description: null
package_name: ontariomicdrfhirimplementationguide
derivation: constraint
name: MiCdrDocumentReference
type: DocumentReference
elements:
  description: {mustSupport: true, index: 55}
  date: {mustSupport: true, index: 47}
  meta:
    mustSupport: true
    index: 0
    elements:
      profile: {mustSupport: true, index: 1}
    required: [profile]
  docStatus: {mustSupport: true, index: 35}
  content:
    mustSupport: true
    index: 56
    elements:
      attachment:
        mustSupport: true
        index: 57
        elements:
          url: {mustSupport: true, index: 58}
  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: {mustSupport: true, index: 38}
          code: {mustSupport: true, index: 39}
          display: {mustSupport: true, index: 40}
        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: 41
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://loinc.org'}
                    mustSupport: true
                    index: 42
                  code: {mustSupport: true, index: 43}
                  display: {mustSupport: true, index: 44}
                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: 48
    elements:
      reference: {mustSupport: true, index: 49}
    required: [reference]
  custodian:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-Organization']
    index: 50
    elements:
      reference: {mustSupport: true, index: 51}
    required: [reference]
  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: 52
    elements:
      code: {mustSupport: true, index: 53}
      target: {mustSupport: true, index: 54}
  context:
    mustSupport: true
    index: 59
    elements:
      encounter:
        type: Reference
        mustSupport: true
        refers: ['http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-encounter']
        index: 60
      event:
        mustSupport: true
        index: 61
        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: 63
        elements:
          extension:
            index: 62
            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: 63
                  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: 'https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html'}
                mustSupport: true
                index: 64
                extensions:
                  ext-mi-clinical-category:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 66
                    elements:
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 67
                          code:
                            pattern: {type: Code, value: '360037004'}
                            index: 68
                elements:
                  extension:
                    index: 65
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: 1
                      slices:
                        ext-mi-clinical-category:
                          match: {url: null}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 66
                            elements:
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 67
                                  code:
                                    pattern: {type: Code, value: '360037004'}
                                    index: 68
                  coding:
                    mustSupport: true
                    index: 69
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        mustSupport: true
                        index: 70
                      code: {mustSupport: true, index: 71}
                      display: {mustSupport: true, index: 72}
                    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: 73
                extensions:
                  ext-mi-clinical-category:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 75
                    elements:
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 76
                          code:
                            pattern: {type: Code, value: '394658006'}
                            index: 77
                elements:
                  extension:
                    index: 74
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: 1
                      slices:
                        ext-mi-clinical-category:
                          match: {url: null}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 75
                            elements:
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 76
                                  code:
                                    pattern: {type: Code, value: '394658006'}
                                    index: 77
                  coding:
                    mustSupport: true
                    index: 78
                    elements:
                      system: {mustSupport: true, index: 79}
                      code: {mustSupport: true, index: 80}
                      display: {mustSupport: true, index: 81}
                    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: 82
                extensions:
                  ext-category-bodypart:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 84
                    elements:
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 85
                          code:
                            pattern: {type: Code, value: '272427006'}
                            index: 86
                elements:
                  extension:
                    index: 83
                    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: 84
                            elements:
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 85
                                  code:
                                    pattern: {type: Code, value: '272427006'}
                                    index: 86
                  coding:
                    mustSupport: true
                    index: 87
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        mustSupport: true
                        index: 88
                      code: {mustSupport: true, index: 89}
                      display: {mustSupport: true, index: 90}
                    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: 91
                extensions:
                  ext-category-laterality:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 93
                    elements:
                      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: 92
                    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: 93
                            elements:
                              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[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 103
                          code:
                            pattern: {type: Code, value: '263543005'}
                            index: 104
                elements:
                  extension:
                    index: 101
                    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: 102
                            elements:
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 103
                                  code:
                                    pattern: {type: Code, value: '263543005'}
                                    index: 104
                  coding:
                    mustSupport: true
                    index: 105
                    elements:
                      system:
                        pattern: {type: Uri, value: 'http://snomed.info/sct'}
                        mustSupport: true
                        index: 106
                      code: {mustSupport: true, index: 107}
                      display: {mustSupport: true, index: 108}
                    required: [display, system, code]
                required: [extension, coding]
            event-procedureCode:
              match:
                extension:
                  value: {code: null}
              schema:
                mustSupport: true
                index: 109
                extensions:
                  slice-ext-mi-category-type:
                    url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                    type: Extension
                    isModifier: false
                    index: 111
                    elements:
                      value[x]:
                        elements:
                          system:
                            pattern: {type: Uri, value: 'http://snomed.info/sct'}
                            index: 112
                          code:
                            pattern: {type: Code, value: '276218009'}
                            index: 113
                elements:
                  extension:
                    index: 110
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: 1
                      slices:
                        slice-ext-mi-category-type:
                          match: {url: null}
                          schema:
                            type: Extension
                            isModifier: false
                            url: http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type
                            index: 111
                            elements:
                              value[x]:
                                elements:
                                  system:
                                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                    index: 112
                                  code:
                                    pattern: {type: Code, value: '276218009'}
                                    index: 113
                  coding:
                    index: 114
                    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: 115
                            elements:
                              system:
                                pattern: {type: Uri, value: 'http://ontariohealth.ca/fhir/CodeSystem/procedure-type-mi-provincial'}
                                mustSupport: true
                                index: 116
                              code: {mustSupport: true, index: 117}
                              display: {mustSupport: true, index: 118}
                            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: 119
                            elements:
                              system:
                                pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                mustSupport: true
                                index: 120
                              code: {mustSupport: true, index: 121}
                              display: {mustSupport: true, index: 122}
                            required: [display, system, code]
                required: [extension]
      facilityType:
        mustSupport: true
        index: 123
        elements:
          coding:
            mustSupport: true
            index: 124
            elements:
              system: {mustSupport: true, index: 125}
              code: {mustSupport: true, index: 126}
              display: {mustSupport: true, index: 127}
            required: [display, system, code]
        required: [coding]
      practiceSetting:
        mustSupport: true
        index: 128
        elements:
          coding:
            mustSupport: true
            index: 129
            elements:
              system: {mustSupport: true, index: 130}
              code: {mustSupport: true, index: 131}
              display: {mustSupport: true, index: 132}
            required: [display, system, code]
        required: [coding]
      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: 133
        elements:
          reference: {mustSupport: true, index: 134}
        required: [reference]
    required: [related, event]
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-patient']
    index: 45
    elements:
      reference: {mustSupport: true, index: 46}
    required: [reference]
package_version: 0.10.00-0.9.6-beta
class: profile
kind: resource
url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-DocumentReference
base: http://hl7.org/fhir/StructureDefinition/DocumentReference
version: 0.9.0
required: [context, identifier, subject, type, meta, date, custodian]