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Переводит команда Health Samurai. Приглашаем поучаствовать в русификации стандарта FHIR: GitHub, Email.

Documentreference.profile.xml

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

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

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StructureDefinition for documentreference

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="DocumentReference"/> 
  <meta> 
    <lastUpdated value="2019-05-17T12:34:53.932+00:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Имя</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Флаги</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Кард.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Тип</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Дополнительная информация об элементе">Описание и ограничения</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
        </tr> 
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAACC
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            87wAjNq5ypU3Z8arT8F5u/xejw52zmGM+Rcg1wyIcc/BTYCdBlODyh3ElA1AHMekaUoURURRBECWZSNgaGzBxxAU9jfQ9jrJr2dcb
            bXobRYHlQAzo9X1gDR9+KUArE6CwLefZD9WCW6P0uRZKreXqADkHXZ3dshzjwRholJH397AOXcTwHTfzQ1n7q6NnYEAy+DWQVNwKW
            QJ6vcx557Se7HAzIN1M9rCwVteA/rAYDRRICQgSZEr7WLYO3bzJVJGQBu0D74PkoHkoBnIHvjfkO9AGABmDHCjFWgH8i7kPQh9yEe
            YH4DfLhBJgA2A7BBQJ9uwXWY3rhJqFo1AaiB1CBngwKZQcqAeSFSduL9Akj7qPF64jnALS5VTPwdgPwwJ+uog9Qcx4kRZiPKqxgAA
            AABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Resource"/>  
            <span title="DocumentReference : 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.">DocumentReference</span> 
            <a name="DocumentReference"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #fff5e6" title="Ballot Status = Trial Use">TU</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Ссылка на документ
            <br/>  Элементы, определённые в прародителе: 
            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned, this
             value never changes.">id</a> , 
            <a href="resource.html#Resource" title="Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения
             этой информации не всегда можно ассоциировать с версионными изменениями ресурса.">meta</a> , 
            <a href="resource.html#Resource" title="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.">implicitRules</a> , 
            <a href="resource.html#Resource" title="Основной язык, на котором написан ресурс.">language</a> , 
            <a href="domainresource.html#DomainResource" title="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 &quot;клинически безопасным&quot;.
             Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной
             части для обеспечения клинической безопасной.">text</a> , 
            <a href="domainresource.html#DomainResource" title="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.">contained</a> , 
            <a href="domainresource.html#DomainResource" title="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.">extension</a> , 
            <a href="domainresource.html#DomainResource" title="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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
             (including cannot change the meaning of modifierExtension itself).">modifierExtension</a> 
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
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            szv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866O
            UPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6i
            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hY
            wbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iS
            FVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="DocumentReference.masterIdentifier : 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.">masterIdentifier</span> 
            <a name="DocumentReference.masterIdentifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Идентификатор, специфичный для мастер-версии</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
            ad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRP
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            <span title="DocumentReference.identifier : Другие идентификаторы, ассоциированные с документом, включая
             версионно-независимые идентификаторы.">identifier</span> 
            <a name="DocumentReference.identifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Другие идентификаторы для этого документа
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
            klEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyjuYFBgCNmhP4Ov
            TRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="DocumentReference.status : Статус документа.">status</span> 
            <a name="DocumentReference.status"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">current | superseded | entered-in-error
            <br/>  
            <a href="valueset-document-reference-status.html" title="The status of the document reference.">DocumentReferenceStatus</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">Required</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
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            <span title="DocumentReference.docStatus : Статус лежащего в основе документа.">docStatus</span> 
            <a name="DocumentReference.docStatus"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">preliminary | final | appended | amended | entered-in-error
            <br/>  
            <a href="valueset-composition-status.html" title="Статус лежащего в основе документа.">CompositionStatus</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">Required</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
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            <span title="DocumentReference.type : Определяет конкретный вид документа (например анамнез и физикальный
             осмотр, выписной эпикриз, текущие заметки). Как правило, он совпадает с целью составления
             этого документа.">type</span> 
            <a name="DocumentReference.type"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Вид документа (LOINC-код, если возможно)
            <br/>  
            <a href="valueset-c80-doc-typecodes.html" title="Точный тип клинического документа.">Document Type Value Set</a>  (
            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes
             but are not required to do so to be considered conformant.">Preferred</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
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            <span title="DocumentReference.category : Классификация типа документа - содействует индексации и поиску.
             Может подразумеваться или вытекать из кода, указанного в элементе DocumentReference.type.">category</span> 
            <a name="DocumentReference.category"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Классификация документа
            <br/>  
            <a href="valueset-document-classcodes.html" title="Высокоуровневая классификация клинического документа на макроуровне.">Document Class Value Set</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            EOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQ
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            <span title="DocumentReference.subject : 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).">subject</span> 
            <a name="DocumentReference.subject"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="group.html">Group</a>  | 
            <a href="device.html">Device</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Предмет документа</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
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            TRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="DocumentReference.date : Когда этот document reference был создан.">date</span> 
            <a name="DocumentReference.date"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#instant">instant</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Когда этот document reference создан</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="DocumentReference.author : Определяет, кто ответственен за добавление информации в документ.">author</span> 
            <a name="DocumentReference.author"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="practitionerrole.html">PractitionerRole</a>  | 
            <a href="organization.html">Organization</a>  | 
            <a href="device.html">Device</a>  | 
            <a href="patient.html">Patient</a>  | 
            <a href="relatedperson.html">RelatedPerson</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Кто и/или что является автором документа
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="DocumentReference.authenticator : Какое лицо или организация удостоверяет, что это документ
             действителен.">authenticator</span> 
            <a name="DocumentReference.authenticator"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="organization.html">Organization</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Кто/что подтвердил подлинность документа</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            <span title="DocumentReference.custodian : Определяет организацию или группу, которая несет ответственность
             за текущее обслуживание и доступ к документу.">custodian</span> 
            <a name="DocumentReference.custodian"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="organization.html">Organization</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Организация, отвечающая за обслуживание документа</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
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            <span title="DocumentReference.relatesTo : Взаимосвязи этого документа с другими существующими document
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            <a name="DocumentReference.relatesTo"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Взаимосвязь с другими документами
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAR
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            <span title="DocumentReference.relatesTo.code : Тип взаимосвязи этого документа с другим документом.">code</span> 
            <a name="DocumentReference.relatesTo.code"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">replaces | transforms | signs | appends
            <br/>  
            <a href="valueset-document-relationship-type.html" title="Тип взаимосвязи между документами.">DocumentRelationshipType</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">Required</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
          sPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="DocumentReference.relatesTo.target : Целевой документ этой взаимосвязи.">target</span> 
            <a name="DocumentReference.relatesTo.target"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="documentreference.html">DocumentReference</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Целевой документ взаимосвязи</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="DocumentReference.description : Human-readable description of the source document.">description</span> 
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#string">string</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <span title="DocumentReference.securityLabel : A set of Security-Tag codes specifying the level of
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             security labels of the &quot;reference&quot; to the document, while DocumentReference.securityLabel
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Теги уровня безопасности документа
            <br/>  
            <a href="valueset-security-labels.html" title="Security Labels from the Healthcare Privacy and Security Classification System.">SecurityLabels</a>  (
            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.">Extensible</a> )
            <br/>  
          </td> 
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            <span title="DocumentReference.content : Документ и формат. Допустимо повторение элемента &quot;content&quot;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Описываемый документ
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="DocumentReference.content.attachment : Документ или URL-адрес документа вместе с важными
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            <a name="DocumentReference.content.attachment"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Attachment">Attachment</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Где доступен документ</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a name="DocumentReference.content.format"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Правила форматирования и структуры содержимого документа
            <br/>  
            <a href="valueset-formatcodes.html" title="Код формата документа.">DocumentReference Format Code Set</a>  (
            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes
             but are not required to do so to be considered conformant.">Preferred</a> )
          </td> 
        </tr> 

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            <span title="DocumentReference.context : Клинический контекст, в котором документ был подготовлен.">context</span> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Клинический контекст документа</td> 
        </tr> 

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="encounter.html">Encounter</a>  | 
            <a href="episodeofcare.html">EpisodeOfCare</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Контекст документа
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="DocumentReference.context.event : Этот перечень кодов представляет собой задокументированные
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             событие берется из typeCode, например &quot;History and Physical Report&quot;, в котором
             документируемой процедурой обязательно будет акт &quot;History and Physical&quot;.">event</span> 
            <a name="DocumentReference.context.event"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Задокументированные основные клинические акты
            <br/>  
            <a href="v3/ActCode/vs.html" title="Перечень кодов основных документируемых клинических актов.">v3 Code System ActCode</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
            <br/>  
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; background-color: white" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="datatypes.html#Period">Period</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Время услуги, которая документируется</td> 
        </tr> 

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            FVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="DocumentReference.context.facilityType : Вид заведения, где наблюдался пациент.">facilityType</span> 
            <a name="DocumentReference.context.facilityType"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Вид заведения, где наблюдался пациент
            <br/>  
            <a href="valueset-c80-facilitycodes.html" title="XDS Facility Type.">Facility Type Code Value Set</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYA
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiY
            FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
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            szv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866O
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            wbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iS
            FVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="DocumentReference.context.practiceSetting : Это свойство может передавать подробности
             рабочих условий, в которых был создан контент, часто отражающие клиническую специальность.">practiceSetting</span> 
            <a name="DocumentReference.context.practiceSetting"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Дополнительная информация о том, где создавался контент (например клиническая специальность)
            <br/>  
            <a href="valueset-c80-practice-codes.html" title="Дополнительная информация о том, где был создан данный контент (например клиническая специальность).">Practice Setting Code Value Set</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYA
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiY
            FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav
            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
            wv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjE
            EOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQ
            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="DocumentReference.context.sourcePatientInfo : Информация о пациенте, известная на момент
             публикации документа. Может быть ссылкой на конкретную версию или вложенный ресурс.">sourcePatientInfo</span> 
            <a name="DocumentReference.context.sourcePatientInfo"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="patient.html">Patient</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Демографическая информация о пациенте</td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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          AASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiY
            FCMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
            3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUO
            L+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj
            wv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjE
            EOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQ
            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="DocumentReference.context.related : Связанные идентификаторы или ресурсы, сопутствующие
             данному DocumentReference.">related</span> 
            <a name="DocumentReference.context.related"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="resourcelist.html">Any</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">Related identifiers or resources
            <br/>  
          </td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Документация по этому формату
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
    <valueCode value="not-classified"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="sd"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> 
  <version value="3.6.0"/> 
  <name value="DocumentReference"/> 
  <status value="draft"/> 
  <date value="2019-05-17T12:34:53+00:00"/> 
  <publisher value="Health Level Seven International (Structured Documents)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/structure/index.cfm"/> 
    </telecom> 
  </contact> 
  <description value="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 value="3.6.0"/> 
  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="fhircomposition"/> 
    <uri value="http://hl7.org/fhir/composition"/> 
    <name value="FHIR Composition"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="cda"/> 
    <uri value="http://hl7.org/v3/cda"/> 
    <name value="CDA (R2)"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="xds"/> 
    <uri value="http://ihe.net/xds"/> 
    <name value="XDS metadata equivalent"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="DocumentReference"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="DocumentReference">
      <path value="DocumentReference"/> 
      <short value="Ссылка на документ"/> 
      <definition value="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 value="Как правило, используется для других документов, а не тех, что определены FHIR."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DocumentReference"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН содержать описательной части"/> 
        <expression value="contained.contained.empty()"/> 
        <xpath value="not(parent::f:contained and f:contained)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <human value="Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН иметь meta.versionId или meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="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 value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonica
        l) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(refer
        ence = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(c
        anonical) = '#').exists()).not()).trace('unmatched', id).empty()"/> 
        <xpath value="not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@va
        lue=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="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."/> 
        </extension> 
        <key value="dom-6"/> 
        <severity value="warning"/> 
        <human value="A resource should have narrative for robust management"/> 
        <expression value="text.div.exists()"/> 
        <xpath value="exists(f:text/h:div)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-5"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> 
        <expression value="contained.meta.security.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="when describing a Composition"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Document[classCode=&quot;DOC&quot; and moodCode=&quot;EVN&quot;]"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="when describing a CDA"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.id">
      <path value="DocumentReference.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="DocumentReference.meta">
      <path value="DocumentReference.meta"/> 
      <short value="Метаданные ресурса"/> 
      <definition value="Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения
       этой информации не всегда можно ассоциировать с версионными изменениями ресурса."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="DocumentReference.implicitRules">
      <path value="DocumentReference.implicitRules"/> 
      <short value="Свод правил, в соответствии с которыми создавалось это содержимое"/> 
      <definition value="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 value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="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 value="true"/> 
    </element> 
    <element id="DocumentReference.language">
      <path value="DocumentReference.language"/> 
      <short value="Язык содержимого ресурса"/> 
      <definition value="Основной язык, на котором написан ресурс."/> 
      <comment value="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

Не 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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Естественный язык."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="DocumentReference.text">
      <path value="DocumentReference.text"/> 
      <short value="Краткое текстовое изложение ресурса для интерпретации человеком"/> 
      <definition value="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 &quot;клинически безопасным&quot;.
       Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной
       части для обеспечения клинической безопасной."/> 
      <comment value="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 &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded information is added
       later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.contained">
      <path value="DocumentReference.contained"/> 
      <short value="Вложенные, встроенные инлайн ресурсы"/> 
      <definition value="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 value="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 value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.extension">
      <path value="DocumentReference.extension"/> 
      <short value="Дополнительное содержимое, определенное реализаторами"/> 
      <definition value="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 value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.modifierExtension">
      <path value="DocumentReference.modifierExtension"/> 
      <short value="Расширения, которые нельзя игнорировать"/> 
      <definition value="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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.masterIdentifier">
      <path value="DocumentReference.masterIdentifier"/> 
      <short value="Идентификатор, специфичный для мастер-версии"/> 
      <definition value="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 value="CDA Document Id extension and root."/> 
      <requirements value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.masterIdentifier"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-12"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.uniqueId"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/id"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.identifier">
      <path value="DocumentReference.identifier"/> 
      <short value="Другие идентификаторы для этого документа"/> 
      <definition value="Другие идентификаторы, ассоциированные с документом, включая версионно-независимые идентификаторы."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DocumentReference.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-16?"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id / .setId"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.entryUUID"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.status">
      <path value="DocumentReference.status"/> 
      <short value="current | superseded | entered-in-error"/> 
      <definition value="Статус документа."/> 
      <comment value="This is the status of the DocumentReference object, which might be independent from the
       docStatus element.

This element is labeled as a modifier because the status contains the codes that mark
       the document or reference as not currently valid."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.status"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="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 value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentReferenceStatus"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The status of the document reference."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/document-reference-status"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-19"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="interim: .completionCode=&quot;IN&quot; &amp; ./statusCode[isNormalDatatype()]=&quot;active&quot;;
          final: .completionCode=&quot;AU&quot; &amp;&amp;  ./statusCode[isNormalDatatype()]=&quot;complete&q
        uot; and not(./inboundRelationship[typeCode=&quot;SUBJ&quot; and isNormalActRelationship()]/source[su
        bsumesCode(&quot;ActClass#CACT&quot;) and moodCode=&quot;EVN&quot; and domainMember(&quot;ReviseDocum
        ent&quot;, code) and isNormalAct()]);  amended: .completionCode=&quot;AU&quot; &amp;&amp;
          ./statusCode[isNormalDatatype()]=&quot;complete&quot; and ./inboundRelationship[typeCode=&quot;SUBJ
        &quot; and isNormalActRelationship()]/source[subsumesCode(&quot;ActClass#CACT&quot;) and
         moodCode=&quot;EVN&quot; and domainMember(&quot;ReviseDocument&quot;, code) and isNormalAct()
         and statusCode=&quot;completed&quot;];  withdrawn : .completionCode=NI &amp;&amp;  ./statusCode[isNo
        rmalDatatype()]=&quot;obsolete&quot;"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.availabilityStatus"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.docStatus">
      <path value="DocumentReference.docStatus"/> 
      <short value="preliminary | final | appended | amended | entered-in-error"/> 
      <definition value="Статус лежащего в основе документа."/> 
      <comment value="Документ, на который указывается, может находиться в различных статусах жизненного цикла."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.docStatus"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ReferredDocumentStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Статус лежащего в основе документа."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/composition-status"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.status"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-17"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".statusCode"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.type">
      <path value="DocumentReference.type"/> 
      <short value="Вид документа (LOINC-код, если возможно)"/> 
      <definition value="Определяет конкретный вид документа (например анамнез и физикальный осмотр, выписной эпикриз,
       текущие заметки). Как правило, он совпадает с целью составления этого документа."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.type"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentC80Type"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Точный тип клинического документа."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/c80-doc-typecodes"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.type"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-2"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./code"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.type"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/code/@code 

The 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."/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.category">
      <path value="DocumentReference.category"/> 
      <short value="Классификация документа"/> 
      <definition value="Классификация типа документа - содействует индексации и поиску. Может подразумеваться
       или вытекать из кода, указанного в элементе DocumentReference.type."/> 
      <comment value="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 value="claxs"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DocumentReference.category"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentC80Class"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Высокоуровневая классификация клинического документа на макроуровне."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/document-classcodes"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.class"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=&quot;COMP].target[classCode=&quot;LIST&quot;, moodCode=&quot;EVN&quo
        t;].code"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.class"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="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"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.subject">
      <path value="DocumentReference.subject"/> 
      <short value="Предмет документа"/> 
      <definition value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.subject"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=&quot;SBJ&quot;].role[typeCode=&quot;PAT&quot;]"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.patientId"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/recordTarget/"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.date">
      <path value="DocumentReference.date"/> 
      <short value="Когда этот document reference создан"/> 
      <definition value="Когда этот document reference был создан."/> 
      <comment value="Время ссылки/индексации используется для отслеживания, организации версий и поиска."/> 
      <alias value="indexed"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.date"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="instant"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.occurrence[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.date"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".availabilityTime[type=&quot;TS&quot;]"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.creationTime"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/effectiveTime"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.author">
      <path value="DocumentReference.author"/> 
      <short value="Кто и/или что является автором документа"/> 
      <definition value="Определяет, кто ответственен за добавление информации в документ."/> 
      <comment value="Это не обязательно тот, кто фактически выполнил ввод данных (т. е. машинистка) или был
       источником (информатором)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DocumentReference.author"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.author"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.author"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/author"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.authenticator">
      <path value="DocumentReference.authenticator"/> 
      <short value="Кто/что подтвердил подлинность документа"/> 
      <definition value="Какое лицо или организация удостоверяет, что это документ действителен."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.authenticator"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.witness"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.attester"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-10"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=&quot;AUTHEN&quot;].role[classCode=&quot;ASSIGNED&quot;]"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.legalAuthenticator"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/legalAuthenticator"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.custodian">
      <path value="DocumentReference.custodian"/> 
      <short value="Организация, отвечающая за обслуживание документа"/> 
      <definition value="Определяет организацию или группу, которая несет ответственность за текущее обслуживание
       и доступ к документу."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.custodian"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.custodian"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=&quot;RCV&quot;].role[classCode=&quot;CUST&quot;].scoper[classCode=&quot;ORG
        &quot; and determinerCode=&quot;INST&quot;]"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.relatesTo">
      <path value="DocumentReference.relatesTo"/> 
      <short value="Взаимосвязь с другими документами"/> 
      <definition value="Взаимосвязи этого документа с другими существующими document references."/> 
      <comment value="This element is labeled as a modifier because documents that append to other documents
       are incomplete on their own."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DocumentReference.relatesTo"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.relatesTo"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry Associations"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.relatesTo.id">
      <path value="DocumentReference.relatesTo.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.relatesTo.extension">
      <path value="DocumentReference.relatesTo.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="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 value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.relatesTo.modifierExtension">
      <path value="DocumentReference.relatesTo.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.relatesTo.code">
      <path value="DocumentReference.relatesTo.code"/> 
      <short value="replaces | transforms | signs | appends"/> 
      <definition value="Тип взаимосвязи этого документа с другим документом."/> 
      <comment value="Если данный документ добавляет еще один документ, то документ не может быть полностью
       понят без доступа к указанному документу."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.relatesTo.code"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentRelationshipType"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Тип взаимосвязи между документами."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type"/> 
      </binding> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.relatesTo.code"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship.typeCode"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry Associations type"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.relatesTo.target">
      <path value="DocumentReference.relatesTo.target"/> 
      <short value="Целевой документ взаимосвязи"/> 
      <definition value="Целевой документ этой взаимосвязи."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.relatesTo.target"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.relatesTo.target"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".target[classCode=&quot;DOC&quot;, moodCode=&quot;EVN&quot;].id"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry Associations reference"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.description">
      <path value="DocumentReference.description"/> 
      <short value="Human-readable description"/> 
      <definition value="Human-readable description of the source document."/> 
      <comment value="What the document is about,  a terse summary of the document."/> 
      <requirements value="Помогает людям оценивать, представляет ли документ интерес."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.description"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-25"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=&quot;SUBJ&quot;].target.text"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.comments"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.securityLabel">
      <path value="DocumentReference.securityLabel"/> 
      <short value="Теги уровня безопасности документа"/> 
      <definition value="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 &quot;reference&quot;
       to the document, while DocumentReference.securityLabel contains a snapshot of the security
       labels on the document the reference refers to."/> 
      <comment value="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.   

In 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 value="Рекомендуется применять систему классификации тегов уровня безопасности Health Care Privacy/Security
       Classification (HCS)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DocumentReference.securityLabel"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SecurityLabels"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Security Labels from the Healthcare Privacy and Security Classification System."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/security-labels"/> 
      </binding> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.confidentiality, Composition.meta.security"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-18"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".confidentialityCode"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.confidentialityCode"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/confidentialityCode/@code"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.content">
      <path value="DocumentReference.content"/> 
      <short value="Описываемый документ"/> 
      <definition value="Документ и формат. Допустимо повторение элемента &quot;content&quot; с указанием разных
       форматов."/> 
      <min value="1"/> 
      <max value="*"/> 
      <base> 
        <path value="DocumentReference.content"/> 
        <min value="1"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Bundle(Composition+*)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="document.text"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.content.id">
      <path value="DocumentReference.content.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.content.extension">
      <path value="DocumentReference.content.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="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 value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.content.modifierExtension">
      <path value="DocumentReference.content.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.content.attachment">
      <path value="DocumentReference.content.attachment"/> 
      <short value="Где доступен документ"/> 
      <definition value="Документ или URL-адрес документа вместе с важными метаданными для подтверждения целостности
       содержимого."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.content.attachment"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Attachment"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.language, 
Composition.title, 
Composition.date"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-3 for mime type"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="document.text"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size,
         DocumentEntry.hash, DocumentEntry.title"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/efectiveTime"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.content.format">
      <path value="DocumentReference.content.format"/> 
      <short value="Правила форматирования и структуры содержимого документа"/> 
      <definition value="Идентификатор, определяющий кодировку документа, структуру и шаблон, которому соответствует
       документ помимо базового формата, указанного в mimeType."/> 
      <comment value="Обратите внимание, хотя IHE в основном выпускает URN для типов форматов, не все документы
       могут быть идентифицированы через URI."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.content.format"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Coding"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentFormat"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Код формата документа."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/formatcodes"/> 
      </binding> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.meta.profile"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="document.text"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.formatCode"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="derived from the IHE Profile or Implementation Guide templateID"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.context">
      <path value="DocumentReference.context"/> 
      <short value="Клинический контекст документа"/> 
      <definition value="Клинический контекст, в котором документ был подготовлен."/> 
      <comment value="Эти значения добавляются главным образом для упрощения поиска интересующих/релевантных
       документов."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.context"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outboundRelationship[typeCode=&quot;SUBJ&quot;].target[classCode&lt;'ACT']"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.context.id">
      <path value="DocumentReference.context.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.context.extension">
      <path value="DocumentReference.context.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="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 value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.context.modifierExtension">
      <path value="DocumentReference.context.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.context.encounter">
      <path value="DocumentReference.context.encounter"/> 
      <short value="Контекст документа"/> 
      <definition value="Описывает случай клинического обслуживания или вид помощи, с которым связано содержимое
       документа."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DocumentReference.context.encounter"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.context"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.encounter"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="unique(highest(./outboundRelationship[typeCode=&quot;SUBJ&quot; and isNormalActRelationship()],
         priorityNumber)/target[moodCode=&quot;EVN&quot; and classCode=(&quot;ENC&quot;, &quot;PCPR&quot;)
         and isNormalAct])"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.context.event">
      <path value="DocumentReference.context.event"/> 
      <short value="Задокументированные основные клинические акты"/> 
      <definition value="Этот перечень кодов представляет собой задокументированные основные клинические акты,
       например колоноскопия или аппендэктомия. В некоторых случаях событие берется из typeCode,
       например &quot;History and Physical Report&quot;, в котором документируемой процедурой
       обязательно будет акт &quot;History and Physical&quot;."/> 
      <comment value="Событие может дополнительно специализировать акт, берущийся из типа, например 
, где это просто &quot;Procedure Report&quot; , и процедурой была &quot;colonoscopy&quot;.
       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 value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DocumentReference.context.event"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentEventType"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Перечень кодов основных документируемых клинических актов."/> 
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode"/> 
      </binding> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.event.code"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".code"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.eventCodeList"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.context.period">
      <path value="DocumentReference.context.period"/> 
      <short value="Время услуги, которая документируется"/> 
      <definition value="Период времени, в течение которого услуга, которая описана в документе, была предоставлена."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.context.period"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Period"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.event.period"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".effectiveTime"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/documentationOf/
serviceEvent/effectiveTime/low/
@value --&gt; ClinicalDocument/documentationOf/
serviceEvent/effectiveTime/high/
@value"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.context.facilityType">
      <path value="DocumentReference.context.facilityType"/> 
      <short value="Вид заведения, где наблюдался пациент"/> 
      <definition value="Вид заведения, где наблюдался пациент."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.context.facilityType"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentC80FacilityType"/> 
        </extension> 
        <strength value="example"/> 
        <description value="XDS Facility Type."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/c80-facilitycodes"/> 
      </binding> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="usually from a mapping to a local ValueSet"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=&quot;LOC&quot;].role[classCode=&quot;DSDLOC&quot;].code"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.healthcareFacilityTypeCode"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.context.practiceSetting">
      <path value="DocumentReference.context.practiceSetting"/> 
      <short value="Дополнительная информация о том, где создавался контент (например клиническая специальность)"/> 
      <definition value="Это свойство может передавать подробности рабочих условий, в которых был создан контент,
       часто отражающие клиническую специальность."/> 
      <comment value="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 value="Это важная часть метаданных, на которую часто полагаются поставщики, чтобы быстро отсортировать
       и / или отфильтровать и найти конкретные данные."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.context.practiceSetting"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentC80PracticeSetting"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Дополнительная информация о том, где был создан данный контент (например клиническая специальность)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/c80-practice-codes"/> 
      </binding> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="usually from a mapping to a local ValueSet"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=&quot;LOC&quot;].role[classCode=&quot;DSDLOC&quot;].code"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.practiceSettingCode"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="usually from a mapping to a local ValueSet"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.context.sourcePatientInfo">
      <path value="DocumentReference.context.sourcePatientInfo"/> 
      <short value="Демографическая информация о пациенте"/> 
      <definition value="Информация о пациенте, известная на момент публикации документа. Может быть ссылкой на
       конкретную версию или вложенный ресурс."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DocumentReference.context.sourcePatientInfo"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=&quot;SBJ&quot;].role[typeCode=&quot;PAT&quot;]"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/recordTarget/"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.context.related">
      <path value="DocumentReference.context.related"/> 
      <short value="Related identifiers or resources"/> 
      <definition value="Связанные идентификаторы или ресурсы, сопутствующие данному DocumentReference."/> 
      <comment value="Это могут быть идентификаторы или ресурсы, повлиявшие на создание данного DocumentReference
       или ссылочного документа."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DocumentReference.context.related"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.event.detail"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./outboundRelationship[typeCode=&quot;PERT&quot; and isNormalActRelationship()] / target[isNormalAct
        ]"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.referenceIdList"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/relatedDocument"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="DocumentReference">
      <path value="DocumentReference"/> 
      <short value="Ссылка на документ"/> 
      <definition value="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 value="Как правило, используется для других документов, а не тех, что определены FHIR."/> 
      <min value="0"/> 
      <max value="*"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="when describing a Composition"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Document[classCode=&quot;DOC&quot; and moodCode=&quot;EVN&quot;]"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="when describing a CDA"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.masterIdentifier">
      <path value="DocumentReference.masterIdentifier"/> 
      <short value="Идентификатор, специфичный для мастер-версии"/> 
      <definition value="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 value="CDA Document Id extension and root."/> 
      <requirements value="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 value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-12"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.uniqueId"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/id"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.identifier">
      <path value="DocumentReference.identifier"/> 
      <short value="Другие идентификаторы для этого документа"/> 
      <definition value="Другие идентификаторы, ассоциированные с документом, включая версионно-независимые идентификаторы."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-16?"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id / .setId"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.entryUUID"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.status">
      <path value="DocumentReference.status"/> 
      <short value="current | superseded | entered-in-error"/> 
      <definition value="Статус документа."/> 
      <comment value="This is the status of the DocumentReference object, which might be independent from the
       docStatus element.

This element is labeled as a modifier because the status contains the codes that mark
       the document or reference as not currently valid."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isModifierReason value="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 value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentReferenceStatus"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The status of the document reference."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/document-reference-status"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-19"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="interim: .completionCode=&quot;IN&quot; &amp; ./statusCode[isNormalDatatype()]=&quot;active&quot;;
          final: .completionCode=&quot;AU&quot; &amp;&amp;  ./statusCode[isNormalDatatype()]=&quot;complete&q
        uot; and not(./inboundRelationship[typeCode=&quot;SUBJ&quot; and isNormalActRelationship()]/source[su
        bsumesCode(&quot;ActClass#CACT&quot;) and moodCode=&quot;EVN&quot; and domainMember(&quot;ReviseDocum
        ent&quot;, code) and isNormalAct()]);  amended: .completionCode=&quot;AU&quot; &amp;&amp;
          ./statusCode[isNormalDatatype()]=&quot;complete&quot; and ./inboundRelationship[typeCode=&quot;SUBJ
        &quot; and isNormalActRelationship()]/source[subsumesCode(&quot;ActClass#CACT&quot;) and
         moodCode=&quot;EVN&quot; and domainMember(&quot;ReviseDocument&quot;, code) and isNormalAct()
         and statusCode=&quot;completed&quot;];  withdrawn : .completionCode=NI &amp;&amp;  ./statusCode[isNo
        rmalDatatype()]=&quot;obsolete&quot;"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.availabilityStatus"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.docStatus">
      <path value="DocumentReference.docStatus"/> 
      <short value="preliminary | final | appended | amended | entered-in-error"/> 
      <definition value="Статус лежащего в основе документа."/> 
      <comment value="Документ, на который указывается, может находиться в различных статусах жизненного цикла."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ReferredDocumentStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Статус лежащего в основе документа."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/composition-status"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.status"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-17"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".statusCode"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.type">
      <path value="DocumentReference.type"/> 
      <short value="Вид документа (LOINC-код, если возможно)"/> 
      <definition value="Определяет конкретный вид документа (например анамнез и физикальный осмотр, выписной эпикриз,
       текущие заметки). Как правило, он совпадает с целью составления этого документа."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentC80Type"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Точный тип клинического документа."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/c80-doc-typecodes"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.type"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-2"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./code"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.type"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/code/@code 

The 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."/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.category">
      <path value="DocumentReference.category"/> 
      <short value="Классификация документа"/> 
      <definition value="Классификация типа документа - содействует индексации и поиску. Может подразумеваться
       или вытекать из кода, указанного в элементе DocumentReference.type."/> 
      <comment value="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 value="claxs"/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentC80Class"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Высокоуровневая классификация клинического документа на макроуровне."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/document-classcodes"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.class"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=&quot;COMP].target[classCode=&quot;LIST&quot;, moodCode=&quot;EVN&quo
        t;].code"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.class"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="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"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.subject">
      <path value="DocumentReference.subject"/> 
      <short value="Предмет документа"/> 
      <definition value="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 value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=&quot;SBJ&quot;].role[typeCode=&quot;PAT&quot;]"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.patientId"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/recordTarget/"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.date">
      <path value="DocumentReference.date"/> 
      <short value="Когда этот document reference создан"/> 
      <definition value="Когда этот document reference был создан."/> 
      <comment value="Время ссылки/индексации используется для отслеживания, организации версий и поиска."/> 
      <alias value="indexed"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="instant"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.occurrence[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.date"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".availabilityTime[type=&quot;TS&quot;]"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.creationTime"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/effectiveTime"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.author">
      <path value="DocumentReference.author"/> 
      <short value="Кто и/или что является автором документа"/> 
      <definition value="Определяет, кто ответственен за добавление информации в документ."/> 
      <comment value="Это не обязательно тот, кто фактически выполнил ввод данных (т. е. машинистка) или был
       источником (информатором)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.author"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=&quot;AUT&quot;].role[classCode=&quot;ASSIGNED&quot;]"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.author"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/author"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.authenticator">
      <path value="DocumentReference.authenticator"/> 
      <short value="Кто/что подтвердил подлинность документа"/> 
      <definition value="Какое лицо или организация удостоверяет, что это документ действителен."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.witness"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.attester"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-10"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=&quot;AUTHEN&quot;].role[classCode=&quot;ASSIGNED&quot;]"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.legalAuthenticator"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/legalAuthenticator"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.custodian">
      <path value="DocumentReference.custodian"/> 
      <short value="Организация, отвечающая за обслуживание документа"/> 
      <definition value="Определяет организацию или группу, которая несет ответственность за текущее обслуживание
       и доступ к документу."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.custodian"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=&quot;RCV&quot;].role[classCode=&quot;CUST&quot;].scoper[classCode=&quot;ORG
        &quot; and determinerCode=&quot;INST&quot;]"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.relatesTo">
      <path value="DocumentReference.relatesTo"/> 
      <short value="Взаимосвязь с другими документами"/> 
      <definition value="Взаимосвязи этого документа с другими существующими document references."/> 
      <comment value="This element is labeled as a modifier because documents that append to other documents
       are incomplete on their own."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.relatesTo"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry Associations"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.relatesTo.code">
      <path value="DocumentReference.relatesTo.code"/> 
      <short value="replaces | transforms | signs | appends"/> 
      <definition value="Тип взаимосвязи этого документа с другим документом."/> 
      <comment value="Если данный документ добавляет еще один документ, то документ не может быть полностью
       понят без доступа к указанному документу."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentRelationshipType"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Тип взаимосвязи между документами."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/document-relationship-type"/> 
      </binding> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.relatesTo.code"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship.typeCode"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry Associations type"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.relatesTo.target">
      <path value="DocumentReference.relatesTo.target"/> 
      <short value="Целевой документ взаимосвязи"/> 
      <definition value="Целевой документ этой взаимосвязи."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.relatesTo.target"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".target[classCode=&quot;DOC&quot;, moodCode=&quot;EVN&quot;].id"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry Associations reference"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.description">
      <path value="DocumentReference.description"/> 
      <short value="Human-readable description"/> 
      <definition value="Human-readable description of the source document."/> 
      <comment value="What the document is about,  a terse summary of the document."/> 
      <requirements value="Помогает людям оценивать, представляет ли документ интерес."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-25"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=&quot;SUBJ&quot;].target.text"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.comments"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.securityLabel">
      <path value="DocumentReference.securityLabel"/> 
      <short value="Теги уровня безопасности документа"/> 
      <definition value="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 &quot;reference&quot;
       to the document, while DocumentReference.securityLabel contains a snapshot of the security
       labels on the document the reference refers to."/> 
      <comment value="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.   

In 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 value="Рекомендуется применять систему классификации тегов уровня безопасности Health Care Privacy/Security
       Classification (HCS)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SecurityLabels"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Security Labels from the Healthcare Privacy and Security Classification System."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/security-labels"/> 
      </binding> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.confidentiality, Composition.meta.security"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-18"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".confidentialityCode"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.confidentialityCode"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/confidentialityCode/@code"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.content">
      <path value="DocumentReference.content"/> 
      <short value="Описываемый документ"/> 
      <definition value="Документ и формат. Допустимо повторение элемента &quot;content&quot; с указанием разных
       форматов."/> 
      <min value="1"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Bundle(Composition+*)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="document.text"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.content.attachment">
      <path value="DocumentReference.content.attachment"/> 
      <short value="Где доступен документ"/> 
      <definition value="Документ или URL-адрес документа вместе с важными метаданными для подтверждения целостности
       содержимого."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Attachment"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="fhircomposition"/> 
        <map value="Composition.language, 
Composition.title, 
Composition.date"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="TXA-3 for mime type"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="document.text"/> 
      </mapping> 
      <mapping> 
        <identity value="xds"/> 
        <map value="DocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size,
         DocumentEntry.hash, DocumentEntry.title"/> 
      </mapping> 
      <mapping> 
        <identity value="cda"/> 
        <map value="ClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/efectiveTime"/> 
      </mapping> 
    </element> 
    <element id="DocumentReference.content.format">
      <path value="DocumentReference.content.format"/> 
      <short value="Правила форматирования и структуры содержимого документа"/> 
      <definition value="Идентификатор, определяющий кодировку документа, структуру и шаблон, которому соответствует
       документ помимо базового формата, указанного в mimeType."/> 
      <comment value="Обратите внимание, хотя IHE в основном выпускает URN для типов форматов, не все документы
       могут быть идентифицированы через URI."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Coding"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DocumentFormat"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Код формата документа."/> 
        <valueSet