description: null
package_name: ontariomicdrfhirimplementationguide
derivation: constraint
name: MiCdrDocumentReference
type: DocumentReference
elements:
  description: {mustSupport: true, index: 48}
  date: {mustSupport: true, index: 42}
  meta:
    mustSupport: true
    index: 0
    elements:
      profile: {mustSupport: true, index: 1}
    required: [profile]
  docStatus: {mustSupport: true, index: 35}
  content:
    mustSupport: true
    index: 49
    elements:
      attachment:
        mustSupport: true
        index: 50
        elements:
          url: {mustSupport: true, index: 51}
  type:
    binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mi-document-type'}
    mustSupport: true
    index: 36
    elements:
      coding:
        mustSupport: true
        index: 37
        elements:
          system:
            pattern: {type: Uri, value: 'http://loinc.org'}
            mustSupport: true
            index: 38
          code: {mustSupport: true, index: 39}
          display: {mustSupport: true, index: 40}
        required: [display, system, code]
    required: [coding]
  author:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-Organization', 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-Practitioner', 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-PractitionerRole']
    index: 43
  custodian:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-Organization']
    index: 44
  status: {mustSupport: true, index: 34}
  identifier:
    mustSupport: true
    index: 2
    elements:
      type:
        short: Description of identifier.
        mustSupport: true
        index: 3
        elements:
          coding:
            mustSupport: true
            index: 4
            elements:
              system:
                pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
                mustSupport: true
                index: 5
              code:
                pattern: {type: Code, value: ACSN}
                mustSupport: true
                index: 6
              display:
                pattern: {type: String, value: Accession ID}
                mustSupport: true
                index: 7
            required: [display, system, code]
        required: [coding]
      system: {mustSupport: true, index: 8}
      value: {mustSupport: true, index: 9}
    required: [value, type, system]
    slicing:
      rules: open
      discriminator:
      - {path: type.coding.code, type: value}
      min: 1
      slices:
        sliceIdentifier-Accession-Number:
          match:
            type:
              coding: {code: ACSN}
          schema:
            mustSupport: true
            _required: true
            index: 10
            elements:
              type:
                mustSupport: true
                index: 11
                elements:
                  coding:
                    mustSupport: true
                    index: 12
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
                        mustSupport: true
                        index: 13
                      code:
                        pattern: {type: Code, value: ACSN}
                        mustSupport: true
                        index: 14
                      display: {mustSupport: true, index: 15}
                    required: [display, system, code]
                required: [coding]
              system: {mustSupport: true, index: 16}
              value: {mustSupport: true, index: 17}
            required: [value, type, system]
        sliceIdentifier-Placer-Order-Number:
          match:
            type:
              coding: {code: PLAC}
          schema:
            mustSupport: true
            index: 18
            elements:
              type:
                mustSupport: true
                index: 19
                elements:
                  coding:
                    mustSupport: true
                    index: 20
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
                        mustSupport: true
                        index: 21
                      code:
                        pattern: {type: Code, value: PLAC}
                        mustSupport: true
                        index: 22
                      display: {mustSupport: true, index: 23}
                    required: [display, system, code]
                required: [coding]
              system: {mustSupport: true, index: 24}
              value: {mustSupport: true, index: 25}
            required: [value, type, system]
        sliceIdentifier-Study-Instance-Id:
          match:
            type:
              coding: {code: SUID}
          schema:
            mustSupport: true
            index: 26
            elements:
              type:
                mustSupport: true
                index: 27
                elements:
                  coding:
                    mustSupport: true
                    index: 28
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
                        mustSupport: true
                        index: 29
                      code:
                        pattern: {type: Code, value: SUID}
                        mustSupport: true
                        index: 30
                      display: {mustSupport: true, index: 31}
                    required: [display, system, code]
                required: [coding]
              system: {mustSupport: true, index: 32}
              value: {mustSupport: true, index: 33}
            required: [value, type, system]
  relatesTo:
    mustSupport: true
    index: 45
    elements:
      code: {mustSupport: true, index: 46}
      target: {mustSupport: true, index: 47}
  context:
    mustSupport: true
    index: 52
    elements:
      encounter:
        type: Reference
        mustSupport: true
        refers: ['http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-encounter']
        index: 53
      event:
        mustSupport: true
        index: 54
        extensions:
          ext-mi-clinical-category:
            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
            min: 1
            max: 1
            type: Extension
            binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mi-category-type'}
            isModifier: false
            index: 56
        elements:
          extension:
            index: 55
            slicing:
              rules: open
              discriminator:
              - {path: url, type: value}
              min: 1
              slices:
                ext-mi-clinical-category:
                  match: {url: null}
                  schema:
                    type: Extension
                    binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mi-category-type'}
                    isModifier: false
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    index: 56
                  min: 1
                  max: 1
        required: [extension]
        slicing:
          rules: open
          discriminator:
          - {path: 'extension.value[x].code', type: value}
          min: 1
          slices:
            event-modality:
              match:
                extension:
                  value[x]: {code: null}
              schema:
                binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mi-procedure-modality'}
                mustSupport: true
                index: 57
                extensions:
                  ext-imaging-modality:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 59
                    elements:
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 60
                          code:
                            pattern: {type: Code, value: '360037004'}
                            index: 61
                elements:
                  extension:
                    index: 58
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: 1
                      slices:
                        ext-imaging-modality:
                          match: {url: null}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 59
                            elements:
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 60
                                  code:
                                    pattern: {type: Code, value: '360037004'}
                                    index: 61
                required: [extension]
            event-specialty:
              match:
                extension:
                  value[x]: {code: null}
              schema:
                binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mi-procedure-specialty'}
                mustSupport: true
                index: 62
                extensions:
                  ext-category-specialty:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 64
                    elements:
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 65
                          code:
                            pattern: {type: Code, value: '394658006'}
                            index: 66
                elements:
                  extension:
                    index: 63
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: 1
                      slices:
                        ext-category-specialty:
                          match: {url: null}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 64
                            elements:
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 65
                                  code:
                                    pattern: {type: Code, value: '394658006'}
                                    index: 66
                required: [extension]
            event-bodyPart:
              match:
                extension:
                  value[x]: {code: null}
              schema:
                binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/servicerequest-category'}
                mustSupport: true
                index: 67
                extensions:
                  ext-category-bodypart:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 69
                    elements:
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 70
                          code:
                            pattern: {type: Code, value: '272427006'}
                            index: 71
                elements:
                  extension:
                    index: 68
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: 1
                      slices:
                        ext-category-bodypart:
                          match: {url: null}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 69
                            elements:
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 70
                                  code:
                                    pattern: {type: Code, value: '272427006'}
                                    index: 71
                required: [extension]
            event-laterality:
              match:
                extension:
                  value[x]: {code: null}
              schema:
                binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/servicerequest-category'}
                mustSupport: true
                index: 72
                extensions:
                  ext-category-laterality:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 74
                    elements:
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 75
                          code:
                            pattern: {type: Code, value: '272741003'}
                            index: 76
                elements:
                  extension:
                    index: 73
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: 1
                      slices:
                        ext-category-laterality:
                          match: {url: null}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 74
                            elements:
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 75
                                  code:
                                    pattern: {type: Code, value: '272741003'}
                                    index: 76
                required: [extension]
            event-contrast:
              match:
                extension:
                  value[x]: {code: null}
              schema:
                binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mi-procedure-contrast-used'}
                mustSupport: true
                index: 77
                extensions:
                  ext-category-contrast:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 79
                    elements:
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 80
                elements:
                  extension:
                    index: 78
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: 1
                      slices:
                        ext-category-contrast:
                          match: {url: null}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 79
                            elements:
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 80
                required: [extension]
            event-procedureCode:
              match:
                extension:
                  value[x]: {code: null}
              schema:
                mustSupport: true
                index: 81
                extensions:
                  slice-procedure-code:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 83
                    elements:
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 84
                          code:
                            pattern: {type: Code, value: '276218009'}
                            index: 85
                elements:
                  extension:
                    index: 82
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: 1
                      slices:
                        slice-procedure-code:
                          match: {url: null}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 83
                            elements:
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 84
                                  code:
                                    pattern: {type: Code, value: '276218009'}
                                    index: 85
                  coding:
                    extensions:
                      ext-mi-code-type: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-code-type', min: 1, max: 1, type: Extension, isModifier: false, index: 87}
                    elements:
                      extension:
                        index: 86
                        slicing:
                          rules: open
                          discriminator:
                          - {path: url, type: value}
                          min: 1
                          slices:
                            ext-mi-code-type:
                              match: {url: null}
                              schema: {type: Extension, isModifier: false, url: 'http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-code-type', index: 87}
                              min: 1
                              max: 1
                    required: [extension]
                required: [extension]
      facilityType: {mustSupport: true, index: 88}
      practiceSetting: {mustSupport: true, index: 89}
      related:
        type: Reference
        mustSupport: true
        refers: ['http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-DiagnosticReport', 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-ImagingStudy', 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-ServiceRequest']
        index: 90
        elements:
          reference: {mustSupport: true, index: 91}
        required: [reference]
    required: [related, event]
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-patient']
    index: 41
package_version: 0.10.00-0.9.4-beta
class: profile
kind: resource
url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-DocumentReference
base: http://hl7.org/fhir/StructureDefinition/DocumentReference
version: 0.1.0
required: [docStatus, context, identifier, subject, type, meta, date, custodian]