{
  "description": "The Discharge Summary is a document which synopsizes a patient's admission to a hospital, LTPAC provider, or other setting. It provides information for the continuation of care following discharge. The Joint Commission requires the following information to be included in the Discharge Summary (http://www.jointcommission.org/):\\n\\n  The reason for hospitalization (the admission)\\n\\n  The procedures performed, as applicable\\n\\n  The care, treatment, and services provided\\n\\n  The patients condition and disposition at discharge\\n\\n  Information provided to the patient and family\\n\\n  Provisions for follow-up care\\n\\nThe best practice for a Discharge Summary is to include the discharge disposition in the display of the header.",
  "_filename": "StructureDefinition-CCDA-on-FHIR-Discharge-Summary.json",
  "package_name": "hl7.fhir.us.ccda",
  "date": "2016-12-08T06:39:19+11:00",
  "derivation": "constraint",
  "publisher": "Lantana Consulting Group",
  "name": "C-CDA on FHIR Discharge Summary",
  "mapping": [ {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/v3/cda",
    "name": "CDA (R2)",
    "identity": "cda"
  }, {
    "uri": "http://hl7.org/fhir/w5",
    "name": "W5 Mapping",
    "identity": "w5"
  } ],
  "abstract": false,
  "type": "Composition",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.8.0",
  "snapshot": {
    "element": [ {
      "constraint": [ {
        "key": "dom-2",
        "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
        "xpath": "not(parent::f:contained and f:contained)",
        "source": "DomainResource",
        "severity": "error",
        "expression": "contained.contained.empty()"
      }, {
        "key": "dom-1",
        "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
        "xpath": "not(parent::f:contained and f:text)",
        "source": "DomainResource",
        "severity": "error",
        "expression": "contained.text.empty()"
      }, {
        "key": "dom-4",
        "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
        "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source": "DomainResource",
        "severity": "error",
        "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
      }, {
        "key": "dom-3",
        "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
        "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
        "source": "DomainResource",
        "severity": "error",
        "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()"
      } ],
      "path": "Composition",
      "min": 0,
      "definition": "A set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.",
      "short": "A set of resources composed into a single coherent clinical statement with clinical attestation",
      "comments": "While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.",
      "mapping": [ {
        "map": "Entity. Role, or Act",
        "identity": "rim"
      }, {
        "map": "Document[classCode=\"DOC\" and moodCode=\"EVN\" and isNormalAct()]",
        "identity": "rim"
      }, {
        "map": "ClinicalDocument",
        "identity": "cda"
      }, {
        "map": "infrastructure.documents",
        "identity": "w5"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition"
      }
    }, {
      "path": "Composition.id",
      "min": 0,
      "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "short": "Logical id of this artifact",
      "comments": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
      "type": [ {
        "code": "id"
      } ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.id"
      },
      "isSummary": true
    }, {
      "path": "Composition.meta",
      "min": 0,
      "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
      "short": "Metadata about the resource",
      "type": [ {
        "code": "Meta"
      } ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.meta",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.meta"
      },
      "isSummary": true
    }, {
      "path": "Composition.implicitRules",
      "min": 0,
      "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
      "isModifier": true,
      "short": "A set of rules under which this content was created",
      "comments": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.",
      "type": [ {
        "code": "uri"
      } ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.implicitRules",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.implicitRules"
      },
      "isSummary": true
    }, {
      "path": "Composition.language",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] language (CONF:2219-146).",
      "short": "language",
      "comments": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "extensible",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueReference": {
            "reference": "http://hl7.org/fhir/ValueSet/all-languages"
          }
        } ],
        "description": "A human language.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.language",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.language"
      }
    }, {
      "path": "Composition.text",
      "min": 0,
      "definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
      "short": "Text summary of the resource, for human interpretation",
      "comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
      "mapping": [ {
        "map": "Act.text?",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "alias": [ "narrative", "html", "xhtml", "display" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.text",
      "condition": [ "dom-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "DomainResource.text"
      }
    }, {
      "path": "Composition.contained",
      "min": 0,
      "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
      "short": "Contained, inline Resources",
      "comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Resource"
      } ],
      "alias": [ "inline resources", "anonymous resources", "contained resources" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.contained",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.contained"
      }
    }, {
      "path": "Composition.extension",
      "min": 0,
      "definition": "MAY contain zero or more [0..*] C-CDA on FHIR Authorization (identifier: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Authorization) (CONF:2219-2012).",
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ "Composition.url" ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "path": "Composition.extension",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] C-CDA on FHIR Data Enterer (identifier: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Data-Enterer) (CONF:2219-1844).",
      "short": "dataEnterer",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Data-Enterer"
      } ],
      "sliceName": "extension_slice_pos2",
      "max": "1",
      "label": "dataEnterer",
      "id": "Composition:c-cdaonfhirdischargesummary.extension:extension_slice_pos2",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "path": "Composition.extension",
      "min": 0,
      "definition": "MAY contain zero or more [0..*] C-CDA on FHIR Informant (identifier: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Informant) (CONF:2219-1849).",
      "short": "informant",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Informant"
      } ],
      "sliceName": "extension_slice_pos3",
      "max": "*",
      "label": "informant",
      "id": "Composition:c-cdaonfhirdischargesummary.extension:extension_slice_pos3",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "path": "Composition.extension",
      "min": 0,
      "definition": "MAY contain zero or more [0..*] C-CDA on FHIR Information Recipient (identifier: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Information-Recipient) (CONF:2219-1856).",
      "short": "informationRecipient",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Information-Recipient"
      } ],
      "sliceName": "extension_slice_pos4",
      "max": "*",
      "label": "informationRecipient",
      "id": "Composition:c-cdaonfhirdischargesummary.extension:extension_slice_pos4",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "path": "Composition.extension",
      "min": 0,
      "definition": "MAY contain zero or more [0..*] C-CDA on FHIR Participant (identifier: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Participant) (CONF:2219-1861).",
      "short": "participant",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Participant"
      } ],
      "sliceName": "extension_slice_pos5",
      "max": "*",
      "label": "participant",
      "id": "Composition:c-cdaonfhirdischargesummary.extension:extension_slice_pos5",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "path": "Composition.extension",
      "min": 0,
      "definition": "SHOULD contain zero or more [0..*] C-CDA on FHIR Performer (identifier: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Performer) (CONF:2219-1869).",
      "short": "performer",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Performer"
      } ],
      "sliceName": "extension_slice_pos6",
      "max": "*",
      "label": "performer",
      "id": "Composition:c-cdaonfhirdischargesummary.extension:extension_slice_pos6",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "path": "Composition.extension",
      "min": 0,
      "definition": "MAY contain zero or more [0..*] C-CDA on FHIR Authorization (identifier: http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Authorization) (CONF:2219-2012).",
      "short": "authorization",
      "type": [ {
        "code": "Extension",
        "profile": "http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Authorization"
      } ],
      "sliceName": "extension_slice_pos7",
      "max": "*",
      "label": "authorization",
      "id": "Composition:c-cdaonfhirdischargesummary.extension:extension_slice_pos7",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "path": "Composition.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.modifierExtension"
      }
    }, {
      "path": "Composition.identifier",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] identifier (CONF:2219-147).",
      "short": "identifier",
      "comments": "See discussion in resource definition for how these relate.",
      "mapping": [ {
        "map": "Document.id / Document.setId",
        "identity": "rim"
      }, {
        "map": ".setId",
        "identity": "cda"
      }, {
        "map": "id",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.identifier",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.identifier"
      },
      "isSummary": true
    }, {
      "path": "Composition.date",
      "requirements": "dateTime is used for tracking, organizing versions and searching.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] date (CONF:2219-148).",
      "short": "date",
      "comments": "US Realm Datetime",
      "mapping": [ {
        "map": ".effectiveTime[type=\"TS\"]",
        "identity": "rim"
      }, {
        "map": ".effectiveTime",
        "identity": "cda"
      }, {
        "map": "when.done",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.date",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Composition.date"
      },
      "isSummary": true
    }, {
      "path": "Composition.type",
      "requirements": "Key metadata element describing the composition, used in searching/filtering.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] type, which SHALL be selected from ValueSet DischargeSummaryDocumentTypeCode http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.4.1 DYNAMIC (CONF:2219-1208).",
      "short": "Discharge Summary",
      "comments": "For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "valueSetReference": {
          "display": "DischargeSummaryDocumentTypeCode",
          "reference": "http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.4.1"
        }
      },
      "max": "1",
      "label": "Discharge Summary",
      "id": "Composition:c-cdaonfhirdischargesummary.type",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Composition.type"
      },
      "isSummary": true
    }, {
      "path": "Composition.class",
      "requirements": "Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.",
      "min": 0,
      "definition": "A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.",
      "short": "Categorization of Composition",
      "comments": "This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "example",
        "description": "High-level kind of a clinical document at a macro level.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-classcodes"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.class",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.class"
      },
      "isSummary": true
    }, {
      "path": "Composition.title",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-150).",
      "short": "Document Title",
      "comments": "For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a \"consultation\" or \"progress note\"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "label": "Document Title",
      "id": "Composition:c-cdaonfhirdischargesummary.title",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Composition.title"
      },
      "isSummary": true
    }, {
      "path": "Composition.status",
      "requirements": "Need to be able to mark interim, amended, or withdrawn compositions or documents.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] status (CONF:2219-1048).",
      "isModifier": true,
      "short": "status",
      "comments": "If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag \"withdrawn\" is why this element is labeled as a modifier of other elements.   Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.",
      "mapping": [ {
        "map": "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\";  final: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct()]);  amended: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct() and statusCode=\"completed\"];  withdrawn : .completionCode=NI &&  ./statusCode[isNormalDatatype()]=\"obsolete\"",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "status",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The workflow/clinical status of the composition.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/composition-status"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.status",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Composition.status"
      },
      "isSummary": true
    }, {
      "path": "Composition.confidentiality",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] confidentiality, which SHALL be selected from ValueSet v3-ConfidentialityClassification http://hl7.org/fhir/ValueSet/v3-ConfidentialityClassification STATIC 2016-01-01 (CONF:2219-151).",
      "isModifier": true,
      "short": "confidentiality",
      "comments": "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section).",
      "mapping": [ {
        "map": ".confidentialityCode",
        "identity": "rim"
      }, {
        "map": ".confidentialityCode",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "valueSetReference": {
          "display": "v3-ConfidentialityClassification",
          "reference": "http://hl7.org/fhir/ValueSet/v3-ConfidentialityClassification"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.confidentiality",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.confidentiality"
      },
      "isSummary": true
    }, {
      "path": "Composition.subject",
      "requirements": "Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] U.S. Core Patient Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient) (CONF:2219-152).",
      "short": "recordTarget",
      "comments": "U.S. DAF Patient",
      "mapping": [ {
        "map": ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]",
        "identity": "rim"
      }, {
        "map": ".recordTarget",
        "identity": "cda"
      }, {
        "map": "who.focus",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
      } ],
      "max": "1",
      "label": "recordTarget",
      "id": "Composition:c-cdaonfhirdischargesummary.subject",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Composition.subject"
      },
      "isSummary": true
    }, {
      "path": "Composition.author",
      "requirements": "Identifies who is responsible for the content.",
      "min": 1,
      "definition": "SHALL contain at least one [1..*] U.S. Core Practitioner Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-pract) (CONF:2219-153).",
      "short": "author",
      "comments": "U.S. DAF Practitioner",
      "mapping": [ {
        "map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]",
        "identity": "rim"
      }, {
        "map": ".author.assignedAuthor",
        "identity": "cda"
      }, {
        "map": "who.author",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-pract"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
      } ],
      "max": "*",
      "label": "author",
      "id": "Composition:c-cdaonfhirdischargesummary.author",
      "base": {
        "max": "*",
        "min": 1,
        "path": "Composition.author"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      } ],
      "path": "Composition.attester",
      "requirements": "Identifies responsibility for the accuracy of the composition content.",
      "min": 0,
      "definition": "MAY contain zero or more [0..*] attester (CONF:2219-2083) such that it",
      "short": "Attests to accuracy of composition",
      "comments": "Only list each attester once.",
      "mapping": [ {
        "map": ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]",
        "identity": "rim"
      }, {
        "map": ".authenticator/.legalAuthenticator",
        "identity": "cda"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ "Composition.attester.mode" ]
      },
      "type": [ {
        "code": "BackboneElement"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.attester",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.attester"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      } ],
      "path": "Composition.attester",
      "requirements": "Identifies responsibility for the accuracy of the composition content.",
      "min": 0,
      "definition": "SHOULD contain zero or one [0..1] attester (CONF:2219-2082) such that it",
      "short": "attester",
      "comments": "Only list each attester once.",
      "mapping": [ {
        "map": ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]",
        "identity": "rim"
      }, {
        "map": ".authenticator/.legalAuthenticator",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "attester_slice_pos16",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos16",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.attester"
      },
      "isSummary": true
    }, {
      "path": "Composition.attester.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos16.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.attester.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos16.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.attester.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos16.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.attester.mode",
      "requirements": "Indicates the level of authority of the attestation.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] mode=\"legal\" (CodeSystem: FHIR CompositionAttestationMode http://hl7.org/fhir/composition-attestation-mode) (CONF:2219-2084).",
      "short": "mode",
      "comments": "Use more than one code where a single attester has more than one mode (professional and legal are often paired).",
      "mapping": [ {
        "map": "unique(./modeCode)",
        "identity": "rim"
      }, {
        "map": "implied by .authenticator/.legalAuthenticator",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "sliceName": "attester_slice_pos16",
      "patternString": "legal",
      "binding": {
        "strength": "required",
        "description": "The way in which a person authenticated a composition.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/composition-attestation-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos16.mode:attester_slice_pos16",
      "base": {
        "max": "*",
        "min": 1,
        "path": "Composition.attester.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.attester.time",
      "requirements": "Identifies when the information in the composition was deemed accurate.  (Things may have changed since then.).",
      "min": 0,
      "definition": "When composition was attested by the party.",
      "short": "When composition attested",
      "mapping": [ {
        "map": "./time[type=\"TS\" and isNormalDatatype()]",
        "identity": "rim"
      }, {
        "map": ".authenticator.time",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos16.time",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.attester.time"
      },
      "isSummary": true
    }, {
      "path": "Composition.attester.party",
      "requirements": "Identifies who has taken on the responsibility for accuracy of the composition content.",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] U.S. Core Practitioner Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-pract) (CONF:2219-2085).",
      "short": "party",
      "mapping": [ {
        "map": "./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]",
        "identity": "rim"
      }, {
        "map": ".authenticator.assignedEnttty",
        "identity": "cda"
      }, {
        "map": "who.witness",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-pract"
      } ],
      "sliceName": "attester_slice_pos16",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos16.party:attester_slice_pos16",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.attester.party"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      } ],
      "path": "Composition.attester",
      "requirements": "Identifies responsibility for the accuracy of the composition content.",
      "min": 0,
      "definition": "MAY contain zero or more [0..*] attester (CONF:2219-2083) such that it",
      "short": "attester",
      "comments": "Only list each attester once.",
      "mapping": [ {
        "map": ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]",
        "identity": "rim"
      }, {
        "map": ".authenticator/.legalAuthenticator",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "attester_slice_pos17",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos17",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.attester"
      },
      "isSummary": true
    }, {
      "path": "Composition.attester.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos17.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.attester.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos17.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.attester.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos17.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.attester.mode",
      "requirements": "Indicates the level of authority of the attestation.",
      "min": 1,
      "definition": "SHALL contain at least one [1..*] mode (CONF:2219-2086).",
      "short": "mode",
      "comments": "Use more than one code where a single attester has more than one mode (professional and legal are often paired).",
      "mapping": [ {
        "map": "unique(./modeCode)",
        "identity": "rim"
      }, {
        "map": "implied by .authenticator/.legalAuthenticator",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "sliceName": "attester_slice_pos17",
      "binding": {
        "strength": "required",
        "description": "The way in which a person authenticated a composition.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/composition-attestation-mode"
        }
      },
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos17.mode:attester_slice_pos17",
      "base": {
        "max": "*",
        "min": 1,
        "path": "Composition.attester.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.attester.time",
      "requirements": "Identifies when the information in the composition was deemed accurate.  (Things may have changed since then.).",
      "min": 0,
      "definition": "When composition was attested by the party.",
      "short": "When composition attested",
      "mapping": [ {
        "map": "./time[type=\"TS\" and isNormalDatatype()]",
        "identity": "rim"
      }, {
        "map": ".authenticator.time",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos17.time",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.attester.time"
      },
      "isSummary": true
    }, {
      "path": "Composition.attester.party",
      "requirements": "Identifies who has taken on the responsibility for accuracy of the composition content.",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] U.S. Core Practitioner Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-pract) (CONF:2219-2087).",
      "short": "party",
      "mapping": [ {
        "map": "./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]",
        "identity": "rim"
      }, {
        "map": ".authenticator.assignedEnttty",
        "identity": "cda"
      }, {
        "map": "who.witness",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-pract"
      } ],
      "sliceName": "attester_slice_pos17",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.attester:attester_slice_pos17.party:attester_slice_pos17",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.attester.party"
      },
      "isSummary": true
    }, {
      "path": "Composition.custodian",
      "requirements": "Identifies where to go to find the current version, where to report issues, etc.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] U.S. Core Organization Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization) (CONF:2219-154).",
      "short": "custodian",
      "comments": "U.S. DAF Organization",
      "mapping": [ {
        "map": ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]",
        "identity": "rim"
      }, {
        "map": ".custodian.assignedCustodian",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
      } ],
      "max": "1",
      "label": "custodian",
      "id": "Composition:c-cdaonfhirdischargesummary.custodian",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.custodian"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      } ],
      "path": "Composition.event",
      "requirements": "Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.",
      "min": 0,
      "definition": "The clinical service, such as a colonoscopy or an appendectomy, being documented.",
      "short": "The clinical service(s) being documented",
      "comments": "The event needs to be consistent with the type element, though can provide further information if desired.",
      "mapping": [ {
        "map": "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']",
        "identity": "rim"
      }, {
        "map": ".documentationOf.serviceEvent",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.event",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.event"
      },
      "isSummary": true
    }, {
      "path": "Composition.event.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.event.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.event.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.event.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.event.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.event.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.event.code",
      "min": 0,
      "definition": "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act.",
      "short": "Code(s) that apply to the event being documented",
      "comments": "An event can further specialize the act inherent in the typeCode, such as where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.",
      "mapping": [ {
        "map": ".code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "example",
        "description": "This list of codes represents the main clinical acts being documented.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/v3-ActCode"
        }
      },
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.event.code",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.event.code"
      },
      "isSummary": true
    }, {
      "path": "Composition.event.period",
      "min": 0,
      "definition": "The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.",
      "short": "The period covered by the documentation",
      "mapping": [ {
        "map": ".effectiveTime",
        "identity": "rim"
      }, {
        "map": ".effectiveTime",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.event.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.event.period"
      },
      "isSummary": true
    }, {
      "path": "Composition.event.detail",
      "min": 0,
      "definition": "The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.",
      "short": "The event(s) being documented",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=\"SUBJ\"].target",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.event.detail",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.event.detail"
      },
      "isSummary": true
    }, {
      "path": "Composition.encounter",
      "requirements": "Provides context for the composition and supports searching.",
      "min": 0,
      "definition": "Describes the clinical encounter or type of care this documentation is associated with.",
      "short": "Context of the Composition",
      "mapping": [ {
        "map": "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])",
        "identity": "rim"
      }, {
        "map": ".componentOf.encompassingEncounter",
        "identity": "cda"
      }, {
        "map": "context",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter"
      } ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.encounter",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.encounter"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "SHOULD contain zero or one [0..1] section (CONF:2219-1144) such that it",
      "short": "Composition is broken into sections",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ "Composition.section.code" ]
      },
      "type": [ {
        "code": "BackboneElement"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] section (CONF:2219-1119) such that it",
      "short": "Allergies and Intolerances Section",
      "comments": "Allergies and Intolerances Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos2",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Allergies and Intolerances Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1145).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos2",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.title:section_slice_pos2",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"48765-2\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1146).",
      "short": "Allergies and/or adverse reactions",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos2",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Allergies and/or adverse reactions",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.code:section_slice_pos2",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "48765-2",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1147).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos2",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.text:section_slice_pos2",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "SHOULD contain zero or more [0..*] U.S. Core AllergyIntolerance Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance) (CONF:2219-2183).",
      "short": "entry",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"
      } ],
      "sliceName": "section_slice_pos2",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.entry:section_slice_pos2",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] section (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1120) such that it",
      "short": "Hospital Course Section",
      "comments": "Hospital Course Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos3",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Hospital Course Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1148).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos3",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.title:section_slice_pos3",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"8648-8\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1149).",
      "short": "code",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos3",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.code:section_slice_pos3",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "8648-8",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1150).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos3",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.text:section_slice_pos3",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] section (CONF:2219-1121) such that it",
      "short": "Discharge Diagnosis Section",
      "comments": "Discharge Diagnosis Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos4",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Discharge Diagnosis Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1151).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos4",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.title:section_slice_pos4",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"11535-2\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1152).",
      "short": "Hospital discharge diagnosis",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos4",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Hospital discharge diagnosis",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.code:section_slice_pos4",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "11535-2",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1153).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos4",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.text:section_slice_pos4",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "SHOULD contain zero or one [0..1] section (CONF:2219-1144) such that it",
      "short": "Discharge Medications Section",
      "comments": "Discharge Medications Section (entries required)",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos5",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Discharge Medications Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1221).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos5",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.title:section_slice_pos5",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"10183-2\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1222).",
      "short": "Hospital discharge medications",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos5",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Hospital discharge medications",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.code:section_slice_pos5",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "10183-2",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1223).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos5",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.text:section_slice_pos5",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "SHOULD contain zero or more [0..*] U.S. Core MedicationStatement Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement) (CONF:2219-2169).",
      "short": "entry",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement"
      } ],
      "sliceName": "section_slice_pos4",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.entry:section_slice_pos4",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1122) such that it",
      "short": "Chief Complaint and Reason for Visit Section",
      "comments": "Chief Complaint and Reason for Visit Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos6",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Chief Complaint and Reason for Visit Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1154).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos6",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.title:section_slice_pos6",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"46239-0\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1155).",
      "short": "code",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos6",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.code:section_slice_pos6",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "46239-0",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1156).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos6",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.text:section_slice_pos6",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1123) such that it",
      "short": "Chief Complaint Section",
      "comments": "Chief Complaint Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos7",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Chief Complaint Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1157).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos7",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.title:section_slice_pos7",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"10154-3\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1158).",
      "short": "code",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos7",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.code:section_slice_pos7",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "10154-3",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1159).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos7",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.text:section_slice_pos7",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1124) such that it",
      "short": "Family History Section",
      "comments": "Family History Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos8",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Family History Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1160).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos8",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.title:section_slice_pos8",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"10157-6\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1161).",
      "short": "code",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos8",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.code:section_slice_pos8",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "10157-6",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1162).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos8",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.text:section_slice_pos8",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "MAY contain zero or more [0..*] FamilyMemberHistory (identifier: http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory) (CONF:2219-2197).",
      "short": "entry",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": "Entity. Role, or Act",
        "identity": "rim"
      }, {
        "map": "Not in scope for v2",
        "identity": "v2"
      }, {
        "map": "Observation[classCode=OBS, moodCode=EVN]",
        "identity": "rim"
      }, {
        "map": "clinical.general",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Reference",
        "profile": "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"
      } ],
      "sliceName": "section_slice_pos8",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.entry:section_slice_pos8",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1125) such that it",
      "short": "Functional Status Section",
      "comments": "Functional Status Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos9",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Functional Status Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1163).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos9",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.title:section_slice_pos9",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"47420-5\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1164).",
      "short": "Functional status",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos9",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Functional status",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.code:section_slice_pos9",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "47420-5",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1165).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos9",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.text:section_slice_pos9",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1126) such that it",
      "short": "Admission Diagnosis Section",
      "comments": "Admission Diagnosis Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos10",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Admission Diagnosis Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1166).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos10",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.title:section_slice_pos10",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"46241-6\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1167).",
      "short": "Hospital admission diagnosis",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos10",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Hospital admission diagnosis",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.code:section_slice_pos10",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "46241-6",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1168).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos10",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.text:section_slice_pos10",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1127) such that it",
      "short": "History of Past Illness Section",
      "comments": "History of Past Illness Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos11",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "History of Past Illness Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1169).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos11",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.title:section_slice_pos11",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"11348-0\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1170).",
      "short": "code",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos11",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.code:section_slice_pos11",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "11348-0",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1171).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos11",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.text:section_slice_pos11",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "MAY contain zero or more [0..*] U.S. Core Condition Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition) (CONF:2219-2198).",
      "short": "entry",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
      } ],
      "sliceName": "section_slice_pos11",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.entry:section_slice_pos11",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1128) such that it",
      "short": "History of Present Illness Section",
      "comments": "History of Present Illness Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos12",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "History of Present Illness Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1172).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos12",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.title:section_slice_pos12",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"10164-2\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1173).",
      "short": "code",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos12",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.code:section_slice_pos12",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "10164-2",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1174).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos12",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.text:section_slice_pos12",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1129) such that it",
      "short": "Immunizations Section",
      "comments": "Immunizations Section (entries optional)",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos13",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Immunizations Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1175).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos13",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.title:section_slice_pos13",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"11369-6\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1176).",
      "short": "Immunizations",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos13",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Immunizations",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.code:section_slice_pos13",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "11369-6",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1177).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos13",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.text:section_slice_pos13",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "SHOULD contain zero or more [0..*] U.S. Core Immunization Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization) (CONF:2219-2229).",
      "short": "entry",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"
      } ],
      "sliceName": "section_slice_pos13",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.entry:section_slice_pos13",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1130) such that it",
      "short": "Admission Medications Section",
      "comments": "Admission Medications Section (entries optional)",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos14",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Admission Medications Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1178).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos14",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.title:section_slice_pos14",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"42346-7\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1179).",
      "short": "Medications on admission",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos14",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Medications on admission",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.code:section_slice_pos14",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "42346-7",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1180).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos14",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.text:section_slice_pos14",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1131) such that it",
      "short": "Hospital Consultations Section",
      "comments": "Hospital Consultations Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos15",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Hospital Consultations Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1181).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos15",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.title:section_slice_pos15",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"18841-7\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1182).",
      "short": "Hospital consultations",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos15",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Hospital consultations",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.code:section_slice_pos15",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "18841-7",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1183).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos15",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.text:section_slice_pos15",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] section (CONF:2219-1132) such that it",
      "short": "Plan of Treatment Section",
      "comments": "Plan of Treatment Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos16",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Plan of Treatment Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1184).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos16",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16.title:section_slice_pos16",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"18776-5\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1185).",
      "short": "Plan of treatment",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos16",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Plan of treatment",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16.code:section_slice_pos16",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "18776-5",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1186).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos16",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16.text:section_slice_pos16",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1133) such that it",
      "short": "Problem Section",
      "comments": "Problem Section (entries optional)",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos17",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Problem Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1187).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos17",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17.title:section_slice_pos17",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"11450-4\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1188).",
      "short": "Problem list",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos17",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Problem list",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17.code:section_slice_pos17",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "11450-4",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1189).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos17",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17.text:section_slice_pos17",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "SHOULD contain zero or more [0..*] U.S. Core Condition Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition) (CONF:2219-2230).",
      "short": "entry",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
      } ],
      "sliceName": "section_slice_pos17",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17.entry:section_slice_pos17",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1134) such that it",
      "short": "Procedures Section",
      "comments": "Procedures Section (entries optional)",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos18",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Procedures Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1190).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos18",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18.title:section_slice_pos18",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"47519-4\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1191).",
      "short": "History of procedures",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos18",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "History of procedures",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18.code:section_slice_pos18",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "47519-4",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1192).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos18",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18.text:section_slice_pos18",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "MAY contain zero or more [0..*] U.S. Core Procedure Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure) (CONF:2219-2231).",
      "short": "entry",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"
      } ],
      "sliceName": "section_slice_pos18",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18.entry:section_slice_pos18",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1135) such that it",
      "short": "Reason for Visit Section",
      "comments": "Reason for Visit Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos19",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Reason for Visit Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1193).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos19",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19.title:section_slice_pos19",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"29299-5\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1194).",
      "short": "code",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos19",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19.code:section_slice_pos19",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "29299-5",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1195).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos19",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19.text:section_slice_pos19",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1136) such that it",
      "short": "Hospital Discharge Instructions Section",
      "comments": "Hospital Discharge Instructions Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos20",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Hospital Discharge Instructions Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos20",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos20.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos20.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos20.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1196).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos20",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos20.title:section_slice_pos20",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"8653-8\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1197).",
      "short": "Hospital discharge instructions",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos20",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Hospital discharge instructions",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos20.code:section_slice_pos20",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "8653-8",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1198).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos20",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos20.text:section_slice_pos20",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos20.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos20.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos20.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos20.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos20",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos20.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1137) such that it",
      "short": "Review of Systems Section",
      "comments": "Review of Systems Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos21",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Review of Systems Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1199).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos21",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21.title:section_slice_pos21",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"10187-3\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1200).",
      "short": "Review of systems",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos21",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Review of systems",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21.code:section_slice_pos21",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "10187-3",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1201).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos21",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21.text:section_slice_pos21",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1138) such that it",
      "short": "Social History Section",
      "comments": "Social History Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos22",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Social History Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1202).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos22",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.title:section_slice_pos22",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"29762-2\" (CONF:2219-1203).",
      "short": "Social history",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos22",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Social history",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.code:section_slice_pos22",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "29762-2"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1204).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos22",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.text:section_slice_pos22",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "MAY contain zero or more [0..*] U.S. Core SmokingStatus Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus) (CONF:2219-2432).",
      "short": "entry",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus"
      } ],
      "sliceName": "section_slice_pos22",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.entry:section_slice_pos22",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1139) such that it",
      "short": "Vital Signs Section",
      "comments": "Vital Signs Section (entries optional)",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos23",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Vital Signs Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1205).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos23",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.title:section_slice_pos23",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"8716-3\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1206).",
      "short": "Vital signs",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos23",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Vital signs",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.code:section_slice_pos23",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "8716-3",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1207).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos23",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.text:section_slice_pos23",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "SHOULD contain zero or more [0..*] U.S. Core VitalSigns Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-vitalsigns) (CONF:2219-2233).",
      "short": "entry",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-vitalsigns"
      } ],
      "sliceName": "section_slice_pos23",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.entry:section_slice_pos23",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1141) such that it",
      "short": "Hospital Discharge Physical Section",
      "comments": "Hospital Discharge Physical Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos24",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Hospital Discharge Physical Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1212).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos24",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.title:section_slice_pos24",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"10184-0\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1213).",
      "short": "Hospital discharge physical",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos24",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Hospital discharge physical",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.code:section_slice_pos24",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "10184-0",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1214).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos24",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.text:section_slice_pos24",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1142) such that it",
      "short": "Hospital Discharge Studies Section",
      "comments": "Hospital Discharge Studies Summary Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos25",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Hospital Discharge Studies Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1215).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos25",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.title:section_slice_pos25",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"11493-4\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1216).",
      "short": "Hospital discharge studies summary",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos25",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Hospital discharge studies summary",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.code:section_slice_pos25",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "11493-4",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1217).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos25",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.text:section_slice_pos25",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "Element",
        "severity": "error",
        "expression": "children().count() > id.count()"
      }, {
        "key": "cmp-1",
        "human": "A section must at least one of text, entries, or sub-sections",
        "xpath": "exists(f:text) or exists(f:entry) or exists(f:section)",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "text.exists() or entry.exists() or section.exists()"
      }, {
        "key": "cmp-2",
        "human": "A section can only have an emptyReason if it is empty",
        "xpath": "not(exists(f:emptyReason) and exists(f:entry))",
        "source": "Composition:c-cdaonfhirusrealmheader.section",
        "severity": "error",
        "expression": "emptyReason.empty() or entry.empty()"
      } ],
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1143) such that it",
      "short": "Nutrition Section",
      "comments": "Nutrition Section",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.structuredBody.component.section",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "sliceName": "section_slice_pos26",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Section"
      } ],
      "max": "1",
      "label": "Nutrition Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section"
      }
    }, {
      "path": "Composition.section.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "xml:id (or equivalent in JSON)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "path": "Composition.section.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional Content defined by implementations",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Composition.section.modifierExtension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.modifierExtension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.title",
      "requirements": "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1218).",
      "short": "title",
      "comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
      "mapping": [ {
        "map": "./title",
        "identity": "rim"
      }, {
        "map": ".title",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "section_slice_pos26",
      "alias": [ "header", "label", "caption" ],
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.title:section_slice_pos26",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.title"
      }
    }, {
      "path": "Composition.section.code",
      "requirements": "Provides computable standardized labels to topics within the document.",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"61144-2\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1219).",
      "short": "Diet and nutrition",
      "comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
      "mapping": [ {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": ".code",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos26",
      "binding": {
        "strength": "example",
        "description": "Classification of a section of a composition/document.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      "max": "1",
      "label": "Diet and nutrition",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.code:section_slice_pos26",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "61144-2",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      },
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.code"
      }
    }, {
      "path": "Composition.section.text",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1220).",
      "short": "text",
      "comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      }, {
        "map": ".text",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "sliceName": "section_slice_pos26",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.text:section_slice_pos26",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.text"
      }
    }, {
      "path": "Composition.section.mode",
      "requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
      "min": 0,
      "definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
      "isModifier": true,
      "short": "working | snapshot | changes",
      "mapping": [ {
        "map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      }, {
        "map": "class",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "description": "The processing mode that applies to this section.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-mode"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.mode",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.mode"
      },
      "isSummary": true
    }, {
      "path": "Composition.section.orderedBy",
      "requirements": "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
      "min": 0,
      "definition": "Specifies the order applied to the items in the section entries.",
      "short": "Order of section entries",
      "comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "What order applies to the items in the entry.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-order"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.orderedBy",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.orderedBy"
      }
    }, {
      "path": "Composition.section.entry",
      "min": 0,
      "definition": "A reference to the actual resource from which the narrative in the section is derived.",
      "short": "A reference to data that supports this section",
      "comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
      "mapping": [ {
        "map": ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]",
        "identity": "rim"
      }, {
        "map": ".entry",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
      } ],
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.entry",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.entry"
      }
    }, {
      "path": "Composition.section.emptyReason",
      "requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
      "min": 0,
      "definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
      "short": "Why the section is empty",
      "comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "preferred",
        "description": "If a section is empty, why it is empty.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
        }
      },
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.emptyReason",
      "condition": [ "cmp-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Composition.section.emptyReason"
      }
    }, {
      "path": "Composition.section.section",
      "min": 0,
      "definition": "A nested sub-section within this section.",
      "short": "Nested Section",
      "comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
      "mapping": [ {
        "map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]",
        "identity": "rim"
      }, {
        "map": ".component.section",
        "identity": "cda"
      } ],
      "contentReference": "#Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26",
      "max": "*",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.section",
      "condition": [ "cmp-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Composition.section.section"
      }
    } ]
  },
  "status": "draft",
  "id": "52428e93-9121-4f36-869b-aead480ce19f",
  "kind": "resource",
  "url": "http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Discharge-Summary",
  "context": [ "Composition" ],
  "version": null,
  "differential": {
    "element": [ {
      "id": "Composition:c-cdaonfhirdischargesummary",
      "path": "Composition"
    }, {
      "path": "Composition.type",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] type, which SHALL be selected from ValueSet DischargeSummaryDocumentTypeCode http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.4.1 DYNAMIC (CONF:2219-1208).",
      "short": "Discharge Summary",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "valueSetReference": {
          "display": "DischargeSummaryDocumentTypeCode",
          "reference": "http://hl7.org/fhir/ccda/ValueSet/2.16.840.1.113883.11.20.4.1"
        }
      },
      "max": "1",
      "label": "Discharge Summary",
      "id": "Composition:c-cdaonfhirdischargesummary.type"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section",
      "path": "Composition.section",
      "slicing": {
        "rules": "open",
        "discriminator": [ "Composition.section.code" ]
      },
      "definition": "SHOULD contain zero or one [0..1] section (CONF:2219-1144) such that it"
    }, {
      "path": "Composition.section",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] section (CONF:2219-1119) such that it",
      "short": "Allergies and Intolerances Section",
      "comments": "Allergies and Intolerances Section",
      "sliceName": "section_slice_pos2",
      "max": "1",
      "label": "Allergies and Intolerances Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.title:section_slice_pos2",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos2",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1145)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"48765-2\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1146).",
      "short": "Allergies and/or adverse reactions",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos2",
      "max": "1",
      "label": "Allergies and/or adverse reactions",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.code:section_slice_pos2",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "48765-2",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.text:section_slice_pos2",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos2",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1147)."
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos2.entry:section_slice_pos2",
      "max": "*",
      "min": 0,
      "path": "Composition.section.entry",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"
      } ],
      "short": "entry",
      "sliceName": "section_slice_pos2",
      "definition": "SHOULD contain zero or more [0..*] U.S. Core AllergyIntolerance Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance) (CONF:2219-2183)."
    }, {
      "path": "Composition.section",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] section (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1120) such that it",
      "short": "Hospital Course Section",
      "comments": "Hospital Course Section",
      "sliceName": "section_slice_pos3",
      "max": "1",
      "label": "Hospital Course Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.title:section_slice_pos3",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos3",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1148)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"8648-8\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1149).",
      "short": "code",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos3",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.code:section_slice_pos3",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "8648-8",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos3.text:section_slice_pos3",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos3",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1150)."
    }, {
      "path": "Composition.section",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] section (CONF:2219-1121) such that it",
      "short": "Discharge Diagnosis Section",
      "comments": "Discharge Diagnosis Section",
      "sliceName": "section_slice_pos4",
      "max": "1",
      "label": "Discharge Diagnosis Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.title:section_slice_pos4",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos4",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1151)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"11535-2\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1152).",
      "short": "Hospital discharge diagnosis",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos4",
      "max": "1",
      "label": "Hospital discharge diagnosis",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.code:section_slice_pos4",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "11535-2",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos4.text:section_slice_pos4",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos4",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1153)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "SHOULD contain zero or one [0..1] section (CONF:2219-1144) such that it",
      "short": "Discharge Medications Section",
      "comments": "Discharge Medications Section (entries required)",
      "sliceName": "section_slice_pos5",
      "max": "1",
      "label": "Discharge Medications Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.title:section_slice_pos5",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos5",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1221)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"10183-2\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1222).",
      "short": "Hospital discharge medications",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos5",
      "max": "1",
      "label": "Hospital discharge medications",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.code:section_slice_pos5",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "10183-2",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.text:section_slice_pos5",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos5",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1223)."
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos5.entry:section_slice_pos4",
      "max": "*",
      "min": 0,
      "path": "Composition.section.entry",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement"
      } ],
      "short": "entry",
      "sliceName": "section_slice_pos4",
      "definition": "SHOULD contain zero or more [0..*] U.S. Core MedicationStatement Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement) (CONF:2219-2169)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1122) such that it",
      "short": "Chief Complaint and Reason for Visit Section",
      "comments": "Chief Complaint and Reason for Visit Section",
      "sliceName": "section_slice_pos6",
      "max": "1",
      "label": "Chief Complaint and Reason for Visit Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.title:section_slice_pos6",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos6",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1154)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"46239-0\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1155).",
      "short": "code",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos6",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.code:section_slice_pos6",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "46239-0",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos6.text:section_slice_pos6",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos6",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1156)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1123) such that it",
      "short": "Chief Complaint Section",
      "comments": "Chief Complaint Section",
      "sliceName": "section_slice_pos7",
      "max": "1",
      "label": "Chief Complaint Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.title:section_slice_pos7",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos7",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1157)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"10154-3\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1158).",
      "short": "code",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos7",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.code:section_slice_pos7",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "10154-3",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos7.text:section_slice_pos7",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos7",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1159)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1124) such that it",
      "short": "Family History Section",
      "comments": "Family History Section",
      "sliceName": "section_slice_pos8",
      "max": "1",
      "label": "Family History Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.title:section_slice_pos8",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos8",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1160)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"10157-6\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1161).",
      "short": "code",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos8",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.code:section_slice_pos8",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "10157-6",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.text:section_slice_pos8",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos8",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1162)."
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos8.entry:section_slice_pos8",
      "max": "*",
      "min": 0,
      "path": "Composition.section.entry",
      "type": [ {
        "code": "Reference",
        "profile": "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"
      } ],
      "short": "entry",
      "sliceName": "section_slice_pos8",
      "definition": "MAY contain zero or more [0..*] FamilyMemberHistory (identifier: http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory) (CONF:2219-2197)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1125) such that it",
      "short": "Functional Status Section",
      "comments": "Functional Status Section",
      "sliceName": "section_slice_pos9",
      "max": "1",
      "label": "Functional Status Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.title:section_slice_pos9",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos9",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1163)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"47420-5\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1164).",
      "short": "Functional status",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos9",
      "max": "1",
      "label": "Functional status",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.code:section_slice_pos9",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "47420-5",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos9.text:section_slice_pos9",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos9",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1165)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1126) such that it",
      "short": "Admission Diagnosis Section",
      "comments": "Admission Diagnosis Section",
      "sliceName": "section_slice_pos10",
      "max": "1",
      "label": "Admission Diagnosis Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.title:section_slice_pos10",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos10",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1166)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"46241-6\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1167).",
      "short": "Hospital admission diagnosis",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos10",
      "max": "1",
      "label": "Hospital admission diagnosis",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.code:section_slice_pos10",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "46241-6",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos10.text:section_slice_pos10",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos10",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1168)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1127) such that it",
      "short": "History of Past Illness Section",
      "comments": "History of Past Illness Section",
      "sliceName": "section_slice_pos11",
      "max": "1",
      "label": "History of Past Illness Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.title:section_slice_pos11",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos11",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1169)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"11348-0\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1170).",
      "short": "code",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos11",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.code:section_slice_pos11",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "11348-0",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.text:section_slice_pos11",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos11",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1171)."
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos11.entry:section_slice_pos11",
      "max": "*",
      "min": 0,
      "path": "Composition.section.entry",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
      } ],
      "short": "entry",
      "sliceName": "section_slice_pos11",
      "definition": "MAY contain zero or more [0..*] U.S. Core Condition Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition) (CONF:2219-2198)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1128) such that it",
      "short": "History of Present Illness Section",
      "comments": "History of Present Illness Section",
      "sliceName": "section_slice_pos12",
      "max": "1",
      "label": "History of Present Illness Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.title:section_slice_pos12",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos12",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1172)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"10164-2\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1173).",
      "short": "code",
      "type": [ {
        "code": "CodeableConcept"
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      "sliceName": "section_slice_pos12",
      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.code:section_slice_pos12",
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      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos12.text:section_slice_pos12",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos12",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1174)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1129) such that it",
      "short": "Immunizations Section",
      "comments": "Immunizations Section (entries optional)",
      "sliceName": "section_slice_pos13",
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      "label": "Immunizations Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.title:section_slice_pos13",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos13",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1175)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"11369-6\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1176).",
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        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos13",
      "max": "1",
      "label": "Immunizations",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.code:section_slice_pos13",
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    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.text:section_slice_pos13",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos13",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1177)."
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos13.entry:section_slice_pos13",
      "max": "*",
      "min": 0,
      "path": "Composition.section.entry",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"
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      "short": "entry",
      "sliceName": "section_slice_pos13",
      "definition": "SHOULD contain zero or more [0..*] U.S. Core Immunization Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization) (CONF:2219-2229)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1130) such that it",
      "short": "Admission Medications Section",
      "comments": "Admission Medications Section (entries optional)",
      "sliceName": "section_slice_pos14",
      "max": "1",
      "label": "Admission Medications Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.title:section_slice_pos14",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos14",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1178)."
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      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"42346-7\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1179).",
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        "code": "CodeableConcept"
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      "sliceName": "section_slice_pos14",
      "max": "1",
      "label": "Medications on admission",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.code:section_slice_pos14",
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      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos14.text:section_slice_pos14",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos14",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1180)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1131) such that it",
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      "comments": "Hospital Consultations Section",
      "sliceName": "section_slice_pos15",
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      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.title:section_slice_pos15",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos15",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1181)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"18841-7\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1182).",
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        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos15",
      "max": "1",
      "label": "Hospital consultations",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.code:section_slice_pos15",
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    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos15.text:section_slice_pos15",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos15",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1183)."
    }, {
      "path": "Composition.section",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] section (CONF:2219-1132) such that it",
      "short": "Plan of Treatment Section",
      "comments": "Plan of Treatment Section",
      "sliceName": "section_slice_pos16",
      "max": "1",
      "label": "Plan of Treatment Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos16.title:section_slice_pos16",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos16",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1184)."
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      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"18776-5\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1185).",
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      "sliceName": "section_slice_pos16",
      "max": "1",
      "label": "Plan of treatment",
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      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos16",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1186)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1133) such that it",
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      "comments": "Problem Section (entries optional)",
      "sliceName": "section_slice_pos17",
      "max": "1",
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      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17"
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      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17.title:section_slice_pos17",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos17",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1187)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"11450-4\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1188).",
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      "sliceName": "section_slice_pos17",
      "max": "1",
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    }, {
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      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos17",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1189)."
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      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos17.entry:section_slice_pos17",
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      "min": 0,
      "path": "Composition.section.entry",
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        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
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      "short": "entry",
      "sliceName": "section_slice_pos17",
      "definition": "SHOULD contain zero or more [0..*] U.S. Core Condition Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition) (CONF:2219-2230)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1134) such that it",
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      "comments": "Procedures Section (entries optional)",
      "sliceName": "section_slice_pos18",
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      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18.title:section_slice_pos18",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos18",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1190)."
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      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"47519-4\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1191).",
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      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
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      "sliceName": "section_slice_pos18",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1192)."
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      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos18.entry:section_slice_pos18",
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      "min": 0,
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        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"
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      "definition": "MAY contain zero or more [0..*] U.S. Core Procedure Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure) (CONF:2219-2231)."
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      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1135) such that it",
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      "comments": "Reason for Visit Section",
      "sliceName": "section_slice_pos19",
      "max": "1",
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      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos19",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1193)."
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      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"29299-5\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1194).",
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      "max": "1",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos19.code:section_slice_pos19",
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      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
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      "sliceName": "section_slice_pos19",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1195)."
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      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1136) such that it",
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      "comments": "Hospital Discharge Instructions Section",
      "sliceName": "section_slice_pos20",
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      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos20",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1196)."
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      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"8653-8\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1197).",
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      "max": "1",
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      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos20",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1198)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1137) such that it",
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      "comments": "Review of Systems Section",
      "sliceName": "section_slice_pos21",
      "max": "1",
      "label": "Review of Systems Section",
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      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21.title:section_slice_pos21",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos21",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1199)."
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      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"10187-3\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1200).",
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        "code": "CodeableConcept"
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      "sliceName": "section_slice_pos21",
      "max": "1",
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      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos21.code:section_slice_pos21",
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      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos21",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1201)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1138) such that it",
      "short": "Social History Section",
      "comments": "Social History Section",
      "sliceName": "section_slice_pos22",
      "max": "1",
      "label": "Social History Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22"
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      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.title:section_slice_pos22",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos22",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1202)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"29762-2\" (CONF:2219-1203).",
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        "code": "CodeableConcept"
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      "sliceName": "section_slice_pos22",
      "max": "1",
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      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.code:section_slice_pos22",
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      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos22",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1204)."
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      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos22.entry:section_slice_pos22",
      "max": "*",
      "min": 0,
      "path": "Composition.section.entry",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus"
      } ],
      "short": "entry",
      "sliceName": "section_slice_pos22",
      "definition": "MAY contain zero or more [0..*] U.S. Core SmokingStatus Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus) (CONF:2219-2432)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1139) such that it",
      "short": "Vital Signs Section",
      "comments": "Vital Signs Section (entries optional)",
      "sliceName": "section_slice_pos23",
      "max": "1",
      "label": "Vital Signs Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.title:section_slice_pos23",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos23",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1205)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"8716-3\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1206).",
      "short": "Vital signs",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos23",
      "max": "1",
      "label": "Vital signs",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.code:section_slice_pos23",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "8716-3",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.text:section_slice_pos23",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos23",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1207)."
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos23.entry:section_slice_pos23",
      "max": "*",
      "min": 0,
      "path": "Composition.section.entry",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-vitalsigns"
      } ],
      "short": "entry",
      "sliceName": "section_slice_pos23",
      "definition": "SHOULD contain zero or more [0..*] U.S. Core VitalSigns Profile (identifier: http://hl7.org/fhir/us/core/StructureDefinition/us-core-vitalsigns) (CONF:2219-2233)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1141) such that it",
      "short": "Hospital Discharge Physical Section",
      "comments": "Hospital Discharge Physical Section",
      "sliceName": "section_slice_pos24",
      "max": "1",
      "label": "Hospital Discharge Physical Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.title:section_slice_pos24",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos24",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1212)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"10184-0\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1213).",
      "short": "Hospital discharge physical",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos24",
      "max": "1",
      "label": "Hospital discharge physical",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.code:section_slice_pos24",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "10184-0",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos24.text:section_slice_pos24",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos24",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1214)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1142) such that it",
      "short": "Hospital Discharge Studies Section",
      "comments": "Hospital Discharge Studies Summary Section",
      "sliceName": "section_slice_pos25",
      "max": "1",
      "label": "Hospital Discharge Studies Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.title:section_slice_pos25",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos25",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1215)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"11493-4\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1216).",
      "short": "Hospital discharge studies summary",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos25",
      "max": "1",
      "label": "Hospital discharge studies summary",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.code:section_slice_pos25",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "11493-4",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos25.text:section_slice_pos25",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos25",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1217)."
    }, {
      "path": "Composition.section",
      "min": 0,
      "definition": "MAY contain zero or one [0..1] section (CONF:2219-1143) such that it",
      "short": "Nutrition Section",
      "comments": "Nutrition Section",
      "sliceName": "section_slice_pos26",
      "max": "1",
      "label": "Nutrition Section",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26"
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.title:section_slice_pos26",
      "max": "1",
      "min": 1,
      "path": "Composition.section.title",
      "short": "title",
      "sliceName": "section_slice_pos26",
      "definition": "SHALL contain exactly one [1..1] title (CONF:2219-1218)."
    }, {
      "path": "Composition.section.code",
      "min": 1,
      "definition": "SHALL contain exactly one [1..1] code=\"61144-2\" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:2219-1219).",
      "short": "Diet and nutrition",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "section_slice_pos26",
      "max": "1",
      "label": "Diet and nutrition",
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.code:section_slice_pos26",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "61144-2",
          "system": "urn:oid:2.16.840.1.113883.6.1"
        } ]
      }
    }, {
      "id": "Composition:c-cdaonfhirdischargesummary.section:section_slice_pos26.text:section_slice_pos26",
      "max": "1",
      "min": 1,
      "path": "Composition.section.text",
      "short": "text",
      "sliceName": "section_slice_pos26",
      "definition": "SHALL contain exactly one [1..1] text (CONF:2219-1220)."
    } ]
  },
  "contact": [ {
    "name": "Sarah Gaunt",
    "telecom": [ {
      "use": "work",
      "value": "+6 141-029-2506",
      "system": "phone"
    }, {
      "use": "work",
      "value": "sarah.gaunt@lantanagroup.com",
      "system": "email"
    } ]
  } ],
  "contextType": "resource",
  "baseDefinition": "http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-US-Realm-Header"
}