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Source1

{
  "resourceType": "StructureDefinition",
  "id": "profile-DwDocumentReference",
  "url": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwDocumentReference",
  "name": "DwDocumentReference",
  "status": "draft",
  "date": "2024-05-03T22:11:40.4165223+00:00",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "DocumentReference",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DocumentReference",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "DocumentReference.id",
        "path": "DocumentReference.id",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.meta",
        "path": "DocumentReference.meta"
      },
      {
        "id": "DocumentReference.meta.lastUpdated",
        "path": "DocumentReference.meta.lastUpdated",
        "min": 1
      },
      {
        "id": "DocumentReference.meta.source",
        "path": "DocumentReference.meta.source",
        "min": 1
      },
      {
        "id": "DocumentReference.text",
        "path": "DocumentReference.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.extension:ClinicianAnnotation",
        "path": "DocumentReference.extension",
        "sliceName": "ClinicianAnnotation",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/ext-ClinicianAnnotation"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "DocumentReference.identifier",
        "path": "DocumentReference.identifier",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.docStatus",
        "path": "DocumentReference.docStatus",
        "comment": "Usage note: \r\nUnsigned note/blue bar/unfinished note --> preliminary\r\nsigned note/no blue bar --> final\r\ndeleted note --> entered-in-error\r\nmodified note --> amended\r\n\r\nThe document that is pointed to might be in various lifecycle states.",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.type",
        "path": "DocumentReference.type",
        "comment": "Conformance Rule: This must be specified when known. Set type to the best, most precise LOINC code corresponding to the concept of the document in the source system. Conformance Rule: If available, a local code must be supplied as well (code, system, mandatory text, userSelected)\r\n\r\nConsultation Note (11488-4) Discharge Summary (18842-5) History & Physical Note (34117-2) Procedures Note (28570-0) \r\n\r\nKey metadata element describing the document that describes he exact type of document. Helps humans to assess whether the document is of interest when viewing a list of documents.",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.category",
        "path": "DocumentReference.category",
        "comment": "Usage note: A category will typically pertain to the specialty, eg Chemotherapy, Cardiology. \r\n\r\nKey metadata element describing the the category or classification of the document. This is a broader perspective that groups similar documents based on how they would be used. This is a primary key used in searching.",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.category.text",
        "path": "DocumentReference.category.text",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.subject",
        "path": "DocumentReference.subject",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DocumentReference.date",
        "path": "DocumentReference.date",
        "comment": "Usage note: When the attachment was created into the documentReference might be duplication of lastUpdated date.\r\n\r\nReferencing/indexing time is used for tracking, organizing versions and searching.",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.author",
        "path": "DocumentReference.author",
        "comment": "Conformance rule: If the consultation has been sent internally  then provide practitioner as a reference for the specialist. For external providers provide the display only. \r\n\r\nNot necessarily who did the actual data entry (i.e. typist) or who was the source (informant).",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.author.reference",
        "path": "DocumentReference.author.reference",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.author.display",
        "path": "DocumentReference.author.display",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content",
        "path": "DocumentReference.content",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content.attachment.contentType",
        "path": "DocumentReference.content.attachment.contentType",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content.attachment.data",
        "path": "DocumentReference.content.attachment.data",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content.attachment.url",
        "path": "DocumentReference.content.attachment.url",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content.attachment.size",
        "path": "DocumentReference.content.attachment.size",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content.attachment.hash",
        "path": "DocumentReference.content.attachment.hash",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content.attachment.title",
        "path": "DocumentReference.content.attachment.title",
        "comment": "Usage note: Title of the document where it is availble ex, Consult - speciality, Dr. \r\nNote that FHIR strings SHALL NOT exceed 1MB in size",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.content.attachment.creation",
        "path": "DocumentReference.content.attachment.creation",
        "comment": "Usage note: the date the document was created by the source EMR where there is an attachment. Not required for URLs",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.encounter",
        "path": "DocumentReference.context.encounter",
        "mustSupport": true
      },
      {
        "id": "DocumentReference.context.period",
        "path": "DocumentReference.context.period",
        "comment": "Usage note: Context around the attachment itself, used to capture recieved date of the document by the source EMR.\r\n\r\nA Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
        "mustSupport": true
      }
    ]
  }
}