{ "description": null, "_filename": "CompositionProfile.json", "package_name": "accdr.fhir.ig.pkg", "date": "2024-05-30T17:24:34.5642117+00:00", "derivation": "constraint", "meta": { "lastUpdated": "2024-06-29T15:43:28.4930751+00:00" }, "publisher": null, "fhirVersion": "4.0.1", "name": "CDRComposition", "mapping": [ { "name": "CDR-data-in-v2", "identity": "CDR-data-in-v2" } ], "abstract": false, "type": "Composition", "experimental": null, "resourceType": "StructureDefinition", "title": null, "package_version": "0.9.20", "status": "draft", "id": "83e49af2-4c5c-410a-b6b7-855b206b4a84", "kind": "resource", "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Composition", "version": null, "differential": { "element": [ { "id": "Composition.meta", "min": 1, "path": "Composition.meta", "mustSupport": true }, { "id": "Composition.meta.lastUpdated", "path": "Composition.meta.lastUpdated", "mustSupport": true }, { "id": "Composition.meta.profile", "min": 1, "path": "Composition.meta.profile", "mustSupport": true }, { "id": "Composition.extension:ext-Recipient", "path": "Composition.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-ext-recipient" ] } ], "sliceName": "ext-Recipient" }, { "id": "Composition.identifier", "min": 1, "path": "Composition.identifier", "mapping": [ { "map": "OBR.2", "identity": "CDR-data-in-v2" } ], "mustSupport": true }, { "id": "Composition.identifier.system", "min": 1, "path": "Composition.identifier.system", "mustSupport": true }, { "id": "Composition.identifier.value", "min": 1, "path": "Composition.identifier.value", "mustSupport": true }, { "id": "Composition.status", "path": "Composition.status", "mapping": [ { "map": "OBR.25", "identity": "CDR-data-in-v2" } ], "mustSupport": true }, { "id": "Composition.type", "path": "Composition.type", "mustSupport": true }, { "id": "Composition.type.coding", "min": 1, "path": "Composition.type.coding", "slicing": { "rules": "open", "discriminator": [ { "path": "extension.value.code", "type": "value" } ] } }, { "id": "Composition.type.coding.extension", "min": 1, "path": "Composition.type.coding.extension" }, { "id": "Composition.type.coding.extension:ext-accdr-document-type", "max": "1", "min": 1, "path": "Composition.type.coding.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-accdr-document-code-type" ] } ], "sliceName": "ext-accdr-document-type", "isModifier": false }, { "id": "Composition.type.coding:slice-local-document-type", "max": "1", "min": 1, "path": "Composition.type.coding", "binding": { "strength": "extensible", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/local-document-type" }, "sliceName": "slice-local-document-type" }, { "id": "Composition.type.coding:slice-local-document-type.extension", "min": 1, "path": "Composition.type.coding.extension" }, { "id": "Composition.type.coding:slice-local-document-type.extension:coding-local-code", "max": "1", "min": 1, "path": "Composition.type.coding.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-accdr-document-code-type" ] } ], "sliceName": "coding-local-code", "isModifier": false }, { "id": "Composition.type.coding:slice-local-document-type.extension:coding-local-code.value[x]", "path": "Composition.type.coding.extension.value[x]" }, { "id": "Composition.type.coding:slice-local-document-type.extension:coding-local-code.value[x].code", "path": "Composition.type.coding.extension.value[x].code", "fixedCode": "local" }, { "id": "Composition.type.coding:slice-local-document-type.system", "min": 1, "path": "Composition.type.coding.system", "mustSupport": true }, { "id": "Composition.type.coding:slice-local-document-type.code", "min": 1, "path": "Composition.type.coding.code", "mustSupport": true }, { "id": "Composition.type.coding:slice-provincial-document-type", "max": "1", "path": "Composition.type.coding", "short": "Provincial document type", "binding": { "strength": "extensible", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/provincial-document-type" }, "comment": "This is only populated in the document retrieval. It should not be used for document submission", "sliceName": "slice-provincial-document-type" }, { "id": "Composition.type.coding:slice-provincial-document-type.extension", "min": 1, "path": "Composition.type.coding.extension" }, { "id": "Composition.type.coding:slice-provincial-document-type.extension:coding-provincial-code", "max": "1", "min": 1, "path": "Composition.type.coding.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-accdr-document-code-type" ] } ], "sliceName": "coding-provincial-code", "isModifier": false }, { "id": "Composition.type.coding:slice-provincial-document-type.extension:coding-provincial-code.value[x]", "path": "Composition.type.coding.extension.value[x]" }, { "id": "Composition.type.coding:slice-provincial-document-type.extension:coding-provincial-code.value[x].code", "path": "Composition.type.coding.extension.value[x].code", "fixedCode": "provincial" }, { "id": "Composition.type.coding:slice-provincial-document-type.system", "min": 1, "path": "Composition.type.coding.system", "mustSupport": true }, { "id": "Composition.type.coding:slice-provincial-document-type.code", "min": 1, "path": "Composition.type.coding.code", "mustSupport": true }, { "id": "Composition.category", "path": "Composition.category", "comment": "This is only populated on document retrieval. It should not be used in document submission.", "slicing": { "rules": "open", "discriminator": [ { "path": "extension.value[x].code", "type": "value" } ] }, "mustSupport": true }, { "id": "Composition.category.extension", "min": 1, "path": "Composition.category.extension" }, { "id": "Composition.category.extension:ext-LOINC-ontology-axis", "max": "1", "min": 1, "path": "Composition.category.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" ] } ], "sliceName": "ext-LOINC-ontology-axis", "isModifier": false }, { "id": "Composition.category.extension:ext-LOINC-ontology-axis.value[x]", "path": "Composition.category.extension.value[x]", "mustSupport": true }, { "id": "Composition.category.extension:ext-LOINC-ontology-axis.value[x].system", "path": "Composition.category.extension.value[x].system", "mustSupport": true }, { "id": "Composition.category.extension:ext-LOINC-ontology-axis.value[x].code", "path": "Composition.category.extension.value[x].code", "mustSupport": true }, { "id": "Composition.category.extension:ext-LOINC-ontology-axis.value[x].display", "path": "Composition.category.extension.value[x].display", "mustSupport": true }, { "id": "Composition.category.coding", "max": "1", "min": 1, "path": "Composition.category.coding", "mustSupport": true }, { "id": "Composition.category.coding.system", "min": 1, "path": "Composition.category.coding.system", "mustSupport": true }, { "id": "Composition.category.coding.code", "min": 1, "path": "Composition.category.coding.code", "mustSupport": true }, { "id": "Composition.category.coding.display", "min": 1, "path": "Composition.category.coding.display", "mustSupport": true }, { "id": "Composition.category:sliceCategory-kind-of-document", "path": "Composition.category", "binding": { "strength": "required", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/document-kind-of-document", "description": "The document-kind property in LOINC Characterizes the general structure of the document at a macro level." }, "sliceName": "sliceCategory-kind-of-document", "mustSupport": true }, { "id": "Composition.category:sliceCategory-kind-of-document.extension", "min": 1, "path": "Composition.category.extension" }, { "id": "Composition.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis", "max": "1", "min": 1, "path": "Composition.category.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" ] } ], "sliceName": "ext-LOINC-ontology-axis", "isModifier": false, "mustSupport": true }, { "id": "Composition.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis.value[x]", "path": "Composition.category.extension.value[x]", "mustSupport": true }, { "id": "Composition.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis.value[x].system", "path": "Composition.category.extension.value[x].system", "mustSupport": true }, { "id": "Composition.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis.value[x].code", "path": "Composition.category.extension.value[x].code", "fixedCode": "74477-1", "mustSupport": true }, { "id": "Composition.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis.value[x].display", "path": "Composition.category.extension.value[x].display", "fixedString": "Kind of document", "mustSupport": true }, { "id": "Composition.category:sliceCategory-kind-of-document.coding", "max": "1", "min": 1, "path": "Composition.category.coding", "mustSupport": true }, { "id": "Composition.category:sliceCategory-kind-of-document.coding.system", "min": 1, "path": "Composition.category.coding.system", "mustSupport": true }, { "id": "Composition.category:sliceCategory-kind-of-document.coding.code", "min": 1, "path": "Composition.category.coding.code", "mustSupport": true }, { "id": "Composition.category:sliceCategory-kind-of-document.coding.display", "min": 1, "path": "Composition.category.coding.display", "mustSupport": true }, { "id": "Composition.category:sliceCategory-subject-matter-domain", "path": "Composition.category", "binding": { "strength": "required", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/documentsubject-matter-domain", "description": "The document-subject-matter-domain property in LOINC characterizes the general focus or domain of knowledge represented within the content of the note" }, "sliceName": "sliceCategory-subject-matter-domain", "mustSupport": true }, { "id": "Composition.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis", "max": "1", "path": "Composition.category.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" ] } ], "sliceName": "ext-LOINC-ontology-axis", "isModifier": false, "mustSupport": true }, { "id": "Composition.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis.value[x]", "path": "Composition.category.extension.value[x]", "mustSupport": true }, { "id": "Composition.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis.value[x].system", "path": "Composition.category.extension.value[x].system", "mustSupport": true }, { "id": "Composition.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis.value[x].code", "path": "Composition.category.extension.value[x].code", "fixedCode": "74480-5", "mustSupport": true }, { "id": "Composition.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis.value[x].display", "path": "Composition.category.extension.value[x].display", "fixedString": "Subject matter domain", "mustSupport": true }, { "id": "Composition.category:sliceCategory-subject-matter-domain.coding", "max": "1", "min": 1, "path": "Composition.category.coding", "mustSupport": true }, { "id": "Composition.category:sliceCategory-subject-matter-domain.coding.system", "min": 1, "path": "Composition.category.coding.system", "mustSupport": true }, { "id": "Composition.category:sliceCategory-subject-matter-domain.coding.code", "min": 1, "path": "Composition.category.coding.code", "mustSupport": true }, { "id": "Composition.category:sliceCategory-subject-matter-domain.coding.display", "min": 1, "path": "Composition.category.coding.display", "mustSupport": true }, { "id": "Composition.category:sliceCategory-type-of-service", "path": "Composition.category", "binding": { "strength": "required", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/document-type-of-service", "description": "The document-type-of-service property in LOINC characterizes the healthcare service or activity provided to/for the patient (or other subject of the service) that is described in the document." }, "sliceName": "sliceCategory-type-of-service", "mustSupport": true }, { "id": "Composition.category:sliceCategory-type-of-service.extension", "min": 1, "path": "Composition.category.extension" }, { "id": "Composition.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis", "max": "1", "min": 1, "path": "Composition.category.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" ] } ], "sliceName": "ext-LOINC-ontology-axis", "isModifier": false, "mustSupport": true }, { "id": "Composition.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis.value[x]", "path": "Composition.category.extension.value[x]", "mustSupport": true }, { "id": "Composition.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis.value[x].system", "path": "Composition.category.extension.value[x].system", "mustSupport": true }, { "id": "Composition.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis.value[x].code", "path": "Composition.category.extension.value[x].code", "fixedCode": "74478-9", "mustSupport": true }, { "id": "Composition.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis.value[x].display", "path": "Composition.category.extension.value[x].display", "fixedString": "Type of Service", "mustSupport": true }, { "id": "Composition.category:sliceCategory-type-of-service.coding", "max": "1", "min": 1, "path": "Composition.category.coding", "mustSupport": true }, { "id": "Composition.category:sliceCategory-type-of-service.coding.system", "min": 1, "path": "Composition.category.coding.system", "mustSupport": true }, { "id": "Composition.category:sliceCategory-type-of-service.coding.code", "min": 1, "path": "Composition.category.coding.code", "mustSupport": true }, { "id": "Composition.category:sliceCategory-type-of-service.coding.display", "min": 1, "path": "Composition.category.coding.display", "mustSupport": true }, { "id": "Composition.category:sliceCategory-role", "path": "Composition.category", "binding": { "strength": "required", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/document-role", "description": "The document-role property in LOINC characterizes the general function, responsibility, or capabilities of the author in relation to a document" }, "sliceName": "sliceCategory-role", "mustSupport": true }, { "id": "Composition.category:sliceCategory-role.extension", "min": 1, "path": "Composition.category.extension" }, { "id": "Composition.category:sliceCategory-role.extension:ext-LOINC-ontology-axis", "max": "1", "min": 1, "path": "Composition.category.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" ] } ], "sliceName": "ext-LOINC-ontology-axis", "isModifier": false, "mustSupport": true }, { "id": "Composition.category:sliceCategory-role.extension:ext-LOINC-ontology-axis.value[x]", "path": "Composition.category.extension.value[x]", "mustSupport": true }, { "id": "Composition.category:sliceCategory-role.extension:ext-LOINC-ontology-axis.value[x].system", "path": "Composition.category.extension.value[x].system", "mustSupport": true }, { "id": "Composition.category:sliceCategory-role.extension:ext-LOINC-ontology-axis.value[x].code", "path": "Composition.category.extension.value[x].code", "fixedCode": "74479-7", "mustSupport": true }, { "id": "Composition.category:sliceCategory-role.extension:ext-LOINC-ontology-axis.value[x].display", "path": "Composition.category.extension.value[x].display", "fixedString": "Role", "mustSupport": true }, { "id": "Composition.category:sliceCategory-role.coding", "max": "1", "min": 1, "path": "Composition.category.coding", "mustSupport": true }, { "id": "Composition.category:sliceCategory-role.coding.system", "min": 1, "path": "Composition.category.coding.system", "mustSupport": true }, { "id": "Composition.category:sliceCategory-role.coding.code", "min": 1, "path": "Composition.category.coding.code", "mustSupport": true }, { "id": "Composition.category:sliceCategory-role.coding.display", "min": 1, "path": "Composition.category.coding.display", "mustSupport": true }, { "id": "Composition.category:sliceCategory-setting", "path": "Composition.category", "binding": { "strength": "required", "valueSet": "http://ontariohealth.ca/fhir/ValueSet/document-setting", "description": "The document-setting property in LOINC is a coarse definition of the Care Setting" }, "sliceName": "sliceCategory-setting" }, { "id": "Composition.category:sliceCategory-setting.extension", "min": 1, "path": "Composition.category.extension" }, { "id": "Composition.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis", "max": "1", "min": 1, "path": "Composition.category.extension", "type": [ { "code": "Extension", "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis" ] } ], "sliceName": "ext-LOINC-ontology-axis", "isModifier": false }, { "id": "Composition.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis.value[x]", "path": "Composition.category.extension.value[x]", "mustSupport": true }, { "id": "Composition.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis.value[x].system", "path": "Composition.category.extension.value[x].system", "mustSupport": true }, { "id": "Composition.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis.value[x].code", "path": "Composition.category.extension.value[x].code", "fixedCode": "74476-3" }, { "id": "Composition.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis.value[x].display", "path": "Composition.category.extension.value[x].display", "fixedString": "setting" }, { "id": "Composition.category:sliceCategory-setting.coding", "max": "1", "min": 1, "path": "Composition.category.coding", "mustSupport": true }, { "id": "Composition.category:sliceCategory-setting.coding.system", "min": 1, "path": "Composition.category.coding.system", "mustSupport": true }, { "id": "Composition.category:sliceCategory-setting.coding.code", "min": 1, "path": "Composition.category.coding.code", "mustSupport": true }, { "id": "Composition.category:sliceCategory-setting.coding.display", "min": 1, "path": "Composition.category.coding.display", "mustSupport": true }, { "id": "Composition.subject", "min": 1, "path": "Composition.subject", "type": [ { "code": "Reference", "targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Patient" ] } ], "mustSupport": true }, { "id": "Composition.encounter", "path": "Composition.encounter", "type": [ { "code": "Reference", "targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Encounter" ] } ], "mustSupport": true }, { "id": "Composition.encounter.reference", "min": 1, "path": "Composition.encounter.reference", "mustSupport": true }, { "id": "Composition.date", "path": "Composition.date", "mustSupport": true }, { "id": "Composition.author", "max": "1", "path": "Composition.author", "type": [ { "code": "Reference", "targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-PractitionerRole", "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Practitioner", "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Organization" ] } ], "mustSupport": true }, { "id": "Composition.author.reference", "min": 1, "path": "Composition.author.reference", "mustSupport": true }, { "id": "Composition.title", "path": "Composition.title", "mustSupport": true }, { "id": "Composition.custodian", "min": 1, "path": "Composition.custodian", "type": [ { "code": "Reference", "targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Organization" ] } ], "mustSupport": true }, { "id": "Composition.custodian.reference", "min": 1, "path": "Composition.custodian.reference", "mustSupport": true }, { "id": "Composition.relatesTo", "path": "Composition.relatesTo", "mustSupport": true }, { "id": "Composition.relatesTo.code", "path": "Composition.relatesTo.code", "mustSupport": true }, { "id": "Composition.relatesTo.target[x]", "path": "Composition.relatesTo.target[x]", "mustSupport": true }, { "id": "Composition.event", "path": "Composition.event", "mapping": [ { "map": "PV1.10", "identity": "CDR-data-in-v2" } ], "mustSupport": true }, { "id": "Composition.event.period", "min": 1, "path": "Composition.event.period", "mustSupport": true }, { "id": "Composition.event.period.start", "min": 1, "path": "Composition.event.period.start", "mustSupport": true }, { "id": "Composition.event.period.end", "path": "Composition.event.period.end", "mustSupport": true }, { "id": "Composition.event.detail", "path": "Composition.event.detail", "type": [ { "code": "Reference", "targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-ServiceRequest" ] } ], "mustSupport": true }, { "id": "Composition.event.detail.reference", "min": 1, "path": "Composition.event.detail.reference" }, { "id": "Composition.section", "min": 1, "path": "Composition.section", "mustSupport": true }, { "id": "Composition.section.id", "min": 1, "path": "Composition.section.id", "comment": "This is used to maintain the order of sections in the document. SMILE will generate this id that follows the order of OBX sequence (e.g. incremental, 1,2,3)" }, { "id": "Composition.section.code", "min": 1, "path": "Composition.section.code", "mustSupport": true }, { "id": "Composition.section.code.coding", "max": "1", "min": 1, "path": "Composition.section.code.coding", "mustSupport": true }, { "id": "Composition.section.code.coding.system", "min": 1, "path": "Composition.section.code.coding.system", "mustSupport": true }, { "id": "Composition.section.code.coding.code", "min": 1, "path": "Composition.section.code.coding.code", "mustSupport": true }, { "id": "Composition.section.code.coding.display", "min": 1, "path": "Composition.section.code.coding.display", "mustSupport": true }, { "id": "Composition.section.text", "path": "Composition.section.text", "mustSupport": true }, { "id": "Composition.section.entry", "path": "Composition.section.entry", "type": [ { "code": "Reference", "targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Binary" ] } ], "mustSupport": true }, { "id": "Composition.section.entry.reference", "min": 1, "path": "Composition.section.entry.reference", "mustSupport": true } ] }, "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition" }