description: '**CHR:** Clinical note documents are created within the **Encounters** section of the patient chart in the notes areas (H&P, Assessment & Plan, etc.) and may also appear in the **Files** section when saved as attachments.'
package_name: telus.dw.emr.extract-1-1-21
derivation: constraint
name: DwDocumentReferenceClinicalNote
type: DocumentReference
elements:
  date: {mustSupport: true, index: 9}
  meta:
    elements:
      lastUpdated: {index: 1}
      source: {index: 2}
    required: [lastUpdated, source]
  docStatus: {mustSupport: true, index: 6}
  content:
    mustSupport: true
    index: 11
    elements:
      attachment:
        elements:
          contentType: {mustSupport: true, index: 12}
          data: {index: 13}
          size: {mustSupport: true, index: 14}
          hash: {mustSupport: true, index: 15}
          title: {mustSupport: true, index: 16}
          creation: {mustSupport: true, index: 17}
        required: [data]
  type: {mustSupport: true, index: 7}
  author:
    type: Reference
    mustSupport: true
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole']
    index: 10
  status: {mustSupport: true, index: 5}
  id: {mustSupport: true, index: 0}
  identifier: {mustSupport: true, index: 4}
  context:
    elements:
      encounter:
        type: Reference
        mustSupport: true
        refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwEncounter']
        index: 18
  subject:
    type: Reference
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner']
    index: 8
  text: {mustSupport: true, index: 3}
package_version: 1.1.21
class: profile
kind: resource
url: https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwDocumentReferenceClinicalNote
base: http://hl7.org/fhir/StructureDefinition/DocumentReference
version: 2.0.0
required: [author, id, text, identifier, subject]