{
  "resourceType": "StructureDefinition",
  "id": "JPN-EDIS-Composition",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2019-01-15T09:16:15.455+00:00"
  },
  "url": "http://niph.go.jp/fhir/StructureDefinition/JPN-EDIS-Composition",
  "name": "JPN-EDIS-Composition",
  "status": "draft",
  "date": "2019-01-15T09:16:14.116719+00:00",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Composition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
  "derivation": "constraint",
  "snapshot": {},
  "differential": {
    "element": [
      {
        "id": "Composition.subject",
        "path": "Composition.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          },
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/JPN-Patient"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/JPN-Practitioner"
          }
        ]
      },
      {
        "id": "Composition.attester",
        "path": "Composition.attester",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "mode"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.attester:legalAuthenticator",
        "path": "Composition.attester",
        "sliceName": "legalAuthenticator",
        "short": "退院サマリー承認者"
      },
      {
        "id": "Composition.attester:legalAuthenticator.mode",
        "path": "Composition.attester.mode",
        "fixedCode": "legal"
      },
      {
        "id": "Composition.attester:legalAuthenticator.party",
        "path": "Composition.attester.party",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/JPN-Practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/JPN-Organization"
          }
        ]
      },
      {
        "id": "Composition.attester:autheticator",
        "path": "Composition.attester",
        "sliceName": "autheticator",
        "short": "退院サマリー記載責任者"
      },
      {
        "id": "Composition.attester:autheticator.mode",
        "path": "Composition.attester.mode",
        "fixedCode": "professional"
      },
      {
        "id": "Composition.attester:autheticator.party",
        "path": "Composition.attester.party",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/JPN-Practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/JPN-Organization"
          }
        ]
      },
      {
        "id": "Composition.custodian",
        "path": "Composition.custodian",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/JPN-Organization"
          }
        ]
      },
      {
        "id": "Composition.section",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.section:guradian",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "guradian",
        "comment": "患者基本情報の中で定義されていたが、FHIRの文脈ではRelatedPersonの中で指定すべきであろう。"
      },
      {
        "id": "Composition.section:guradian.title",
        "path": "Composition.section.title",
        "fixedString": "Guardian"
      },
      {
        "id": "Composition.section:guradian.code",
        "path": "Composition.section.code",
        "comment": "45466-0  Legal guardian \r\n\r\nThe 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."
      },
      {
        "id": "Composition.section:guradian.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:guradian.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "45466-0"
      },
      {
        "id": "Composition.section:guradian.orderedBy",
        "path": "Composition.section.orderedBy",
        "max": "0"
      },
      {
        "id": "Composition.section:guradian.entry",
        "path": "Composition.section.entry",
        "comment": "TODO: Guardianの条件を満たすRelatedPersonの派生Resourceを作る",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/JPN-Guardian"
          }
        ]
      },
      {
        "id": "Composition.section:guradian.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:problemList",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "problemList",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.section:problemList.code.coding",
        "path": "Composition.section.code.coding",
        "comment": "LOINC 11450-4  Problem list - Reported\r\nLOINC 57852-6  Problem list Narrative - Reported\r\n\r\nCodes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."
      },
      {
        "id": "Composition.section:problemList.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:problemList.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "11450-4"
      },
      {
        "id": "Composition.section:problemList.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/JPN-EDIS-ProblemList"
          }
        ]
      },
      {
        "id": "Composition.section:payer",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "payer"
      },
      {
        "id": "Composition.section:payer.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
          }
        ]
      },
      {
        "id": "Composition.section:informant",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "informant"
      },
      {
        "id": "Composition.section:informant.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          },
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/JPN-RelatedPerson"
          }
        ]
      },
      {
        "id": "Composition.section:careteam",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "careteam"
      },
      {
        "id": "Composition.section:careteam.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/CareTeam"
          }
        ]
      },
      {
        "id": "Composition.section:clinicalSummary",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "clinicalSummary"
      },
      {
        "id": "Composition.section:clinicalSummary.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Binary"
          }
        ]
      },
      {
        "id": "Composition.section:clinicalStatements",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "clinicalStatements"
      },
      {
        "id": "Composition.section:clinicalStatements.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/DocumentReference"
          }
        ]
      },
      {
        "id": "Composition.section:medicalImages",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "medicalImages"
      },
      {
        "id": "Composition.section:medicalImages.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/ImagingStudy"
          }
        ]
      },
      {
        "id": "Composition.section:dischargeDiagnosis",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "dischargeDiagnosis"
      },
      {
        "id": "Composition.section:dischargeDiagnosis.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:dischargeDiagnosis.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "78375-3"
      },
      {
        "id": "Composition.section:dischargeDiagnosis.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/Encounter-for-Discharge"
          }
        ]
      },
      {
        "id": "Composition.section:allergiesAndAdverseReactionsSection",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "allergiesAndAdverseReactionsSection",
        "comment": "5.2 アレルギー・不適応反応\r\n\r\nLOINC 52472-8  Allergies and Adverse Drug Reactions\r\n英国ITKでは、http://snomed.info/sct 886921000000105 を採用",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergiesAndAdverseReactionsSection.title",
        "path": "Composition.section.title",
        "min": 1,
        "fixedString": "Allergies and adverse reactions",
        "mustSupport": false
      },
      {
        "id": "Composition.section:allergiesAndAdverseReactionsSection.code",
        "path": "Composition.section.code",
        "comment": "TODO:アレルギー、不適合反応のResourceへの参照が含まれるが、そのResourceを表すSNOMED-CTは何か。英国ではAllergies and adverse reactions - 886921000000105を割り当てていたが、これはSNOMED-CT/UKバージョンのものらしい。\r\nThe 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."
      },
      {
        "id": "Composition.section:allergiesAndAdverseReactionsSection.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:allergiesAndAdverseReactionsSection.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "48765-2"
      },
      {
        "id": "Composition.section:allergiesAndAdverseReactionsSection.orderedBy",
        "path": "Composition.section.orderedBy",
        "max": "0"
      },
      {
        "id": "Composition.section:allergiesAndAdverseReactionsSection.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"
          }
        ]
      },
      {
        "id": "Composition.section:allergiesAndAdverseReactionsSection.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:allergiesAndAdverseReactionsSection.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:chiefCompliant",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "chiefCompliant"
      },
      {
        "id": "Composition.section:chiefCompliant.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:chiefCompliant.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "46239-0"
      },
      {
        "id": "Composition.section:chiefCompliant.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          },
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/Condition-for-chiefCompliant"
          }
        ]
      },
      {
        "id": "Composition.section:presentIllness",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "presentIllness"
      },
      {
        "id": "Composition.section:presentIllness.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:presentIllness.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "10164-2"
      },
      {
        "id": "Composition.section:presentIllness.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/Condition-for-presentIllness"
          }
        ]
      },
      {
        "id": "Composition.section:pastIllness",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "pastIllness"
      },
      {
        "id": "Composition.section:pastIllness.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:pastIllness.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "11348-0"
      },
      {
        "id": "Composition.section:pastIllness.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://niph.go.jp/fhir/StructureDefinition/Condition-for-pastIllness"
          }
        ]
      },
      {
        "id": "Composition.section:medicationStatement",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "medicationStatement"
      },
      {
        "id": "Composition.section:medicationStatement.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/MedicationStatement"
          }
        ]
      },
      {
        "id": "Composition.section:socialHistory",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "socialHistory"
      },
      {
        "id": "Composition.section:socialHistory.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:socialHistory.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "29762-2"
      },
      {
        "id": "Composition.section:socialHistory.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Composition.section:functionalStatusAssessment",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "functionalStatusAssessment"
      },
      {
        "id": "Composition.section:functionalStatusAssessment.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:functionalStatusAssessment.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "47420-5"
      },
      {
        "id": "Composition.section:functionalStatusAssessment.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Composition.section:historyOfFamilyMemberDiseases",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "historyOfFamilyMemberDiseases"
      },
      {
        "id": "Composition.section:historyOfFamilyMemberDiseases.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:historyOfFamilyMemberDiseases.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "10157-6"
      },
      {
        "id": "Composition.section:historyOfFamilyMemberDiseases.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"
          }
        ]
      },
      {
        "id": "Composition.section:hospitalCourse",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "hospitalCourse"
      },
      {
        "id": "Composition.section:hospitalCourse.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:hospitalCourse.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "8648-8"
      },
      {
        "id": "Composition.section:hospitalCourse.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression"
          }
        ]
      },
      {
        "id": "Composition.section:dischargeInformation",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "dischargeInformation"
      },
      {
        "id": "Composition.section:dischargeInformation.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:dischargeInformation.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "52524-6"
      },
      {
        "id": "Composition.section:dischargeInformation.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Composition.section:hospitalDischargeMedications",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "hospitalDischargeMedications"
      },
      {
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