{
"description": "This constrained Composition resource represents an Outpatient Letter Document Header Composition",
"_filename": "CareConnect-ITK-OPL-Composition-1.json",
"package_name": "uk.nhsdigital.stu3.test",
"date": "2018-10-22",
"derivation": "constraint",
"meta": {
"lastUpdated": "2018-11-16T12:15:12.756+00:00"
},
"publisher": "NHS Digital",
"fhirVersion": "3.0.1",
"purpose": "CURATED BY INTEROPen see: http://www.interopen.org/careconnect-curation-methodology/ ",
"name": "CareConnect-ITK-OPL-Composition-1",
"abstract": false,
"copyright": "Copyright © 2018 Health and Social Care Information Centre. NHS Digital is the trading name of the Health and Social Care Information Centre.",
"type": "Composition",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Outpatient Letter Composition",
"package_version": "0.0.2-prerelease",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "sd"
} ],
"status": "active",
"id": "143d509d-7d27-48db-845a-ba189e7f6afe",
"kind": "resource",
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-OPL-Composition-1",
"version": "1.3.1",
"differential": {
"element": [ {
"id": "Composition",
"path": "Composition",
"mustSupport": true
}, {
"id": "Composition.extension",
"path": "Composition.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Composition.extension:careSettingTypeExtension",
"max": "1",
"min": 1,
"path": "Composition.extension",
"type": [ {
"code": "Extension",
"profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-CareSettingType-1"
} ],
"short": "Optional Extensions Element",
"sliceName": "careSettingTypeExtension",
"mustSupport": true
}, {
"id": "Composition.extension:careSettingTypeExtension.url",
"path": "Composition.extension.url",
"fixedUri": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-CareSettingType-1"
}, {
"id": "Composition.identifier",
"min": 1,
"path": "Composition.identifier",
"mustSupport": true
}, {
"id": "Composition.identifier.use",
"max": "0",
"path": "Composition.identifier.use"
}, {
"id": "Composition.identifier.type",
"max": "0",
"path": "Composition.identifier.type"
}, {
"id": "Composition.identifier.type.coding.system",
"min": 1,
"path": "Composition.identifier.type.coding.system"
}, {
"id": "Composition.identifier.type.coding.code",
"min": 1,
"path": "Composition.identifier.type.coding.code"
}, {
"id": "Composition.identifier.type.coding.display",
"min": 1,
"path": "Composition.identifier.type.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Composition.identifier.system",
"min": 1,
"path": "Composition.identifier.system"
}, {
"id": "Composition.identifier.value",
"min": 1,
"path": "Composition.identifier.value",
"short": "Contains a UUID",
"example": [ {
"label": "General",
"valueString": "871985a7-45f9-435a-89fa-fcedd7afa7a3"
} ],
"mustSupport": false
}, {
"id": "Composition.identifier.period",
"max": "0",
"path": "Composition.identifier.period"
}, {
"id": "Composition.identifier.assigner",
"max": "0",
"path": "Composition.identifier.assigner"
}, {
"id": "Composition.status",
"path": "Composition.status",
"mustSupport": true
}, {
"id": "Composition.type",
"path": "Composition.type",
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentType"
} ],
"description": "A set of codes to classify the type of document.",
"valueSetReference": {
"reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-DocumentType-1"
}
},
"mustSupport": true
}, {
"id": "Composition.type.coding.system",
"min": 1,
"path": "Composition.type.coding.system",
"mustSupport": false
}, {
"id": "Composition.type.coding.version",
"max": "0",
"path": "Composition.type.coding.version"
}, {
"id": "Composition.type.coding.code",
"min": 1,
"path": "Composition.type.coding.code",
"mustSupport": false
}, {
"id": "Composition.type.coding.display",
"min": 1,
"path": "Composition.type.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"mustSupport": false
}, {
"id": "Composition.class",
"path": "Composition.class",
"mustSupport": false
}, {
"id": "Composition.class.coding.system",
"min": 1,
"path": "Composition.class.coding.system"
}, {
"id": "Composition.class.coding.code",
"min": 1,
"path": "Composition.class.coding.code"
}, {
"id": "Composition.class.coding.display",
"min": 1,
"path": "Composition.class.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Composition.class.text",
"path": "Composition.class.text",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"mustSupport": false
}, {
"id": "Composition.subject",
"path": "Composition.subject",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
} ],
"mustSupport": true
}, {
"id": "Composition.subject.reference",
"min": 1,
"path": "Composition.subject.reference",
"mustSupport": false
}, {
"id": "Composition.encounter",
"path": "Composition.encounter",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Encounter-1"
} ],
"mustSupport": true
}, {
"id": "Composition.encounter.reference",
"min": 1,
"path": "Composition.encounter.reference"
}, {
"id": "Composition.date",
"path": "Composition.date",
"mustSupport": true
}, {
"id": "Composition.author",
"path": "Composition.author",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"
}, {
"code": "Reference",
"targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Device-1"
} ],
"mustSupport": true
}, {
"id": "Composition.author.reference",
"min": 1,
"path": "Composition.author.reference"
}, {
"id": "Composition.title",
"path": "Composition.title",
"mustSupport": true
}, {
"id": "Composition.confidentiality",
"max": "0",
"path": "Composition.confidentiality",
"mustSupport": false
}, {
"id": "Composition.attester",
"max": "0",
"path": "Composition.attester",
"mustSupport": false
}, {
"id": "Composition.attester.mode",
"path": "Composition.attester.mode",
"mustSupport": false
}, {
"id": "Composition.attester.time",
"path": "Composition.attester.time",
"mustSupport": false
}, {
"id": "Composition.attester.party",
"path": "Composition.attester.party",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
}, {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"
} ]
}, {
"id": "Composition.attester.party.reference",
"min": 1,
"path": "Composition.attester.party.reference"
}, {
"id": "Composition.custodian",
"path": "Composition.custodian",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
} ],
"mustSupport": true
}, {
"id": "Composition.custodian.reference",
"min": 1,
"path": "Composition.custodian.reference"
}, {
"id": "Composition.relatesTo",
"max": "1",
"path": "Composition.relatesTo",
"mustSupport": true
}, {
"id": "Composition.relatesTo.code",
"path": "Composition.relatesTo.code",
"fixedCode": "replaces"
}, {
"id": "Composition.relatesTo.target[x]",
"path": "Composition.relatesTo.target[x]",
"type": [ {
"code": "Identifier"
}, {
"code": "Reference",
"targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-OPL-Composition-1"
} ]
}, {
"id": "Composition.event",
"max": "0",
"path": "Composition.event",
"mustSupport": false
}, {
"id": "Composition.event.code",
"path": "Composition.event.code",
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DocumentEventType"
} ],
"description": "This list of codes represents the main clinical acts being documented. It uses a code from any vocabulary to describe the type of service event. The vocabulary SnomedCT is a preferred vocabulary.",
"valueSetReference": {
"reference": "http://snomed.info/sct"
}
},
"mustSupport": false
}, {
"id": "Composition.event.code.coding",
"path": "Composition.event.code.coding",
"mustSupport": false
}, {
"id": "Composition.event.code.coding.system",
"min": 1,
"path": "Composition.event.code.coding.system",
"mustSupport": false
}, {
"id": "Composition.event.code.coding.version",
"max": "0",
"path": "Composition.event.code.coding.version"
}, {
"id": "Composition.event.code.coding.code",
"min": 1,
"path": "Composition.event.code.coding.code",
"mustSupport": false
}, {
"id": "Composition.event.code.coding.display",
"min": 1,
"path": "Composition.event.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"mustSupport": false
}, {
"id": "Composition.event.code.text",
"path": "Composition.event.code.text",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"mustSupport": false
}, {
"id": "Composition.event.detail.reference",
"min": 1,
"path": "Composition.event.detail.reference"
}, {
"id": "Composition.section",
"min": 1,
"path": "Composition.section",
"slicing": {
"rules": "closed",
"ordered": false,
"discriminator": [ {
"path": "code.coding.code",
"type": "value"
} ]
},
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Section"
} ],
"mustSupport": true
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection",
"max": "1",
"min": 1,
"path": "Composition.section",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Section"
} ],
"sliceName": "allergiesAndAdverseReactionsSection",
"mustSupport": true
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.title",
"min": 1,
"path": "Composition.section.title",
"fixedString": "Allergies and adverse reactions",
"mustSupport": false
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.code",
"min": 1,
"path": "Composition.section.code",
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "A code from the SNOMED Clinical Terminology UK coding system which represents the type of section."
}
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.code.coding",
"max": "1",
"min": 1,
"path": "Composition.section.code.coding"
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.code.coding.system",
"min": 1,
"path": "Composition.section.code.coding.system",
"fixedUri": "http://snomed.info/sct",
"mustSupport": false
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.code.coding.version",
"max": "0",
"path": "Composition.section.code.coding.version"
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.code.coding.code",
"min": 1,
"path": "Composition.section.code.coding.code",
"fixedCode": "886921000000105",
"mustSupport": false
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.code.coding.display",
"min": 1,
"path": "Composition.section.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"fixedString": "Allergies and adverse reactions",
"mustSupport": false
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.code.coding.userSelected",
"max": "0",
"path": "Composition.section.code.coding.userSelected"
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.code.text",
"max": "0",
"path": "Composition.section.code.text",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.text",
"min": 1,
"path": "Composition.section.text"
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.text.status",
"path": "Composition.section.text.status",
"mustSupport": false
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.text.div",
"path": "Composition.section.text.div",
"mustSupport": false
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.mode",
"max": "0",
"path": "Composition.section.mode"
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.orderedBy",
"max": "0",
"path": "Composition.section.orderedBy"
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.orderedBy.coding.system",
"min": 1,
"path": "Composition.section.orderedBy.coding.system",
"mustSupport": false
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.orderedBy.coding.version",
"max": "0",
"path": "Composition.section.orderedBy.coding.version"
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.orderedBy.coding.code",
"min": 1,
"path": "Composition.section.orderedBy.coding.code",
"mustSupport": false
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.orderedBy.coding.display",
"min": 1,
"path": "Composition.section.orderedBy.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"mustSupport": false
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.orderedBy.coding.userSelected",
"max": "0",
"path": "Composition.section.orderedBy.coding.userSelected"
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.orderedBy.text",
"max": "0",
"path": "Composition.section.orderedBy.text",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.entry",
"path": "Composition.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Allergy-List-1"
}, {
"code": "Reference",
"targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Attachment-Binary-1"
} ]
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.entry.reference",
"min": 1,
"path": "Composition.section.entry.reference"
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.entry.display",
"path": "Composition.section.entry.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"mustSupport": false
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.emptyReason",
"max": "0",
"path": "Composition.section.emptyReason"
}, {
"id": "Composition.section:allergiesAndAdverseReactionsSection.section",
"max": "0",
"path": "Composition.section.section"
}, {
"id": "Composition.section:assessmentScalesSection",
"max": "1",
"path": "Composition.section",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Section"
} ],
"sliceName": "assessmentScalesSection",
"mustSupport": true
}, {
"id": "Composition.section:assessmentScalesSection.title",
"min": 1,
"path": "Composition.section.title",
"fixedString": "Assessment scales",
"mustSupport": false
}, {
"id": "Composition.section:assessmentScalesSection.code",
"min": 1,
"path": "Composition.section.code",
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "A code from the SNOMED Clinical Terminology UK coding system which represents the type of section."
}
}, {
"id": "Composition.section:assessmentScalesSection.code.coding",
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"min": 1,
"path": "Composition.section.code.coding"
}, {
"id": "Composition.section:assessmentScalesSection.code.coding.system",
"min": 1,
"path": "Composition.section.code.coding.system",
"fixedUri": "http://snomed.info/sct",
"mustSupport": false
}, {
"id": "Composition.section:assessmentScalesSection.code.coding.version",
"max": "0",
"path": "Composition.section.code.coding.version"
}, {
"id": "Composition.section:assessmentScalesSection.code.coding.code",
"min": 1,
"path": "Composition.section.code.coding.code",
"fixedCode": "887141000000103",
"mustSupport": false
}, {
"id": "Composition.section:assessmentScalesSection.code.coding.display",
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"path": "Composition.section.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"fixedString": "Assessment scales",
"mustSupport": false
}, {
"id": "Composition.section:assessmentScalesSection.code.coding.userSelected",
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"path": "Composition.section.code.coding.userSelected"
}, {
"id": "Composition.section:assessmentScalesSection.code.text",
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"path": "Composition.section.code.text",
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} ]
}, {
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"path": "Composition.section.text"
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"id": "Composition.section:assessmentScalesSection.text.status",
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"id": "Composition.section:assessmentScalesSection.text.div",
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"path": "Composition.section.mode"
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"id": "Composition.section:assessmentScalesSection.orderedBy",
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"path": "Composition.section.orderedBy"
}, {
"id": "Composition.section:assessmentScalesSection.orderedBy.coding.system",
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"path": "Composition.section.orderedBy.coding.system"
}, {
"id": "Composition.section:assessmentScalesSection.orderedBy.coding.version",
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"path": "Composition.section.orderedBy.coding.version"
}, {
"id": "Composition.section:assessmentScalesSection.orderedBy.coding.code",
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"path": "Composition.section.orderedBy.coding.code"
}, {
"id": "Composition.section:assessmentScalesSection.orderedBy.coding.display",
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"path": "Composition.section.orderedBy.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
"id": "Composition.section:assessmentScalesSection.orderedBy.coding.userSelected",
"max": "0",
"path": "Composition.section.orderedBy.coding.userSelected"
}, {
"id": "Composition.section:assessmentScalesSection.orderedBy.text",
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"path": "Composition.section.orderedBy.text",
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} ]
}, {
"id": "Composition.section:assessmentScalesSection.entry",
"path": "Composition.section.entry",
"type": [ {
"code": "Reference",
"targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Attachment-Binary-1"
} ]
}, {
"id": "Composition.section:assessmentScalesSection.entry.reference",
"min": 1,
"path": "Composition.section.entry.reference"
}, {
"id": "Composition.section:assessmentScalesSection.emptyReason",
"max": "0",
"path": "Composition.section.emptyReason"
}, {
"id": "Composition.section:assessmentScalesSection.section",
"max": "0",
"path": "Composition.section.section"
}, {
"id": "Composition.section:attendanceDetailsSection",
"max": "1",
"path": "Composition.section",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Section"
} ],
"sliceName": "attendanceDetailsSection",
"mustSupport": true
}, {
"id": "Composition.section:attendanceDetailsSection.title",
"min": 1,
"path": "Composition.section.title",
"fixedString": "Attendance details",
"mustSupport": false
}, {
"id": "Composition.section:attendanceDetailsSection.code",
"min": 1,
"path": "Composition.section.code",
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "CompositionSectionType"
} ],
"description": "A code from the SNOMED Clinical Terminology UK coding system which represents the type of section."
}
}, {
"id": "Composition.section:attendanceDetailsSection.code.coding",
"max": "1",
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"path": "Composition.section.code.coding"
}, {
"id": "Composition.section:attendanceDetailsSection.code.coding.system",
"min": 1,
"path": "Composition.section.code.coding.system",
"fixedUri": "http://snomed.info/sct",
"mustSupport": false
}, {
"id": "Composition.section:attendanceDetailsSection.code.coding.version",
"max": "0",
"path": "Composition.section.code.coding.version"
}, {
"id": "Composition.section:attendanceDetailsSection.code.coding.code",
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"path": "Composition.section.code.coding.code",
"fixedCode": "1077881000000105",
"mustSupport": false
}, {
"id": "Composition.section:attendanceDetailsSection.code.coding.display",
"min": 1,
"path": "Composition.section.code.coding.display",
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}, {
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"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Section"
} ],
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}, {
"id": "Composition.section:socialContextSection.title",
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}, {
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"strength": "example",
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} ],
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}
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}, {
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}, {
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}, {
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}, {
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"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
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} ],
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}, {
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"path": "Composition.section.code.coding.userSelected"
}, {
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} ]
}, {
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"path": "Composition.section.text"
}, {
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}, {
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}, {
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"path": "Composition.section.mode"
}, {
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"path": "Composition.section.orderedBy"
}, {
"id": "Composition.section:socialContextSection.orderedBy.coding.system",
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"path": "Composition.section.orderedBy.coding.system"
}, {
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"path": "Composition.section.orderedBy.coding.version"
}, {
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}, {
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"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ]
}, {
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"path": "Composition.section.orderedBy.coding.userSelected"
}, {
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} ]
}, {
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} ]
}, {
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}, {
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}, {
"id": "Composition.section:socialContextSection.section",
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"path": "Composition.section.section"
} ]
},
"contact": [ {
"name": "Interoperability Team",
"telecom": [ {
"use": "work",
"value": "interoperabilityteam@nhs.net",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition"
}