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{
  "resourceType": "StructureDefinition",
  "id": "ca-on-mi-profile-documentreference",
  "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-DocumentReference",
  "version": "0.9.0",
  "name": "MiCdrDocumentReference",
  "title": "DocumentReference Profile",
  "status": "active",
  "date": "2024-04-30T19:55:45.2228834+00:00",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "fhircomposition",
      "uri": "http://hl7.org/fhir/composition",
      "name": "FHIR Composition"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "cda",
      "uri": "http://hl7.org/v3/cda",
      "name": "CDA (R2)"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "xds",
      "uri": "http://ihe.net/xds",
      "name": "XDS metadata equivalent"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "DocumentReference",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DocumentReference",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "DocumentReference.meta",
        "path": "DocumentReference.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.meta.profile",
        "path": "DocumentReference.meta.profile",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier",
        "path": "DocumentReference.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type.coding.code"
            }
          ],
          "rules": "open"
        },
        "definition": "Other identifiers associated with the document, including any identifier in the filling application, or a placer group number",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier.type",
        "path": "DocumentReference.identifier.type",
        "short": "Description of identifier.",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required"
        }
      },
      {
        "id": "DocumentReference.identifier.type.coding",
        "path": "DocumentReference.identifier.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier.type.coding.system",
        "path": "DocumentReference.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier.type.coding.code",
        "path": "DocumentReference.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "ACSN",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier.type.coding.display",
        "path": "DocumentReference.identifier.type.coding.display",
        "min": 1,
        "fixedString": "Accession ID",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier.system",
        "path": "DocumentReference.identifier.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier.value",
        "path": "DocumentReference.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Accession-Number",
        "path": "DocumentReference.identifier",
        "sliceName": "sliceIdentifier-Accession-Number",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Accession-Number.type",
        "path": "DocumentReference.identifier.type",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Accession-Number.type.coding",
        "path": "DocumentReference.identifier.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Accession-Number.type.coding.system",
        "path": "DocumentReference.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Accession-Number.type.coding.code",
        "path": "DocumentReference.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "ACSN",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Accession-Number.type.coding.display",
        "path": "DocumentReference.identifier.type.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Accession-Number.system",
        "path": "DocumentReference.identifier.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Accession-Number.value",
        "path": "DocumentReference.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Placer-Order-Number",
        "path": "DocumentReference.identifier",
        "sliceName": "sliceIdentifier-Placer-Order-Number",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.type",
        "path": "DocumentReference.identifier.type",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.type.coding",
        "path": "DocumentReference.identifier.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.type.coding.system",
        "path": "DocumentReference.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.type.coding.code",
        "path": "DocumentReference.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "PLAC",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.type.coding.display",
        "path": "DocumentReference.identifier.type.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.system",
        "path": "DocumentReference.identifier.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.value",
        "path": "DocumentReference.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Study-Instance-Id",
        "path": "DocumentReference.identifier",
        "sliceName": "sliceIdentifier-Study-Instance-Id",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Study-Instance-Id.type",
        "path": "DocumentReference.identifier.type",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Study-Instance-Id.type.coding",
        "path": "DocumentReference.identifier.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Study-Instance-Id.type.coding.system",
        "path": "DocumentReference.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Study-Instance-Id.type.coding.code",
        "path": "DocumentReference.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "SUID",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Study-Instance-Id.type.coding.display",
        "path": "DocumentReference.identifier.type.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Study-Instance-Id.system",
        "path": "DocumentReference.identifier.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.identifier:sliceIdentifier-Study-Instance-Id.value",
        "path": "DocumentReference.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.status",
        "path": "DocumentReference.status",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.docStatus",
        "path": "DocumentReference.docStatus",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.type",
        "path": "DocumentReference.type",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Indicates the MI Document Types.",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/mi-document-type"
        }
      },
      {
        "id": "DocumentReference.type.coding",
        "path": "DocumentReference.type.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.type.coding.system",
        "path": "DocumentReference.type.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.type.coding.code",
        "path": "DocumentReference.type.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.type.coding.display",
        "path": "DocumentReference.type.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.type.coding:slice-loinc-coding",
        "path": "DocumentReference.type.coding",
        "sliceName": "slice-loinc-coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.type.coding:slice-loinc-coding.system",
        "path": "DocumentReference.type.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.type.coding:slice-loinc-coding.code",
        "path": "DocumentReference.type.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.type.coding:slice-loinc-coding.display",
        "path": "DocumentReference.type.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.subject",
        "path": "DocumentReference.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DocumentReference.subject.reference",
        "path": "DocumentReference.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.date",
        "path": "DocumentReference.date",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.author",
        "path": "DocumentReference.author",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-PractitionerRole",
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-Practitioner",
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-Organization"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DocumentReference.author.reference",
        "path": "DocumentReference.author.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.custodian",
        "path": "DocumentReference.custodian",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-Organization"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DocumentReference.custodian.reference",
        "path": "DocumentReference.custodian.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "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",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.description",
        "path": "DocumentReference.description",
        "comment": "something to describe the document, such as provincial description for orders and reports, study descripton for imaging study)",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content",
        "path": "DocumentReference.content",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content.attachment",
        "path": "DocumentReference.content.attachment",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content.attachment.url",
        "path": "DocumentReference.content.attachment.url",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context",
        "path": "DocumentReference.context",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.encounter",
        "path": "DocumentReference.context.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mi-profile-encounter"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event",
        "path": "DocumentReference.context.event",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "extension.value.code"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event.extension",
        "path": "DocumentReference.context.event.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "DocumentReference.context.event.extension:ext-mi-clinical-category",
        "path": "DocumentReference.context.event.extension",
        "sliceName": "ext-mi-clinical-category",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type"
            ]
          }
        ],
        "isModifier": false,
        "binding": {
          "strength": "required",
          "description": "Indicates the MI categories",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/mi-category-type"
        }
      },
      {
        "id": "DocumentReference.context.event:event-modality",
        "path": "DocumentReference.context.event",
        "sliceName": "event-modality",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "The modality of the instances in the series",
          "valueSet": "https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"
        }
      },
      {
        "id": "DocumentReference.context.event:event-modality.extension",
        "path": "DocumentReference.context.event.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "DocumentReference.context.event:event-modality.extension:ext-mi-clinical-category",
        "path": "DocumentReference.context.event.extension",
        "sliceName": "ext-mi-clinical-category",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "DocumentReference.context.event:event-modality.extension:ext-mi-clinical-category.value[x].system",
        "path": "DocumentReference.context.event.extension.value[x].system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "DocumentReference.context.event:event-modality.extension:ext-mi-clinical-category.value[x].code",
        "path": "DocumentReference.context.event.extension.value[x].code",
        "fixedCode": "360037004"
      },
      {
        "id": "DocumentReference.context.event:event-modality.coding",
        "path": "DocumentReference.context.event.coding",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event:event-modality.coding.system",
        "path": "DocumentReference.context.event.coding.system",
        "min": 1,
        "fixedUri": "http://dicom.nema.org/resources/ontology/DCM",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event:event-modality.coding.code",
        "path": "DocumentReference.context.event.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event:event-modality.coding.display",
        "path": "DocumentReference.context.event.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event:event-specialty",
        "path": "DocumentReference.context.event",
        "sliceName": "event-specialty",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Classification of the requested service.",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/mi-procedure-specialty"
        }
      },
      {
        "id": "DocumentReference.context.event:event-specialty.extension",
        "path": "DocumentReference.context.event.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "DocumentReference.context.event:event-specialty.extension:ext-mi-clinical-category",
        "path": "DocumentReference.context.event.extension",
        "sliceName": "ext-mi-clinical-category",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "DocumentReference.context.event:event-specialty.extension:ext-mi-clinical-category.value[x].system",
        "path": "DocumentReference.context.event.extension.value[x].system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "DocumentReference.context.event:event-specialty.extension:ext-mi-clinical-category.value[x].code",
        "path": "DocumentReference.context.event.extension.value[x].code",
        "fixedCode": "394658006"
      },
      {
        "id": "DocumentReference.context.event:event-specialty.coding",
        "path": "DocumentReference.context.event.coding",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event:event-specialty.coding.system",
        "path": "DocumentReference.context.event.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event:event-specialty.coding.code",
        "path": "DocumentReference.context.event.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event:event-specialty.coding.display",
        "path": "DocumentReference.context.event.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event:event-bodyPart",
        "path": "DocumentReference.context.event",
        "sliceName": "event-bodyPart",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Indicates the MI Procedure Body Part - SNOMED CT",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/mi-procedure-bodypart-sct"
        }
      },
      {
        "id": "DocumentReference.context.event:event-bodyPart.extension",
        "path": "DocumentReference.context.event.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "DocumentReference.context.event:event-bodyPart.extension:ext-category-bodypart",
        "path": "DocumentReference.context.event.extension",
        "sliceName": "ext-category-bodypart",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ext-mi-category-type"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "DocumentReference.context.event:event-bodyPart.extension:ext-category-bodypart.value[x].system",
        "path": "DocumentReference.context.event.extension.value[x].system",
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "DocumentReference.context.event:event-bodyPart.extension:ext-category-bodypart.value[x].code",
        "path": "DocumentReference.context.event.extension.value[x].code",
        "fixedCode": "272427006"
      },
      {
        "id": "DocumentReference.context.event:event-bodyPart.coding",
        "path": "DocumentReference.context.event.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event:event-bodyPart.coding.system",
        "path": "DocumentReference.context.event.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event:event-bodyPart.coding.code",
        "path": "DocumentReference.context.event.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event:event-bodyPart.coding.display",
        "path": "DocumentReference.context.event.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event:event-laterality",
        "path": "DocumentReference.context.event",
        "sliceName": "event-laterality",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "A code that classifies a laterality of an MI procedure using SNOMED CT codes",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/mi-procedure-laterality-sct"
        }
      },
      {
        "id": "DocumentReference.context.event:event-laterality.extension",
        "path": "DocumentReference.context.event.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
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name : MiCdrDocumentReference

{

}