{
  "resourceType": "StructureDefinition",
  "id": "CareConnect-ITK-EDIS-Composition-1",
  "meta": {
    "lastUpdated": "2018-06-04T12:14:13.269+00:00"
  },
  "text": {
    "status": "generated"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "sd"
    }
  ],
  "url": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-EDIS-Composition-1",
  "version": "1.2.0",
  "name": "CareConnect-ITK-EDIS-Composition-1",
  "title": "Electronic Discharge Composition",
  "status": "draft",
  "date": "2018-04-10",
  "publisher": "NHS Digital",
  "contact": [
    {
      "name": "Interoperability Team",
      "telecom": [
        {
          "system": "email",
          "value": "interoperabilityteam@nhs.net",
          "use": "work"
        }
      ]
    }
  ],
  "description": "This constrained Composition resource represents an eDischarge Document Header Composition",
  "purpose": "This constrained Composition resource represents an eDischarge Document Header Composition",
  "copyright": "Copyright © 2017 Health and Social Care Information Centre.  NHS Digital is the trading name of the Health and Social Care Information Centre.",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Composition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Composition",
        "path": "Composition",
        "mustSupport": true
      },
      {
        "id": "Composition.extension",
        "path": "Composition.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.extension:careSettingTypeExtension",
        "path": "Composition.extension",
        "sliceName": "careSettingTypeExtension",
        "short": "Optional Extensions Element",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareSettingType-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.identifier",
        "path": "Composition.identifier",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.identifier.use",
        "path": "Composition.identifier.use",
        "max": "0"
      },
      {
        "id": "Composition.identifier.type",
        "path": "Composition.identifier.type",
        "max": "0"
      },
      {
        "id": "Composition.identifier.type.coding.system",
        "path": "Composition.identifier.type.coding.system",
        "min": 1
      },
      {
        "id": "Composition.identifier.type.coding.code",
        "path": "Composition.identifier.type.coding.code",
        "min": 1
      },
      {
        "id": "Composition.identifier.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.identifier.type.coding.display",
        "min": 1
      },
      {
        "id": "Composition.identifier.system",
        "path": "Composition.identifier.system",
        "min": 1
      },
      {
        "id": "Composition.identifier.value",
        "path": "Composition.identifier.value",
        "short": "Contains a UUID",
        "min": 1,
        "example": [
          {
            "label": "General",
            "valueString": "871985a7-45f9-435a-89fa-fcedd7afa7a3"
          }
        ],
        "mustSupport": false
      },
      {
        "id": "Composition.identifier.period",
        "path": "Composition.identifier.period",
        "max": "0"
      },
      {
        "id": "Composition.identifier.assigner",
        "path": "Composition.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Composition.status",
        "path": "Composition.status",
        "mustSupport": true
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "DocumentType"
            }
          ],
          "strength": "preferred",
          "description": "A set of codes to classify the type of document.",
          "valueSetReference": {
            "reference": "https://fhir.nhs.uk/STU3/ValueSet/DocumentType-1"
          }
        }
      },
      {
        "id": "Composition.type.coding.system",
        "path": "Composition.type.coding.system",
        "min": 1,
        "mustSupport": false
      },
      {
        "id": "Composition.type.coding.version",
        "path": "Composition.type.coding.version",
        "max": "0"
      },
      {
        "id": "Composition.type.coding.code",
        "path": "Composition.type.coding.code",
        "min": 1,
        "mustSupport": false
      },
      {
        "id": "Composition.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.type.coding.display",
        "min": 1,
        "mustSupport": false
      },
      {
        "id": "Composition.class",
        "path": "Composition.class",
        "mustSupport": false
      },
      {
        "id": "Composition.class.coding.system",
        "path": "Composition.class.coding.system",
        "min": 1
      },
      {
        "id": "Composition.class.coding.code",
        "path": "Composition.class.coding.code",
        "min": 1
      },
      {
        "id": "Composition.class.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.class.coding.display",
        "min": 1
      },
      {
        "id": "Composition.class.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.class.text",
        "mustSupport": false
      },
      {
        "id": "Composition.subject",
        "path": "Composition.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.subject.reference",
        "path": "Composition.subject.reference",
        "min": 1,
        "mustSupport": false
      },
      {
        "id": "Composition.encounter",
        "path": "Composition.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Encounter-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.encounter.reference",
        "path": "Composition.encounter.reference",
        "min": 1
      },
      {
        "id": "Composition.date",
        "path": "Composition.date",
        "mustSupport": true
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Device-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.author.reference",
        "path": "Composition.author.reference",
        "min": 1
      },
      {
        "id": "Composition.title",
        "path": "Composition.title",
        "mustSupport": true
      },
      {
        "id": "Composition.confidentiality",
        "path": "Composition.confidentiality",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.attester",
        "path": "Composition.attester",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.attester.mode",
        "path": "Composition.attester.mode",
        "mustSupport": false
      },
      {
        "id": "Composition.attester.time",
        "path": "Composition.attester.time",
        "mustSupport": false
      },
      {
        "id": "Composition.attester.party",
        "path": "Composition.attester.party",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"
          }
        ]
      },
      {
        "id": "Composition.attester.party.reference",
        "path": "Composition.attester.party.reference",
        "min": 1
      },
      {
        "id": "Composition.custodian",
        "path": "Composition.custodian",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.custodian.reference",
        "path": "Composition.custodian.reference",
        "min": 1
      },
      {
        "id": "Composition.relatesTo",
        "path": "Composition.relatesTo",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.relatesTo.code",
        "path": "Composition.relatesTo.code",
        "fixedCode": "replaces"
      },
      {
        "id": "Composition.relatesTo.target[x]",
        "path": "Composition.relatesTo.target[x]",
        "type": [
          {
            "code": "Identifier"
          },
          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-EDIS-Composition-1"
          }
        ]
      },
      {
        "id": "Composition.event",
        "path": "Composition.event",
        "max": "0"
      },
      {
        "id": "Composition.event.code",
        "path": "Composition.event.code",
        "mustSupport": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "DocumentEventType"
            }
          ],
          "strength": "preferred",
          "description": "This list of codes represents the main clinical acts being documented. It uses a code from any vocabulary to describe the type of service event. The vocabulary SnomedCT is a preferred vocabulary.",
          "valueSetReference": {
            "reference": "http://snomed.info/sct"
          }
        }
      },
      {
        "id": "Composition.event.code.coding",
        "path": "Composition.event.code.coding",
        "mustSupport": false
      },
      {
        "id": "Composition.event.code.coding.system",
        "path": "Composition.event.code.coding.system",
        "min": 1,
        "mustSupport": false
      },
      {
        "id": "Composition.event.code.coding.version",
        "path": "Composition.event.code.coding.version",
        "max": "0"
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      {
        "id": "Composition.event.code.coding.code",
        "path": "Composition.event.code.coding.code",
        "min": 1,
        "mustSupport": false
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      {
        "id": "Composition.event.code.coding.display",
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        ],
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        "mustSupport": false
      },
      {
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            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
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        ],
        "path": "Composition.event.code.text",
        "mustSupport": false
      },
      {
        "id": "Composition.event.detail.reference",
        "path": "Composition.event.detail.reference",
        "min": 1
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      {
        "id": "Composition.section",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
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        ],
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.code"
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          ],
          "ordered": false,
          "rules": "closed"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:admissionDetailsSection",
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          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
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        ],
        "path": "Composition.section",
        "sliceName": "admissionDetailsSection",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:admissionDetailsSection.title",
        "path": "Composition.section.title",
        "min": 1,
        "fixedString": "Admission details",
        "mustSupport": false
      },
      {
        "id": "Composition.section:admissionDetailsSection.code",
        "path": "Composition.section.code",
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        "binding": {
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            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
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            }
          ],
          "strength": "required",
          "description": "A code from the SNOMED Clinical Terminology UK coding system which represents the type of section.",
          "valueSetUri": "http://snomed.info/sct"
        }
      },
      {
        "id": "Composition.section:admissionDetailsSection.code.coding",
        "path": "Composition.section.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.section:admissionDetailsSection.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct",
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      {
        "id": "Composition.section:admissionDetailsSection.code.coding.version",
        "path": "Composition.section.code.coding.version",
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      {
        "id": "Composition.section:admissionDetailsSection.code.coding.code",
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        "fixedCode": "886781000000108",
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        "min": 1,
        "fixedString": "Admission details",
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        "id": "Composition.section:admissionDetailsSection.code.coding.userSelected",
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      {
        "id": "Composition.section:admissionDetailsSection.text",
        "path": "Composition.section.text",
        "min": 1
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        "path": "Composition.section.orderedBy",
        "max": "0",
        "mustSupport": false
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      {
        "id": "Composition.section:admissionDetailsSection.orderedBy.coding",
        "path": "Composition.section.orderedBy.coding",
        "mustSupport": false
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        "id": "Composition.section:admissionDetailsSection.orderedBy.coding.system",
        "path": "Composition.section.orderedBy.coding.system",
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        "id": "Composition.section:admissionDetailsSection.orderedBy.coding.version",
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        "max": "0"
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        "id": "Composition.section:admissionDetailsSection.orderedBy.coding.display",
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          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Attachment-Binary-1"
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          {
            "code": "Reference",
            "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Encounter-1"
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      {
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        "path": "Composition.section.entry.reference",
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        "id": "Composition.section:admissionDetailsSection.emptyReason",
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        "id": "Composition.section:allergiesAndAdverseReactionsSection",
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        "path": "Composition.section",
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        "max": "1",
        "mustSupport": true
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