<status value="active" /> <date value="2023-05-23T19:54:30.1588299+00:00" /> <publisher value="Ontario Health" /> <description value="This profile defines a set of constraints to the FHIR DocumentReference resource for use in Ontario Patient Summaries (PS-ON). This profile is based on the DocumentReference profile from the base R4 FHIR standard." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="DocumentReference" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DocumentReference" /> <derivation value="constraint" /> <differential> <element id="DocumentReference.meta"> <path value="DocumentReference.meta" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.meta.profile"> <path value="DocumentReference.meta.profile" /> <min value="1" /> <max value="1" /> <fixedCanonical value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-DocumentReference" /> <mustSupport value="true" /> </element> <element id="DocumentReference.identifier"> <path value="DocumentReference.identifier" /> <definition value="Other identifiers associated with the document, including any identifier in the filling application, or a placer group number" /> <mustSupport value="true" /> </element> <element id="DocumentReference.identifier.system"> <path value="DocumentReference.identifier.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.identifier.value"> <path value="DocumentReference.identifier.value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.docStatus"> <path value="DocumentReference.docStatus" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.type"> <path value="DocumentReference.type" /> <min value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="60591-5" /> </coding> </patternCodeableConcept> <mustSupport value="true" /> </element> <element id="DocumentReference.category"> <path value="DocumentReference.category" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <mustSupport value="true" /> </element> <element id="DocumentReference.category.extension:ext-LOINC-ontology-axis"> <path value="DocumentReference.category.extension" /> <sliceName value="ext-LOINC-ontology-axis" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="DocumentReference.category.extension:ext-LOINC-ontology-axis.url"> <path value="DocumentReference.category.extension.url" /> <fixedUri value="http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" /> </element> <element id="DocumentReference.category.coding"> <path value="DocumentReference.category.coding" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category.coding.system"> <path value="DocumentReference.category.coding.system" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category.coding.code"> <path value="DocumentReference.category.coding.code" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category.coding.display"> <path value="DocumentReference.category.coding.display" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-type-of-service"> <path value="DocumentReference.category" /> <sliceName value="sliceCategory-type-of-service" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-type-of-service.extension"> <path value="DocumentReference.category.extension" /> <min value="1" /> </element> <element id="DocumentReference.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis"> <path value="DocumentReference.category.extension" /> <sliceName value="ext-LOINC-ontology-axis" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="DocumentReference.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis.url"> <path value="DocumentReference.category.extension.url" /> <fixedUri value="http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" /> </element> <element id="DocumentReference.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis.value[x].code"> <path value="DocumentReference.category.extension.value[x].code" /> </element> <element id="DocumentReference.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis.value[x].display"> <path value="DocumentReference.category.extension.value[x].display" /> <label value="Type of Service" /> </element> <element id="DocumentReference.category:sliceCategory-type-of-service.coding"> <path value="DocumentReference.category.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-type-of-service.coding.system"> <path value="DocumentReference.category.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-type-of-service.coding.code"> <path value="DocumentReference.category.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-type-of-service.coding.display"> <path value="DocumentReference.category.coding.display" /> <min value="1" /> <fixedString value="Patient summary" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-kind-of-document"> <path value="DocumentReference.category" /> <sliceName value="sliceCategory-kind-of-document" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-kind-of-document.extension"> <path value="DocumentReference.category.extension" /> <min value="1" /> </element> <element id="DocumentReference.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis"> <path value="DocumentReference.category.extension" /> <sliceName value="ext-LOINC-ontology-axis" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="DocumentReference.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis.url"> <path value="DocumentReference.category.extension.url" /> <fixedUri value="http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" /> </element> <element id="DocumentReference.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis.value[x].code"> <path value="DocumentReference.category.extension.value[x].code" /> </element> <element id="DocumentReference.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis.value[x].display"> <path value="DocumentReference.category.extension.value[x].display" /> </element> <element id="DocumentReference.category:sliceCategory-kind-of-document.coding"> <path value="DocumentReference.category.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-kind-of-document.coding.system"> <path value="DocumentReference.category.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-kind-of-document.coding.code"> <path value="DocumentReference.category.coding.code" /> <min value="1" /> <fixedCode value="LP173418-7" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-kind-of-document.coding.display"> <path value="DocumentReference.category.coding.display" /> <min value="1" /> <fixedString value="Note" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-subject-matter-domain"> <path value="DocumentReference.category" /> <sliceName value="sliceCategory-subject-matter-domain" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-subject-matter-domain.extension"> <path value="DocumentReference.category.extension" /> <min value="1" /> </element> <element id="DocumentReference.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis"> <path value="DocumentReference.category.extension" /> <sliceName value="ext-LOINC-ontology-axis" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="DocumentReference.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis.url"> <path value="DocumentReference.category.extension.url" /> <fixedUri value="http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" /> </element> <element id="DocumentReference.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis.value[x].code"> <path value="DocumentReference.category.extension.value[x].code" /> </element> <element id="DocumentReference.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis.value[x].display"> <path value="DocumentReference.category.extension.value[x].display" /> </element> <element id="DocumentReference.category:sliceCategory-subject-matter-domain.coding"> <path value="DocumentReference.category.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-subject-matter-domain.coding.system"> <path value="DocumentReference.category.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-subject-matter-domain.coding.code"> <path value="DocumentReference.category.coding.code" /> <min value="1" /> <fixedCode value="CGTA1009-1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-subject-matter-domain.coding.display"> <path value="DocumentReference.category.coding.display" /> <min value="1" /> <fixedString value="Unspecified" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-role"> <path value="DocumentReference.category" /> <sliceName value="sliceCategory-role" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-role.extension"> <path value="DocumentReference.category.extension" /> <min value="1" /> </element> <element id="DocumentReference.category:sliceCategory-role.extension:ext-LOINC-ontology-axis"> <path value="DocumentReference.category.extension" /> <sliceName value="ext-LOINC-ontology-axis" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="DocumentReference.category:sliceCategory-role.extension:ext-LOINC-ontology-axis.url"> <path value="DocumentReference.category.extension.url" /> <fixedUri value="http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" /> </element> <element id="DocumentReference.category:sliceCategory-role.extension:ext-LOINC-ontology-axis.value[x].code"> <path value="DocumentReference.category.extension.value[x].code" /> </element> <element id="DocumentReference.category:sliceCategory-role.extension:ext-LOINC-ontology-axis.value[x].display"> <path value="DocumentReference.category.extension.value[x].display" /> </element> <element id="DocumentReference.category:sliceCategory-role.coding"> <path value="DocumentReference.category.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-role.coding.system"> <path value="DocumentReference.category.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-role.coding.code"> <path value="DocumentReference.category.coding.code" /> <min value="1" /> <fixedCode value="CGTA4001-1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-role.coding.display"> <path value="DocumentReference.category.coding.display" /> <min value="1" /> <fixedString value="Unspecified" /> </element> <element id="DocumentReference.category:sliceCategory-setting"> <path value="DocumentReference.category" /> <sliceName value="sliceCategory-setting" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-setting.extension"> <path value="DocumentReference.category.extension" /> <min value="1" /> </element> <element id="DocumentReference.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis"> <path value="DocumentReference.category.extension" /> <sliceName value="ext-LOINC-ontology-axis" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="DocumentReference.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis.url"> <path value="DocumentReference.category.extension.url" /> <fixedUri value="http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" /> </element> <element id="DocumentReference.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis.value[x].code"> <path value="DocumentReference.category.extension.value[x].code" /> </element> <element id="DocumentReference.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis.value[x].display"> <path value="DocumentReference.category.extension.value[x].display" /> </element> <element id="DocumentReference.category:sliceCategory-setting.coding"> <path value="DocumentReference.category.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-setting.coding.system"> <path value="DocumentReference.category.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-setting.coding.code"> <path value="DocumentReference.category.coding.code" /> <min value="1" /> <fixedCode value="CGTA5001-1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.category:sliceCategory-setting.coding.display"> <path value="DocumentReference.category.coding.display" /> <min value="1" /> <fixedString value="Unspecified" /> <mustSupport value="true" /> </element> <element id="DocumentReference.subject"> <path value="DocumentReference.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-Patient" /> </type> <mustSupport value="true" /> </element> <element id="DocumentReference.date"> <path value="DocumentReference.date" /> <mustSupport value="true" /> </element> <element id="DocumentReference.author"> <path value="DocumentReference.author" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-PractitionerRole" /> <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-Organization" /> </type> <mustSupport value="true" /> </element> <element id="DocumentReference.author.reference"> <path value="DocumentReference.author.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.custodian"> <path value="DocumentReference.custodian" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-Organization" /> </type> <mustSupport value="true" /> </element> <element id="DocumentReference.custodian.reference"> <path value="DocumentReference.custodian.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content"> <path value="DocumentReference.content" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content.attachment"> <path value="DocumentReference.content.attachment" /> <mustSupport value="true" /> </element> <element id="DocumentReference.content.attachment.url"> <path value="DocumentReference.content.attachment.url" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>