ERA FHIR specification - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Resource Profile: MedicationListDocumentReference
| Official URL: http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListDocumentReference | Version: 1.0.0 | |||
| Draft as of 2026-10-28 | Computable Name: MedicationListDocumentReference | |||
MedicationListDocumentReference profile, used with Kanta medication list printouts. Source
Usages:
- CapabilityStatements using this Profile: ERA Capability Statement
- This Profile is not used by any profiles in this Specification
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  DocumentReference |
0..* | DocumentReference | A reference to a document | |
  meta |
0..1 | Meta | Metadata about the resource | |
   profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListDocumentReference (no extensions allowed) | |
 implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current (no extensions allowed) | |
 subject |
1..1 | Reference(MedicationListPatient) {c} | Reference to MedicationListPatient resource | |
 content |
1..1 | BackboneElement | Returned printout as a PDF file | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| attachment |
1..1 | Attachment | Returned printout | |
| contentType |
1..1 | code | PDF file format Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Fixed Value: application/pdf (no extensions allowed) | |
| data |
1..1 | base64Binary | Base64 encoded PDF printout | |
| creation |
1..1 | dateTime | Creation time of the printout | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| DocumentReference.status | Base | required | DocumentReferenceStatus | 📍4.0.1 | FHIR Std. |
| DocumentReference.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| DocumentReference.content.attachment.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DocumentReference | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DocumentReference | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DocumentReference | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from DocumentReference
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DocumentReference |
0..* | DocumentReference | A reference to a document | |
 meta |
0..1 | Meta | Metadata about the resource | |
| profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListDocumentReference (no extensions allowed) | |
| masterIdentifier |
0..0 | Master Version Specific Identifier | ||
| identifier |
0..0 | Other identifiers for the document | ||
| status |
1..1 | code | current | superseded | entered-in-error Fixed Value: current (no extensions allowed) | |
| docStatus |
0..0 | preliminary | final | amended | entered-in-error | ||
| type |
0..0 | Kind of document (LOINC if possible) | ||
| category |
0..0 | Categorization of document | ||
| subject |
1..1 | Reference(MedicationListPatient) {c} | Reference to MedicationListPatient resource | |
| date |
0..0 | When this document reference was created | ||
| author |
0..0 | Who and/or what authored the document | ||
| authenticator |
0..0 | Who/what authenticated the document | ||
| custodian |
0..0 | Organization which maintains the document | ||
| relatesTo |
0..0 | Relationships to other documents | ||
| description |
0..0 | Human-readable description | ||
| securityLabel |
0..0 | Document security-tags | ||
| content |
1..1 | BackboneElement | Returned printout as a PDF file | |
| attachment |
1..1 | Attachment | Returned printout | |
| contentType |
1..1 | code | PDF file format Fixed Value: application/pdf (no extensions allowed) | |
| data |
1..1 | base64Binary | Base64 encoded PDF printout | |
| creation |
1..1 | dateTime | Creation time of the printout | |
| context |
0..0 | Clinical context of document | ||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DocumentReference |
0..* | DocumentReference | A reference to a document | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
0..1 | id | Version specific identifier | |||||
| lastUpdated |
0..1 | instant | When the resource version last changed | |||||
| source |
0..1 | uri | Identifies where the resource comes from | |||||
| profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListDocumentReference (no extensions allowed) | |||||
| security |
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||
| tag |
0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| status |
1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current (no extensions allowed) | |||||
| subject |
1..1 | Reference(MedicationListPatient) {c} | Reference to MedicationListPatient resource | |||||
| content |
1..1 | BackboneElement | Returned printout as a PDF file | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| attachment |
1..1 | Attachment | Returned printout | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
1..1 | code | PDF file format Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Fixed Value: application/pdf (no extensions allowed) | |||||
| language |
0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | |||||
| data |
1..1 | base64Binary | Base64 encoded PDF printout | |||||
| url |
0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | |||||
| size |
0..1 | unsignedInt | Number of bytes of content (if url provided) | |||||
| hash |
0..1 | base64Binary | Hash of the data (sha-1, base64ed) | |||||
| title |
0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | |||||
| creation |
1..1 | dateTime | Creation time of the printout | |||||
| format |
0..1 | Coding | Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes. | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| DocumentReference.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| DocumentReference.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| DocumentReference.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DocumentReference.status | Base | required | DocumentReferenceStatus | 📍4.0.1 | FHIR Std. |
| DocumentReference.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| DocumentReference.content.attachment.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| DocumentReference.content.attachment.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DocumentReference.content.format | Base | preferred | DocumentReference Format Code Set | 📍4.0.1 | FHIR Std. |
| DocumentReference.context.event | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.5 |
| DocumentReference.context.facilityType | Base | example | Facility Type Code Value Set | 📍4.0.1 | FHIR Std. |
| DocumentReference.context.practiceSetting | Base | example | Practice Setting Code Value Set | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DocumentReference | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DocumentReference | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DocumentReference | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from DocumentReference
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DocumentReference |
0..* | DocumentReference | A reference to a document | |
| meta |
0..1 | Meta | Metadata about the resource | |
| profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListDocumentReference (no extensions allowed) | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current (no extensions allowed) | |
| subject |
1..1 | Reference(MedicationListPatient) {c} | Reference to MedicationListPatient resource | |
| content |
1..1 | BackboneElement | Returned printout as a PDF file | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| attachment |
1..1 | Attachment | Returned printout | |
| contentType |
1..1 | code | PDF file format Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Fixed Value: application/pdf (no extensions allowed) | |
| data |
1..1 | base64Binary | Base64 encoded PDF printout | |
| creation |
1..1 | dateTime | Creation time of the printout | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| DocumentReference.status | Base | required | DocumentReferenceStatus | 📍4.0.1 | FHIR Std. |
| DocumentReference.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| DocumentReference.content.attachment.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DocumentReference | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DocumentReference | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DocumentReference | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from DocumentReference
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DocumentReference |
0..* | DocumentReference | A reference to a document | |
| meta |
0..1 | Meta | Metadata about the resource | |
| profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListDocumentReference (no extensions allowed) | |
| masterIdentifier |
0..0 | Master Version Specific Identifier | ||
| identifier |
0..0 | Other identifiers for the document | ||
| status |
1..1 | code | current | superseded | entered-in-error Fixed Value: current (no extensions allowed) | |
| docStatus |
0..0 | preliminary | final | amended | entered-in-error | ||
| type |
0..0 | Kind of document (LOINC if possible) | ||
| category |
0..0 | Categorization of document | ||
| subject |
1..1 | Reference(MedicationListPatient) {c} | Reference to MedicationListPatient resource | |
| date |
0..0 | When this document reference was created | ||
| author |
0..0 | Who and/or what authored the document | ||
| authenticator |
0..0 | Who/what authenticated the document | ||
| custodian |
0..0 | Organization which maintains the document | ||
| relatesTo |
0..0 | Relationships to other documents | ||
| description |
0..0 | Human-readable description | ||
| securityLabel |
0..0 | Document security-tags | ||
| content |
1..1 | BackboneElement | Returned printout as a PDF file | |
| attachment |
1..1 | Attachment | Returned printout | |
| contentType |
1..1 | code | PDF file format Fixed Value: application/pdf (no extensions allowed) | |
| data |
1..1 | base64Binary | Base64 encoded PDF printout | |
| creation |
1..1 | dateTime | Creation time of the printout | |
| context |
0..0 | Clinical context of document | ||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DocumentReference |
0..* | DocumentReference | A reference to a document | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
0..1 | id | Version specific identifier | |||||
| lastUpdated |
0..1 | instant | When the resource version last changed | |||||
| source |
0..1 | uri | Identifies where the resource comes from | |||||
| profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: http://resepti.kanta.fi/fhir/StructureDefinition/MedicationListDocumentReference (no extensions allowed) | |||||
| security |
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||
| tag |
0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| status |
1..1 | code | current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): The status of the document reference. Fixed Value: current (no extensions allowed) | |||||
| subject |
1..1 | Reference(MedicationListPatient) {c} | Reference to MedicationListPatient resource | |||||
| content |
1..1 | BackboneElement | Returned printout as a PDF file | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| attachment |
1..1 | Attachment | Returned printout | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType |
1..1 | code | PDF file format Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Fixed Value: application/pdf (no extensions allowed) | |||||
| language |
0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | |||||
| data |
1..1 | base64Binary | Base64 encoded PDF printout | |||||
| url |
0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | |||||
| size |
0..1 | unsignedInt | Number of bytes of content (if url provided) | |||||
| hash |
0..1 | base64Binary | Hash of the data (sha-1, base64ed) | |||||
| title |
0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | |||||
| creation |
1..1 | dateTime | Creation time of the printout | |||||
| format |
0..1 | Coding | Format/content rules for the document Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes. | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| DocumentReference.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| DocumentReference.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| DocumentReference.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DocumentReference.status | Base | required | DocumentReferenceStatus | 📍4.0.1 | FHIR Std. |
| DocumentReference.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| DocumentReference.content.attachment.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| DocumentReference.content.attachment.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DocumentReference.content.format | Base | preferred | DocumentReference Format Code Set | 📍4.0.1 | FHIR Std. |
| DocumentReference.context.event | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.5 |
| DocumentReference.context.facilityType | Base | example | Facility Type Code Value Set | 📍4.0.1 | FHIR Std. |
| DocumentReference.context.practiceSetting | Base | example | Practice Setting Code Value Set | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DocumentReference | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DocumentReference | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DocumentReference | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DocumentReference | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from DocumentReference
Other representations of profile: CSV, Excel, Schematron