BackboneElementDocument referenced
                                                                                                            DocumentReference.content.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                              DocumentReference.content.extension 0..*ExtensionAdditional content defined by implementations
                                                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                                                DocumentReference.content.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                  DocumentReference.content.attachment This element is included in summaries. 1..1AttachmentWhere to access the document This element is included in summaries. 1..1AttachmentWhere to access the document
                                                                                                                    DocumentReference.content.attachment.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                      DocumentReference.content.attachment.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                      Slice: Unordered, Open by value:url
                                                                                                                      0..*ExtensionAdditional content defined by implementations
                                                                                                                      Slice: Unordered, Open by value:url
                                                                                                                        DocumentReference.content.attachment.contentType This element is included in summaries. 1..1codeMime type of the content, with charset etc.
                                                                                                                        Binding: ?? (required): The mime type of an attachment. Any valid mime type is allowed.
                                                                                                                        Example General: text/plain; charset=UTF-8, image/png
                                                                                                                        This element is included in summaries. 1..1codeMime type of the content, with charset etc.
                                                                                                                        Binding: ?? (required): The mime type of an attachment. Any valid mime type is allowed.
                                                                                                                        Example General: text/plain; charset=UTF-8, image/png
                                                                                                                          DocumentReference.content.attachment.language This element must be supported. This element is included in summaries. 0..1codeHuman language of the content (BCP-47)
                                                                                                                          Binding: ?? (preferred): A human language.
                                                                                                                          Additional BindingsPurpose
                                                                                                                          ??Max Binding

                                                                                                                          Example General: en-AU
                                                                                                                          This element must be supported. This element is included in summaries. 0..1codeHuman language of the content (BCP-47)
                                                                                                                          Binding: ?? (preferred): A human language.
                                                                                                                          Additional BindingsPurpose
                                                                                                                          ??Max Binding

                                                                                                                          Example General: en-AU
                                                                                                                            DocumentReference.content.attachment.data 0..0Data inline, base64ed0..0Data inline, base64ed
                                                                                                                              DocumentReference.content.attachment.url This element is included in summaries. 1..1urlUri where the data can be found
                                                                                                                              Example General: http://www.acme.com/logo-small.png
                                                                                                                              This element is included in summaries. 1..1urlUri where the data can be found
                                                                                                                              Example General: http://www.acme.com/logo-small.png
                                                                                                                                DocumentReference.content.attachment.size This element is included in summaries. 0..1unsignedIntNumber of bytes of content (if url provided) This element is included in summaries. 0..1unsignedIntNumber of bytes of content (if url provided)
                                                                                                                                  DocumentReference.content.attachment.hash This element is included in summaries. 0..1base64BinaryHash of the data (sha-1, base64ed) This element is included in summaries. 0..1base64BinaryHash of the data (sha-1, base64ed)
                                                                                                                                    DocumentReference.content.attachment.title This element is included in summaries. 0..1stringLabel to display in place of the data
                                                                                                                                    Example General: Official Corporate Logo
                                                                                                                                    This element is included in summaries. 0..1stringLabel to display in place of the data
                                                                                                                                    Example General: Official Corporate Logo
                                                                                                                                      DocumentReference.content.attachment.creation This element must be supported. This element is included in summaries. 0..1dateTimeDate attachment was first created This element must be supported. This element is included in summaries. 0..1dateTimeDate attachment was first created
                                                                                                                                        DocumentReference.content.format This element must be supported. This element is included in summaries. 0..1CodingFormat/content rules for the document
                                                                                                                                        Binding: ?? (preferred)
                                                                                                                                        This element must be supported. This element is included in summaries. 0..1CodingFormat/content rules for the document
                                                                                                                                        Binding: ?? (preferred)
                                                                                                                                          DocumentReference.context This element is included in summaries. 0..1BackboneElementClinical context of document This element is included in summaries. 0..1BackboneElementClinical context of document
                                                                                                                                            DocumentReference.context.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                              DocumentReference.context.extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                                                                                DocumentReference.context.modifierExtension This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                This element is a modifier element. This element is included in summaries. 0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                  DocumentReference.context.encounter 0..*Reference(Encounter | EpisodeOfCare)Context of the document content
                                                                                                                                                  0..*Reference(Encounter | EpisodeOfCare)Context of the document content
                                                                                                                                                    DocumentReference.context.event 0..*CodeableConceptMain clinical acts documented
                                                                                                                                                    Binding: ?? (example): This list of codes represents the main clinical acts being documented.
                                                                                                                                                    0..*CodeableConceptMain clinical acts documented
                                                                                                                                                    Binding: ?? (example): This list of codes represents the main clinical acts being documented.
                                                                                                                                                      DocumentReference.context.period This element must be supported. This element is included in summaries. 0..1PeriodTime of service that is being documented This element must be supported. This element is included in summaries. 0..1PeriodTime of service that is being documented
                                                                                                                                                        DocumentReference.context.period.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                          DocumentReference.context.period.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                          Slice: Unordered, Open by value:url
                                                                                                                                                          0..*ExtensionAdditional content defined by implementations
                                                                                                                                                          Slice: Unordered, Open by value:url
                                                                                                                                                            DocumentReference.context.period.start This element is included in summaries. C0..1dateTimeStarting time with inclusive boundary This element is included in summaries. C0..1dateTimeStarting time with inclusive boundary
                                                                                                                                                              DocumentReference.context.period.end This element is included in summaries. C0..1dateTimeEnd time with inclusive boundary, if not ongoing This element is included in summaries. C0..1dateTimeEnd time with inclusive boundary, if not ongoing
                                                                                                                                                                DocumentReference.context.facilityType This element must be supported. 0..1CodeableConceptKind of facility where patient was seen
                                                                                                                                                                Binding: ?? (example): XDS Facility Type.
                                                                                                                                                                This element must be supported. 0..1CodeableConceptKind of facility where patient was seen
                                                                                                                                                                Binding: ?? (example): XDS Facility Type.
                                                                                                                                                                  DocumentReference.context.practiceSetting This element must be supported. 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
                                                                                                                                                                  Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).
                                                                                                                                                                  This element must be supported. 0..1CodeableConceptAdditional details about where the content was created (e.g. clinical specialty)
                                                                                                                                                                  Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).
                                                                                                                                                                    DocumentReference.context.sourcePatientInfo This element must be supported. 0..1Reference(Patient)Patient demographics from source This element must be supported. 0..1Reference(Patient)Patient demographics from source
                                                                                                                                                                      DocumentReference.context.sourcePatientInfo.id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                        DocumentReference.context.sourcePatientInfo.Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                        Slice: Unordered, Open by value:url
                                                                                                                                                                        0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                        Slice: Unordered, Open by value:url
                                                                                                                                                                          DocumentReference.context.sourcePatientInfo.reference This element is included in summaries. C0..1stringLiteral reference, Relative, internal or absolute URL This element is included in summaries. C0..1stringLiteral reference, Relative, internal or absolute URL
                                                                                                                                                                            DocumentReference.context.sourcePatientInfo.type This element is included in summaries. 0..1uriType the reference refers to (e.g. "Patient")
                                                                                                                                                                            Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
                                                                                                                                                                            This element is included in summaries. 0..1uriType the reference refers to (e.g. "Patient")
                                                                                                                                                                            Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
                                                                                                                                                                              DocumentReference.context.sourcePatientInfo.identifier This element is included in summaries. 0..1IdentifierLogical reference, when literal reference is not known This element is included in summaries. 0..1IdentifierLogical reference, when literal reference is not known
                                                                                                                                                                                DocumentReference.context.sourcePatientInfo.display This element is included in summaries. 0..1stringText alternative for the resource This element is included in summaries. 0..1stringText alternative for the resource
                                                                                                                                                                                  DocumentReference.context.related 0..*Reference(Resource)Related identifiers or resources
                                                                                                                                                                                  0..*Reference(Resource)Related identifiers or resources

                                                                                                                                                                                    doco Documentation for this format