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Documentreference.profile.json

Structured Documents Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (каноническая форма + also see JSON Format Specification)

StructureDefinition for documentreference

{
  "resourceType" : "StructureDefinition",
  "id" : "DocumentReference",
  "meta" : {
    "lastUpdated" : "2019-05-17T12:34:53.932+00:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 3
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode" : "not-classified"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "sd"
  }],
  "url" : "http://hl7.org/fhir/StructureDefinition/DocumentReference",
  "version" : "3.6.0",
  "name" : "DocumentReference",
  "status" : "draft",
  "date" : "2019-05-17T12:34:53+00:00",
  "publisher" : "Health Level Seven International (Structured Documents)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/structure/index.cfm"
    }]
  }],
  "description" : "A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text.",
  "fhirVersion" : "3.6.0",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "fhircomposition",
    "uri" : "http://hl7.org/fhir/composition",
    "name" : "FHIR Composition"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "cda",
    "uri" : "http://hl7.org/v3/cda",
    "name" : "CDA (R2)"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "xds",
    "uri" : "http://ihe.net/xds",
    "name" : "XDS metadata equivalent"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "DocumentReference",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "DocumentReference",
      "path" : "DocumentReference",
      "short" : "Ссылка на документ",
      "definition" : "A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text.",
      "comment" : "Как правило, используется для других документов, а не тех, что определены FHIR.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DocumentReference",
        "min" : 0,
        "max" : "*"
      },
      "constraint" : [{
        "key" : "dom-2",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН содержать описательной части",
        "expression" : "contained.contained.empty()",
        "xpath" : "not(parent::f:contained and f:contained)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-4",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН иметь meta.versionId или meta.lastUpdated",
        "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-3",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, где-то в родительском ресурсе на него ДОЛЖНА БЫТЬ дана ссылка or SHALL refer to the containing resource",
        "expression" : "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()",
        "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source" : "DomainResource"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        }],
        "key" : "dom-6",
        "severity" : "warning",
        "human" : "A resource should have narrative for robust management",
        "expression" : "text.div.exists()",
        "xpath" : "exists(f:text/h:div)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-5",
        "severity" : "error",
        "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
        "expression" : "contained.meta.security.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
        "source" : "DomainResource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Entity. Role, or Act"
      },
      {
        "identity" : "workflow",
        "map" : "Event"
      },
      {
        "identity" : "fhircomposition",
        "map" : "when describing a Composition"
      },
      {
        "identity" : "rim",
        "map" : "Document[classCode=\"DOC\" and moodCode=\"EVN\"]"
      },
      {
        "identity" : "cda",
        "map" : "when describing a CDA"
      }]
    },
    {
      "id" : "DocumentReference.id",
      "path" : "DocumentReference.id",
      "short" : "Logical id of this artifact",
      "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "id"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "DocumentReference.meta",
      "path" : "DocumentReference.meta",
      "short" : "Метаданные ресурса",
      "definition" : "Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения этой информации не всегда можно ассоциировать с версионными изменениями ресурса.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.meta",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Meta"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "DocumentReference.implicitRules",
      "path" : "DocumentReference.implicitRules",
      "short" : "Свод правил, в соответствии с которыми создавалось это содержимое",
      "definition" : "Ссылка на свод правил, которым следовали при создании этого ресурса и которые необходимо понимать при обработке этого содержимого. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
      "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.implicitRules",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "uri"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
      "isSummary" : true
    },
    {
      "id" : "DocumentReference.language",
      "path" : "DocumentReference.language",
      "short" : "Язык содержимого ресурса",
      "definition" : "Основной язык, на котором написан ресурс.",
      "comment" : "Язык указывается для поддержки предварительной обработки текстов и доступности для понимания (например при преобразовании текста в речь используется языковой тег). HTML-тег language в описательной части применяется к этой описательной части. Языковой тег ресурса может использоваться для указания языков других представлений, генерируемых из данных ресурса\n\nНе все содержание ресурса должно быть на указанном основном языке. Resource.language нельзя автоматически принимать за язык описательной части. Если язык указан, его также следует указать в элементе div в HTML (информацию о связи между xml:lang и HTML-атрибутом lang см. в правилах HTML5).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "Естественный язык.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "DocumentReference.text",
      "path" : "DocumentReference.text",
      "short" : "Краткое текстовое изложение ресурса для интерпретации человеком",
      "definition" : "Человекочитаемая описательная часть, содержащая краткое изложение ресурса, которая может использоваться для представления содержимого ресурса человеку. От описательной части не требуется кодировать все структурированные данные, но она должна содержать достаточно сведений, чтобы простое её прочтение человеком было \"клинически безопасным\". Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной части для обеспечения клинической безопасной.",
      "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
      "alias" : ["narrative",
      "html",
      "xhtml",
      "display"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DomainResource.text",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Narrative"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Act.text?"
      }]
    },
    {
      "id" : "DocumentReference.contained",
      "path" : "DocumentReference.contained",
      "short" : "Вложенные, встроенные инлайн ресурсы",
      "definition" : "Эти ресурсы не обладают независимым существованием вне ресурса, который их содержит - их нельзя идентифицировать независимо, и они не могут иметь своей собственной независимой транзакционной области действия.",
      "comment" : "Этого не следует делать, когда содержимое может быть идентифицировано должным образом, поскольку, потеряв идентификацию, будет чрезвычайно сложно (и контекстно-зависимо) снова восстановить её. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
      "alias" : ["inline resources",
      "anonymous resources",
      "contained resources"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.contained",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Resource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "DocumentReference.extension",
      "path" : "DocumentReference.extension",
      "short" : "Дополнительное содержимое, определенное реализаторами",
      "definition" : "Может использоваться для представления дополнительной информации, не являющейся частью базового определения ресурса. Чтобы сделать использование расширений надежным и управляемым, существует строгий набор управления применительно к определению и использованию расширений. Хотя каждому реализатору разрешается определять расширения, имеется набор требований, которые должны выполняться в рамках определения расширения.",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "DocumentReference.modifierExtension",
      "path" : "DocumentReference.modifierExtension",
      "short" : "Расширения, которые нельзя игнорировать",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "DocumentReference.masterIdentifier",
      "path" : "DocumentReference.masterIdentifier",
      "short" : "Идентификатор, специфичный для мастер-версии",
      "definition" : "Идентификатор документа, назначенный источником этого документа. Этот идентификатор специфичен для данной версии документа. Этот уникальный идентификатор может использоваться в других местах для указания на эту версию документа.",
      "comment" : "CDA Document Id extension and root.",
      "requirements" : "Структура и формат этого идентификатора должен согласовываться со спецификацией, соответствующей атрибуту formatCode (например для стандартного DICOM-документа это будет 64-символьный числовой UID, для HL7 CDA-формата - сериализация CDA Document Id-расширения и корень в форме oid^extension, где OID содержит максимум 64 цифры, а Id - максимум 16 UTF-8-символов. Если OID закодирован без расширения, тогда символ '^' следует опустить.).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.masterIdentifier",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.identifier"
      },
      {
        "identity" : "v2",
        "map" : "TXA-12"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.uniqueId"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/id"
      }]
    },
    {
      "id" : "DocumentReference.identifier",
      "path" : "DocumentReference.identifier",
      "short" : "Другие идентификаторы для этого документа",
      "definition" : "Другие идентификаторы, ассоциированные с документом, включая версионно-независимые идентификаторы.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DocumentReference.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "v2",
        "map" : "TXA-16?"
      },
      {
        "identity" : "rim",
        "map" : ".id / .setId"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.entryUUID"
      }]
    },
    {
      "id" : "DocumentReference.status",
      "path" : "DocumentReference.status",
      "short" : "current | superseded | entered-in-error",
      "definition" : "Статус документа.",
      "comment" : "This is the status of the DocumentReference object, which might be independent from the docStatus element.\n\nThis element is labeled as a modifier because the status contains the codes that mark the document or reference as not currently valid.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.status",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentReferenceStatus"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "required",
        "description" : "The status of the document reference.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/document-reference-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "v2",
        "map" : "TXA-19"
      },
      {
        "identity" : "rim",
        "map" : "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\";  final: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct()]);  amended: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct() and statusCode=\"completed\"];  withdrawn : .completionCode=NI &&  ./statusCode[isNormalDatatype()]=\"obsolete\""
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.availabilityStatus"
      }]
    },
    {
      "id" : "DocumentReference.docStatus",
      "path" : "DocumentReference.docStatus",
      "short" : "preliminary | final | appended | amended | entered-in-error",
      "definition" : "Статус лежащего в основе документа.",
      "comment" : "Документ, на который указывается, может находиться в различных статусах жизненного цикла.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.docStatus",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ReferredDocumentStatus"
        }],
        "strength" : "required",
        "description" : "Статус лежащего в основе документа.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/composition-status"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.status"
      },
      {
        "identity" : "v2",
        "map" : "TXA-17"
      },
      {
        "identity" : "rim",
        "map" : ".statusCode"
      }]
    },
    {
      "id" : "DocumentReference.type",
      "path" : "DocumentReference.type",
      "short" : "Вид документа (LOINC-код, если возможно)",
      "definition" : "Определяет конкретный вид документа (например анамнез и физикальный осмотр, выписной эпикриз, текущие заметки). Как правило, он совпадает с целью составления этого документа.",
      "comment" : "Key metadata element describing the document that describes he exact type of document. Помогает людям оценивать, представляет ли документ для них интерес, при просмотре указателя документов.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.type",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentC80Type"
        }],
        "strength" : "preferred",
        "description" : "Точный тип клинического документа.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/c80-doc-typecodes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.class"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.type"
      },
      {
        "identity" : "v2",
        "map" : "TXA-2"
      },
      {
        "identity" : "rim",
        "map" : "./code"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.type"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/code/@code \n\nThe typeCode should be mapped from the ClinicalDocument/code element to a set of document type codes configured in the affinity domain. One suggested coding system to use for typeCode is LOINC, in which case the mapping step can be omitted."
      }]
    },
    {
      "id" : "DocumentReference.category",
      "path" : "DocumentReference.category",
      "short" : "Классификация документа",
      "definition" : "Классификация типа документа - содействует индексации и поиску. Может подразумеваться или вытекать из кода, указанного в элементе DocumentReference.type.",
      "comment" : "Key metadata element describing the the category or classification of the document. This is a broader perspective that groups similar documents based on how they would be used. This is a primary key used in searching.",
      "alias" : ["claxs"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DocumentReference.category",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentC80Class"
        }],
        "strength" : "example",
        "description" : "Высокоуровневая классификация клинического документа на макроуровне.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/document-classcodes"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.class"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.class"
      },
      {
        "identity" : "cda",
        "map" : "Derived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service, based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code"
      }]
    },
    {
      "id" : "DocumentReference.subject",
      "path" : "DocumentReference.subject",
      "short" : "Предмет документа",
      "definition" : "О ком или о чем этот документ. Документ может быть о человеке (пациент или медицинский работник), об устройстве (т. е. машине) или даже о группе субъектов (например документ о стаде сельскохозяйственных животных, или документ о ряде пациентов, испытавших общее воздействие).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.subject",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/Group",
        "http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.subject"
      },
      {
        "identity" : "v2",
        "map" : "PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.patientId"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/recordTarget/"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "DocumentReference.date",
      "path" : "DocumentReference.date",
      "short" : "Когда этот document reference создан",
      "definition" : "Когда этот document reference был создан.",
      "comment" : "Время ссылки/индексации используется для отслеживания, организации версий и поиска.",
      "alias" : ["indexed"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.date",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "instant"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.date"
      },
      {
        "identity" : "rim",
        "map" : ".availabilityTime[type=\"TS\"]"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.creationTime"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/effectiveTime"
      }]
    },
    {
      "id" : "DocumentReference.author",
      "path" : "DocumentReference.author",
      "short" : "Кто и/или что является автором документа",
      "definition" : "Определяет, кто ответственен за добавление информации в документ.",
      "comment" : "Это не обязательно тот, кто фактически выполнил ввод данных (т. е. машинистка) или был источником (информатором).",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DocumentReference.author",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.author"
      },
      {
        "identity" : "v2",
        "map" : "TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.author"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/author"
      }]
    },
    {
      "id" : "DocumentReference.authenticator",
      "path" : "DocumentReference.authenticator",
      "short" : "Кто/что подтвердил подлинность документа",
      "definition" : "Какое лицо или организация удостоверяет, что это документ действителен.",
      "comment" : "Представляет собой участника в организации-составителе, у которого есть юридически заверенный или засвидетельствованный документ. Юридическая проверка подлинности подразумевает, что документ был подписан вручную или электронным способом с помощью юридического удостоверения.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.authenticator",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.witness"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.attester"
      },
      {
        "identity" : "v2",
        "map" : "TXA-10"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.legalAuthenticator"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/legalAuthenticator"
      }]
    },
    {
      "id" : "DocumentReference.custodian",
      "path" : "DocumentReference.custodian",
      "short" : "Организация, отвечающая за обслуживание документа",
      "definition" : "Определяет организацию или группу, которая несет ответственность за текущее обслуживание и доступ к документу.",
      "comment" : "Identifies the logical organization (software system, vendor, or department) to go to find the current version, where to report issues, etc. This is different from the physical location (URL, disk drive, or server) of the document, which is the technical location of the document, which host may be delegated to the management of some other organization.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.custodian",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.custodian"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]"
      }]
    },
    {
      "id" : "DocumentReference.relatesTo",
      "path" : "DocumentReference.relatesTo",
      "short" : "Взаимосвязь с другими документами",
      "definition" : "Взаимосвязи этого документа с другими существующими document references.",
      "comment" : "This element is labeled as a modifier because documents that append to other documents are incomplete on their own.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DocumentReference.relatesTo",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.relatesTo"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry Associations"
      }]
    },
    {
      "id" : "DocumentReference.relatesTo.id",
      "path" : "DocumentReference.relatesTo.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "DocumentReference.relatesTo.extension",
      "path" : "DocumentReference.relatesTo.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "DocumentReference.relatesTo.modifierExtension",
      "path" : "DocumentReference.relatesTo.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "DocumentReference.relatesTo.code",
      "path" : "DocumentReference.relatesTo.code",
      "short" : "replaces | transforms | signs | appends",
      "definition" : "Тип взаимосвязи этого документа с другим документом.",
      "comment" : "Если данный документ добавляет еще один документ, то документ не может быть полностью понят без доступа к указанному документу.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.relatesTo.code",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentRelationshipType"
        }],
        "strength" : "required",
        "description" : "Тип взаимосвязи между документами.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/document-relationship-type"
      },
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.relatesTo.code"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship.typeCode"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry Associations type"
      }]
    },
    {
      "id" : "DocumentReference.relatesTo.target",
      "path" : "DocumentReference.relatesTo.target",
      "short" : "Целевой документ взаимосвязи",
      "definition" : "Целевой документ этой взаимосвязи.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.relatesTo.target",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.relatesTo.target"
      },
      {
        "identity" : "rim",
        "map" : ".target[classCode=\"DOC\", moodCode=\"EVN\"].id"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry Associations reference"
      }]
    },
    {
      "id" : "DocumentReference.description",
      "path" : "DocumentReference.description",
      "short" : "Human-readable description",
      "definition" : "Human-readable description of the source document.",
      "comment" : "What the document is about,  a terse summary of the document.",
      "requirements" : "Помогает людям оценивать, представляет ли документ интерес.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.description",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "TXA-25"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=\"SUBJ\"].target.text"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.comments"
      }]
    },
    {
      "id" : "DocumentReference.securityLabel",
      "path" : "DocumentReference.securityLabel",
      "short" : "Теги уровня безопасности документа",
      "definition" : "A set of Security-Tag codes specifying the level of privacy/security of the Document. Note that DocumentReference.meta.security contains the security labels of the \"reference\" to the document, while DocumentReference.securityLabel contains a snapshot of the security labels on the document the reference refers to.",
      "comment" : "The confidentiality codes can carry multiple vocabulary items. HL7 has developed an understanding of security and privacy tags that might be desirable in a Document Sharing environment, called HL7 Healthcare Privacy and Security Classification System (HCS). The following specification is recommended but not mandated, as the vocabulary bindings are an administrative domain responsibility. The use of this method is up to the policy domain such as the XDS Affinity Domain or other Trust Domain where all parties including sender and recipients are trusted to appropriately tag and enforce.   \n\nIn the HL7 Healthcare Privacy and Security Classification (HCS) there are code systems specific to Confidentiality, Sensitivity, Integrity, and Handling Caveats. Some values would come from a local vocabulary as they are related to workflow roles and special projects.",
      "requirements" : "Рекомендуется применять систему классификации тегов уровня безопасности Health Care Privacy/Security Classification (HCS).",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DocumentReference.securityLabel",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "SecurityLabels"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "extensible",
        "description" : "Security Labels from the Healthcare Privacy and Security Classification System.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels"
      },
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.confidentiality, Composition.meta.security"
      },
      {
        "identity" : "v2",
        "map" : "TXA-18"
      },
      {
        "identity" : "rim",
        "map" : ".confidentialityCode"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.confidentialityCode"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/confidentialityCode/@code"
      }]
    },
    {
      "id" : "DocumentReference.content",
      "path" : "DocumentReference.content",
      "short" : "Описываемый документ",
      "definition" : "Документ и формат. Допустимо повторение элемента \"content\" с указанием разных форматов.",
      "min" : 1,
      "max" : "*",
      "base" : {
        "path" : "DocumentReference.content",
        "min" : 1,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Bundle(Composition+*)"
      },
      {
        "identity" : "rim",
        "map" : "document.text"
      }]
    },
    {
      "id" : "DocumentReference.content.id",
      "path" : "DocumentReference.content.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "DocumentReference.content.extension",
      "path" : "DocumentReference.content.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "DocumentReference.content.modifierExtension",
      "path" : "DocumentReference.content.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "DocumentReference.content.attachment",
      "path" : "DocumentReference.content.attachment",
      "short" : "Где доступен документ",
      "definition" : "Документ или URL-адрес документа вместе с важными метаданными для подтверждения целостности содержимого.",
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.content.attachment",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Attachment"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.language, \nComposition.title, \nComposition.date"
      },
      {
        "identity" : "v2",
        "map" : "TXA-3 for mime type"
      },
      {
        "identity" : "rim",
        "map" : "document.text"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size, DocumentEntry.hash, DocumentEntry.title"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/efectiveTime"
      }]
    },
    {
      "id" : "DocumentReference.content.format",
      "path" : "DocumentReference.content.format",
      "short" : "Правила форматирования и структуры содержимого документа",
      "definition" : "Идентификатор, определяющий кодировку документа, структуру и шаблон, которому соответствует документ помимо базового формата, указанного в mimeType.",
      "comment" : "Обратите внимание, хотя IHE в основном выпускает URN для типов форматов, не все документы могут быть идентифицированы через URI.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.content.format",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Coding"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentFormat"
        }],
        "strength" : "preferred",
        "description" : "Код формата документа.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/formatcodes"
      },
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.meta.profile"
      },
      {
        "identity" : "rim",
        "map" : "document.text"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.formatCode"
      },
      {
        "identity" : "cda",
        "map" : "derived from the IHE Profile or Implementation Guide templateID"
      }]
    },
    {
      "id" : "DocumentReference.context",
      "path" : "DocumentReference.context",
      "short" : "Клинический контекст документа",
      "definition" : "Клинический контекст, в котором документ был подготовлен.",
      "comment" : "Эти значения добавляются главным образом для упрощения поиска интересующих/релевантных документов.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.context",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']"
      }]
    },
    {
      "id" : "DocumentReference.context.id",
      "path" : "DocumentReference.context.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "DocumentReference.context.extension",
      "path" : "DocumentReference.context.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "DocumentReference.context.modifierExtension",
      "path" : "DocumentReference.context.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "DocumentReference.context.encounter",
      "path" : "DocumentReference.context.encounter",
      "short" : "Контекст документа",
      "definition" : "Описывает случай клинического обслуживания или вид помощи, с которым связано содержимое документа.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DocumentReference.context.encounter",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
        "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.context"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.context"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.encounter"
      },
      {
        "identity" : "rim",
        "map" : "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])"
      }]
    },
    {
      "id" : "DocumentReference.context.event",
      "path" : "DocumentReference.context.event",
      "short" : "Задокументированные основные клинические акты",
      "definition" : "Этот перечень кодов представляет собой задокументированные основные клинические акты, например колоноскопия или аппендэктомия. В некоторых случаях событие берется из typeCode, например \"History and Physical Report\", в котором документируемой процедурой обязательно будет акт \"History and Physical\".",
      "comment" : "Событие может дополнительно специализировать акт, берущийся из типа, например \n, где это просто \"Procedure Report\" , и процедурой была \"colonoscopy\". Если включен один или несколько кодов событий, они не должны конфликтовать со значениями, присущими элементам class или type, поскольку такой конфликт создал бы неоднозначную ситуацию.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DocumentReference.context.event",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentEventType"
        }],
        "strength" : "example",
        "description" : "Перечень кодов основных документируемых клинических актов.",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActCode"
      },
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.event.code"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.eventCodeList"
      }]
    },
    {
      "id" : "DocumentReference.context.period",
      "path" : "DocumentReference.context.period",
      "short" : "Время услуги, которая документируется",
      "definition" : "Период времени, в течение которого услуга, которая описана в документе, была предоставлена.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.context.period",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Period"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.event.period"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/low/\n@value --> ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/high/\n@value"
      }]
    },
    {
      "id" : "DocumentReference.context.facilityType",
      "path" : "DocumentReference.context.facilityType",
      "short" : "Вид заведения, где наблюдался пациент",
      "definition" : "Вид заведения, где наблюдался пациент.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.context.facilityType",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentC80FacilityType"
        }],
        "strength" : "example",
        "description" : "XDS Facility Type.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/c80-facilitycodes"
      },
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "usually from a mapping to a local ValueSet"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.healthcareFacilityTypeCode"
      },
      {
        "identity" : "cda",
        "map" : "usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code"
      }]
    },
    {
      "id" : "DocumentReference.context.practiceSetting",
      "path" : "DocumentReference.context.practiceSetting",
      "short" : "Дополнительная информация о том, где создавался контент (например клиническая специальность)",
      "definition" : "Это свойство может передавать подробности рабочих условий, в которых был создан контент, часто отражающие клиническую специальность.",
      "comment" : "This element should be based on a coarse classification system for the class of specialty practice. Recommend the use of the classification system for Practice Setting, such as that described by the Subject Matter Domain in LOINC.",
      "requirements" : "Это важная часть метаданных, на которую часто полагаются поставщики, чтобы быстро отсортировать и / или отфильтровать и найти конкретные данные.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.context.practiceSetting",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentC80PracticeSetting"
        }],
        "strength" : "example",
        "description" : "Дополнительная информация о том, где был создан данный контент (например клиническая специальность).",
        "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
      },
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "usually from a mapping to a local ValueSet"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.practiceSettingCode"
      },
      {
        "identity" : "cda",
        "map" : "usually from a mapping to a local ValueSet"
      }]
    },
    {
      "id" : "DocumentReference.context.sourcePatientInfo",
      "path" : "DocumentReference.context.sourcePatientInfo",
      "short" : "Демографическая информация о пациенте",
      "definition" : "Информация о пациенте, известная на момент публикации документа. Может быть ссылкой на конкретную версию или вложенный ресурс.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DocumentReference.context.sourcePatientInfo",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.subject"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/recordTarget/"
      }]
    },
    {
      "id" : "DocumentReference.context.related",
      "path" : "DocumentReference.context.related",
      "short" : "Related identifiers or resources",
      "definition" : "Связанные идентификаторы или ресурсы, сопутствующие данному DocumentReference.",
      "comment" : "Это могут быть идентификаторы или ресурсы, повлиявшие на создание данного DocumentReference или ссылочного документа.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DocumentReference.context.related",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.event.detail"
      },
      {
        "identity" : "rim",
        "map" : "./outboundRelationship[typeCode=\"PERT\" and isNormalActRelationship()] / target[isNormalAct]"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.referenceIdList"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/relatedDocument"
      }]
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "DocumentReference",
      "path" : "DocumentReference",
      "short" : "Ссылка на документ",
      "definition" : "A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text.",
      "comment" : "Как правило, используется для других документов, а не тех, что определены FHIR.",
      "min" : 0,
      "max" : "*",
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event"
      },
      {
        "identity" : "fhircomposition",
        "map" : "when describing a Composition"
      },
      {
        "identity" : "rim",
        "map" : "Document[classCode=\"DOC\" and moodCode=\"EVN\"]"
      },
      {
        "identity" : "cda",
        "map" : "when describing a CDA"
      }]
    },
    {
      "id" : "DocumentReference.masterIdentifier",
      "path" : "DocumentReference.masterIdentifier",
      "short" : "Идентификатор, специфичный для мастер-версии",
      "definition" : "Идентификатор документа, назначенный источником этого документа. Этот идентификатор специфичен для данной версии документа. Этот уникальный идентификатор может использоваться в других местах для указания на эту версию документа.",
      "comment" : "CDA Document Id extension and root.",
      "requirements" : "Структура и формат этого идентификатора должен согласовываться со спецификацией, соответствующей атрибуту formatCode (например для стандартного DICOM-документа это будет 64-символьный числовой UID, для HL7 CDA-формата - сериализация CDA Document Id-расширения и корень в форме oid^extension, где OID содержит максимум 64 цифры, а Id - максимум 16 UTF-8-символов. Если OID закодирован без расширения, тогда символ '^' следует опустить.).",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Identifier"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.identifier"
      },
      {
        "identity" : "v2",
        "map" : "TXA-12"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.uniqueId"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/id"
      }]
    },
    {
      "id" : "DocumentReference.identifier",
      "path" : "DocumentReference.identifier",
      "short" : "Другие идентификаторы для этого документа",
      "definition" : "Другие идентификаторы, ассоциированные с документом, включая версионно-независимые идентификаторы.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "v2",
        "map" : "TXA-16?"
      },
      {
        "identity" : "rim",
        "map" : ".id / .setId"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.entryUUID"
      }]
    },
    {
      "id" : "DocumentReference.status",
      "path" : "DocumentReference.status",
      "short" : "current | superseded | entered-in-error",
      "definition" : "Статус документа.",
      "comment" : "This is the status of the DocumentReference object, which might be independent from the docStatus element.\n\nThis element is labeled as a modifier because the status contains the codes that mark the document or reference as not currently valid.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentReferenceStatus"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "required",
        "description" : "The status of the document reference.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/document-reference-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "v2",
        "map" : "TXA-19"
      },
      {
        "identity" : "rim",
        "map" : "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\";  final: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct()]);  amended: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct() and statusCode=\"completed\"];  withdrawn : .completionCode=NI &&  ./statusCode[isNormalDatatype()]=\"obsolete\""
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.availabilityStatus"
      }]
    },
    {
      "id" : "DocumentReference.docStatus",
      "path" : "DocumentReference.docStatus",
      "short" : "preliminary | final | appended | amended | entered-in-error",
      "definition" : "Статус лежащего в основе документа.",
      "comment" : "Документ, на который указывается, может находиться в различных статусах жизненного цикла.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ReferredDocumentStatus"
        }],
        "strength" : "required",
        "description" : "Статус лежащего в основе документа.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/composition-status"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.status"
      },
      {
        "identity" : "v2",
        "map" : "TXA-17"
      },
      {
        "identity" : "rim",
        "map" : ".statusCode"
      }]
    },
    {
      "id" : "DocumentReference.type",
      "path" : "DocumentReference.type",
      "short" : "Вид документа (LOINC-код, если возможно)",
      "definition" : "Определяет конкретный вид документа (например анамнез и физикальный осмотр, выписной эпикриз, текущие заметки). Как правило, он совпадает с целью составления этого документа.",
      "comment" : "Key metadata element describing the document that describes he exact type of document. Помогает людям оценивать, представляет ли документ для них интерес, при просмотре указателя документов.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentC80Type"
        }],
        "strength" : "preferred",
        "description" : "Точный тип клинического документа.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/c80-doc-typecodes"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.class"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.type"
      },
      {
        "identity" : "v2",
        "map" : "TXA-2"
      },
      {
        "identity" : "rim",
        "map" : "./code"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.type"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/code/@code \n\nThe typeCode should be mapped from the ClinicalDocument/code element to a set of document type codes configured in the affinity domain. One suggested coding system to use for typeCode is LOINC, in which case the mapping step can be omitted."
      }]
    },
    {
      "id" : "DocumentReference.category",
      "path" : "DocumentReference.category",
      "short" : "Классификация документа",
      "definition" : "Классификация типа документа - содействует индексации и поиску. Может подразумеваться или вытекать из кода, указанного в элементе DocumentReference.type.",
      "comment" : "Key metadata element describing the the category or classification of the document. This is a broader perspective that groups similar documents based on how they would be used. This is a primary key used in searching.",
      "alias" : ["claxs"],
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentC80Class"
        }],
        "strength" : "example",
        "description" : "Высокоуровневая классификация клинического документа на макроуровне.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/document-classcodes"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.class"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.class"
      },
      {
        "identity" : "cda",
        "map" : "Derived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service, based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code"
      }]
    },
    {
      "id" : "DocumentReference.subject",
      "path" : "DocumentReference.subject",
      "short" : "Предмет документа",
      "definition" : "О ком или о чем этот документ. Документ может быть о человеке (пациент или медицинский работник), об устройстве (т. е. машине) или даже о группе субъектов (например документ о стаде сельскохозяйственных животных, или документ о ряде пациентов, испытавших общее воздействие).",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/Group",
        "http://hl7.org/fhir/StructureDefinition/Device"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.subject"
      },
      {
        "identity" : "v2",
        "map" : "PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.patientId"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/recordTarget/"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "DocumentReference.date",
      "path" : "DocumentReference.date",
      "short" : "Когда этот document reference создан",
      "definition" : "Когда этот document reference был создан.",
      "comment" : "Время ссылки/индексации используется для отслеживания, организации версий и поиска.",
      "alias" : ["indexed"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "instant"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.date"
      },
      {
        "identity" : "rim",
        "map" : ".availabilityTime[type=\"TS\"]"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.creationTime"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/effectiveTime"
      }]
    },
    {
      "id" : "DocumentReference.author",
      "path" : "DocumentReference.author",
      "short" : "Кто и/или что является автором документа",
      "definition" : "Определяет, кто ответственен за добавление информации в документ.",
      "comment" : "Это не обязательно тот, кто фактически выполнил ввод данных (т. е. машинистка) или был источником (информатором).",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Organization",
        "http://hl7.org/fhir/StructureDefinition/Device",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.author"
      },
      {
        "identity" : "v2",
        "map" : "TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.author"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/author"
      }]
    },
    {
      "id" : "DocumentReference.authenticator",
      "path" : "DocumentReference.authenticator",
      "short" : "Кто/что подтвердил подлинность документа",
      "definition" : "Какое лицо или организация удостоверяет, что это документ действителен.",
      "comment" : "Представляет собой участника в организации-составителе, у которого есть юридически заверенный или засвидетельствованный документ. Юридическая проверка подлинности подразумевает, что документ был подписан вручную или электронным способом с помощью юридического удостоверения.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.witness"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.attester"
      },
      {
        "identity" : "v2",
        "map" : "TXA-10"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.legalAuthenticator"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/legalAuthenticator"
      }]
    },
    {
      "id" : "DocumentReference.custodian",
      "path" : "DocumentReference.custodian",
      "short" : "Организация, отвечающая за обслуживание документа",
      "definition" : "Определяет организацию или группу, которая несет ответственность за текущее обслуживание и доступ к документу.",
      "comment" : "Identifies the logical organization (software system, vendor, or department) to go to find the current version, where to report issues, etc. This is different from the physical location (URL, disk drive, or server) of the document, which is the technical location of the document, which host may be delegated to the management of some other organization.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.performer.actor"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.custodian"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]"
      }]
    },
    {
      "id" : "DocumentReference.relatesTo",
      "path" : "DocumentReference.relatesTo",
      "short" : "Взаимосвязь с другими документами",
      "definition" : "Взаимосвязи этого документа с другими существующими document references.",
      "comment" : "This element is labeled as a modifier because documents that append to other documents are incomplete on their own.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.relatesTo"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry Associations"
      }]
    },
    {
      "id" : "DocumentReference.relatesTo.code",
      "path" : "DocumentReference.relatesTo.code",
      "short" : "replaces | transforms | signs | appends",
      "definition" : "Тип взаимосвязи этого документа с другим документом.",
      "comment" : "Если данный документ добавляет еще один документ, то документ не может быть полностью понят без доступа к указанному документу.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentRelationshipType"
        }],
        "strength" : "required",
        "description" : "Тип взаимосвязи между документами.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/document-relationship-type"
      },
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.relatesTo.code"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship.typeCode"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry Associations type"
      }]
    },
    {
      "id" : "DocumentReference.relatesTo.target",
      "path" : "DocumentReference.relatesTo.target",
      "short" : "Целевой документ взаимосвязи",
      "definition" : "Целевой документ этой взаимосвязи.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.relatesTo.target"
      },
      {
        "identity" : "rim",
        "map" : ".target[classCode=\"DOC\", moodCode=\"EVN\"].id"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry Associations reference"
      }]
    },
    {
      "id" : "DocumentReference.description",
      "path" : "DocumentReference.description",
      "short" : "Human-readable description",
      "definition" : "Human-readable description of the source document.",
      "comment" : "What the document is about,  a terse summary of the document.",
      "requirements" : "Помогает людям оценивать, представляет ли документ интерес.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "v2",
        "map" : "TXA-25"
      },
      {
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=\"SUBJ\"].target.text"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.comments"
      }]
    },
    {
      "id" : "DocumentReference.securityLabel",
      "path" : "DocumentReference.securityLabel",
      "short" : "Теги уровня безопасности документа",
      "definition" : "A set of Security-Tag codes specifying the level of privacy/security of the Document. Note that DocumentReference.meta.security contains the security labels of the \"reference\" to the document, while DocumentReference.securityLabel contains a snapshot of the security labels on the document the reference refers to.",
      "comment" : "The confidentiality codes can carry multiple vocabulary items. HL7 has developed an understanding of security and privacy tags that might be desirable in a Document Sharing environment, called HL7 Healthcare Privacy and Security Classification System (HCS). The following specification is recommended but not mandated, as the vocabulary bindings are an administrative domain responsibility. The use of this method is up to the policy domain such as the XDS Affinity Domain or other Trust Domain where all parties including sender and recipients are trusted to appropriately tag and enforce.   \n\nIn the HL7 Healthcare Privacy and Security Classification (HCS) there are code systems specific to Confidentiality, Sensitivity, Integrity, and Handling Caveats. Some values would come from a local vocabulary as they are related to workflow roles and special projects.",
      "requirements" : "Рекомендуется применять систему классификации тегов уровня безопасности Health Care Privacy/Security Classification (HCS).",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "SecurityLabels"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "extensible",
        "description" : "Security Labels from the Healthcare Privacy and Security Classification System.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels"
      },
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.confidentiality, Composition.meta.security"
      },
      {
        "identity" : "v2",
        "map" : "TXA-18"
      },
      {
        "identity" : "rim",
        "map" : ".confidentialityCode"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.confidentialityCode"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/confidentialityCode/@code"
      }]
    },
    {
      "id" : "DocumentReference.content",
      "path" : "DocumentReference.content",
      "short" : "Описываемый документ",
      "definition" : "Документ и формат. Допустимо повторение элемента \"content\" с указанием разных форматов.",
      "min" : 1,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Bundle(Composition+*)"
      },
      {
        "identity" : "rim",
        "map" : "document.text"
      }]
    },
    {
      "id" : "DocumentReference.content.attachment",
      "path" : "DocumentReference.content.attachment",
      "short" : "Где доступен документ",
      "definition" : "Документ или URL-адрес документа вместе с важными метаданными для подтверждения целостности содержимого.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Attachment"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.language, \nComposition.title, \nComposition.date"
      },
      {
        "identity" : "v2",
        "map" : "TXA-3 for mime type"
      },
      {
        "identity" : "rim",
        "map" : "document.text"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size, DocumentEntry.hash, DocumentEntry.title"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/efectiveTime"
      }]
    },
    {
      "id" : "DocumentReference.content.format",
      "path" : "DocumentReference.content.format",
      "short" : "Правила форматирования и структуры содержимого документа",
      "definition" : "Идентификатор, определяющий кодировку документа, структуру и шаблон, которому соответствует документ помимо базового формата, указанного в mimeType.",
      "comment" : "Обратите внимание, хотя IHE в основном выпускает URN для типов форматов, не все документы могут быть идентифицированы через URI.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Coding"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentFormat"
        }],
        "strength" : "preferred",
        "description" : "Код формата документа.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/formatcodes"
      },
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.meta.profile"
      },
      {
        "identity" : "rim",
        "map" : "document.text"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.formatCode"
      },
      {
        "identity" : "cda",
        "map" : "derived from the IHE Profile or Implementation Guide templateID"
      }]
    },
    {
      "id" : "DocumentReference.context",
      "path" : "DocumentReference.context",
      "short" : "Клинический контекст документа",
      "definition" : "Клинический контекст, в котором документ был подготовлен.",
      "comment" : "Эти значения добавляются главным образом для упрощения поиска интересующих/релевантных документов.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']"
      }]
    },
    {
      "id" : "DocumentReference.context.encounter",
      "path" : "DocumentReference.context.encounter",
      "short" : "Контекст документа",
      "definition" : "Описывает случай клинического обслуживания или вид помощи, с которым связано содержимое документа.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
        "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.context"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.context"
      },
      {
        "identity" : "fhircomposition",
        "map" : "Composition.encounter"
      },
      {
        "identity" : "rim",
        "map" : "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])"
      }]
    },
    {
      "id" : "DocumentReference.context.event",
      "path" : "DocumentReference.context.event",
      "short" : "Задокументированные основные клинические акты",
      "definition" : "Этот перечень кодов представляет собой задокументированные основные клинические акты, например колоноскопия или аппендэктомия. В некоторых случаях событие берется из typeCode, например \"History and Physical Report\", в котором документируемой процедурой обязательно будет акт \"History and Physical\".",
      "comment" : "Событие может дополнительно специализировать акт, берущийся из типа, например \n, где это просто \"Procedure Report\" , и процедурой была \"colonoscopy\". Если включен один или несколько кодов событий, они не должны конфликтовать со значениями, присущими элементам class или type, поскольку такой конфликт создал бы неоднозначную ситуацию.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentEventType"
        }],
        "strength" : "example",
        "description" : "Перечень кодов основных документируемых клинических актов.",
        "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActCode"
      },
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.event.code"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.eventCodeList"
      }]
    },
    {
      "id" : "DocumentReference.context.period",
      "path" : "DocumentReference.context.period",
      "short" : "Время услуги, которая документируется",
      "definition" : "Период времени, в течение которого услуга, которая описана в документе, была предоставлена.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Period"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.event.period"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/low/\n@value --> ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/high/\n@value"
      }]
    },
    {
      "id" : "DocumentReference.context.facilityType",
      "path" : "DocumentReference.context.facilityType",
      "short" : "Вид заведения, где наблюдался пациент",
      "definition" : "Вид заведения, где наблюдался пациент.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentC80FacilityType"
        }],
        "strength" : "example",
        "description" : "XDS Facility Type.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/c80-facilitycodes"
      },
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "usually from a mapping to a local ValueSet"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.healthcareFacilityTypeCode"
      },
      {
        "identity" : "cda",
        "map" : "usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code"
      }]
    },
    {
      "id" : "DocumentReference.context.practiceSetting",
      "path" : "DocumentReference.context.practiceSetting",
      "short" : "Дополнительная информация о том, где создавался контент (например клиническая специальность)",
      "definition" : "Это свойство может передавать подробности рабочих условий, в которых был создан контент, часто отражающие клиническую специальность.",
      "comment" : "This element should be based on a coarse classification system for the class of specialty practice. Recommend the use of the classification system for Practice Setting, such as that described by the Subject Matter Domain in LOINC.",
      "requirements" : "Это важная часть метаданных, на которую часто полагаются поставщики, чтобы быстро отсортировать и / или отфильтровать и найти конкретные данные.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "DocumentC80PracticeSetting"
        }],
        "strength" : "example",
        "description" : "Дополнительная информация о том, где был создан данный контент (например клиническая специальность).",
        "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
      },
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "usually from a mapping to a local ValueSet"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.practiceSettingCode"
      },
      {
        "identity" : "cda",
        "map" : "usually from a mapping to a local ValueSet"
      }]
    },
    {
      "id" : "DocumentReference.context.sourcePatientInfo",
      "path" : "DocumentReference.context.sourcePatientInfo",
      "short" : "Демографическая информация о пациенте",
      "definition" : "Информация о пациенте, известная на момент публикации документа. Может быть ссылкой на конкретную версию или вложенный ресурс.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
      }],
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.subject"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/recordTarget/"
      }]
    },
    {
      "id" : "DocumentReference.context.related",
      "path" : "DocumentReference.context.related",
      "short" : "Related identifiers or resources",
      "definition" : "Связанные идентификаторы или ресурсы, сопутствующие данному DocumentReference.",
      "comment" : "Это могут быть идентификаторы или ресурсы, повлиявшие на создание данного DocumentReference или ссылочного документа.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.event.detail"
      },
      {
        "identity" : "rim",
        "map" : "./outboundRelationship[typeCode=\"PERT\" and isNormalActRelationship()] / target[isNormalAct]"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.referenceIdList"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/relatedDocument"
      }]
    }]
  }
}

Примечание к использованию: мы очень стараемся приводить корректные и полезные примеры, но нормативно они не являются частью спецификации.