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

Left:MHD DocumentReference for Simplified Publish (https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.SimplifiedPublish.DocumentReference)
Right:MHD DocumentReference for Simplified Publish (https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.SimplifiedPublish.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 Simplified Publish 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) Simplified Publish - Similar to Minimal Metadata constraints - must be status current - must have a patient indicated - uses attachment.data to carry the document, rather than attachment.url - so that the Simplified Publish is a simple POST of the DocumentReference - Document Recipient is expected to extract the .data, use .url
          experimental
            fhirVersion4.0.1
              jurisdiction
                jurisdiction / jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#001
                  kindresource
                    nameSimplifiedPublishDocumentReference
                      publisherIHE IT Infrastructure Technical Committee
                        purpose
                          statusactive
                            titleMHD DocumentReference for Simplified Publish
                              typeDocumentReference
                                urlhttps://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.SimplifiedPublish.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.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.extension 0..*ExtensionAdditional content defined by implementations
                                                0..*ExtensionAdditional content defined by implementations
                                                  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..1IdentifierMaster Version Specific Identifier This element is included in summaries. 1..1IdentifierMaster Version Specific Identifier
                                                      DocumentReference.Slices for identifier 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 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): The status of the document reference.
                                                        Required Pattern: current (extensions allowed)
                                                        This element is a modifier element. This element is included in summaries. 1..1codecurrent | superseded | entered-in-error
                                                        Binding: ?? (required): The status of the document reference.
                                                        Required Pattern: current (extensions allowed)
                                                          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 is included in summaries. 1..1Reference(Patient)Who/what is the subject of the document This element is included in summaries. 1..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 1..1base64BinaryThe document is contained in the .data element, base64 encoded1..1base64BinaryThe document is contained in the .data element, base64 encoded
                                                                                                              DocumentReference.content.attachment.url This element is included in summaries. 0..0Uri where the data can be found
                                                                                                              Example General: http://www.acme.com/logo-small.png
                                                                                                              This element is included in summaries. 0..0Uri 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): Document Format Codes.
                                                                                                                        This element must be supported. This element is included in summaries. 0..1CodingFormat/content rules for the document
                                                                                                                        Binding: ?? (preferred): Document Format Codes.
                                                                                                                          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.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.related 0..*Reference(Resource)Related identifiers or resources
                                                                                                                                              0..*Reference(Resource)Related identifiers or resources

                                                                                                                                                doco Documentation for this format