<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ca-on-mi-profile-documentreference" />
  <url value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-documentReference" />
  <version value="1.0.0" />
  <name value="MIDocumentReference" />
  <title value="MI DocumentReference Profile" />
  <status value="active" />
  <date value="2024-04-30T19:55:45.2228834+00:00" />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Pattern" />
  </mapping>
  <mapping>
    <identity value="fhircomposition" />
    <uri value="http://hl7.org/fhir/composition" />
    <name value="FHIR Composition" />
  </mapping>
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <mapping>
    <identity value="cda" />
    <uri value="http://hl7.org/v3/cda" />
    <name value="CDA (R2)" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/fivews" />
    <name value="FiveWs Pattern Mapping" />
  </mapping>
  <mapping>
    <identity value="v2" />
    <uri value="http://hl7.org/v2" />
    <name value="HL7 v2 Mapping" />
  </mapping>
  <mapping>
    <identity value="xds" />
    <uri value="http://ihe.net/xds" />
    <name value="XDS metadata equivalent" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="DocumentReference" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DocumentReference" />
  <derivation value="constraint" />
  <differential>
    <element id="DocumentReference.identifier">
      <path value="DocumentReference.identifier" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="type.coding.code" />
        </discriminator>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <definition value="Other identifiers associated with the document, including any identifier in the filling application, or a placer group number" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier.type">
      <path value="DocumentReference.identifier.type" />
      <short value="Description of identifier." />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/identifier-type" />
      </binding>
    </element>
    <element id="DocumentReference.identifier.type.coding">
      <path value="DocumentReference.identifier.type.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier.type.coding.system">
      <path value="DocumentReference.identifier.type.coding.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier.type.coding.code">
      <path value="DocumentReference.identifier.type.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier.type.coding.display">
      <path value="DocumentReference.identifier.type.coding.display" />
      <min value="1" />
      <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.identifier:sliceIdentifier-Accession-Number">
      <path value="DocumentReference.identifier" />
      <sliceName value="sliceIdentifier-Accession-Number" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Accession-Number.type">
      <path value="DocumentReference.identifier.type" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/identifier-type" />
      </binding>
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Accession-Number.type.coding">
      <path value="DocumentReference.identifier.type.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Accession-Number.type.coding.system">
      <path value="DocumentReference.identifier.type.coding.system" />
      <min value="1" />
      <fixedUri value="http://terminology.hl7.org/CodeSystem/v2-0203" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Accession-Number.type.coding.code">
      <path value="DocumentReference.identifier.type.coding.code" />
      <min value="1" />
      <fixedCode value="ACSN" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Accession-Number.type.coding.display">
      <path value="DocumentReference.identifier.type.coding.display" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Accession-Number.system">
      <path value="DocumentReference.identifier.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Accession-Number.value">
      <path value="DocumentReference.identifier.value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Placer-Order-Number">
      <path value="DocumentReference.identifier" />
      <sliceName value="sliceIdentifier-Placer-Order-Number" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.type">
      <path value="DocumentReference.identifier.type" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/identifier-type" />
      </binding>
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.type.coding">
      <path value="DocumentReference.identifier.type.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.type.coding.system">
      <path value="DocumentReference.identifier.type.coding.system" />
      <min value="1" />
      <fixedUri value="http://terminology.hl7.org/CodeSystem/v2-0203" />
      <mustSupport value="true" />
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    <element id="DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.type.coding.code">
      <path value="DocumentReference.identifier.type.coding.code" />
      <min value="1" />
      <fixedCode value="PLAC" />
      <mustSupport value="true" />
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    <element id="DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.type.coding.display">
      <path value="DocumentReference.identifier.type.coding.display" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.system">
      <path value="DocumentReference.identifier.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Placer-Order-Number.value">
      <path value="DocumentReference.identifier.value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Study-Instance-Id">
      <path value="DocumentReference.identifier" />
      <sliceName value="sliceIdentifier-Study-Instance-Id" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Study-Instance-Id.type">
      <path value="DocumentReference.identifier.type" />
      <binding>
        <strength value="extensible" />
        <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/identifier-type" />
      </binding>
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Study-Instance-Id.system">
      <path value="DocumentReference.identifier.system" />
      <min value="1" />
      <fixedUri value="urn:dicom:uid" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.identifier:sliceIdentifier-Study-Instance-Id.value">
      <path value="DocumentReference.identifier.value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.status">
      <path value="DocumentReference.status" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.docStatus">
      <path value="DocumentReference.docStatus" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.type">
      <path value="DocumentReference.type" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="Indicates the MI Document Types." />
        <valueSet value="http://ontariohealth.ca/fhir/ValueSet/mi-document-type" />
      </binding>
    </element>
    <element id="DocumentReference.type.coding">
      <path value="DocumentReference.type.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.type.coding.system">
      <path value="DocumentReference.type.coding.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.type.coding.code">
      <path value="DocumentReference.type.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.type.coding.display">
      <path value="DocumentReference.type.coding.display" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.type.coding:slice-loinc-coding">
      <path value="DocumentReference.type.coding" />
      <sliceName value="slice-loinc-coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.type.coding:slice-loinc-coding.system">
      <path value="DocumentReference.type.coding.system" />
      <min value="1" />
      <fixedUri value="http://loinc.org" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.type.coding:slice-loinc-coding.code">
      <path value="DocumentReference.type.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.type.coding:slice-loinc-coding.display">
      <path value="DocumentReference.type.coding.display" />
      <min value="1" />
      <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/mi/StructureDefinition/ca-on-mi-profile-patient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.subject.reference">
      <path value="DocumentReference.subject.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.date">
      <path value="DocumentReference.date" />
      <min value="1" />
      <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/mi/StructureDefinition/ca-on-mi-profile-practitionerRole" />
        <targetProfile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-practitioner" />
        <targetProfile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-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/mi/StructureDefinition/ca-on-mi-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.relatesTo">
      <path value="DocumentReference.relatesTo" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.relatesTo.code">
      <path value="DocumentReference.relatesTo.code" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.relatesTo.target">
      <path value="DocumentReference.relatesTo.target" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.description">
      <path value="DocumentReference.description" />
      <comment value="something to describe the document, such as provincial description for orders and reports, study descripton for imaging study)" />
      <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>
    <element id="DocumentReference.context">
      <path value="DocumentReference.context" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.context.event">
      <path value="DocumentReference.context.event" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
          <extension url="key">
            <valueId value="dicomModality" />
          </extension>
          <extension url="purpose">
            <valueCode value="candidate" />
          </extension>
          <extension url="valueSet">
            <valueCanonical value="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html" />
          </extension>
          <extension url="documentation">
            <valueMarkdown value="Transitive closure of CID 29 AcquisitionModality" />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
          <extension url="key">
            <valueId value="procedureSpecialty" />
          </extension>
          <extension url="purpose">
            <valueCode value="candidate" />
          </extension>
          <extension url="valueSet">
            <valueCanonical value="http://ontariohealth.ca/fhir/ValueSet/mi-procedure-specialty" />
          </extension>
          <extension url="documentation">
            <valueMarkdown value="A code that classifies a specialty of an MI procedure. This is used for searching, sorting and display purposes." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
          <extension url="key">
            <valueId value="procedureBodyPart" />
          </extension>
          <extension url="purpose">
            <valueCode value="candidate" />
          </extension>
          <extension url="valueSet">
            <valueCanonical value="http://ontariohealth.ca/fhir/ValueSet/mi-procedure-bodypart-sct" />
          </extension>
          <extension url="documentation">
            <valueMarkdown value="A code that classifies a body part of an MI procedure using SNOMED CT codes. This is used for searching, sorting and display purposes." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
          <extension url="key">
            <valueId value="procedureLaterality" />
          </extension>
          <extension url="purpose">
            <valueCode value="candidate" />
          </extension>
          <extension url="valueSet">
            <valueCanonical value="http://ontariohealth.ca/fhir/ValueSet/mi-procedure-laterality-sct" />
          </extension>
          <extension url="documentation">
            <valueMarkdown value="A code that classifies a laterality of an MI procedure using SNOMED CT codes. This is used for searching, sorting and display purposes." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
          <extension url="key">
            <valueId value="procedureContrastUsed" />
          </extension>
          <extension url="purpose">
            <valueCode value="candidate" />
          </extension>
          <extension url="valueSet">
            <valueCanonical value="http://ontariohealth.ca/fhir/ValueSet/mi-procedure-contrast-used" />
          </extension>
          <extension url="documentation">
            <valueMarkdown value="A code that classifies a use of Contrast for an MI procedure. This is used for searching, sorting and display purposes." />
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
          <extension url="key">
            <valueId value="procedureTypeSct" />
          </extension>
          <extension url="purpose">
            <valueCode value="candidate" />
          </extension>
          <extension url="valueSet">
            <valueCanonical value="http://ontariohealth.ca/fhir/ValueSet/mi-procedure-type-sct" />
          </extension>
          <extension url="documentation">
            <valueMarkdown value="A SNOMED CT MI procedure code that describes an MI report or order" />
          </extension>
        </extension>
        <strength value="example" />
      </binding>
    </element>
    <element id="DocumentReference.context.event.coding">
      <path value="DocumentReference.context.event.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.context.event.coding.system">
      <path value="DocumentReference.context.event.coding.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.context.event.coding.code">
      <path value="DocumentReference.context.event.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.context.event.coding.display">
      <path value="DocumentReference.context.event.coding.display" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.context.facilityType">
      <path value="DocumentReference.context.facilityType" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.context.facilityType.coding">
      <path value="DocumentReference.context.facilityType.coding" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.context.facilityType.coding.system">
      <path value="DocumentReference.context.facilityType.coding.system" />
      <min value="1" />
      <mustSupport value="true" />
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      <path value="DocumentReference.context.facilityType.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
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    <element id="DocumentReference.context.facilityType.coding.display">
      <path value="DocumentReference.context.facilityType.coding.display" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.context.practiceSetting">
      <path value="DocumentReference.context.practiceSetting" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.context.practiceSetting.coding">
      <path value="DocumentReference.context.practiceSetting.coding" />
      <min value="1" />
      <mustSupport value="true" />
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    <element id="DocumentReference.context.practiceSetting.coding.system">
      <path value="DocumentReference.context.practiceSetting.coding.system" />
      <min value="1" />
      <mustSupport value="true" />
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    <element id="DocumentReference.context.practiceSetting.coding.code">
      <path value="DocumentReference.context.practiceSetting.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
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    <element id="DocumentReference.context.practiceSetting.coding.display">
      <path value="DocumentReference.context.practiceSetting.coding.display" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.context.related">
      <path value="DocumentReference.context.related" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-diagnosticReport" />
        <targetProfile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-serviceRequest" />
        <targetProfile value="http://ontariohealth.ca/fhir/mi/StructureDefinition/ca-on-mi-profile-imagingStudy" />
        <aggregation value="referenced" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="DocumentReference.context.related.reference">
      <path value="DocumentReference.context.related.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>