{
  "resourceType": "StructureDefinition",
  "id": "eicr-composition",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2018-09-29T20:27:06.866+00:00"
  },
  "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-composition",
  "version": "0.0.0",
  "name": "eicr-composition",
  "title": "Electronic Initial Case Report Composition",
  "status": "draft",
  "date": "2018-08-01",
  "description": "The Electronic Case Reporting Composition profile establishes the core elements, extensions, vocabularies and value sets for representing an electronic initial case report (eICR). It describes the content requirements for the initial Case Report including:         \n\n- Patient demographics         \n- Patient pregnancy status         \n- Patient occupation and travel history         \n- Provider and Facility information         \n- Laboratory orders tests and results         \n- Signs and Symptoms and Diagnosis         \n- Medication and Immunization History         \n- Flags for the existence of reportable condition trigger codes in diagnoses and ordered/resulted laboratory tests.",
  "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",
        "short": "eICR Composition Profile",
        "definition": "The Electronic Case Reporting Composition profile establishes the core elements, extensions, vocabularies and value sets for representing an electronic initial case report (eICR). It describes the content requirements for the initial Case Report including:         \n\n- Patient demographics         \n- Patient pregnancy status         \n- Patient occupation and travel history         \n- Provider and Facility information         \n- Laboratory orders tests and results         \n- Signs and Symptoms and Diagnosis         \n- Medication and Immunization History         \n- Flags for the existence of reportable condition trigger codes in diagnoses and ordered/resulted laboratory tests.",
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.extension",
        "path": "Composition.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.extension:extensionEICRManuallyInitiatedReason",
        "path": "Composition.extension",
        "sliceName": "extensionEICRManuallyInitiatedReason",
        "short": "Initial Case Report Manual Initiation Reason",
        "definition": "The presence of this extension indicates this eICR was manually initiated and contains the reason for manual initiation of the eICR.",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://hl7.org/fhir/us/ecr/StructureDefinition/extension-eicr-manually-initiated-reason"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.identifier",
        "path": "Composition.identifier",
        "short": "eICR Document Id",
        "definition": "ID of the eICR Document"
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "55751-2"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.subject",
        "path": "Composition.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-patient"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.encounter",
        "path": "Composition.encounter",
        "comment": "(US Core Encounter profile pending).",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.date",
        "path": "Composition.date",
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/ecr/StructureDefinition/ecr-organization"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.section:sliceEncountersSection",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sliceEncountersSection",
        "short": "Encounters Section",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceEncountersSection.code",
        "path": "Composition.section.code",
        "short": "Encounters",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "46240-8"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceEncountersSection.text",
        "path": "Composition.section.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceEncountersSection.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceEncountersSection.entry:sliceEICREncounter",
        "path": "Composition.section.entry",
        "sliceName": "sliceEICREncounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-encounter"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceHistoryOfPresentIllnessSection",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sliceHistoryOfPresentIllnessSection",
        "short": "History of Present Illness Section",
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        "max": "1",
        "mustSupport": true,
        "isModifier": false
      },
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        "id": "Composition.section:sliceHistoryOfPresentIllnessSection.code",
        "path": "Composition.section.code",
        "short": "History of Present Illness",
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        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "10164-2"
            }
          ]
        },
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceHistoryOfPresentIllnessSection.text",
        "path": "Composition.section.text",
        "short": "History of present illness",
        "definition": "History of present illness",
        "min": 1,
        "mustSupport": true
      },
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        "id": "Composition.section:sliceReasonForVisitSection",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
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        "short": "Reason for Visit Section",
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        "max": "1",
        "mustSupport": true,
        "isModifier": false
      },
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        "id": "Composition.section:sliceReasonForVisitSection.code",
        "path": "Composition.section.code",
        "short": "Reason for Visit",
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        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "29299-5"
            }
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        },
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceReasonForVisitSection.text",
        "path": "Composition.section.text",
        "short": "Reason for visit",
        "definition": "Reason for visit",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceSocialHistorySection",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sliceSocialHistorySection",
        "short": "Social History Section",
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        "max": "1",
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceSocialHistorySection.code",
        "path": "Composition.section.code",
        "short": "Social History",
        "min": 1,
        "patternCodeableConcept": {
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              "system": "http://loinc.org",
              "code": "29762-2"
            }
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        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceSocialHistorySection.text",
        "path": "Composition.section.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceSocialHistorySection.entry",
        "path": "Composition.section.entry",
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            {
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              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceSocialHistorySection.entry:sliceTravelHistory",
        "path": "Composition.section.entry",
        "sliceName": "sliceTravelHistory",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-travel-history"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceSocialHistorySection.entry:slicePregnancyStatus",
        "path": "Composition.section.entry",
        "sliceName": "slicePregnancyStatus",
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          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/ecr/StructureDefinition/pregnancy-status"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceSocialHistorySection.entry:sliceOccupationHistory",
        "path": "Composition.section.entry",
        "sliceName": "sliceOccupationHistory",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-occupationhistory"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceProblemSection",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sliceProblemSection",
        "short": "Problem Section",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceProblemSection.code",
        "path": "Composition.section.code",
        "short": "Problem List",
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            {
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              "code": "11450-4"
            }
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      },
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        "path": "Composition.section.text",
        "min": 1,
        "mustSupport": true
      },
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              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceProblemSection.entry:sliceEICRCondition",
        "path": "Composition.section.entry",
        "sliceName": "sliceEICRCondition",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-condition"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceProblemSection.entry:sliceEICRCondition.extension",
        "path": "Composition.section.entry.extension",
        "slicing": {
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            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.section:sliceProblemSection.entry:sliceEICRCondition.extension:sliceTriggerCondition",
        "path": "Composition.section.entry.extension",
        "sliceName": "sliceTriggerCondition",
        "short": "eICR Trigger Code Flag",
        "definition": "A flag to indicate that the **target** reference represents a triggering event and caused the eCR to be generated. It is used in the eICR profile in the following sections:\r\r- Problem Section\r\n- Plan of Treatment Section\r- Results Section",
        "max": "1",
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          {
            "code": "Extension",
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          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceProblemSection.entry:sliceEICRCondition.extension:sliceTriggerCondition.url",
        "path": "Composition.section.entry.extension.url",
        "fixedUri": "http://hl7.org/fhir/us/ecr/StructureDefinition/extension-trigger"
      },
      {
        "id": "Composition.section:sliceMedicationsAdministeredSection",
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            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sliceMedicationsAdministeredSection",
        "short": "Medications Administered Section",
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        "max": "1",
        "mustSupport": true,
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      },
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      },
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        "mustSupport": true
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            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceMedicationsAdministeredSection.entry:USCoreMedicationStatement",
        "path": "Composition.section.entry",
        "sliceName": "USCoreMedicationStatement",
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          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceResultsSection",
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          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sliceResultsSection",
        "short": "Results Section",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceResultsSection.code",
        "path": "Composition.section.code",
        "short": "Relevant diagnostic tests and/or laboratory data",
        "min": 1,
        "patternCodeableConcept": {
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              "system": "http://loinc.org",
              "code": "30954-2"
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      },
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        "id": "Composition.section:sliceResultsSection.text",
        "path": "Composition.section.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceResultsSection.entry",
        "path": "Composition.section.entry",
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            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.section:sliceResultsSection.entry:sliceUSCoreObservationResults",
        "path": "Composition.section.entry",
        "sliceName": "sliceUSCoreObservationResults",
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          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observationresults"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceResultsSection.entry:sliceUSCoreObservationResults.extension",
        "path": "Composition.section.entry.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.section:sliceResultsSection.entry:sliceUSCoreObservationResults.extension:sliceTriggerUSCoreObservationResults",
        "path": "Composition.section.entry.extension",
        "sliceName": "sliceTriggerUSCoreObservationResults",
        "short": "eICR Trigger Code Flag",
        "definition": "A flag to indicate that the **target** reference represents a triggering event and caused the eCR to be generated. It is used in the eICR profile in the following sections:\r\r- Problem Section\r\n- Plan of Treatment Section\r- Results Section",
        "max": "1",
        "type": [
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        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceResultsSection.entry:sliceUSCoreObservationResults.extension:sliceTriggerUSCoreObservationResults.url",
        "path": "Composition.section.entry.extension.url",
        "fixedUri": "http://hl7.org/fhir/us/ecr/StructureDefinition/extension-trigger"
      },
      {
        "id": "Composition.section:slicePlanOfTreatmentSection",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "slicePlanOfTreatmentSection",
        "short": "Plan of Treatment Section",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:slicePlanOfTreatmentSection.code",
        "path": "Composition.section.code",
        "short": "Plan of Treatment",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "18776-5"
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          ]
        },
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:slicePlanOfTreatmentSection.text",
        "path": "Composition.section.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:slicePlanOfTreatmentSection.entry",
        "path": "Composition.section.entry",
        "slicing": {
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            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:slicePlanOfTreatmentSection.entry:sliceEICRProcedureRequest",
        "path": "Composition.section.entry",
        "sliceName": "sliceEICRProcedureRequest",
        "short": "eICR Procedure Request",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-procedurerequest"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:slicePlanOfTreatmentSection.entry:sliceEICRProcedureRequest.extension",
        "path": "Composition.section.entry.extension",
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            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
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      {
        "id": "Composition.section:slicePlanOfTreatmentSection.entry:sliceEICRProcedureRequest.extension:sliceTriggerEICRProcedureRequest",
        "path": "Composition.section.entry.extension",
        "sliceName": "sliceTriggerEICRProcedureRequest",
        "short": "eICR Trigger Code Flag",
        "definition": "A flag to indicate that the **target** reference represents a triggering event and caused the eCR to be generated. It is used in the eICR profile in the following sections:\r\r- Problem Section\r\n- Plan of Treatment Section\r- Results Section",
        "max": "1",
        "type": [
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          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:slicePlanOfTreatmentSection.entry:sliceEICRProcedureRequest.extension:sliceTriggerEICRProcedureRequest.url",
        "path": "Composition.section.entry.extension.url",
        "fixedUri": "http://hl7.org/fhir/us/ecr/StructureDefinition/extension-trigger"
      },
      {
        "id": "Composition.section:sliceImmunizationsSection",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sliceImmunizationsSection",
        "short": "Immunizations Section",
        "max": "1",
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceImmunizationsSection.code",
        "path": "Composition.section.code",
        "short": "Immunizations",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11369-6"
            }
          ]
        },
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.section:sliceImmunizationsSection.text",
        "path": "Composition.section.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceImmunizationsSection.entry",
        "path": "Composition.section.entry",
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            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:sliceImmunizationsSection.entry:sliceUSCoreImmunization",
        "path": "Composition.section.entry",
        "sliceName": "sliceUSCoreImmunization",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"
          }
        ],
        "mustSupport": true,
        "isModifier": false
      }
    ]
  }
}