Profile Comparison between https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UnContained.Comprehensive.DocumentReference vs https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-pr-dokument-dokument

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Minimal.DocumentReference	http://hl7.org/fhir/StructureDefinition/DocumentReference	Values Differ
copyright
date	2025-10-31T14:32:55-05:00		Removed the item '2025-10-31T14:32:55-05:00'
description	A profile on the DocumentReference resource for MHD with Comprehensive Metadata Option but without a requirement for contained author, authenticator, or sourcePatientInfo. - 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)	Klinisches Dokument mit zugehörigen Metadaten	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001		Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
kind	resource
name	UnContainedComprehensiveDocumentReference	MII_PR_Dokument_Dokument	Values Differ
publisher	IHE IT Infrastructure Technical Committee	Medizininformatik Initiative	Values Differ
purpose
status	active
title	MHD DocumentReference Comprehensive UnContained References Option	MII PR Dokument Dokument	Values Differ
type	DocumentReference
url	https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.UnContained.Comprehensive.DocumentReference	https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-pr-dokument-dokument	Values Differ
version	4.2.3	2026.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
DocumentReference		0..*	MinimalDocumentReference	A reference to a document		0..*	DocumentReference	A reference to a document
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	SΣ	0..1	Meta	Metadata about the resource	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Elements differ in definition for mustSupport: 'false' vs 'true'
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..0		Extension	?!	0..*	Extension	Extensions that cannot be ignored	Element maximum cardinalities differ: '0' vs '2147483647'
masterIdentifier	Σ	1..1	??	Master Version Specific Identifier	SΣ	0..1	Identifier	Specific Identifier for this version of the document	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '1' vs '0'
Slices for identifier	SΣ	0..*	Identifier	Other identifiers for the document Slice: Unordered, Open by value:use	SΣ	0..*	Identifier	Further document associated Identifiers
status	?!Σ	1..1	code	current | superseded | entered-in-error Binding: ?? (required)	?!SΣ	1..1	code	Status about the condition of the document reference Binding: ?? (required): The status of the document reference.	Elements differ in definition for mustSupport: 'false' vs 'true'
docStatus	Σ	0..0		preliminary | final | amended | entered-in-error Binding: ?? (required): Status of the underlying document.	SΣ	0..1	code	Status about the referenced document itself Binding: ?? (required): Status of the underlying document.	Elements differ in definition for mustSupport: 'false' vs 'true' Element maximum cardinalities differ: '0' vs '1'
type	SΣ	1..1	CodeableConcept	Kind of document (LOINC if possible) Binding: ?? (preferred): Precise type of clinical document.	SΣC	0..1	CodeableConcept	Precise description of the document type Binding: ?? (preferred): Precise type of clinical document. Constraints: mii-iv-dokument-dokument-type	Element minimum cardinalities differ: '1' vs '0'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
Slices for coding					Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system	Added this element
text					Σ	0..1	string	Plain text representation of the concept	Added this element
category	SΣ	1..1	CodeableConcept	Categorization of document Binding: ?? (example): High-level kind of a clinical document at a macro level.	SΣC	0..*	CodeableConcept	General description of the document type Binding: ?? (example): High-level kind of a clinical document at a macro level. Constraints: mii-iv-dokument-dokument-category	Element minimum cardinalities differ: '1' vs '0' Element maximum cardinalities differ: '1' vs '2147483647'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
Slices for coding					Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system	Added this element
text					Σ	0..1	string	Plain text representation of the concept	Added this element
subject	SΣ	1..1	Reference(Patient)	Who/what is the subject of the document	SΣ	0..1	Reference(Patient | https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient | https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert)	Patient reference to the document	Element minimum cardinalities differ: '1' vs '0'
date	SΣ	0..1	instant	When this document reference was created	Σ	0..1	instant	When this document reference was created	Elements differ in definition for mustSupport: 'true' vs 'false'
author	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)	Who and/or what authored the document	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)	Who and/or what authored the document	Elements differ in definition for mustSupport: 'true' vs 'false'
authenticator		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who/what authenticated the document		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who/what authenticated the document
custodian		0..1	Reference(Organization)	Organization which maintains the document		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents	SΣ	0..*	BackboneElement	Document relationships
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents.	SΣ	1..1	code	Relationship to other document Binding: ?? (required): The type of relationship between documents.	Elements differ in definition for mustSupport: 'false' vs 'true'
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship	SΣ	1..1	Reference(DocumentReference)	Target of document relations	Elements differ in definition for mustSupport: 'false' vs 'true'
description	Σ	0..1	string	Human-readable description	SΣ	0..1	string	Description of the documents content	Elements differ in definition for mustSupport: 'false' vs 'true'
securityLabel	SΣ	1..*	CodeableConcept	Document security-tags Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	SΣ	0..*	CodeableConcept	Security level of the document Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Element minimum cardinalities differ: '1' vs '0'
content	Σ	1..1	BackboneElement	Document referenced	SΣ	1..*	BackboneElement	Document content Slice: Unordered, Open by exists:attachment.url	Elements differ in definition for mustSupport: 'false' vs 'true' Element maximum cardinalities differ: '1' vs '2147483647'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	Σ	1..1	Attachment	Where to access the document	SΣ	1..1	Attachment	Access to the document	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	Σ	1..1	code	Mime 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	SΣ	0..1	code	MIME type of the document content Binding: ?? (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '1' vs '0'
language	SΣ	1..1	code	Human language of the content (BCP-47) Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding Example General: en-AU	SΣ	0..1	code	Used language in the document Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding Example General: en-AU	Element minimum cardinalities differ: '1' vs '0'
data		0..0		Data inline, base64ed		0..1	base64Binary	Document as binary data [Base64]	Element maximum cardinalities differ: '0' vs '1'
url	Σ	1..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png	Σ	0..1	url	Link to the local location where the document is kept Example General: http://www.acme.com/logo-small.png	Element minimum cardinalities differ: '1' vs '0'
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	SΣ	1..1	dateTime	Date attachment was first created	SΣ	0..1	dateTime	Date of the creation of the document	Element minimum cardinalities differ: '1' vs '0'
format	SΣ	1..1	Coding	Format/content rules for the document Binding: ?? (preferred)	SΣ	0..1	Coding	Complex format specification Binding: ?? (preferred)	Element minimum cardinalities differ: '1' vs '0' Example/preferred bindings differ at DocumentReference.content.format using binding from UnContainedComprehensiveDocumentReference
context	Σ	1..1	BackboneElement	Clinical context of document	SΣ	0..1	BackboneElement	Document creation context	Elements differ in definition for mustSupport: 'false' vs 'true' Element minimum cardinalities differ: '1' vs '0'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
encounter		0..*	Reference(Encounter | EpisodeOfCare)	Context of the document content	S	0..*	Reference(Encounter | https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung)	Reference to FALL	Elements differ in definition for mustSupport: 'false' vs 'true'
event		0..*	CodeableConcept	Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented.	S	0..*	CodeableConcept	Acts or procedures Binding: ?? (required)	Elements differ in definition for mustSupport: 'false' vs 'true'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
coding					Σ	1..*	Coding	Code defined by a terminology system	Added this element
text					Σ	0..1	string	Plain text representation of the concept	Added this element
period	SΣ	0..1	Period	Time of service that is being documented	SΣ	0..1	Period	Performance period
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
start	ΣC	0..1	dateTime	Starting time with inclusive boundary					Removed this element
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing					Removed this element
facilityType	S	1..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.	S	0..1	CodeableConcept	Type of facility Binding: ?? (required)	Element minimum cardinalities differ: '1' vs '0'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
coding					Σ	1..*	Coding	Code defined by a terminology system	Added this element
text					Σ	0..1	string	Plain text representation of the concept	Added this element
practiceSetting	S	1..1	CodeableConcept	Additional 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).	S	0..1	CodeableConcept	Clinical specialty Binding: ?? (required)	Element minimum cardinalities differ: '1' vs '0'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
coding					Σ	1..*	Coding	Code defined by a terminology system	Added this element
text					Σ	0..1	string	Plain text representation of the concept	Added this element
sourcePatientInfo	S	1..1	Reference(Patient)	Patient demographics from source		0..1	Reference(Patient)	Patient demographics from source	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
related		0..*	Reference(Resource)	Related identifiers or resources		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format