description: null
package_name: ontariomicdrfhirimplementationguide-0.10.00
derivation: constraint
name: MIDocumentReference
type: DocumentReference
elements:
  description: {mustSupport: true, index: 48}
  date: {mustSupport: true, index: 40}
  docStatus: {mustSupport: true, index: 28}
  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: 29
    elements:
      coding:
        mustSupport: true
        index: 30
        elements:
          system: {mustSupport: true, index: 31}
          code: {mustSupport: true, index: 32}
          display: {mustSupport: true, index: 33}
        required: [display, system, code]
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: 1
          slices:
            slice-loinc-coding:
              match: {system: 'http://loinc.org'}
              schema:
                mustSupport: true
                _required: true
                index: 34
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://loinc.org'}
                    mustSupport: true
                    index: 35
                  code: {mustSupport: true, index: 36}
                  display: {mustSupport: true, index: 37}
                required: [display, system, code]
    required: [coding]
  author:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-organization', 'http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-practitioner', 'http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-practitionerRole']
    index: 41
    elements:
      reference: {mustSupport: true, index: 42}
    required: [reference]
  custodian:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-organization']
    index: 43
    elements:
      reference: {mustSupport: true, index: 44}
    required: [reference]
  status: {mustSupport: true, index: 27}
  identifier:
    mustSupport: true
    index: 0
    elements:
      type:
        short: Description of identifier.
        mustSupport: true
        index: 1
        elements:
          coding:
            mustSupport: true
            index: 2
            elements:
              system: {mustSupport: true, index: 3}
              code: {mustSupport: true, index: 4}
              display: {mustSupport: true, index: 5}
            required: [display, system, code]
        required: [coding]
      system: {mustSupport: true, index: 6}
      value: {mustSupport: true, index: 7}
    required: [value, type, system]
    slicing:
      rules: open
      discriminator:
      - {path: type.coding.code, type: value}
      - {path: system, type: value}
      min: 1
      slices:
        sliceIdentifier-Accession-Number:
          match:
            type:
              coding: {code: ACSN}
            system: null
          schema:
            mustSupport: true
            _required: true
            index: 8
            elements:
              type:
                mustSupport: true
                index: 9
                elements:
                  coding:
                    mustSupport: true
                    index: 10
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
                        mustSupport: true
                        index: 11
                      code:
                        pattern: {type: Code, value: ACSN}
                        mustSupport: true
                        index: 12
                      display: {mustSupport: true, index: 13}
                    required: [display, system, code]
                required: [coding]
              system: {mustSupport: true, index: 14}
              value: {mustSupport: true, index: 15}
            required: [value, type, system]
        sliceIdentifier-Placer-Order-Number:
          match:
            type:
              coding: {code: PLAC}
            system: null
          schema:
            mustSupport: true
            index: 16
            elements:
              type:
                mustSupport: true
                index: 17
                elements:
                  coding:
                    mustSupport: true
                    index: 18
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/v2-0203'}
                        mustSupport: true
                        index: 19
                      code:
                        pattern: {type: Code, value: PLAC}
                        mustSupport: true
                        index: 20
                      display: {mustSupport: true, index: 21}
                    required: [display, system, code]
                required: [coding]
              system: {mustSupport: true, index: 22}
              value: {mustSupport: true, index: 23}
            required: [value, type, system]
        sliceIdentifier-Study-Instance-Id:
          match:
            type:
              coding: {code: null}
            system: urn:dicom:uid
          schema:
            mustSupport: true
            index: 24
            elements:
              system:
                pattern: {type: Uri, value: 'urn:dicom:uid'}
                mustSupport: true
                index: 25
              value: {mustSupport: true, index: 26}
            required: [value, system]
  relatesTo:
    mustSupport: true
    index: 45
    elements:
      code: {mustSupport: true, index: 46}
      target: {mustSupport: true, index: 47}
  context:
    mustSupport: true
    index: 52
    elements:
      event:
        mustSupport: true
        index: 53
        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: 55
        elements:
          extension:
            index: 54
            slicing:
              slices:
                ext-mi-clinical-category:
                  match: {}
                  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: 55
                  min: 1
                  max: 1
        required: [extension]
        slicing:
          rules: open
          discriminator:
          - {path: extension.value.code, type: value}
          min: 1
          slices:
            event-modality:
              match:
                extension:
                  value: {code: null}
              schema:
                binding: {strength: required, valueSet: 'http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html'}
                mustSupport: true
                index: 56
                extensions:
                  ext-mi-clinical-category:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 58
                    elements:
                      value:
                        choices: []
                        index: 60
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 61
                          code:
                            pattern: {type: Code, value: '360037004'}
                            index: 62
                elements:
                  extension:
                    index: 57
                    slicing:
                      slices:
                        ext-mi-clinical-category:
                          match: {}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 58
                            elements:
                              value:
                                choices: []
                                index: 60
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 61
                                  code:
                                    pattern: {type: Code, value: '360037004'}
                                    index: 62
                  coding:
                    mustSupport: true
                    index: 63
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://dicom.nema.org/resources/ontology/DCM'}
                        mustSupport: true
                        index: 64
                      code: {mustSupport: true, index: 65}
                      display: {mustSupport: true, index: 66}
                    required: [display, system, code]
                required: [extension, coding]
            event-specialty:
              match:
                extension:
                  value: {code: null}
              schema:
                binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mi-procedure-specialty'}
                mustSupport: true
                index: 67
                extensions:
                  ext-mi-clinical-category:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 69
                    elements:
                      value:
                        choices: []
                        index: 71
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 72
                          code:
                            pattern: {type: Code, value: '394658006'}
                            index: 73
                elements:
                  extension:
                    index: 68
                    slicing:
                      slices:
                        ext-mi-clinical-category:
                          match: {}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 69
                            elements:
                              value:
                                choices: []
                                index: 71
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 72
                                  code:
                                    pattern: {type: Code, value: '394658006'}
                                    index: 73
                  coding:
                    mustSupport: true
                    index: 74
                    elements:
                      system: {mustSupport: true, index: 75}
                      code: {mustSupport: true, index: 76}
                      display: {mustSupport: true, index: 77}
                    required: [display, system, code]
                required: [extension, coding]
            event-bodyPart:
              match:
                extension:
                  value: {code: null}
              schema:
                binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mi-procedure-bodypart-sct'}
                mustSupport: true
                index: 78
                extensions:
                  ext-category-bodypart:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 80
                    elements:
                      value:
                        choices: []
                        index: 82
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 83
                          code:
                            pattern: {type: Code, value: '272427006'}
                            index: 84
                elements:
                  extension:
                    index: 79
                    slicing:
                      slices:
                        ext-category-bodypart:
                          match: {}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 80
                            elements:
                              value:
                                choices: []
                                index: 82
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 83
                                  code:
                                    pattern: {type: Code, value: '272427006'}
                                    index: 84
                  coding:
                    mustSupport: true
                    index: 85
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        mustSupport: true
                        index: 86
                      code: {mustSupport: true, index: 87}
                      display: {mustSupport: true, index: 88}
                    required: [display, system, code]
                required: [extension, coding]
            event-laterality:
              match:
                extension:
                  value: {code: null}
              schema:
                binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mi-procedure-laterality-sct'}
                mustSupport: true
                index: 89
                extensions:
                  ext-category-laterality:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 91
                    elements:
                      value:
                        choices: []
                        index: 93
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 94
                          code:
                            pattern: {type: Code, value: '272741003'}
                            index: 95
                elements:
                  extension:
                    index: 90
                    slicing:
                      slices:
                        ext-category-laterality:
                          match: {}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 91
                            elements:
                              value:
                                choices: []
                                index: 93
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 94
                                  code:
                                    pattern: {type: Code, value: '272741003'}
                                    index: 95
                  coding:
                    mustSupport: true
                    index: 96
                    elements:
                      system: {mustSupport: true, index: 97}
                      code: {mustSupport: true, index: 98}
                      display: {mustSupport: true, index: 99}
                    required: [display, system, code]
                required: [extension, coding]
            event-contrast:
              match:
                extension:
                  value: {code: null}
              schema:
                binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mi-procedure-contrast-used'}
                mustSupport: true
                index: 100
                extensions:
                  ext-category-contrast:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 102
                    elements:
                      value:
                        choices: []
                        index: 104
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 105
                          code:
                            pattern: {type: Code, value: '263543005'}
                            index: 106
                elements:
                  extension:
                    index: 101
                    slicing:
                      slices:
                        ext-category-contrast:
                          match: {}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 102
                            elements:
                              value:
                                choices: []
                                index: 104
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 105
                                  code:
                                    pattern: {type: Code, value: '263543005'}
                                    index: 106
                  coding:
                    mustSupport: true
                    index: 107
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        mustSupport: true
                        index: 108
                      code: {mustSupport: true, index: 109}
                      display: {mustSupport: true, index: 110}
                    required: [display, system, code]
                required: [extension, coding]
            event-procedureCode:
              match:
                extension:
                  value: {code: null}
              schema:
                mustSupport: true
                index: 111
                extensions:
                  slice-ext-mi-category-type:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 113
                    elements:
                      value:
                        choices: []
                        index: 115
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 116
                          code:
                            pattern: {type: Code, value: '276218009'}
                            index: 117
                elements:
                  extension:
                    index: 112
                    slicing:
                      slices:
                        slice-ext-mi-category-type:
                          match: {}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 113
                            elements:
                              value:
                                choices: []
                                index: 115
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 116
                                  code:
                                    pattern: {type: Code, value: '276218009'}
                                    index: 117
                  coding:
                    index: 118
                    slicing:
                      rules: open
                      discriminator:
                      - {path: system, type: value}
                      min: null
                      slices:
                        slice-provincial-code:
                          match: {system: 'http://ontariohealth.ca/fhir/CodeSystem/procedure-type-mi-provincial'}
                          schema:
                            binding: {strength: extensible, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mi-procedure-type-provincial'}
                            _required: true
                            index: 119
                            elements:
                              system:
                                pattern: {type: Uri, value: 'http://ontariohealth.ca/fhir/CodeSystem/procedure-type-mi-provincial'}
                                mustSupport: true
                                index: 120
                              code: {mustSupport: true, index: 121}
                              display: {mustSupport: true, index: 122}
                            required: [display, system, code]
                        slice-snomed-coding:
                          match: {system: 'http://snomed.info/sct'}
                          schema:
                            binding: {strength: extensible, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/mi-procedure-type-sct'}
                            _required: true
                            index: 123
                            elements:
                              system:
                                pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                mustSupport: true
                                index: 124
                              code: {mustSupport: true, index: 125}
                              display: {mustSupport: true, index: 126}
                            required: [display, system, code]
                required: [extension]
      facilityType:
        mustSupport: true
        index: 127
        elements:
          coding:
            mustSupport: true
            index: 128
            elements:
              system: {mustSupport: true, index: 129}
              code: {mustSupport: true, index: 130}
              display: {mustSupport: true, index: 131}
            required: [display, system, code]
        required: [coding]
      practiceSetting:
        mustSupport: true
        index: 132
        elements:
          coding:
            mustSupport: true
            index: 133
            elements:
              system: {mustSupport: true, index: 134}
              code: {mustSupport: true, index: 135}
              display: {mustSupport: true, index: 136}
            required: [display, system, code]
        required: [coding]
      related:
        type: Reference
        mustSupport: true
        refers: ['http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-diagnosticReport', 'http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-imagingStudy', 'http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-serviceRequest']
        index: 137
        elements:
          reference: {mustSupport: true, index: 138}
        required: [reference]
    required: [related, event]
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-patient']
    index: 38
    elements:
      reference: {mustSupport: true, index: 39}
    required: [reference]
package_version: 0.9.12
class: profile
kind: resource
url: http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-documentReference
base: http://hl7.org/fhir/StructureDefinition/DocumentReference
version: 1.0.0
required: [context, identifier, subject, type, date, custodian]