{
  "description": null,
  "_filename": "StructureDefinition-DocumentReferenceEHR.json",
  "package_name": "ca.on.ehr.r4",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "DocumentReferenceEHR",
  "abstract": false,
  "type": "DocumentReference",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.0.0-snapshot21",
  "status": "active",
  "id": "503878a5-72a0-4247-a873-437758afd26c",
  "kind": "resource",
  "url": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-documentReference",
  "version": "1.0.0",
  "differential": {
    "element": [ {
      "id": "DocumentReference.identifier",
      "path": "DocumentReference.identifier",
      "mustSupport": true
    }, {
      "id": "DocumentReference.status",
      "path": "DocumentReference.status",
      "mustSupport": true
    }, {
      "id": "DocumentReference.docStatus",
      "path": "DocumentReference.docStatus",
      "mustSupport": true
    }, {
      "id": "DocumentReference.type",
      "min": 1,
      "path": "DocumentReference.type",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/provincial-document-type",
        "description": "contains all document type codes used to represent clinical documents and/or medical record reports in the EHR"
      },
      "mustSupport": true
    }, {
      "id": "DocumentReference.category",
      "min": 1,
      "path": "DocumentReference.category",
      "binding": {
        "strength": "example",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/document-class"
          }, {
            "url": "documentation",
            "valueMarkdown": "This value set defines the codes representing document class from LOINC as defined in the LOINC Manual, excluding class = RAD. The class codes from LOINC is intended to be used for report categorization based on the type of study performed. Radiology class type is excluded from this value set it will be contributed using DiagnosticReport resource."
          }, {
            "url": "key",
            "valueId": "documentClass"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/document-subject-matter-domain"
          }, {
            "url": "documentation",
            "valueMarkdown": "The document-subject-matter-domain property in LOINC characterizes the general focus or domain of knowledge represented within the content of the note."
          }, {
            "url": "key",
            "valueId": "documentSMD"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/document-type-of-service"
          }, {
            "url": "documentation",
            "valueMarkdown": "The document-type-of-service property in LOINC characterizes the healthcare service or activity provided to/for the patient (or other subject of the service) that is described in the document."
          }, {
            "url": "key",
            "valueId": "DocumentTOS"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/document-kind"
          }, {
            "url": "documentation",
            "valueMarkdown": "The document-kind property in LOINC Characterizes the general structure of the document at a macro level."
          }, {
            "url": "key",
            "valueId": "DocumentKOD"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/document-role"
          }, {
            "url": "documentation",
            "valueMarkdown": "The document-role property in LOINC characterizes the general function, responsibility, or capabilities of the author in relation to a document."
          }, {
            "url": "key",
            "valueId": "DocumentRole"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/document-setting"
          }, {
            "url": "documentation",
            "valueMarkdown": "The document-setting property in LOINC is a coarse definition of the Care Setting."
          }, {
            "url": "key",
            "valueId": "DocumentSetting"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"
          }, {
            "url": "documentation",
            "valueMarkdown": "Transitive closure of CID 29 AcquisitionModality"
          }, {
            "url": "key",
            "valueId": "dicomModality"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-service-type"
          }, {
            "url": "documentation",
            "valueMarkdown": "A code that classifies the service type of an MI procedure. This is used for searching, sorting and display purposes."
          }, {
            "url": "key",
            "valueId": "procedureServiceType"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-body-part"
          }, {
            "url": "documentation",
            "valueMarkdown": "A code that classifies a body part of an MI procedure using SNOMED CT codes. This is used for searching, sorting and display purposes."
          }, {
            "url": "key",
            "valueId": "procedureBodyPart"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-laterality"
          }, {
            "url": "documentation",
            "valueMarkdown": "A code that classifies a laterality of an MI procedure using SNOMED CT codes. This is used for searching, sorting and display purposes."
          }, {
            "url": "key",
            "valueId": "procedureLaterality"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-contrast-used"
          }, {
            "url": "documentation",
            "valueMarkdown": "A code that classifies a use of Contrast for an MI procedure. This is used for searching, sorting and display purposes."
          }, {
            "url": "key",
            "valueId": "procedureContrastUsed"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DocumentReference.subject",
      "min": 1,
      "path": "DocumentReference.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DocumentReference.subject.reference",
      "min": 1,
      "path": "DocumentReference.subject.reference"
    }, {
      "id": "DocumentReference.date",
      "path": "DocumentReference.date",
      "mustSupport": true
    }, {
      "id": "DocumentReference.author",
      "path": "DocumentReference.author",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-organization", "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner", "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DocumentReference.author.reference",
      "min": 1,
      "path": "DocumentReference.author.reference",
      "mustSupport": true
    }, {
      "id": "DocumentReference.authenticator",
      "path": "DocumentReference.authenticator",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-organization", "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner", "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DocumentReference.custodian",
      "min": 1,
      "path": "DocumentReference.custodian",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-organization" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DocumentReference.custodian.reference",
      "min": 1,
      "path": "DocumentReference.custodian.reference"
    }, {
      "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",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-documentReference" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DocumentReference.description",
      "path": "DocumentReference.description",
      "mustSupport": true
    }, {
      "id": "DocumentReference.content",
      "path": "DocumentReference.content",
      "mustSupport": true
    }, {
      "id": "DocumentReference.content.attachment",
      "path": "DocumentReference.content.attachment",
      "mustSupport": true
    }, {
      "id": "DocumentReference.content.attachment.contentType",
      "path": "DocumentReference.content.attachment.contentType",
      "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",
      "path": "DocumentReference.context.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-encounter" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.encounter.reference",
      "min": 1,
      "path": "DocumentReference.context.encounter.reference",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.event",
      "path": "DocumentReference.context.event",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/encounter-class"
      },
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.event.coding",
      "max": "1",
      "min": 1,
      "path": "DocumentReference.context.event.coding",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.event.coding.system",
      "min": 1,
      "path": "DocumentReference.context.event.coding.system",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.event.coding.code",
      "min": 1,
      "path": "DocumentReference.context.event.coding.code",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.event.coding.display",
      "min": 1,
      "path": "DocumentReference.context.event.coding.display",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.period",
      "path": "DocumentReference.context.period",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.period.start",
      "path": "DocumentReference.context.period.start",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.period.end",
      "path": "DocumentReference.context.period.end",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.facilityType",
      "path": "DocumentReference.context.facilityType",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/provider-organization-role-type",
        "description": "Type of provider organization role"
      },
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.facilityType.coding",
      "min": 1,
      "path": "DocumentReference.context.facilityType.coding",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.facilityType.coding.system",
      "min": 1,
      "path": "DocumentReference.context.facilityType.coding.system",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.facilityType.coding.code",
      "min": 1,
      "path": "DocumentReference.context.facilityType.coding.code",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.facilityType.coding.display",
      "min": 1,
      "path": "DocumentReference.context.facilityType.coding.display",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.practiceSetting",
      "path": "DocumentReference.context.practiceSetting",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://cihi.ca/fhir/ValueSet/aac-hospital-service",
        "description": "Broad categorization of the service that is to be provided."
      },
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.practiceSetting.coding",
      "min": 1,
      "path": "DocumentReference.context.practiceSetting.coding",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.practiceSetting.coding.system",
      "min": 1,
      "path": "DocumentReference.context.practiceSetting.coding.system",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.practiceSetting.coding.code",
      "min": 1,
      "path": "DocumentReference.context.practiceSetting.coding.code",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.practiceSetting.coding.display",
      "min": 1,
      "path": "DocumentReference.context.practiceSetting.coding.display",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.sourcePatientInfo",
      "path": "DocumentReference.context.sourcePatientInfo",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient" ]
      } ]
    }, {
      "id": "DocumentReference.context.related",
      "path": "DocumentReference.context.related",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-serviceRequest", "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-diagnosticReport-imaging", "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-imagingStudy" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.related.reference",
      "min": 1,
      "path": "DocumentReference.context.related.reference",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DocumentReference"
}