{
"description": null,
"_filename": "StructureDefinition-Composition-Document.json",
"package_name": "ca.on.ehr.r4",
"date": "2025-05-30T17:24:34.5642117+00:00",
"derivation": "constraint",
"meta": {
"lastUpdated": "2025-07-02T17:47:04.8306379+00:00"
},
"publisher": null,
"fhirVersion": "4.0.1",
"name": "CompositionDocumentEHR",
"mapping": [ {
"name": "CDR-data-in-v2",
"identity": "CDR-data-in-v2"
} ],
"abstract": false,
"type": "Composition",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "1.0.0-snapshot9",
"status": "active",
"id": "ff3e813f-698a-448a-9630-8b5de14fd1fe",
"kind": "resource",
"url": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-composition-document",
"version": "1.0.0",
"differential": {
"element": [ {
"id": "Composition.meta",
"path": "Composition.meta",
"mustSupport": true
}, {
"id": "Composition.meta.lastUpdated",
"path": "Composition.meta.lastUpdated",
"mustSupport": true
}, {
"id": "Composition.extension",
"path": "Composition.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Composition.extension:copiedParticipants",
"path": "Composition.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ontariohealth.ca/StructureDefinition/oh-ehr-copied-participants-EXT" ]
} ],
"sliceName": "copiedParticipants",
"isModifier": false,
"mustSupport": true
}, {
"id": "Composition.extension:EHRRecipient",
"max": "*",
"min": 0,
"path": "Composition.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-recipient" ]
} ],
"sliceName": "EHRRecipients",
"isModifier": false,
"mustSupport": true
}, {
"id": "Composition.extension:EHRUrgencyFlagExtension",
"max": "1",
"min": 0,
"path": "Composition.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-urgency-flag" ]
} ],
"sliceName": "EHRUrgencyFlagExtension",
"isModifier": false,
"mustSupport": true
}, {
"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",
"type": [ {
"code": "CodeableConcept",
"profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ontariohealth.ca/fhir/ValueSet/local-document-type"
}, {
"url": "documentation",
"valueMarkdown": "This value set contains all Local Codes contributed by over 160 sending systems (code systems) in HL7v2 OBR-4 and/or OBX-3 to identify the local document type/section."
}, {
"url": "key",
"valueString": "acCDRLocalDocumentType"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ontariohealth.ca/fhir/ValueSet/provincial-document-type"
}, {
"url": "documentation",
"valueMarkdown": "This value set contains all Provincial document type Codes."
}, {
"url": "key",
"valueString": "acCDRProvincialDocumentType"
} ]
} ]
},
"mustSupport": true
}, {
"id": "Composition.type.coding",
"min": 1,
"path": "Composition.type.coding"
}, {
"id": "Composition.type.coding.system",
"min": 1,
"path": "Composition.type.coding.system"
}, {
"id": "Composition.type.coding.display.extension:translation",
"path": "Composition.type.coding.display.extension",
"sliceName": "translation"
}, {
"id": "Composition.type.coding.display.extension:translation.extension",
"min": 2,
"path": "Composition.type.coding.display.extension.extension"
}, {
"id": "Composition.category",
"path": "Composition.category",
"type": [ {
"code": "CodeableConcept",
"profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ontariohealth.ca/fhir/ValueSet/documentsubject-matter-domain"
}, {
"url": "documentation",
"valueMarkdown": "The document-subject-matter-domain property in LOINC characterizes the general focus or domain of knowledge represented within the content of the note."
}, {
"url": "key",
"valueString": "documentSMD"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ontariohealth.ca/fhir/ValueSet/document-type-of-service"
}, {
"url": "documentation",
"valueMarkdown": "The document-type-of-service property in LOINC characterizes the healthcare service or activity provided to/for the patient (or other subject of the service) that is described in the document."
}, {
"url": "key",
"valueString": "DocumentTOS"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ontariohealth.ca/fhir/ValueSet/document-kind-of-document"
}, {
"url": "documentation",
"valueMarkdown": "The document-kind property in LOINC Characterizes the general structure of the document at a macro level."
}, {
"url": "key",
"valueString": "DocumentKOD"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ontariohealth.ca/fhir/ValueSet/document-role"
}, {
"url": "documentation",
"valueMarkdown": "The document-role property in LOINC characterizes the general function, responsibility, or capabilities of the author in relation to a document."
}, {
"url": "key",
"valueString": "DocumentRole"
} ]
}, {
"url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
"extension": [ {
"url": "purpose",
"valueCode": "candidate"
}, {
"url": "valueSet",
"valueCanonical": "http://ontariohealth.ca/fhir/ValueSet/document-setting"
}, {
"url": "documentation",
"valueMarkdown": "The document-setting property in LOINC is a coarse definition of the Care Setting."
}, {
"url": "key",
"valueString": "DocumentSetting"
} ]
} ]
},
"comment": "This is only populated on document retrieval. It should not be used in document submission.",
"mustSupport": true
}, {
"id": "Composition.category.coding",
"max": "1",
"min": 1,
"path": "Composition.category.coding"
}, {
"id": "Composition.category.coding.system",
"min": 1,
"path": "Composition.category.coding.system"
}, {
"id": "Composition.category.coding.display.extension:translation",
"path": "Composition.category.coding.display.extension",
"sliceName": "translation"
}, {
"id": "Composition.category.coding.display.extension:translation.extension",
"min": 2,
"path": "Composition.category.coding.display.extension.extension"
}, {
"id": "Composition.subject",
"min": 1,
"path": "Composition.subject",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient" ]
} ],
"mustSupport": true
}, {
"id": "Composition.encounter",
"path": "Composition.encounter",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/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",
"path": "Composition.author",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole", "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner", "http://ontariohealth.ca/fhir/ehr/StructureDefinition/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/ehr/StructureDefinition/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/ehr/StructureDefinition/profile-serviceRequest" ]
} ],
"mustSupport": true
}, {
"id": "Composition.event.detail.reference",
"min": 1,
"path": "Composition.event.detail.reference",
"mustSupport": true
}, {
"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",
"path": "Composition.section.code",
"type": [ {
"code": "CodeableConcept",
"profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
} ],
"mustSupport": true
}, {
"id": "Composition.section.code.coding",
"max": "1",
"min": 1,
"path": "Composition.section.code.coding"
}, {
"id": "Composition.section.code.coding.system",
"min": 1,
"path": "Composition.section.code.coding.system"
}, {
"id": "Composition.section.code.coding.display.extension:translation",
"path": "Composition.section.code.coding.display.extension",
"sliceName": "translation"
}, {
"id": "Composition.section.code.coding.display.extension:translation.extension",
"min": 2,
"path": "Composition.section.code.coding.display.extension.extension"
}, {
"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/ehr/StructureDefinition/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"
}