{ "description": null, "_filename": "DocumentReferenceProfile.json", "package_name": "accdr.fhir.ig.pkg", "date": "2023-10-15T01:59:12.3241587+00:00", "derivation": "constraint", "meta": { "lastUpdated": "2023-10-15T01:53:04.4021194+00:00" }, "publisher": null, "fhirVersion": "4.0.1", "name": "CDRDocumentReference", "mapping": [ { "name": "CDR HL7 v2 data in", "identity": "CDR-data-in-v2" } ], "abstract": false, "type": "DocumentReference", "experimental": null, "resourceType": "StructureDefinition", "title": null, "package_version": "0.9.0-alpha-0.9.3", "status": "draft", "id": "19761f67-b3da-4345-acbb-eb11ffb95dd9", "kind": "resource", "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-DocumentReference", "version": null, "differential": { "element": [ { "id": "DocumentReference.meta", "min": 1, "path": "DocumentReference.meta", "mustSupport": true }, { "id": "DocumentReference.meta.profile", "max": "1", "min": 1, "path": "DocumentReference.meta.profile", "mustSupport": true, "fixedCanonical": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-DocumentReference" }, { "id": "DocumentReference.identifier", "min": 1, "path": "DocumentReference.identifier", "comment": "this will contain the placer order number (OBR-2) and if applicable, filler order number (OBR-3). They will be distinguished by identifier.type.", "mapping": [ { "map": "OBR.3, ORC.4", "identity": "CDR-data-in-v2" } ], "slicing": { "rules": "open", "discriminator": [ { "path": "type.coding.code", "type": "value" } ] }, "definition": "Other identifiers associated with the document, including any identifier in the filling application, or a placer group number", "mustSupport": true }, { "id": "DocumentReference.identifier.type", "min": 1, "path": "DocumentReference.identifier.type", "short": "Description of identifier.", "binding": { "strength": "required" }, "mustSupport": true }, { "id": "DocumentReference.identifier.type.coding", "max": "1", "min": 1, "path": "DocumentReference.identifier.type.coding", "mustSupport": true }, { "id": "DocumentReference.identifier.type.coding.system", "min": 1, "path": "DocumentReference.identifier.type.coding.system", "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203", "mustSupport": true }, { "id": "DocumentReference.identifier.type.coding.code", "min": 1, "path": "DocumentReference.identifier.type.coding.code", "fixedCode": "PLAC", "mustSupport": true }, { "id": "DocumentReference.identifier.type.coding.display", "min": 1, "path": "DocumentReference.identifier.type.coding.display", "mustSupport": true }, { "id": "DocumentReference.identifier.system", "min": 1, "path": "DocumentReference.identifier.system", "mustSupport": true }, { "id": "DocumentReference.identifier.value", "min": 1, "path": "DocumentReference.identifier.value", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-placer-order-number", "max": "1", "min": 1, "path": "DocumentReference.identifier", "sliceName": "slice-placer-order-number", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-placer-order-number.type", "min": 1, "path": "DocumentReference.identifier.type", "binding": { "strength": "required" }, "mustSupport": true }, { "id": "DocumentReference.identifier:slice-placer-order-number.type.coding", "max": "1", "min": 1, "path": "DocumentReference.identifier.type.coding", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-placer-order-number.type.coding.system", "min": 1, "path": "DocumentReference.identifier.type.coding.system", "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-placer-order-number.type.coding.code", "min": 1, "path": "DocumentReference.identifier.type.coding.code", "fixedCode": "PLAC", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-placer-order-number.type.coding.display", "path": "DocumentReference.identifier.type.coding.display", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-placer-order-number.system", "min": 1, "path": "DocumentReference.identifier.system", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-placer-order-number.value", "min": 1, "path": "DocumentReference.identifier.value", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-filler-order-number", "max": "1", "path": "DocumentReference.identifier", "sliceName": "slice-filler-order-number", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-filler-order-number.type", "min": 1, "path": "DocumentReference.identifier.type", "binding": { "strength": "required" }, "mustSupport": true }, { "id": "DocumentReference.identifier:slice-filler-order-number.type.coding", "max": "1", "min": 1, "path": "DocumentReference.identifier.type.coding", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-filler-order-number.type.coding.system", "min": 1, "path": "DocumentReference.identifier.type.coding.system", "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-filler-order-number.type.coding.code", "min": 1, "path": "DocumentReference.identifier.type.coding.code", "fixedCode": "FILL", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-filler-order-number.type.coding.display", "min": 1, "path": "DocumentReference.identifier.type.coding.display", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-filler-order-number.system", "min": 1, "path": "DocumentReference.identifier.system", "mustSupport": true }, { "id": "DocumentReference.identifier:slice-filler-order-number.value", "min": 1, "path": "DocumentReference.identifier.value", "mustSupport": true }, { "id": "DocumentReference.docStatus", "min": 1, "path": "DocumentReference.docStatus", "mustSupport": true }, { "id": "DocumentReference.type", "min": 1, "path": "DocumentReference.type", "mustSupport": true }, { "id": "DocumentReference.type.coding", "min": 1, "path": "DocumentReference.type.coding", "slicing": { "rules": "open", "discriminator": [ { "path": "system", "type": "value" } ] } }, { "id": "DocumentReference.type.coding:slice-local-document-type", "max": "1", "min": 1, "path": "DocumentReference.type.coding", "binding": { "strength": "extensible", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/local-document-type" }, "sliceName": "slice-local-document-type" }, { "id": "DocumentReference.type.coding:slice-local-document-type.system", "min": 1, "path": "DocumentReference.type.coding.system" }, { "id": "DocumentReference.type.coding:slice-local-document-type.code", "min": 1, "path": "DocumentReference.type.coding.code" }, { "id": "DocumentReference.type.coding:slice-provincial-document-type", "max": "1", "path": "DocumentReference.type.coding", "binding": { "strength": "extensible", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/provincial-document-type" }, "sliceName": "slice-provincial-document-type" }, { "id": "DocumentReference.type.coding:slice-provincial-document-type.system", "min": 1, "path": "DocumentReference.type.coding.system" }, { "id": "DocumentReference.type.coding:slice-provincial-document-type.code", "min": 1, "path": "DocumentReference.type.coding.code" }, { "id": "DocumentReference.category", "path": "DocumentReference.category", "comment": "Only populated on document retrieval", "slicing": { "rules": "open", "discriminator": [ { "path": "extension.value[x].code", "type": "value" } ] }, "mustSupport": true }, { "id": "DocumentReference.category.extension", "min": 1, "path": "DocumentReference.category.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "DocumentReference.category.extension:ext-LOINC-ontology-axis", "max": "1", "min": 1, "path": "DocumentReference.category.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" ] } ], "sliceName": "ext-LOINC-ontology-axis", "isModifier": false, "mustSupport": true }, { "id": "DocumentReference.category.coding", "min": 1, "path": "DocumentReference.category.coding", "mustSupport": true }, { "id": "DocumentReference.category.coding.system", "min": 1, "path": "DocumentReference.category.coding.system", "mustSupport": true }, { "id": "DocumentReference.category.coding.code", "min": 1, "path": "DocumentReference.category.coding.code", "mustSupport": true }, { "id": "DocumentReference.category.coding.display", "min": 1, "path": "DocumentReference.category.coding.display", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-subject-matter-domain", "path": "DocumentReference.category", "binding": { "strength": "required", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/document-subject-matter-domain", "description": "The document-subject-matter-domain property in LOINC characterizes the clinical domain that is the subject of the document." }, "sliceName": "sliceCategory-subject-matter-domain", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-subject-matter-domain.extension", "min": 1, "path": "DocumentReference.category.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "DocumentReference.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis", "max": "1", "min": 1, "path": "DocumentReference.category.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" ] } ], "sliceName": "ext-LOINC-ontology-axis", "isModifier": false, "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis.value[x].code", "path": "DocumentReference.category.extension.value[x].code", "fixedCode": "74480-5" }, { "id": "DocumentReference.category:sliceCategory-subject-matter-domain.coding", "max": "1", "min": 1, "path": "DocumentReference.category.coding", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-subject-matter-domain.coding.system", "min": 1, "path": "DocumentReference.category.coding.system", "fixedUri": "http://loinc.org", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-subject-matter-domain.coding.code", "min": 1, "path": "DocumentReference.category.coding.code", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-subject-matter-domain.coding.display", "min": 1, "path": "DocumentReference.category.coding.display", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-kind-of-document", "path": "DocumentReference.category", "binding": { "strength": "required", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/document-kind-of-document", "description": "The document-kind property in LOINC Characterizes the general structure of the document at a macro level." }, "sliceName": "sliceCategory-kind-of-document", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-kind-of-document.extension", "min": 1, "path": "DocumentReference.category.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "DocumentReference.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis", "max": "1", "min": 1, "path": "DocumentReference.category.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" ] } ], "sliceName": "ext-LOINC-ontology-axis", "isModifier": false, "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis.value[x].code", "path": "DocumentReference.category.extension.value[x].code", "fixedCode": "74477-1" }, { "id": "DocumentReference.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis.value[x].display", "path": "DocumentReference.category.extension.value[x].display", "fixedString": "Kind of document" }, { "id": "DocumentReference.category:sliceCategory-kind-of-document.coding", "max": "1", "min": 1, "path": "DocumentReference.category.coding", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-kind-of-document.coding.system", "min": 1, "path": "DocumentReference.category.coding.system", "fixedUri": "http://loinc.org", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-kind-of-document.coding.code", "min": 1, "path": "DocumentReference.category.coding.code", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-kind-of-document.coding.display", "min": 1, "path": "DocumentReference.category.coding.display", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-type-of-service", "path": "DocumentReference.category", "binding": { "strength": "required", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/document-type-of-service", "description": "The document-type-of-service property in LOINC characterizes the kind of service or activity provided to/for the patient (or other subject of the service) that is described in the document" }, "sliceName": "sliceCategory-type-of-service", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-type-of-service.extension", "min": 1, "path": "DocumentReference.category.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "DocumentReference.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis", "max": "1", "min": 1, "path": "DocumentReference.category.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" ] } ], "sliceName": "ext-LOINC-ontology-axis", "isModifier": false }, { "id": "DocumentReference.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis.value[x].code", "path": "DocumentReference.category.extension.value[x].code", "fixedCode": "74478-9" }, { "id": "DocumentReference.category:sliceCategory-type-of-service.coding", "max": "1", "min": 1, "path": "DocumentReference.category.coding", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-type-of-service.coding.system", "min": 1, "path": "DocumentReference.category.coding.system", "fixedUri": "http://loinc.org", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-type-of-service.coding.code", "min": 1, "path": "DocumentReference.category.coding.code", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-type-of-service.coding.display", "min": 1, "path": "DocumentReference.category.coding.display", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-Role", "path": "DocumentReference.category", "binding": { "strength": "required", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/document-role", "description": "The document-role property in LOINC characterizes the training or professional level of the author of the document" }, "sliceName": "sliceCategory-Role", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-Role.extension", "min": 1, "path": "DocumentReference.category.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "DocumentReference.category:sliceCategory-Role.extension:ext-LOINC-ontology-axis", "max": "1", "min": 1, "path": "DocumentReference.category.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" ] } ], "sliceName": "ext-LOINC-ontology-axis", "isModifier": false, "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-Role.extension:ext-LOINC-ontology-axis.value[x].code", "path": "DocumentReference.category.extension.value[x].code", "fixedCode": "74479-7" }, { "id": "DocumentReference.category:sliceCategory-Role.extension:ext-LOINC-ontology-axis.value[x].display", "path": "DocumentReference.category.extension.value[x].display", "fixedString": "Role" }, { "id": "DocumentReference.category:sliceCategory-Role.coding", "max": "1", "min": 1, "path": "DocumentReference.category.coding", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-Role.coding.system", "min": 1, "path": "DocumentReference.category.coding.system", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-Role.coding.code", "min": 1, "path": "DocumentReference.category.coding.code", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-Role.coding.display", "min": 1, "path": "DocumentReference.category.coding.display", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-Setting", "path": "DocumentReference.category", "binding": { "strength": "required", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/document-setting", "description": "The document-setting property in LOINC is a coarse definition of the Care Setting" }, "sliceName": "sliceCategory-Setting", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-Setting.extension", "min": 1, "path": "DocumentReference.category.extension", "slicing": { "rules": "open", "discriminator": [ { "path": "url", "type": "value" } ] } }, { "id": "DocumentReference.category:sliceCategory-Setting.extension:ext-LOINC-ontology-axis", "max": "1", "min": 1, "path": "DocumentReference.category.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" ] } ], "sliceName": "ext-LOINC-ontology-axis", "isModifier": false, "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-Setting.extension:ext-LOINC-ontology-axis.value[x].code", "path": "DocumentReference.category.extension.value[x].code", "fixedCode": "74476-3" }, { "id": "DocumentReference.category:sliceCategory-Setting.extension:ext-LOINC-ontology-axis.value[x].display", "path": "DocumentReference.category.extension.value[x].display", "fixedString": "Setting" }, { "id": "DocumentReference.category:sliceCategory-Setting.coding", "max": "1", "min": 1, "path": "DocumentReference.category.coding", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-Setting.coding.system", "min": 1, "path": "DocumentReference.category.coding.system", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-Setting.coding.code", "min": 1, "path": "DocumentReference.category.coding.code", "mustSupport": true }, { "id": "DocumentReference.category:sliceCategory-Setting.coding.display", "min": 1, "path": "DocumentReference.category.coding.display", "mustSupport": true }, { "id": "DocumentReference.subject", "min": 1, "path": "DocumentReference.subject", "type": [ { "code": "Reference", "targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Patient" ] } ], "mustSupport": true }, { "id": "DocumentReference.date", "path": "DocumentReference.date", "mustSupport": true }, { "id": "DocumentReference.author", "path": "DocumentReference.author", "type": [ { "code": "Reference", "targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-PractitionerRole" ] } ], "mapping": [ { "map": "OBR.32", "identity": "CDR-data-in-v2" } ], "mustSupport": true }, { "id": "DocumentReference.author.reference", "min": 1, "path": "DocumentReference.author.reference", "mustSupport": true }, { "id": "DocumentReference.custodian", "min": 1, "path": "DocumentReference.custodian", "type": [ { "code": "Reference", "targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Organization" ] } ], "mapping": [ { "map": "OBR.2.2", "comment": "Organization OID in OBR.2.2", "identity": "CDR-data-in-v2" } ], "mustSupport": true }, { "id": "DocumentReference.custodian.reference", "min": 1, "path": "DocumentReference.custodian.reference", "mustSupport": true }, { "id": "DocumentReference.relatesTo", "path": "DocumentReference.relatesTo", "mustSupport": true }, { "id": "DocumentReference.relatesTo.code", "path": "DocumentReference.relatesTo.code", "mustSupport": true }, { "id": "DocumentReference.relatesTo.target", "path": "DocumentReference.relatesTo.target", "mustSupport": true }, { "id": "DocumentReference.content", "path": "DocumentReference.content", "mustSupport": true }, { "id": "DocumentReference.content.attachment", "path": "DocumentReference.content.attachment", "mustSupport": true }, { "id": "DocumentReference.content.attachment.url", "path": "DocumentReference.content.attachment.url", "mustSupport": true }, { "id": "DocumentReference.context", "path": "DocumentReference.context", "mustSupport": true }, { "id": "DocumentReference.context.encounter", "max": "1", "min": 1, "path": "DocumentReference.context.encounter", "type": [ { "code": "Reference", "targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Encounter" ] } ], "mustSupport": true }, { "id": "DocumentReference.context.encounter.reference", "min": 1, "path": "DocumentReference.context.encounter.reference", "mustSupport": true } ] }, "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DocumentReference" }