{
  "resourceType": "StructureDefinition",
  "url": "https://cloudconnect.cognisantmd.com/fhir/StructureDefinition/DocumentReference",
  "name": "DocumentReference",
  "status": "draft",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "DocumentReference",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DocumentReference",
  "description": "The DocumentReference endpoint is used by Ocean to upload clinical and administrative notes. The resource is also returned in the integrated system's $everything operation to provide Ocean with pre-selected chart attachments. Like other resources in this project, it should extend the Canadian baseline whenever a base profile is available: https://build.fhir.org/ig/HL7-Canada/ca-baseline/StructureDefinition-profile-documentreference",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "DocumentReference.id",
        "path": "DocumentReference.id",
        "min": 1,
        "max": "1"
      },
      {
        "id": "DocumentReference.status",
        "path": "DocumentReference.status",
        "fixedCode": "current"
      },
      {
        "id": "DocumentReference.type",
        "path": "DocumentReference.type",
        "min": 0
      },
      {
        "id": "DocumentReference.type.coding",
        "path": "DocumentReference.type.coding",
        "min": 0
      },
      {
        "id": "DocumentReference.type.coding.system",
        "path": "DocumentReference.type.coding.system",
        "min": 0,
        "comment": "For Ocean-generated notes: http://hl7.org/fhir/ValueSet/doc-typecodes"
      },
      {
        "id": "DocumentReference.type.coding.code",
        "path": "DocumentReference.type.coding.code",
        "min": 1,
        "comment": "For Ocean-generated notes: 74465-6 (Questionnaire response), 11488-4 (Consult note), 51855-5 (Patient note), 69730-0 (Instructions) or 34133-9 (Summary of episode note) are used."
      },
      {
        "id": "DocumentReference.category",
        "path": "DocumentReference.category",
        "min": 1
      },
      {
        "id": "DocumentReference.category.coding",
        "path": "DocumentReference.category.coding",
        "min": 1
      },
      {
        "id": "DocumentReference.category.coding.system",
        "path": "DocumentReference.category.coding.system",
        "min": 1,
        "comment": "For Ocean-generated notes: http://hl7.org/fhir/ValueSet/doc-classcodes"
      },
      {
        "id": "DocumentReference.category.coding.code",
        "path": "DocumentReference.category.coding.code",
        "min": 1,
        "comment": "For Ocean-generated notes: 34109-9"
      },
      {
        "id": "DocumentReference.category.coding.display",
        "path": "DocumentReference.category.coding.display",
        "min": 1,
        "comment": "For Ocean-generated notes: 'Note"
      },
      {
        "id": "DocumentReference.subject",
        "path": "DocumentReference.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/Patient"
            ],
            "aggregation": [
              "referenced"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DocumentReference.subject.reference",
        "path": "DocumentReference.subject.reference",
        "min": 1
      },
      {
        "id": "DocumentReference.date",
        "path": "DocumentReference.date",
        "min": 1
      },
      {
        "id": "DocumentReference.content",
        "path": "DocumentReference.content",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content.format",
        "path": "DocumentReference.content.format",
        "max": "0"
      },
      {
        "id": "DocumentReference.content.attachment",
        "path": "DocumentReference.content.attachment",
        "min": 1,
        "max": "1"
      },
      {
        "id": "DocumentReference.content.attachment.title",
        "path": "DocumentReference.content.attachment.title",
        "min": 1,
        "max": "1",
        "definition": "The file name for the attachment, with a mandatory supported file extension. Valid extensions include but may not be limited to: 'jpg', 'jpeg', 'png', 'tiff', 'tif', 'bmp', 'mp3', 'mp4', 'txt', 'pdf', 'mov', 'avi'"
      },
      {
        "id": "DocumentReference.content.attachment.data",
        "path": "DocumentReference.content.attachment.data",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "definition": "The attachment binary data should be at most 10 MB in length; otherwise it may not be processed for performance reasons."
      },
      {
        "id": "DocumentReference.content.attachment.data.contentType",
        "path": "DocumentReference.content.attachment.data.contentType",
        "min": 1,
        "max": "1",
        "definition": "Read and write support is required for 'application/pdf' and 'text/plain'"
      }
    ]
  }
}