FHIR Release 3 (STU) R4 Ballot #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.0.2: STU 3). (v3.5.0: R4 Ballot #2). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3 R2

2.43 2.42 Resource DocumentManifest - Content

Structured Documents Work Group Maturity Level : 2   Trial Use Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

A collection of documents compiled for a purpose together with metadata that applies to the collection.

2.43.1 2.42.1 Scope and Usage

A document manifest gathers a set of DocumentReference resources Resources into a single package with some clinical context that may be the subject of workflow such as access control, auditing, and targeted delivery. The usage of "document" in the case of DocumentManifest, covers the broader scope of "document" as defined in REST and HTTP. This use is not limited to the formal "Document" model used for FHIR documents or DocumentReference resources.

Typically, DocumentManifest resources are used in document indexing systems, such as IHE XDS . Such as profiled in IHE Mobile access to Health Documents . When used as a Manifest of "Documents" in this way, the DocumentManifest will point exclusively to DocumentReference resources.

A DocumentManifest resource could be used to bring clinical context grouping to a broader set of Resources.

2.43.2 2.42.2 Resource Content

Structure

Name Flags Card. Type Description & Constraints doco
. . DocumentManifest Σ TU DomainResource A list that defines a set of documents
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . masterIdentifier Σ 0..1 Identifier Unique Identifier for the set of documents
. . . identifier Σ 0..* Identifier Other identifiers for the manifest
. . . status ?! Σ 1..1 code current | superseded | entered-in-error
DocumentReferenceStatus ( Required )
. . . type Σ 0..1 CodeableConcept Kind of document set
Document Type Value Set v3 Code System ActCode ( Preferred Example )
. . . subject Σ 0..1 Reference ( Patient | Practitioner | Group | Device ) The subject of the set of documents
. . . created Σ 0..1 dateTime When this document manifest created
. . author . agent Σ 0..* BackboneElement Agent involved
.... type Σ 0..1 CodeableConcept How agent participated
ParticipationRoleType ( Extensible )
.... who Σ 1..1 Reference ( Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson ) Who and/or what authored the manifest had an agent participation
. . . recipient Σ 0..* Reference ( Patient | Practitioner | PractitionerRole | RelatedPerson | Organization ) Intended to get notified about this set of documents
. . . source Σ 0..1 uri The source system/application/software
. . . description Σ 0..1 string Human-readable description (title)
. . . content Σ 1..* BackboneElement The items included p[x] Σ 1..1 Contents of this set of documents pAttachment Attachment pReference 1..* Reference ( Any ) Items in manifest
. . . related Σ 0..* BackboneElement Related things
. . . . identifier Σ 0..1 Identifier Identifiers of things that are related
. . . . ref Σ 0..1 Reference ( Any ) Related Resource

doco Documentation for this format

UML Diagram ( Legend )

DocumentManifest ( DomainResource ) A single identifier that uniquely identifies this manifest. Principally used to refer to the manifest in non-FHIR contexts masterIdentifier : Identifier [0..1] Other identifiers associated with the document manifest, including version independent identifiers identifier : Identifier [0..*] The status of this document manifest (this element modifies the meaning of other elements) status : code [1..1] « The status of the document reference. (Strength=Required) DocumentReferenceStatus ! » Specifies the kind of this set of documents (e.g. Patient Summary, Discharge Summary, Prescription, etc.). The code specifying the type of a set of documents may be clinical activity that resulted in placing the same as one of associated content into the documents in it - especially if there is only one - but it may be wider DocumentManifest type : CodeableConcept [0..1] « Precise type of clinical document. (Strength=Preferred) The activity that caused the DocumentManifest to be created. (Strength=Example) Document Type Value Set v3.ActCode ? ?? » Who or what the set of documents is about. The documents can be about a person, (patient or healthcare practitioner), a device (i.e. machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure). If the documents cross more than one subject, then more than one subject is allowed here (unusual use case) subject : Reference [0..1] « Patient | Practitioner | Group | Device » When the document manifest was created for submission to the server (not necessarily the same thing as the actual resource last modified time, since it may be modified, replicated, etc.) created : dateTime [0..1] Identifies who is responsible for creating the manifest, and adding documents to it author : Reference [0..*] Practitioner | Organization | Device | Patient | RelatedPerson A patient, practitioner, or organization for which this set of documents is intended recipient : Reference [0..*] « Patient | Practitioner | RelatedPerson PractitionerRole | RelatedPerson | Organization » Identifies the source system, application, or software that produced the document manifest source : uri [0..1] Human-readable description of the source document. This is sometimes known as the "title" "title" description : string [0..1] Content The list of references to document content, or Attachment Resources that consist of the parts of this document manifest. Usually, these would be document references, but direct references manifest content : Reference [1..*] « Any » Agent Specification of the participation type the agent played type : CodeableConcept [0..1] « The Participation type of the agent to Media or Attachments are also allowed the event. (Strength=Extensible) p[x] ParticipationRoleType + » Identifies who is the agent. Such as the author of the manifest, and adding documents to it who : Type Reference [1..1] Attachment « Practitioner | Reference PractitionerRole ( Any | Organization ) | Device | Patient | RelatedPerson » Related Related identifier to this DocumentManifest. For example, Order numbers, accession numbers, XDW workflow numbers identifier : Identifier [0..1] Related Resource to this DocumentManifest. For example, Order, ProcedureRequest, ServiceRequest, Procedure, EligibilityRequest, etc ref : Reference [0..1] « Any » The list of Documents included An actor taking an active role in the manifest content agent [1..*] [0..*] Related identifiers or resources associated with the DocumentManifest related [0..*]

XML Template 

<

<DocumentManifest xmlns="http://hl7.org/fhir"> doco

 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <masterIdentifier><!-- 0..1 Identifier Unique Identifier for the set of documents --></masterIdentifier>
 <identifier><!-- 0..* Identifier Other identifiers for the manifest --></identifier>
 <
 <</type>

 <status value="[code]"/><!-- 1..1 current | superseded | entered-in-error -->
 <type><!-- 0..1 CodeableConcept Kind of document set --></type>

 <subject><!-- 0..1 Reference(Patient|Practitioner|Group|Device) The subject of the set of documents --></subject>
 <
 <|
   </author>
 <</recipient>
 <
 <
 <
  <</p[x]>
 </content>

 <created value="[dateTime]"/><!-- 0..1 When this document manifest created -->
 <agent>  <!-- 0..* Agent involved -->
  <type><!-- 0..1 CodeableConcept How agent participated --></type>
  <who><!-- 1..1 Reference(Practitioner|PractitionerRole|Organization|Device|
    Patient|RelatedPerson) Who and/or what had an agent participation --></who>

 </agent>
 <recipient><!-- 0..* Reference(Patient|Practitioner|PractitionerRole|
   RelatedPerson|Organization) Intended to get notified about this set of documents --></recipient>

 <source value="[uri]"/><!-- 0..1 The source system/application/software -->
 <description value="[string]"/><!-- 0..1 Human-readable description (title) -->
 <content><!-- 1..* Reference(Any) Items in manifest --></content>

 <related>  <!-- 0..* Related things -->
  <identifier><!-- 0..1 Identifier Identifiers of things that are related --></identifier>
  <</ref>

  <ref><!-- 0..1 Reference(Any) Related Resource --></ref>

 </related>
</DocumentManifest>

Turtle Template 

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:DocumentManifest;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:DocumentManifest.masterIdentifier [ Identifier ]; # 0..1 Unique Identifier for the set of documents
  fhir:DocumentManifest.identifier [ Identifier ], ... ; # 0..* Other identifiers for the manifest
  fhir:DocumentManifest.status [ code ]; # 1..1 current | superseded | entered-in-error
  fhir:

  fhir:DocumentManifest.type [ CodeableConcept ]; # 0..1 Kind of document set

  fhir:DocumentManifest.subject [ Reference(Patient|Practitioner|Group|Device) ]; # 0..1 The subject of the set of documents
  fhir:DocumentManifest.created [ dateTime ]; # 0..1 When this document manifest created
  fhir:
  fhir:

  fhir:DocumentManifest.agent [ # 0..* Agent involved
    fhir:DocumentManifest.agent.type [ CodeableConcept ]; # 0..1 How agent participated
    fhir:DocumentManifest.agent.who [ Reference(Practitioner|PractitionerRole|Organization|Device|Patient|RelatedPerson) ]; # 1..1 Who and/or what had an agent participation
  ], ...;
  fhir:DocumentManifest.recipient [ Reference(Patient|Practitioner|PractitionerRole|RelatedPerson|Organization) ], ... ; # 0..* Intended to get notified about this set of documents

  fhir:DocumentManifest.source [ uri ]; # 0..1 The source system/application/software
  fhir:DocumentManifest.description [ string ]; # 0..1 Human-readable description (title)
  fhir:
    # . One of these 2
      fhir: ]
      fhir:) ]
  ], ...;

  fhir:DocumentManifest.content [ Reference(Any) ], ... ; # 1..* Items in manifest

  fhir:DocumentManifest.related [ # 0..* Related things
    fhir:DocumentManifest.related.identifier [ Identifier ]; # 0..1 Identifiers of things that are related
    fhir:

    fhir:DocumentManifest.related.ref [ Reference(Any) ]; # 0..1 Related Resource

  ], ...;
]

Changes since DSTU2 R3

DocumentManifest
DocumentManifest.agent
  • No Changes Added Element
DocumentManifest.agent.type
  • Added Element
DocumentManifest.agent.who
  • Added Element
DocumentManifest.recipient
  • Type changed from Reference(Patient|Practitioner|RelatedPerson|Organization) to Reference(Patient|Practitioner|PractitionerRole|RelatedPerson|Organization)
DocumentManifest.content
  • Type changed from BackboneElement to Reference(Resource)
DocumentManifest.author
  • deleted
DocumentManifest.content.p[x]
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON .

See R2 <--> R3 <--> R4 Conversion Maps (status = 1 test that all execute ok. 1 2 tests of which 2 fail round-trip testing and all r3 resources are valid.). to execute .)

Structure

Name Flags Card. Type Description & Constraints doco
. . DocumentManifest Σ TU DomainResource A list that defines a set of documents
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension
. . . masterIdentifier Σ 0..1 Identifier Unique Identifier for the set of documents
. . . identifier Σ 0..* Identifier Other identifiers for the manifest
. . . status ?! Σ 1..1 code current | superseded | entered-in-error
DocumentReferenceStatus ( Required )
. . . type Σ 0..1 CodeableConcept Kind of document set
Document Type Value Set v3 Code System ActCode ( Preferred Example )
. . . subject Σ 0..1 Reference ( Patient | Practitioner | Group | Device ) The subject of the set of documents
. . . created Σ 0..1 dateTime When this document manifest created
. . author . agent Σ 0..* BackboneElement Agent involved
.... type Σ 0..1 CodeableConcept How agent participated
ParticipationRoleType ( Extensible )
.... who Σ 1..1 Reference ( Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson ) Who and/or what authored the manifest had an agent participation
. . . recipient Σ 0..* Reference ( Patient | Practitioner | PractitionerRole | RelatedPerson | Organization ) Intended to get notified about this set of documents
. . . source Σ 0..1 uri The source system/application/software
. . . description Σ 0..1 string Human-readable description (title)
. . . content Σ 1..* BackboneElement The items included p[x] Σ 1..1 Contents of this set of documents pAttachment Attachment pReference 1..* Reference ( Any ) Items in manifest
. . . related Σ 0..* BackboneElement Related things
. . . . identifier Σ 0..1 Identifier Identifiers of things that are related
. . . . ref Σ 0..1 Reference ( Any ) Related Resource

doco Documentation for this format

UML Diagram ( Legend )

DocumentManifest ( DomainResource ) A single identifier that uniquely identifies this manifest. Principally used to refer to the manifest in non-FHIR contexts masterIdentifier : Identifier [0..1] Other identifiers associated with the document manifest, including version independent identifiers identifier : Identifier [0..*] The status of this document manifest (this element modifies the meaning of other elements) status : code [1..1] « The status of the document reference. (Strength=Required) DocumentReferenceStatus ! » Specifies the kind of this set of documents (e.g. Patient Summary, Discharge Summary, Prescription, etc.). The code specifying the type of a set of documents may be clinical activity that resulted in placing the same as one of associated content into the documents in it - especially if there is only one - but it may be wider DocumentManifest type : CodeableConcept [0..1] « Precise type of clinical document. (Strength=Preferred) The activity that caused the DocumentManifest to be created. (Strength=Example) Document Type Value Set v3.ActCode ? ?? » Who or what the set of documents is about. The documents can be about a person, (patient or healthcare practitioner), a device (i.e. machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure). If the documents cross more than one subject, then more than one subject is allowed here (unusual use case) subject : Reference [0..1] « Patient | Practitioner | Group | Device » When the document manifest was created for submission to the server (not necessarily the same thing as the actual resource last modified time, since it may be modified, replicated, etc.) created : dateTime [0..1] Identifies who is responsible for creating the manifest, and adding documents to it author : Reference [0..*] Practitioner | Organization | Device | Patient | RelatedPerson A patient, practitioner, or organization for which this set of documents is intended recipient : Reference [0..*] « Patient | Practitioner | RelatedPerson PractitionerRole | RelatedPerson | Organization » Identifies the source system, application, or software that produced the document manifest source : uri [0..1] Human-readable description of the source document. This is sometimes known as the "title" "title" description : string [0..1] Content The list of references to document content, or Attachment Resources that consist of the parts of this document manifest. Usually, these would be document references, but direct references manifest content : Reference [1..*] « Any » Agent Specification of the participation type the agent played type : CodeableConcept [0..1] « The Participation type of the agent to Media or Attachments are also allowed the event. (Strength=Extensible) p[x] ParticipationRoleType + » Identifies who is the agent. Such as the author of the manifest, and adding documents to it who : Type Reference [1..1] Attachment « Practitioner | Reference PractitionerRole ( Any | Organization ) | Device | Patient | RelatedPerson » Related Related identifier to this DocumentManifest. For example, Order numbers, accession numbers, XDW workflow numbers identifier : Identifier [0..1] Related Resource to this DocumentManifest. For example, Order, ProcedureRequest, ServiceRequest, Procedure, EligibilityRequest, etc ref : Reference [0..1] « Any » The list of Documents included An actor taking an active role in the manifest content agent [1..*] [0..*] Related identifiers or resources associated with the DocumentManifest related [0..*]

XML Template 

<

<DocumentManifest xmlns="http://hl7.org/fhir"> doco

 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <masterIdentifier><!-- 0..1 Identifier Unique Identifier for the set of documents --></masterIdentifier>
 <identifier><!-- 0..* Identifier Other identifiers for the manifest --></identifier>
 <
 <</type>

 <status value="[code]"/><!-- 1..1 current | superseded | entered-in-error -->
 <type><!-- 0..1 CodeableConcept Kind of document set --></type>

 <subject><!-- 0..1 Reference(Patient|Practitioner|Group|Device) The subject of the set of documents --></subject>
 <
 <|
   </author>
 <</recipient>
 <
 <
 <
  <</p[x]>
 </content>

 <created value="[dateTime]"/><!-- 0..1 When this document manifest created -->
 <agent>  <!-- 0..* Agent involved -->
  <type><!-- 0..1 CodeableConcept How agent participated --></type>
  <who><!-- 1..1 Reference(Practitioner|PractitionerRole|Organization|Device|
    Patient|RelatedPerson) Who and/or what had an agent participation --></who>

 </agent>
 <recipient><!-- 0..* Reference(Patient|Practitioner|PractitionerRole|
   RelatedPerson|Organization) Intended to get notified about this set of documents --></recipient>

 <source value="[uri]"/><!-- 0..1 The source system/application/software -->
 <description value="[string]"/><!-- 0..1 Human-readable description (title) -->
 <content><!-- 1..* Reference(Any) Items in manifest --></content>

 <related>  <!-- 0..* Related things -->
  <identifier><!-- 0..1 Identifier Identifiers of things that are related --></identifier>
  <</ref>

  <ref><!-- 0..1 Reference(Any) Related Resource --></ref>

 </related>
</DocumentManifest>

Turtle Template 

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:DocumentManifest;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:DocumentManifest.masterIdentifier [ Identifier ]; # 0..1 Unique Identifier for the set of documents
  fhir:DocumentManifest.identifier [ Identifier ], ... ; # 0..* Other identifiers for the manifest
  fhir:DocumentManifest.status [ code ]; # 1..1 current | superseded | entered-in-error
  fhir:

  fhir:DocumentManifest.type [ CodeableConcept ]; # 0..1 Kind of document set

  fhir:DocumentManifest.subject [ Reference(Patient|Practitioner|Group|Device) ]; # 0..1 The subject of the set of documents
  fhir:DocumentManifest.created [ dateTime ]; # 0..1 When this document manifest created
  fhir:
  fhir:

  fhir:DocumentManifest.agent [ # 0..* Agent involved
    fhir:DocumentManifest.agent.type [ CodeableConcept ]; # 0..1 How agent participated
    fhir:DocumentManifest.agent.who [ Reference(Practitioner|PractitionerRole|Organization|Device|Patient|RelatedPerson) ]; # 1..1 Who and/or what had an agent participation
  ], ...;
  fhir:DocumentManifest.recipient [ Reference(Patient|Practitioner|PractitionerRole|RelatedPerson|Organization) ], ... ; # 0..* Intended to get notified about this set of documents

  fhir:DocumentManifest.source [ uri ]; # 0..1 The source system/application/software
  fhir:DocumentManifest.description [ string ]; # 0..1 Human-readable description (title)
  fhir:
    # . One of these 2
      fhir: ]
      fhir:) ]
  ], ...;

  fhir:DocumentManifest.content [ Reference(Any) ], ... ; # 1..* Items in manifest

  fhir:DocumentManifest.related [ # 0..* Related things
    fhir:DocumentManifest.related.identifier [ Identifier ]; # 0..1 Identifiers of things that are related
    fhir:

    fhir:DocumentManifest.related.ref [ Reference(Any) ]; # 0..1 Related Resource

  ], ...;
]

Changes since DSTU2 Release 3

DocumentManifest
DocumentManifest.agent
  • No Changes Added Element
DocumentManifest.agent.type
  • Added Element
DocumentManifest.agent.who
  • Added Element
DocumentManifest.recipient
  • Type changed from Reference(Patient|Practitioner|RelatedPerson|Organization) to Reference(Patient|Practitioner|PractitionerRole|RelatedPerson|Organization)
DocumentManifest.content
  • Type changed from BackboneElement to Reference(Resource)
DocumentManifest.author
  • deleted
DocumentManifest.content.p[x]
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON .

See R2 <--> R3 <--> R4 Conversion Maps (status = 1 test that all execute ok. 1 2 tests of which 2 fail round-trip testing and all r3 resources are valid.). to execute .)

 

Alternate See the Profiles & Extensions and the alternate definitions: Master Definition ( XML , + JSON ), , XML Schema / Schematron (for ) + JSON Schema , ShEx (for Turtle ) + see the extensions & the dependency analysis

2.43.2.1 2.42.2.1 Terminology Bindings

Path Definition Type Reference
DocumentManifest.status The status of the document reference. Required DocumentReferenceStatus
DocumentManifest.type Precise The activity that caused the DocumentManifest to be created. Example v3.ActCode
DocumentManifest.agent.type The Participation type of clinical document. the agent to the event. Preferred Extensible Document Type Value Set ParticipationRoleType

2.43.3 2.42.3 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

content-ref Contents of this set of documents DocumentManifest.content.p.as(Reference) (Any)
Name Type Description Expression In Common
author agent reference Who and/or what authored the manifest had an agent participation DocumentManifest.author DocumentManifest.agent.who
( Practitioner , Organization , Device , Patient , PractitionerRole , RelatedPerson ) 		reference
created date When this document manifest created DocumentManifest.created
description string Human-readable description (title) DocumentManifest.description
identifier token Unique Identifier for the set of documents DocumentManifest.masterIdentifier | DocumentManifest.identifier 26 30 Resources
item reference Items in manifest DocumentManifest.content
(Any)
patient reference The subject of the set of documents DocumentManifest.subject DocumentManifest.subject.where(resolve() is Patient)
( Patient ) 		31 29 Resources
recipient reference Intended to get notified about this set of documents DocumentManifest.recipient
( Practitioner , Organization , Patient , PractitionerRole , RelatedPerson )
related-id token Identifiers of things that are related DocumentManifest.related.identifier
related-ref reference Related Resource DocumentManifest.related.ref
(Any)
source uri The source system/application/software DocumentManifest.source
status token current | superseded | entered-in-error DocumentManifest.status
subject reference The subject of the set of documents DocumentManifest.subject
( Practitioner , Group , Device , Patient )
type token Kind of document set DocumentManifest.type 6 5 Resources