{
  "description": null,
  "_filename": "NHSDigital-DocumentReference.StructureDefinition.json",
  "package_name": "uk.nhsdigital.r4.test",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "NHSDigitalDocumentReference",
  "abstract": false,
  "type": "DocumentReference",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "2.8.13-prerelease",
  "status": "draft",
  "id": "d1cae527-7170-45b6-a993-af23f562fdce",
  "kind": "resource",
  "url": "https://fhir.nhs.uk/StructureDefinition/NHSDigital-DocumentReference",
  "version": null,
  "differential": {
    "element": [ {
      "id": "DocumentReference.identifier",
      "path": "DocumentReference.identifier",
      "mustSupport": true
    }, {
      "id": "DocumentReference.status",
      "path": "DocumentReference.status",
      "mustSupport": true
    }, {
      "id": "DocumentReference.type",
      "path": "DocumentReference.type",
      "definition": "Specifies the particular kind of document referenced  (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced.\r\n\r\n```json\r\n\"type\": {\r\n        \"coding\":  [\r\n            {\r\n                \"system\": \"http://snomed.info/sct\",\r\n                \"code\": \"736253002\",\r\n                \"display\": \"Mental health crisis plan\"\r\n            }\r\n        ]\r\n    }\r\n```",
      "mustSupport": true
    }, {
      "id": "DocumentReference.type.coding",
      "min": 1,
      "path": "DocumentReference.type.coding"
    }, {
      "id": "DocumentReference.type.coding.system",
      "min": 1,
      "path": "DocumentReference.type.coding.system"
    }, {
      "id": "DocumentReference.type.coding.code",
      "min": 1,
      "path": "DocumentReference.type.coding.code"
    }, {
      "id": "DocumentReference.type.coding.display",
      "min": 1,
      "path": "DocumentReference.type.coding.display"
    }, {
      "id": "DocumentReference.category",
      "min": 1,
      "path": "DocumentReference.category",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.nhs.uk/ValueSet/DocumentCategory",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "DocumentC80Class"
        } ],
        "description": "NHS Digital Document Category"
      },
      "definition": "A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type.\r\n\r\n```json\r\n\"category\":  [\r\n        {\r\n            \"coding\":  [\r\n                {\r\n                    \"system\": \"http://snomed.info/sct\",\r\n                    \"code\": \"734163000\",\r\n                    \"display\": \"Care plan\"\r\n                }\r\n            ]\r\n        }\r\n    ]\r\n```",
      "mustSupport": true
    }, {
      "id": "DocumentReference.subject",
      "min": 1,
      "path": "DocumentReference.subject",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "referenced" ],
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient" ]
      } ],
      "constraint": [ {
        "key": "patient-reference",
        "human": "subject - An identifier reference or resource reference must be provided",
        "severity": "warning",
        "expression": "(reference.exists() or (identifier.exists()))"
      }, {
        "key": "patient-nhs",
        "human": "Supplied NHS Number is outside the English and Welsh NHS Number range or length of the number is wrong.",
        "severity": "error",
        "expression": "identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').exists().not() or (identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').exists()  and identifier.where(system='https://fhir.nhs.uk/Id/nhs-number').value.matches('^([456789]{1}[0-9]{9})$'))"
      } ],
      "definition": "A reference to a [NHSDigital-Patient](https://simplifier.net/resolve?target=simplifier&scope=uk.nhsdigital.r4&canonical=https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient) and/or an identifier reference using NHSNumber. Only traced NHS Numbers may be used. \r\n\r\n```json\r\n\r\n    \"subject\": {\r\n        \"reference\": \"urn:uuid:edea022a-2d81-11eb-adc1-0242ac120002\",\r\n        \"identifier\": [\r\n            {\r\n                \"system\": \"https://fhir.nhs.uk/Id/nhs-number\",\r\n                \"value\": \"9912003888\"\r\n            }\r\n        ]\r\n    },\r\n\r\n```\r\n\r\nPreference is for a reference to a Patient resource, however current document flows may only support limited metadata.",
      "mustSupport": true
    }, {
      "id": "DocumentReference.subject.identifier.system",
      "min": 1,
      "path": "DocumentReference.subject.identifier.system"
    }, {
      "id": "DocumentReference.subject.identifier.value",
      "min": 1,
      "path": "DocumentReference.subject.identifier.value"
    }, {
      "id": "DocumentReference.date",
      "path": "DocumentReference.date",
      "mustSupport": true
    }, {
      "id": "DocumentReference.author",
      "path": "DocumentReference.author",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Organization", "http://hl7.org/fhir/StructureDefinition/Device", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-PractitionerRole" ]
      } ],
      "definition" : "A resource reference to a contained [NHSDigital-PractitionerRole](https://simplifier.net/resolve?target=simplifier&scope=uk.nhsdigital.r4&canonical=https://fhir.nhs.uk/StructureDefinition/NHSDigital-PractitionerRole)\r\n\r\n```json\r\n\r\n    \"author\": [\r\n        {\r\n          \"reference\": \"#author\",\r\n        }\r\n    ]\r\n```\r\n\r\nThe contained resource: \r\n\r\n```json\r\n{\r\n  \"resourceType\": \"DocumentReference\",\r\n  \"id\": \"a9b9f0f4-cc37-4ea3-bd4b-16d15ddbe63b\",\r\n  \"contained\": [\r\n    {\r\n      \"resourceType\": \"PractitionerRole\",\r\n      \"id\": \"author\",\r\n      \"practitioner\": {\r\n        \"identifier\": {\r\n          \"system\": \"https://fhir.nhs.uk/Id/sds-user-id\",\r\n          \"value\": \"0987654321\"\r\n        }\r\n      },\r\n      \"organization\": {\r\n        \"identifier\": {\r\n          \"system\": \"https://fhir.nhs.uk/Id/ods-organization-code\",\r\n          \"value\": \"RR8\"\r\n        },\r\n        \"display\": \"LEEDS TEACHING HOSPITALS NHS TRUST\"\r\n      }\r\n    }\r\n  ],\r\n```",
      "mustSupport": true
    }, {
      "id": "DocumentReference.custodian",
      "path": "DocumentReference.custodian",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Organization" ]
      } ],
      "definition": "An identifier reference to an ODS Organisation. \r\n\r\n```json\r\n\r\n        \"custodian\": {\r\n                \"identifier\": {\r\n                    \"system\": \"https://fhir.nhs.uk/Id/ods-organization-code\",\r\n                    \"value\": \"VNE51\"\r\n                },\r\n                \"display\": \"The Pharmacy System\"\r\n        }\r\n```",
      "mustSupport": true
    }, {
      "id": "DocumentReference.content",
      "path": "DocumentReference.content",
      "definition": "The document and format referenced. There may be multiple content element repetitions, each with a different format.\r\n\r\n```json\r\n\"content\": [\r\n        {\r\n            \"attachment\": {\r\n                \"extension\": [\r\n                    {\r\n                        \"url\": \"https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-AttachedBy\",\r\n                        \"valueReference\": {\r\n                            \"identifier\": {\r\n                                \"system\": \"https://fhir.nhs.uk/Id/sds-user-id\",\r\n                                \"value\": \"987654321\"\r\n                            }\r\n                        }\r\n                    }\r\n                ],\r\n                \"contentType\": \"application/pdf\",\r\n                \"url\": \"Binary/att-70001-70002\",\r\n                \"size\": 18592,\r\n                \"title\": \"upload.png\",\r\n                \"creation\": \"2022-01-31\"\r\n            }\r\n        }\r\n    ]\r\n```",
      "mustSupport": true
    }, {
      "id": "DocumentReference.content.attachment",
      "path": "DocumentReference.content.attachment",
      "mustSupport": true
    }, {
      "id": "DocumentReference.content.attachment.contentType",
      "path": "DocumentReference.content.attachment.contentType",
      "definition": "A listed of supported document types (mime types) should be provided, this is likely to include:\r\n\r\n- FHIR Documents\r\n- PDF\r\n- html\r\n- jpeg/jpg\r\n- png"
    }, {
      "id": "DocumentReference.content.attachment.data",
      "path": "DocumentReference.content.attachment.data",
      "definition": "**SHOULD** not be used. Use url to link to the actual document",
      "mustSupport": true
    }, {
      "id": "DocumentReference.content.attachment.url",
      "path": "DocumentReference.content.attachment.url",
      "definition": "For REST interactions this **MUST** be a url to the actual document. For messaging interactions this must be an internal resource reference to the actual document.",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context",
      "path": "DocumentReference.context",
      "definition" : "The clinical context in which the document was prepared.\r\n\r\n```json\r\n\"context\": {\r\n        \"related\": [\r\n            {\r\n                \"type\": \"ServiceRequest\",\r\n                \"reference\": \"ServiceRequest/be735573-9f24-42e1-ae98-af89d632e4bf\"\r\n            },\r\n            {\r\n                \"type\": \"Task\",\r\n                \"reference\": \"Task/f66e4cd7-207c-4b7d-9ac9-80630c451125\"\r\n            }\r\n        ]\r\n    }\r\n```",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.practiceSetting",
      "path": "DocumentReference.context.practiceSetting",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://fhir.nhs.uk/ValueSet/NHSDigital-CareSettingType",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "DocumentC80PracticeSetting"
        } ]
      },
      "definition": "It is recommended a care setting code should be provided",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.related",
      "path": "DocumentReference.context.related",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.nhs.uk/StructureDefinition/NHSDigital-ServiceRequest", "https://fhir.nhs.uk/StructureDefinition/NHSDigital-Task" ]
      } ],
      "definition": "Related identifiers or resources associated with the DocumentReference.\r\n\r\nIn eRS this is used to link a DocumentReference (i.e. a document) to a ServiceRequest and/or Task.",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-DocumentReference"
}