{
  "resourceType": "StructureDefinition",
  "meta": {
    "lastUpdated": "2019-02-08T10:10:06.879+00:00"
  },
  "url": "http://medico-emr.net/stu3/sd/DocumentReference-ProgressNote-1",
  "name": "DocumentReference-ProgressNote-1",
  "status": "active",
  "date": "2019-02-08T10:10:06.6925346+00:00",
  "description": "Represents a node that is part of progress note documentation. Can be changed / created by User.",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "DocumentReference",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DocumentReference",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "DocumentReference",
        "path": "DocumentReference",
        "definition": "A reference to a document. Represents a node that is part of progress note documentation, can be changed / created by User."
      },
      {
        "id": "DocumentReference.id",
        "path": "DocumentReference.id",
        "definition": "ProgressNote-#########",
        "min": 1
      },
      {
        "id": "DocumentReference.meta",
        "path": "DocumentReference.meta",
        "min": 1
      },
      {
        "id": "DocumentReference.meta.id",
        "path": "DocumentReference.meta.id",
        "max": "0"
      },
      {
        "id": "DocumentReference.meta.versionId",
        "path": "DocumentReference.meta.versionId",
        "max": "0"
      },
      {
        "id": "DocumentReference.meta.lastUpdated",
        "path": "DocumentReference.meta.lastUpdated",
        "max": "0"
      },
      {
        "id": "DocumentReference.meta.profile",
        "path": "DocumentReference.meta.profile",
        "min": 1,
        "max": "1",
        "fixedUri": "http://medico-emr.net/stu3/sd/DocumentReference-ProgressNote-1"
      },
      {
        "id": "DocumentReference.meta.security",
        "path": "DocumentReference.meta.security",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "DocumentReference.meta.security:Confidentiality",
        "path": "DocumentReference.meta.security",
        "sliceName": "Confidentiality",
        "definition": "marks a progressnote as confidential in case its present",
        "max": "1"
      },
      {
        "id": "DocumentReference.meta.security:Confidentiality.id",
        "path": "DocumentReference.meta.security.id",
        "max": "0"
      },
      {
        "id": "DocumentReference.meta.security:Confidentiality.system",
        "path": "DocumentReference.meta.security.system",
        "min": 1,
        "fixedUri": "http://hl7.org/fhir/v3/Confidentiality"
      },
      {
        "id": "DocumentReference.meta.security:Confidentiality.version",
        "path": "DocumentReference.meta.security.version",
        "max": "0"
      },
      {
        "id": "DocumentReference.meta.security:Confidentiality.code",
        "path": "DocumentReference.meta.security.code",
        "definition": "R if restricted\r\nnot present if not",
        "min": 1,
        "fixedCode": "R"
      },
      {
        "id": "DocumentReference.meta.security:Confidentiality.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "DocumentReference.meta.security.display",
        "min": 1,
        "fixedString": "Restricted"
      },
      {
        "id": "DocumentReference.meta.security:Confidentiality.userSelected",
        "path": "DocumentReference.meta.security.userSelected",
        "max": "0"
      },
      {
        "id": "DocumentReference.meta.tag",
        "path": "DocumentReference.meta.tag",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "DocumentReference.meta.tag:DoctorsRoundDocumentation",
        "path": "DocumentReference.meta.tag",
        "sliceName": "DoctorsRoundDocumentation",
        "definition": "The above tag is either not present - or with code=1. The tag allows for searching progress notes relevant for doctor's round documentation. Setting it at write time leads to setting appropriate values in \"class\" (categories and category values)",
        "max": "1"
      },
      {
        "id": "DocumentReference.meta.tag:DoctorsRoundDocumentation.id",
        "path": "DocumentReference.meta.tag.id",
        "max": "0"
      },
      {
        "id": "DocumentReference.meta.tag:DoctorsRoundDocumentation.system",
        "path": "DocumentReference.meta.tag.system",
        "min": 1,
        "fixedUri": "http://medico-emr.net/cs1/TagIsDoctorsRound-Documentation-1"
      },
      {
        "id": "DocumentReference.meta.tag:DoctorsRoundDocumentation.version",
        "path": "DocumentReference.meta.tag.version",
        "max": "0"
      },
      {
        "id": "DocumentReference.meta.tag:DoctorsRoundDocumentation.code",
        "path": "DocumentReference.meta.tag.code",
        "min": 1,
        "fixedCode": "1"
      },
      {
        "id": "DocumentReference.meta.tag:DoctorsRoundDocumentation.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "DocumentReference.meta.tag.display",
        "max": "0"
      },
      {
        "id": "DocumentReference.meta.tag:DoctorsRoundDocumentation.userSelected",
        "path": "DocumentReference.meta.tag.userSelected",
        "max": "0"
      },
      {
        "id": "DocumentReference.implicitRules",
        "path": "DocumentReference.implicitRules",
        "max": "0"
      },
      {
        "id": "DocumentReference.language",
        "path": "DocumentReference.language",
        "max": "0"
      },
      {
        "id": "DocumentReference.text",
        "path": "DocumentReference.text",
        "max": "0"
      },
      {
        "id": "DocumentReference.contained",
        "path": "DocumentReference.contained",
        "max": "0"
      },
      {
        "id": "DocumentReference.extension",
        "path": "DocumentReference.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "DocumentReference.extension:DocumentAttributes",
        "path": "DocumentReference.extension",
        "sliceName": "DocumentAttributes",
        "type": [
          {
            "code": "Extension",
            "profile": "http://medico-emr.net/stu3/sd/MXT-DocumentAttributes-1"
          }
        ]
      },
      {
        "id": "DocumentReference.masterIdentifier",
        "path": "DocumentReference.masterIdentifier",
        "max": "0"
      },
      {
        "id": "DocumentReference.identifier",
        "path": "DocumentReference.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type.coding.code"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "DocumentReference.identifier:medicoResourceId",
        "path": "DocumentReference.identifier",
        "sliceName": "medicoResourceId",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": "http://medico-emr.net/stu3/sd/Identifier-medicoResourceId-1"
          }
        ]
      },
      {
        "id": "DocumentReference.identifier:medicoResourceId.system",
        "path": "DocumentReference.identifier.system",
        "definition": "Must be a constant underneath http://medico-emr.net/%KUNDE%/sid1/ProgressNote",
        "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier\r\nDynamically resolved for validation\r\n--FixedValue=http://medico-emr.net/%KUNDE%/sid1/ProgressNote"
      },
      {
        "id": "DocumentReference.status",
        "path": "DocumentReference.status",
        "short": "current",
        "fixedCode": "current"
      },
      {
        "id": "DocumentReference.docStatus",
        "path": "DocumentReference.docStatus",
        "max": "0"
      },
      {
        "id": "DocumentReference.type.id",
        "path": "DocumentReference.type.id",
        "max": "0"
      },
      {
        "id": "DocumentReference.type.coding",
        "path": "DocumentReference.type.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "DocumentReference.type.coding.id",
        "path": "DocumentReference.type.coding.id",
        "max": "0"
      },
      {
        "id": "DocumentReference.type.coding.system",
        "path": "DocumentReference.type.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "DocumentReference.type.coding.version",
        "path": "DocumentReference.type.coding.version",
        "max": "0"
      },
      {
        "id": "DocumentReference.type.coding.code",
        "path": "DocumentReference.type.coding.code",
        "min": 1,
        "fixedCode": "11506-3"
      },
      {
        "id": "DocumentReference.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "DocumentReference.type.coding.display",
        "max": "0"
      },
      {
        "id": "DocumentReference.type.coding.userSelected",
        "path": "DocumentReference.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "DocumentReference.type.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "DocumentReference.type.text",
        "max": "0"
      },
      {
        "id": "DocumentReference.class",
        "path": "DocumentReference.class",
        "definition": "text not set\r\n-------------------------------------------------------\r\nn times categories and assigned values\r\n.system=\"http://medico-emr.net/%KUNDE%/cs/ProgessNoteCategory/\"\r\n.code    =\"<categoryId>|<categoryValue>\"\r\n.display =\"<text category>|<text category value\">\r\n\r\n(e.g. work profession as  category, \"doctor\" as vale)",
        "min": 1
      },
      {
        "id": "DocumentReference.class.id",
        "path": "DocumentReference.class.id",
        "max": "0"
      },
      {
        "id": "DocumentReference.class.coding",
        "path": "DocumentReference.class.coding",
        "min": 1
      },
      {
        "id": "DocumentReference.class.coding.id",
        "path": "DocumentReference.class.coding.id",
        "max": "0"
      },
      {
        "id": "DocumentReference.class.coding.system",
        "path": "DocumentReference.class.coding.system",
        "min": 1,
        "fixedUri": "http://medico-emr.net/%KUNDE%/cs/ProgessNoteCategory/[categoryId]"
      },
      {
        "id": "DocumentReference.class.coding.version",
        "path": "DocumentReference.class.coding.version",
        "max": "0"
      },
      {
        "id": "DocumentReference.class.coding.code",
        "path": "DocumentReference.class.coding.code",
        "definition": "<categoryValue>",
        "min": 1
      },
      {
        "id": "DocumentReference.class.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "DocumentReference.class.coding.display",
        "definition": "<text category>|<text category value>",
        "min": 1
      },
      {
        "id": "DocumentReference.class.coding.userSelected",
        "path": "DocumentReference.class.coding.userSelected",
        "max": "0"
      },
      {
        "id": "DocumentReference.class.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "DocumentReference.class.text",
        "max": "0"
      },
      {
        "id": "DocumentReference.subject",
        "path": "DocumentReference.subject",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "profile": "http://medico-emr.net/stu3/sd/Reference-SubjectPatient-1",
            "targetProfile": "http://medico-emr.net/stu3/sd/Patient-Patient-1"
          }
        ]
      },
      {
        "id": "DocumentReference.created",
        "path": "DocumentReference.created",
        "definition": "crd / chd of the source table in medico",
        "min": 1
      },
      {
        "id": "DocumentReference.indexed",
        "path": "DocumentReference.indexed",
        "definition": "time of FHIR message\r\n\r\n- please ignore-"
      },
      {
        "id": "DocumentReference.author",
        "path": "DocumentReference.author",
        "definition": "Identifies who is responsible for adding the information to the document.\r\nfrom medico the change- or create user is referenced as Practitioner-User\r\nDepartment and Ward are referenced as an organization",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://medico-emr.net/stu3/sd/Practitioner-User-1"
          },
          {
            "code": "Reference",
            "targetProfile": "http://medico-emr.net/stu3/sd/Organization-Department-1"
          },
          {
            "code": "Reference",
            "targetProfile": "http://medico-emr.net/stu3/sd/Organization-Ward-1"
          }
        ]
      },
      {
        "id": "DocumentReference.author.id",
        "path": "DocumentReference.author.id",
        "max": "0"
      },
      {
        "id": "DocumentReference.author.reference",
        "path": "DocumentReference.author.reference",
        "min": 1
      },
      {
        "id": "DocumentReference.author.identifier",
        "path": "DocumentReference.author.identifier",
        "max": "0"
      },
      {
        "id": "DocumentReference.author.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "DocumentReference.author.display",
        "max": "0"
      },
      {
        "id": "DocumentReference.authenticator",
        "path": "DocumentReference.authenticator",
        "max": "0"
      },
      {
        "id": "DocumentReference.custodian",
        "path": "DocumentReference.custodian",
        "max": "0"
      },
      {
        "id": "DocumentReference.relatesTo",
        "path": "DocumentReference.relatesTo",
        "max": "0"
      },
      {
        "id": "DocumentReference.description",
        "path": "DocumentReference.description",
        "max": "0"
      },
      {
        "id": "DocumentReference.securityLabel",
        "path": "DocumentReference.securityLabel",
        "max": "0"
      },
      {
        "id": "DocumentReference.content.id",
        "path": "DocumentReference.content.id",
        "max": "0"
      },
      {
        "id": "DocumentReference.content.attachment.id",
        "path": "DocumentReference.content.attachment.id",
        "max": "0"
      },
      {
        "id": "DocumentReference.content.attachment.contentType",
        "path": "DocumentReference.content.attachment.contentType",
        "max": "0"
      },
      {
        "id": "DocumentReference.content.attachment.language",
        "path": "DocumentReference.content.attachment.language",
        "max": "0"
      },
      {
        "id": "DocumentReference.content.attachment.data",
        "path": "DocumentReference.content.attachment.data",
        "definition": "The content,\r\nbase64 encoded",
        "min": 1
      },
      {
        "id": "DocumentReference.content.attachment.url",
        "path": "DocumentReference.content.attachment.url",
        "max": "0"
      },
      {
        "id": "DocumentReference.content.attachment.size",
        "path": "DocumentReference.content.attachment.size",
        "max": "0"
      },
      {
        "id": "DocumentReference.content.attachment.hash",
        "path": "DocumentReference.content.attachment.hash",
        "max": "0"
      },
      {
        "id": "DocumentReference.content.attachment.title",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "DocumentReference.content.attachment.title",
        "max": "0"
      },
      {
        "id": "DocumentReference.content.attachment.creation",
        "path": "DocumentReference.content.attachment.creation",
        "max": "0"
      },
      {
        "id": "DocumentReference.content.format",
        "path": "DocumentReference.content.format",
        "max": "0"
      },
      {
        "id": "DocumentReference.context",
        "path": "DocumentReference.context",
        "min": 1
      },
      {
        "id": "DocumentReference.context.id",
        "path": "DocumentReference.context.id",
        "max": "0"
      },
      {
        "id": "DocumentReference.context.encounter",
        "path": "DocumentReference.context.encounter",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "profile": "http://medico-emr.net/stu3/sd/Reference-ContextEncounter-1",
            "targetProfile": "http://medico-emr.net/stu3/sd/Encounter-ClinCase-1"
          }
        ]
      },
      {
        "id": "DocumentReference.context.event",
        "path": "DocumentReference.context.event",
        "max": "0"
      },
      {
        "id": "DocumentReference.context.period",
        "path": "DocumentReference.context.period",
        "max": "0"
      },
      {
        "id": "DocumentReference.context.facilityType",
        "path": "DocumentReference.context.facilityType",
        "max": "0"
      },
      {
        "id": "DocumentReference.context.practiceSetting",
        "path": "DocumentReference.context.practiceSetting",
        "max": "0"
      },
      {
        "id": "DocumentReference.context.sourcePatientInfo",
        "path": "DocumentReference.context.sourcePatientInfo",
        "max": "0"
      },
      {
        "id": "DocumentReference.context.related",
        "path": "DocumentReference.context.related",
        "max": "0"
      }
    ]
  }
}