FHIR IG analytics

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{
  "resourceType": "StructureDefinition",
  "id": "profile-documentReference",
  "url": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-documentReference",
  "version": "1.0.0",
  "name": "DocumentReferenceEHR",
  "status": "active",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "DocumentReference",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DocumentReference",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "DocumentReference.identifier",
        "path": "DocumentReference.identifier",
        "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": {
          "extension": [
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/local-document-type"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "This value set contains all Local Codes contributed by over 160 sending systems (code systems) in HL7v2 OBR-4 and/or OBX-3 to identify the local document type/section."
                },
                {
                  "url": "key",
                  "valueId": "acCDRLocalDocumentType"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            }
          ],
          "strength": "preferred",
          "description": "contains all document type codes used to represent clinical documents and/or medical record reports in the EHR",
          "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/document-reference-type"
        }
      },
      {
        "id": "DocumentReference.category",
        "path": "DocumentReference.category",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/document-class"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "This value set defines the codes representing document class from LOINC as defined in the LOINC Manual, excluding class = RAD. The class codes from LOINC is intended to be used for report categorization based on the type of study performed. Radiology class type is excluded from this value set it will be contributed using DiagnosticReport resource."
                },
                {
                  "url": "key",
                  "valueId": "documentClass"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/document-subject-matter-domain"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "The document-subject-matter-domain property in LOINC characterizes the general focus or domain of knowledge represented within the content of the note."
                },
                {
                  "url": "key",
                  "valueId": "documentSMD"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/document-type-of-service"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "The document-type-of-service property in LOINC characterizes the healthcare service or activity provided to/for the patient (or other subject of the service) that is described in the document."
                },
                {
                  "url": "key",
                  "valueId": "DocumentTOS"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/document-kind"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "The document-kind property in LOINC Characterizes the general structure of the document at a macro level."
                },
                {
                  "url": "key",
                  "valueId": "DocumentKOD"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/document-role"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "The document-role property in LOINC characterizes the general function, responsibility, or capabilities of the author in relation to a document."
                },
                {
                  "url": "key",
                  "valueId": "DocumentRole"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/document-setting"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "The document-setting property in LOINC is a coarse definition of the Care Setting."
                },
                {
                  "url": "key",
                  "valueId": "DocumentSetting"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "Transitive closure of CID 29 AcquisitionModality"
                },
                {
                  "url": "key",
                  "valueId": "dicomModality"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-service-type"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "A code that classifies the service type of an MI procedure. This is used for searching, sorting and display purposes."
                },
                {
                  "url": "key",
                  "valueId": "procedureServiceType"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-body-part"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "A code that classifies a body part of an MI procedure using SNOMED CT codes. This is used for searching, sorting and display purposes."
                },
                {
                  "url": "key",
                  "valueId": "procedureBodyPart"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-laterality"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "A code that classifies a laterality of an MI procedure using SNOMED CT codes. This is used for searching, sorting and display purposes."
                },
                {
                  "url": "key",
                  "valueId": "procedureLaterality"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-contrast-used"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "A code that classifies a use of Contrast for an MI procedure. This is used for searching, sorting and display purposes."
                },
                {
                  "url": "key",
                  "valueId": "procedureContrastUsed"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            }
          ],
          "strength": "example"
        }
      },
      {
        "id": "DocumentReference.subject",
        "path": "DocumentReference.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DocumentReference.subject.reference",
        "path": "DocumentReference.subject.reference",
        "min": 1
      },
      {
        "id": "DocumentReference.date",
        "path": "DocumentReference.date",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.author",
        "path": "DocumentReference.author",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-organization",
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner",
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DocumentReference.author.reference",
        "path": "DocumentReference.author.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.authenticator",
        "path": "DocumentReference.authenticator",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-organization",
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner",
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DocumentReference.custodian",
        "path": "DocumentReference.custodian",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-organization"
            ]
          }
        ],
        "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",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-documentReference"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DocumentReference.description",
        "path": "DocumentReference.description",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content",
        "path": "DocumentReference.content",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content.attachment",
        "path": "DocumentReference.content.attachment",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content.attachment.contentType",
        "path": "DocumentReference.content.attachment.contentType",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content.attachment.url",
        "path": "DocumentReference.content.attachment.url",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context",
        "path": "DocumentReference.context",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.encounter",
        "path": "DocumentReference.context.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-encounter"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.encounter.reference",
        "path": "DocumentReference.context.encounter.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event",
        "path": "DocumentReference.context.event",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/encounter-class"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "This value set defines a set of codes that can be used to indicate the class of encounter for Ontario Health interfaces, contributed in PV1-2 in HL7 v2 and Encounter.class data element in FHIR."
                },
                {
                  "url": "key",
                  "valueId": "EncounterClassEHR"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/provincial-imaging-procedure-code"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "A SNOMED CT MI procedure code that describes an MI report or order. For PoT, we are only providing some examples from the expansion."
                },
                {
                  "url": "key",
                  "valueId": "procedureTypeSct"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            },
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/local-imaging-procedure-code"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "This value set contains example local procedure codes contributed by sites to DIRs to identify the procedure of the medical imaging order. Each contributing site has their own set of local codes/code systems defined by OIDs.."
                },
                {
                  "url": "key",
                  "valueId": "imagingProcedureCode"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            }
          ],
          "strength": "example"
        }
      },
      {
        "id": "DocumentReference.context.event.coding",
        "path": "DocumentReference.context.event.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event.coding.system",
        "path": "DocumentReference.context.event.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event.coding.code",
        "path": "DocumentReference.context.event.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.event.coding.display",
        "path": "DocumentReference.context.event.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.period",
        "path": "DocumentReference.context.period",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.period.start",
        "path": "DocumentReference.context.period.start",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.period.end",
        "path": "DocumentReference.context.period.end",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.facilityType",
        "path": "DocumentReference.context.facilityType",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "description": "Type of provider organization role",
          "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/provider-organization-role-type"
        }
      },
      {
        "id": "DocumentReference.context.facilityType.coding",
        "path": "DocumentReference.context.facilityType.coding",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.facilityType.coding.system",
        "path": "DocumentReference.context.facilityType.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.facilityType.coding.code",
        "path": "DocumentReference.context.facilityType.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.facilityType.coding.display",
        "path": "DocumentReference.context.facilityType.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.practiceSetting",
        "path": "DocumentReference.context.practiceSetting",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-service-type"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "A code that classifies a service type of a medical imaging procedure, using SNOMED CT codes. This is used for searching, sorting and display purposes."
                },
                {
                  "url": "key",
                  "valueId": "ProcedureServiceTypeEHR"
                }
              ],
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            }
          ],
          "strength": "preferred",
          "description": "Broad categorization of the service that is to be provided.",
          "valueSet": "http://cihi.ca/fhir/ValueSet/aac-hospital-service"
        }
      },
      {
        "id": "DocumentReference.context.practiceSetting.coding",
        "path": "DocumentReference.context.practiceSetting.coding",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.practiceSetting.coding.system",
        "path": "DocumentReference.context.practiceSetting.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.practiceSetting.coding.code",
        "path": "DocumentReference.context.practiceSetting.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.practiceSetting.coding.display",
        "path": "DocumentReference.context.practiceSetting.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.sourcePatientInfo",
        "path": "DocumentReference.context.sourcePatientInfo",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient"
            ]
          }
        ]
      },
      {
        "id": "DocumentReference.context.related",
        "path": "DocumentReference.context.related",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-serviceRequest",
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-diagnosticReport-imaging",
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-imagingStudy"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.related.reference",
        "path": "DocumentReference.context.related.reference",
        "min": 1,
        "mustSupport": true
      }
    ]
  }
}