Soigneur FHIR Implementation Guide
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Soigneur FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Raw Provider File Index (DocumentReference)

Official URL: https://fhir.soigneur.coach/fhir/StructureDefinition/cc-raw-file-index Version: 0.1.0
Draft as of 2026-11-14 Computable Name: CcRawFileIndex

Copyright/Legal: Copyright (c) Soigneur. Licensed under CC0-1.0 (public domain dedication). FHIR(R) is the registered trademark of HL7 and is used with permission.

Searchable index for a raw provider Binary (04 15.6 / 15.7). A Binary is not itself searchable (FHIR spec) and is not a valid Observation.derivedFrom target (R4), so a DocumentReference carries the discoverable metadata and points at the blob via content.attachment.url → Binary/{id}. Derived Observations (e.g. the CcActivityGroup and its sampled stream) reference THIS resource via derivedFrom; the download/translate lineage back to the raw blob is carried by the CcTranslationProvenance entity[source]. When the provider serves the original export file (e.g. the downloaded FIT), it is stored as a second Binary and indexed as a second content entry — the same document in its native format — so every raw blob is reachable over a FHIR edge (never only by id convention, issue #660).

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DocumentReference 0..* DocumentReference A reference to a document
DocumentReference.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
DocumentReference.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DocumentReference.masterIdentifier This element is included in summaries. 0..1 Identifier The source artifact's provider id, per source + version (e.g. Garmin activityId) — the download-idempotency key (04 13.5), NOT the consolidated-activity pointer (that is the CcActivityGroup Observation, 13.6)
DocumentReference.status This element is a modifier element. This element is included in summaries. 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
DocumentReference.subject This element is included in summaries. 1..1 Reference(Soigneur Athlete (Patient)) The athlete this raw file belongs to
DocumentReference.content This element is included in summaries. 1..2 BackboneElement Document referenced
DocumentReference.content.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment This element is included in summaries. 1..1 Attachment Where to access the document
DocumentReference.content.attachment.contentType This element is included in summaries. 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Beispiel General: text/plain; charset=UTF-8, image/png
DocumentReference.content.attachment.url This element is included in summaries. 1..1 url Relative reference to the raw Binary (Binary/{id}); a second entry, when present, indexes the original provider export-file Binary
Beispiel General: http://www.acme.com/logo-small.png

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Beschreibung Expression

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DocumentReference 0..* DocumentReference A reference to a document
DocumentReference.masterIdentifier 0..1 Identifier The source artifact's provider id, per source + version (e.g. Garmin activityId) — the download-idempotency key (04 13.5), NOT the consolidated-activity pointer (that is the CcActivityGroup Observation, 13.6)
DocumentReference.subject 1..1 Reference(Soigneur Athlete (Patient)) The athlete this raw file belongs to
DocumentReference.content 1..2 BackboneElement Document referenced
DocumentReference.content.attachment
DocumentReference.content.attachment.contentType 1..1 code Mime type of the content, with charset etc.
DocumentReference.content.attachment.url 1..1 url Relative reference to the raw Binary (Binary/{id}); a second entry, when present, indexes the original provider export-file Binary
DocumentReference.context.related 0..* Reference(Activity Group Observation) The Activity Group Observation(s) derived from this raw file

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
DocumentReference 0..* DocumentReference A reference to a document
DocumentReference.id This element is included in summaries. 0..1 id Logical id of this artifact
DocumentReference.meta This element is included in summaries. 0..1 Meta Metadata about the resource
DocumentReference.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
DocumentReference.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
DocumentReference.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
DocumentReference.contained 0..* Resource Contained, inline Resources
DocumentReference.extension 0..* Extension Additional content defined by implementations
DocumentReference.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DocumentReference.masterIdentifier This element is included in summaries. 0..1 Identifier The source artifact's provider id, per source + version (e.g. Garmin activityId) — the download-idempotency key (04 13.5), NOT the consolidated-activity pointer (that is the CcActivityGroup Observation, 13.6)
DocumentReference.identifier This element is included in summaries. 0..* Identifier Other identifiers for the document
DocumentReference.status This element is a modifier element. This element is included in summaries. 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
DocumentReference.docStatus This element is included in summaries. 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.
DocumentReference.type This element is included in summaries. 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
DocumentReference.category This element is included in summaries. 0..* CodeableConcept Categorization of document
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
DocumentReference.subject This element is included in summaries. 1..1 Reference(Soigneur Athlete (Patient)) The athlete this raw file belongs to
DocumentReference.date This element is included in summaries. 0..1 instant When this document reference was created
DocumentReference.author This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Who and/or what authored the document
DocumentReference.authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what authenticated the document
DocumentReference.custodian 0..1 Reference(Organization) Organization which maintains the document
DocumentReference.relatesTo This element is included in summaries. 0..* BackboneElement Relationships to other documents
DocumentReference.relatesTo.id 0..1 string Unique id for inter-element referencing
DocumentReference.relatesTo.extension 0..* Extension Additional content defined by implementations
DocumentReference.relatesTo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.relatesTo.code This element is included in summaries. 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
DocumentReference.relatesTo.target This element is included in summaries. 1..1 Reference(DocumentReference) Target of the relationship
DocumentReference.description This element is included in summaries. 0..1 string Human-readable description
DocumentReference.securityLabel This element is included in summaries. 0..* CodeableConcept Document security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
DocumentReference.content This element is included in summaries. 1..2 BackboneElement Document referenced
DocumentReference.content.id 0..1 string Unique id for inter-element referencing
DocumentReference.content.extension 0..* Extension Additional content defined by implementations
DocumentReference.content.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment This element is included in summaries. 1..1 Attachment Where to access the document
DocumentReference.content.attachment.id 0..1 string Unique id for inter-element referencing
DocumentReference.content.attachment.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DocumentReference.content.attachment.contentType This element is included in summaries. 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Beispiel General: text/plain; charset=UTF-8, image/png
DocumentReference.content.attachment.language This element is included in summaries. 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Beispiel General: en-AU
DocumentReference.content.attachment.data 0..1 base64Binary Data inline, base64ed
DocumentReference.content.attachment.url This element is included in summaries. 1..1 url Relative reference to the raw Binary (Binary/{id}); a second entry, when present, indexes the original provider export-file Binary
Beispiel General: http://www.acme.com/logo-small.png
DocumentReference.content.attachment.size This element is included in summaries. 0..1 unsignedInt Number of bytes of content (if url provided)
DocumentReference.content.attachment.hash This element is included in summaries. 0..1 base64Binary Hash of the data (sha-1, base64ed)
DocumentReference.content.attachment.title This element is included in summaries. 0..1 string Label to display in place of the data
Beispiel General: Official Corporate Logo
DocumentReference.content.attachment.creation This element is included in summaries. 0..1 dateTime Date attachment was first created
DocumentReference.content.format This element is included in summaries. 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
DocumentReference.context This element is included in summaries. 0..1 BackboneElement Clinical context of document
DocumentReference.context.id 0..1 string Unique id for inter-element referencing
DocumentReference.context.extension 0..* Extension Additional content defined by implementations
DocumentReference.context.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.context.encounter 0..* Reference(Encounter | EpisodeOfCare) Context of the document content
DocumentReference.context.event 0..* CodeableConcept Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
DocumentReference.context.period This element is included in summaries. 0..1 Period Time of service that is being documented
DocumentReference.context.facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
DocumentReference.context.practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
DocumentReference.context.sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
DocumentReference.context.related 0..* Reference(Activity Group Observation) The Activity Group Observation(s) derived from this raw file

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.docStatus Base required CompositionStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base preferred Document Type Value Set 📍4.0.1 FHIR Std.
DocumentReference.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content.​format Base preferred DocumentReference Format Code Set 📍4.0.1 FHIR Std.
DocumentReference.context.​event Base example v3 Code System ActCode 📦3.0.0 THO v7.5
DocumentReference.context.​facilityType Base example Facility Type Code Value Set 📍4.0.1 FHIR Std.
DocumentReference.context.​practiceSetting Base example Practice Setting Code Value Set 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Beschreibung Expression

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DocumentReference 0..* DocumentReference A reference to a document
DocumentReference.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
DocumentReference.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DocumentReference.masterIdentifier This element is included in summaries. 0..1 Identifier The source artifact's provider id, per source + version (e.g. Garmin activityId) — the download-idempotency key (04 13.5), NOT the consolidated-activity pointer (that is the CcActivityGroup Observation, 13.6)
DocumentReference.status This element is a modifier element. This element is included in summaries. 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
DocumentReference.subject This element is included in summaries. 1..1 Reference(Soigneur Athlete (Patient)) The athlete this raw file belongs to
DocumentReference.content This element is included in summaries. 1..2 BackboneElement Document referenced
DocumentReference.content.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment This element is included in summaries. 1..1 Attachment Where to access the document
DocumentReference.content.attachment.contentType This element is included in summaries. 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Beispiel General: text/plain; charset=UTF-8, image/png
DocumentReference.content.attachment.url This element is included in summaries. 1..1 url Relative reference to the raw Binary (Binary/{id}); a second entry, when present, indexes the original provider export-file Binary
Beispiel General: http://www.acme.com/logo-small.png

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Beschreibung Expression

Differential View

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DocumentReference 0..* DocumentReference A reference to a document
DocumentReference.masterIdentifier 0..1 Identifier The source artifact's provider id, per source + version (e.g. Garmin activityId) — the download-idempotency key (04 13.5), NOT the consolidated-activity pointer (that is the CcActivityGroup Observation, 13.6)
DocumentReference.subject 1..1 Reference(Soigneur Athlete (Patient)) The athlete this raw file belongs to
DocumentReference.content 1..2 BackboneElement Document referenced
DocumentReference.content.attachment
DocumentReference.content.attachment.contentType 1..1 code Mime type of the content, with charset etc.
DocumentReference.content.attachment.url 1..1 url Relative reference to the raw Binary (Binary/{id}); a second entry, when present, indexes the original provider export-file Binary
DocumentReference.context
DocumentReference.context.related 0..* Reference(Activity Group Observation) The Activity Group Observation(s) derived from this raw file

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DocumentReference 0..* DocumentReference A reference to a document
DocumentReference.id This element is included in summaries. 0..1 id Logical id of this artifact
DocumentReference.meta This element is included in summaries. 0..1 Meta Metadata about the resource
DocumentReference.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
DocumentReference.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
DocumentReference.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
DocumentReference.contained 0..* Resource Contained, inline Resources
DocumentReference.extension 0..* Extension Additional content defined by implementations
DocumentReference.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DocumentReference.masterIdentifier This element is included in summaries. 0..1 Identifier The source artifact's provider id, per source + version (e.g. Garmin activityId) — the download-idempotency key (04 13.5), NOT the consolidated-activity pointer (that is the CcActivityGroup Observation, 13.6)
DocumentReference.identifier This element is included in summaries. 0..* Identifier Other identifiers for the document
DocumentReference.status This element is a modifier element. This element is included in summaries. 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
DocumentReference.docStatus This element is included in summaries. 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.
DocumentReference.type This element is included in summaries. 0..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
DocumentReference.category This element is included in summaries. 0..* CodeableConcept Categorization of document
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
DocumentReference.subject This element is included in summaries. 1..1 Reference(Soigneur Athlete (Patient)) The athlete this raw file belongs to
DocumentReference.date This element is included in summaries. 0..1 instant When this document reference was created
DocumentReference.author This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Who and/or what authored the document
DocumentReference.authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what authenticated the document
DocumentReference.custodian 0..1 Reference(Organization) Organization which maintains the document
DocumentReference.relatesTo This element is included in summaries. 0..* BackboneElement Relationships to other documents
DocumentReference.relatesTo.id 0..1 string Unique id for inter-element referencing
DocumentReference.relatesTo.extension 0..* Extension Additional content defined by implementations
DocumentReference.relatesTo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.relatesTo.code This element is included in summaries. 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
DocumentReference.relatesTo.target This element is included in summaries. 1..1 Reference(DocumentReference) Target of the relationship
DocumentReference.description This element is included in summaries. 0..1 string Human-readable description
DocumentReference.securityLabel This element is included in summaries. 0..* CodeableConcept Document security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
DocumentReference.content This element is included in summaries. 1..2 BackboneElement Document referenced
DocumentReference.content.id 0..1 string Unique id for inter-element referencing
DocumentReference.content.extension 0..* Extension Additional content defined by implementations
DocumentReference.content.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.content.attachment This element is included in summaries. 1..1 Attachment Where to access the document
DocumentReference.content.attachment.id 0..1 string Unique id for inter-element referencing
DocumentReference.content.attachment.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DocumentReference.content.attachment.contentType This element is included in summaries. 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Beispiel General: text/plain; charset=UTF-8, image/png
DocumentReference.content.attachment.language This element is included in summaries. 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Beispiel General: en-AU
DocumentReference.content.attachment.data 0..1 base64Binary Data inline, base64ed
DocumentReference.content.attachment.url This element is included in summaries. 1..1 url Relative reference to the raw Binary (Binary/{id}); a second entry, when present, indexes the original provider export-file Binary
Beispiel General: http://www.acme.com/logo-small.png
DocumentReference.content.attachment.size This element is included in summaries. 0..1 unsignedInt Number of bytes of content (if url provided)
DocumentReference.content.attachment.hash This element is included in summaries. 0..1 base64Binary Hash of the data (sha-1, base64ed)
DocumentReference.content.attachment.title This element is included in summaries. 0..1 string Label to display in place of the data
Beispiel General: Official Corporate Logo
DocumentReference.content.attachment.creation This element is included in summaries. 0..1 dateTime Date attachment was first created
DocumentReference.content.format This element is included in summaries. 0..1 Coding Format/content rules for the document
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
DocumentReference.context This element is included in summaries. 0..1 BackboneElement Clinical context of document
DocumentReference.context.id 0..1 string Unique id for inter-element referencing
DocumentReference.context.extension 0..* Extension Additional content defined by implementations
DocumentReference.context.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DocumentReference.context.encounter 0..* Reference(Encounter | EpisodeOfCare) Context of the document content
DocumentReference.context.event 0..* CodeableConcept Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
DocumentReference.context.period This element is included in summaries. 0..1 Period Time of service that is being documented
DocumentReference.context.facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
DocumentReference.context.practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
DocumentReference.context.sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
DocumentReference.context.related 0..* Reference(Activity Group Observation) The Activity Group Observation(s) derived from this raw file

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.docStatus Base required CompositionStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base preferred Document Type Value Set 📍4.0.1 FHIR Std.
DocumentReference.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content.​format Base preferred DocumentReference Format Code Set 📍4.0.1 FHIR Std.
DocumentReference.context.​event Base example v3 Code System ActCode 📦3.0.0 THO v7.5
DocumentReference.context.​facilityType Base example Facility Type Code Value Set 📍4.0.1 FHIR Std.
DocumentReference.context.​practiceSetting Base example Practice Setting Code Value Set 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Beschreibung Expression

 

Other representations of profile: CSV, Excel, Schematron