This page is part of the FHIR Specification (v4.3.0: R4B -  STU). This is a downloaded version of the specification.  For a full list of available versions, see the Directory of published versions 
Structured Documents   Work Group | Maturity Level: 2 | Trial Use | Security Category: Not Classified | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson | 
Detailed Descriptions for the elements in the DocumentManifest resource.
| DocumentManifest | |
| Element Id | DocumentManifest | 
| Definition | A collection of documents compiled for a purpose together with metadata that applies to the collection.  | 
| Cardinality | 0..* | 
| Type | DomainResource | 
| Summary | false | 
| DocumentManifest.masterIdentifier | |
| Element Id | DocumentManifest.masterIdentifier | 
| Definition | A single identifier that uniquely identifies this manifest. Principally used to refer to the manifest in non-FHIR contexts.  | 
| Cardinality | 0..1 | 
| Type | Identifier | 
| Summary | true | 
| DocumentManifest.identifier | |
| Element Id | DocumentManifest.identifier | 
| Definition | Other identifiers associated with the document manifest, including version independent identifiers.  | 
| Note | This is a business identifier, not a resource identifier (see discussion) | 
| Cardinality | 0..* | 
| Type | Identifier | 
| Summary | true | 
| DocumentManifest.status | |
| Element Id | DocumentManifest.status | 
| Definition | The status of this document manifest.  | 
| Cardinality | 1..1 | 
| Terminology Binding | DocumentReferenceStatus (Required) | 
| Type | code | 
| Is Modifier | true (Reason: 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) | 
| Summary | true | 
| Comments | This element is labeled as a modifier because the status contains the codes that mark the manifest as not currently valid.  | 
| DocumentManifest.type | |
| Element Id | DocumentManifest.type | 
| Definition | The code specifying the type of clinical activity that resulted in placing the associated content into the DocumentManifest.  | 
| Cardinality | 0..1 | 
| Terminology Binding | v3 Code System ActCode   (Example) | 
| Type | CodeableConcept | 
| Summary | true | 
| Comments | Specifies the kind of this set of documents (e.g. Patient Summary, Discharge Summary, Prescription, etc.). The type of a set of documents may be the same as one of the documents in it - especially if there is only one - but it may be wider.  | 
| DocumentManifest.subject | |
| Element Id | DocumentManifest.subject | 
| Definition | Who or what the set of documents is about. The documents can be about a person, (patient or healthcare practitioner), a device (i.e. machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure). If the documents cross more than one subject, then more than one subject is allowed here (unusual use case).  | 
| Cardinality | 0..1 | 
| Type | Reference(Patient | Practitioner | Group | Device) | 
| Summary | true | 
| DocumentManifest.created | |
| Element Id | DocumentManifest.created | 
| Definition | When the document manifest was created for submission to the server (not necessarily the same thing as the actual resource last modified time, since it may be modified, replicated, etc.).  | 
| Cardinality | 0..1 | 
| Type | dateTime | 
| Summary | false | 
| Comments | Creation time is used for tracking, organizing versions and searching. This is the creation time of the document set, not the documents on which it is based.  | 
| DocumentManifest.author | |
| Element Id | DocumentManifest.author | 
| Definition | Identifies who is the author of the manifest. Manifest author is not necessarly the author of the references included.  | 
| Cardinality | 0..* | 
| Type | Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) | 
| Summary | true | 
| Comments | Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant).  | 
| DocumentManifest.recipient | |
| Element Id | DocumentManifest.recipient | 
| Definition | A patient, practitioner, or organization for which this set of documents is intended.  | 
| Cardinality | 0..* | 
| Type | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | 
| Summary | false | 
| Comments | How the recipient receives the document set or is notified of it is up to the implementation. This element is just a statement of intent. If the recipient is a person, and it is not known whether the person is a patient or a practitioner, RelatedPerson would be the default choice.  | 
| DocumentManifest.source | |
| Element Id | DocumentManifest.source | 
| Definition | Identifies the source system, application, or software that produced the document manifest.  | 
| Cardinality | 0..1 | 
| Type | uri | 
| Summary | false | 
| DocumentManifest.description | |
| Element Id | DocumentManifest.description | 
| Definition | Human-readable description of the source document. This is sometimes known as the "title".  | 
| Cardinality | 0..1 | 
| Type | string | 
| Requirements | Helps humans to assess whether the document is of interest.  | 
| Summary | true | 
| Comments | What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a "consultation" or "progress note").  | 
| DocumentManifest.content | |
| Element Id | DocumentManifest.content | 
| Definition | The list of Resources that consist of the parts of this manifest.  | 
| Cardinality | 1..* | 
| Type | Reference(Any) | 
| Requirements | Any Resources are allowed to be grouped in a Manifest. The manifest brings context to the group.  | 
| Summary | true | 
| Comments | When used for XDS the intended focus of the DocumentManifest is for the reference to target to be a set of DocumentReference Resources. The reference is to "Any" to support EN 13606 usage, where an extract is DocumentManifest that references List and Composition resources.  | 
| DocumentManifest.related | |
| Element Id | DocumentManifest.related | 
| Definition | Related identifiers or resources associated with the DocumentManifest.  | 
| Cardinality | 0..* | 
| Summary | false | 
| Comments | May be identifiers or resources that caused the DocumentManifest to be created.  | 
| DocumentManifest.related.identifier | |
| Element Id | DocumentManifest.related.identifier | 
| Definition | Related identifier to this DocumentManifest. For example, Order numbers, accession numbers, XDW workflow numbers.  | 
| Note | This is a business identifier, not a resource identifier (see discussion) | 
| Cardinality | 0..1 | 
| Type | Identifier | 
| Summary | false | 
| Comments | If both identifier and ref elements are present they shall refer to the same thing.  | 
| DocumentManifest.related.ref | |
| Element Id | DocumentManifest.related.ref | 
| Definition | Related Resource to this DocumentManifest. For example, Order, ServiceRequest, Procedure, EligibilityRequest, etc.  | 
| Cardinality | 0..1 | 
| Type | Reference(Any) | 
| Summary | false | 
| Comments | If both identifier and ref elements are present they shall refer to the same thing.  |