{
  "resourceType": "StructureDefinition",
  "id": "ext-CTO",
  "url": "https://vitalhub.com/fhir/StructureDefinition/ext-CTO",
  "name": "CommunityTreatmentOrderExtension",
  "title": "Community Treatment Order Extension",
  "status": "active",
  "publisher": "VitalHub",
  "description": "Extension to capture Community Treatment Order details including period, review date, most responsible clinician, assigned party, and linked document GUID.",
  "fhirVersion": "4.0.1",
  "kind": "complex-type",
  "abstract": false,
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "context": [
    {
      "type": "element",
      "expression": "Consent"
    }
  ],
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Community Treatment Order",
        "definition": "Complex extension capturing CTO period, review date, clinician, assignment, and linked document GUID."
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "min": 1,
        "max": "1",
        "fixedUri": "https://vitalhub.com/fhir/StructureDefinition/ext-CTO"
      },
      {
        "id": "Extension.valueBoolean",
        "path": "Extension.valueBoolean",
        "short": "CTO",
        "definition": "True if Community Treatment Orders exist.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "boolean"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "min": 0,
        "max": "*",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Extension.extension:start",
        "path": "Extension.extension",
        "sliceName": "start",
        "short": "CTO start date/time",
        "definition": "Start date/time of the Community Treatment Order.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Extension.extension:start.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "fixedUri": "https://vitalhub.com/fhir/StructureDefinition/ext-CTO#start"
      },
      {
        "id": "Extension.extension:start.valueDateTime",
        "path": "Extension.extension.valueDateTime",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Extension.extension:end",
        "path": "Extension.extension",
        "sliceName": "end",
        "short": "CTO end date/time",
        "definition": "End date/time of the Community Treatment Order.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Extension.extension:end.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "fixedUri": "https://vitalhub.com/fhir/StructureDefinition/ext-CTO#end"
      },
      {
        "id": "Extension.extension:end.valueDateTime",
        "path": "Extension.extension.valueDateTime",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Extension.extension:reviewDateTime",
        "path": "Extension.extension",
        "sliceName": "reviewDateTime",
        "short": "CTO review date/time",
        "definition": "Scheduled review date/time for the Community Treatment Order.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Extension.extension:reviewDateTime.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "fixedUri": "https://vitalhub.com/fhir/StructureDefinition/ext-CTO#reviewDateTime"
      },
      {
        "id": "Extension.extension:reviewDateTime.valueDateTime",
        "path": "Extension.extension.valueDateTime",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Extension.extension:mostResponsibleClinician",
        "path": "Extension.extension",
        "sliceName": "mostResponsibleClinician",
        "short": "Most responsible clinician",
        "definition": "Name of the most responsible clinician for the Community Treatment Order.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Extension.extension:mostResponsibleClinician.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "fixedUri": "https://vitalhub.com/fhir/StructureDefinition/ext-CTO#mostResponsibleClinician"
      },
      {
        "id": "Extension.extension:mostResponsibleClinician.valueString",
        "path": "Extension.extension.valueString",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:assignedTo",
        "path": "Extension.extension",
        "sliceName": "assignedTo",
        "short": "Assigned to",
        "definition": "Person or team the CTO is assigned to.",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Extension.extension:assignedTo.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "fixedUri": "https://vitalhub.com/fhir/StructureDefinition/ext-CTO#assignedTo"
      },
      {
        "id": "Extension.extension:assignedTo.valueString",
        "path": "Extension.extension.valueString",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Extension.extension:linkedDocumentGUID",
        "path": "Extension.extension",
        "sliceName": "linkedDocumentGUID",
        "short": "Linked document GUID",
        "definition": "GUID linking this CTO to its supporting document (from ext-Document).",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Extension.extension:linkedDocumentGUID.url",
        "path": "Extension.extension.url",
        "min": 1,
        "max": "1",
        "fixedUri": "https://vitalhub.com/fhir/StructureDefinition/ext-CTO#linkedDocumentGUID"
      },
      {
        "id": "Extension.extension:linkedDocumentGUID.valueUri",
        "path": "Extension.extension.valueUri",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "uri"
          }
        ]
      }
    ]
  }
}