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<StructureDefinition xmlns="http://hl7.org/fhir">
  <meta>
    <versionId value="358e932e-d23a-44a8-ae0c-11d9a8f8b347" />
    <lastUpdated value="2018-03-06T10:43:52.892+01:00" />
  </meta>
  <url value="http://trilliumbridge.eu/fhir/StructureDefinition/composition-hcer-uv-trillium2" />
  <name value="Composition-HCER-uv-trillium" />
  <title value="Encounter Report" />
  <status value="draft" />
  <experimental value="true" />
  <date value="2015-03-17" />
  <publisher value="Trillium2 Project" />
  <contact>
    <name value="Giorgio Cangioli" />
    <telecom>
      <system value="email" />
      <value value="giorgio.cangioli@gmail.com" />
    </telecom>
  </contact>
  <description value="Clinical document used to represent a generic Encounter Report (HCER) data set. The HCER dataset is a minimal and non-exhaustive dataset, specialty-agnostic, condition-independent, but readily usable by clinicians for the cross-border care of a patient." />
  <copyright value="HL7 International" />
  <fhirVersion value="3.0.0" />
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <mapping>
    <identity value="cda" />
    <uri value="http://hl7.org/v3/cda" />
    <name value="CDA (R2)" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/w5" />
    <name value="W5 Mapping" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Composition" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Composition" />
  <derivation value="constraint" />
  <differential>
    <element id="Composition">
      <path value="Composition" />
      <short value="Encounter Report composition" />
      <definition value="Encounter Report composition. &#xD;&#xA;A composition is a set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. &#xD;&#xA;While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained." />
    </element>
    <element id="Composition.identifier">
      <path value="Composition.identifier" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.type">
      <path value="Composition.type" />
      <short value="Kind of composition (&quot;Patient Summary&quot;)" />
      <definition value="Specifies that this composition refer to a Patient Summary (Loinc &quot;60591-5&quot;)&#xD;&#xA;" />
    </element>
    <element id="Composition.type.coding">
      <path value="Composition.type.coding" />
      <short value="Code identifying the Patient Summary" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Coding" />
        <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" />
      </type>
    </element>
    <element id="Composition.type.coding.system">
      <path value="Composition.type.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Composition.type.coding.code">
      <path value="Composition.type.coding.code" />
      <fixedCode value="34133-9" />
    </element>
    <element id="Composition.type.coding.display.extension:translation">
      <path value="Composition.type.coding.display.extension" />
      <sliceName value="translation" />
    </element>
    <element id="Composition.type.coding.display.extension:translation.extension:lang">
      <path value="Composition.type.coding.display.extension.extension" />
      <sliceName value="lang" />
    </element>
    <element id="Composition.type.coding.display.extension:translation.extension:lang.valueCode:valueCode">
      <path value="Composition.type.coding.display.extension.extension.valueCode" />
      <sliceName value="valueCode" />
    </element>
    <element id="Composition.type.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Composition.type.text" />
      <max value="0" />
    </element>
    <element id="Composition.class">
      <path value="Composition.class" />
      <max value="0" />
    </element>
    <element id="Composition.subject">
      <path value="Composition.subject" />
      <definition value="Who or what the composition is about. &#xD;&#xA;In general a composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).&#xD;&#xA;For the HCER the subject is always the patient." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.subject.identifier">
      <path value="Composition.subject.identifier" />
      <max value="0" />
    </element>
    <element id="Composition.subject.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Composition.subject.display" />
      <max value="0" />
    </element>
    <element id="Composition.encounter">
      <path value="Composition.encounter" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://trilliumbridge.eu/fhir/StructureDefinition/encounter-uv-trillium2" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.encounter.identifier">
      <path value="Composition.encounter.identifier" />
      <max value="0" />
    </element>
    <element id="Composition.encounter.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Composition.encounter.display" />
      <max value="0" />
    </element>
    <element id="Composition.date">
      <path value="Composition.date" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.author">
      <path value="Composition.author" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.author.identifier">
      <path value="Composition.author.identifier" />
      <max value="0" />
    </element>
    <element id="Composition.author.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Composition.author.display" />
      <max value="0" />
    </element>
    <element id="Composition.title">
      <path value="Composition.title" />
      <definition value="Official human-readable label for the composition.&#xD;&#xA;&#xD;&#xA;For this document should be &quot;Encounter Report&quot; or any equivalent translation" />
    </element>
    <element id="Composition.attester">
      <path value="Composition.attester" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.attester.time">
      <path value="Composition.attester.time" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.attester.party">
      <path value="Composition.attester.party" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.custodian.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Composition.custodian.display" />
      <max value="0" />
    </element>
    <element id="Composition.relatesTo.target[x]">
      <path value="Composition.relatesTo.target[x]" />
      <type>
        <code value="Identifier" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Composition" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://trilliumbridge.eu/fhir/StructureDefinition/patientsummary-uv-trillium2" />
      </type>
    </element>
    <element id="Composition.event">
      <path value="Composition.event" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="code" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Composition.event.code.coding.code">
      <path value="Composition.event.code.coding.code" />
      <fixedCode value="PCPR" />
    </element>
    <element id="Composition.event:careProvisioningEvent">
      <path value="Composition.event" />
      <sliceName value="careProvisioningEvent" />
      <short value="The care provisioning being documented" />
      <definition value="The provision of healthcare over a period of time this HCER is documenting." />
      <max value="1" />
    </element>
    <element id="Composition.event:otherEvents">
      <path value="Composition.event" />
      <sliceName value="otherEvents" />
      <short value="Other clinical service(s) being documented" />
      <definition value="Other clinical services being documented." />
    </element>
    <element id="Composition.section">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Section" />
      </extension>
      <path value="Composition.section" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="code.coding.code" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <short value="Sections composing the HCER" />
      <definition value="The root of the sections that make up the HCER composition." />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.section:sectionMedications">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Section" />
      </extension>
      <path value="Composition.section" />
      <sliceName value="sectionMedications" />
      <short value="HCER Medication Summary Section" />
      <definition value="The medication summary section contains a description of the patient's medications relevant for the scope of the patient summary.&#xD;&#xA;The actual content could depend on the jurisdiction, it could report:&#xD;&#xA;- the currently active medications; &#xD;&#xA;- the current and past medications considered relevant by the authoring GP; &#xD;&#xA;- the patient prescriptions or dispensations automatically extracted by a regional or a national EHR.&#xD;&#xA;&#xD;&#xA;In all those cases however medications are documented in the Patient Summary as medication statements.&#xD;&#xA;This section requires either an entry indicating the subject is known not to be on any medications; either an entry indicating that no information is available about medications; or entries summarizing the subject's medications." />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.section:sectionMedications.title">
      <path value="Composition.section.title" />
      <short value="Medication Summary section" />
      <definition value="The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents.&#xD;&#xA;&#xD;&#xA;Medication Summary " />
      <min value="1" />
    </element>
    <element id="Composition.section:sectionMedications.code">
      <path value="Composition.section.code" />
      <min value="1" />
    </element>
    <element id="Composition.section:sectionMedications.code.coding">
      <path value="Composition.section.code.coding" />
      <type>
        <code value="Coding" />
        <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" />
      </type>
    </element>
    <element id="Composition.section:sectionMedications.code.coding.system">
      <path value="Composition.section.code.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Composition.section:sectionMedications.code.coding.code">
      <path value="Composition.section.code.coding.code" />
      <fixedCode value="10160-0" />
    </element>
    <element id="Composition.section:sectionMedications.code.coding.display.extension:translation">
      <path value="Composition.section.code.coding.display.extension" />
      <sliceName value="translation" />
    </element>
    <element id="Composition.section:sectionMedications.code.coding.display.extension:translation.extension:lang">
      <path value="Composition.section.code.coding.display.extension.extension" />
      <sliceName value="lang" />
    </element>
    <element id="Composition.section:sectionMedications.code.coding.display.extension:translation.extension:lang.valueCode:valueCode">
      <path value="Composition.section.code.coding.display.extension.extension.valueCode" />
      <sliceName value="valueCode" />
    </element>
    <element id="Composition.section:sectionMedications.text">
      <path value="Composition.section.text" />
      <min value="1" />
      <type>
        <code value="Narrative" />
        <profile value="http://hl7.org/fhir/ips/StructureDefinition/narrative-uv-ips" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.section:sectionMedications.entry">
      <path value="Composition.section.entry" />
      <slicing>
        <discriminator>
          <type value="profile" />
          <path value="reference" />
        </discriminator>
        <description value="NB ==&gt; DISCRIMINATOR TO BE CHEKED !!" />
        <rules value="openAtEnd" />
      </slicing>
      <comment value="If there are no entries in the list, an emptyReason SHALL be provided.&#xD;&#xA;&#xD;&#xA;NOTE ==&gt; DEFINE A CONSTRAINT FOR THIS" />
      <min value="1" />
    </element>
    <element id="Composition.section:sectionMedications.entry:medicationStatement">
      <path value="Composition.section.entry" />
      <sliceName value="medicationStatement" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://trilliumbridge.eu/fhir/StructureDefinition/medicationstatement-uv-trillium2" />
      </type>
    </element>
    <element id="Composition.section:sectionMedications.entry:medicationStatement.reference">
      <path value="Composition.section.entry.reference" />
      <min value="1" />
    </element>
    <element id="Composition.section:sectionMedications.entry:medicationStatement.identifier">
      <path value="Composition.section.entry.identifier" />
      <max value="0" />
    </element>
    <element id="Composition.section:sectionMedications.entry:medicationStatement.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Composition.section.entry.display" />
      <max value="0" />
    </element>
    <element id="Composition.section:sectionMedications.emptyReason">
      <path value="Composition.section.emptyReason" />
      <max value="0" />
    </element>
    <element id="Composition.section:sectionMedications.section">
      <path value="Composition.section.section" />
      <max value="0" />
    </element>
    <element id="Composition.section:sectionAllergies">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Section" />
      </extension>
      <path value="Composition.section" />
      <sliceName value="sectionAllergies" />
      <short value="HCER Allergies and Intolerances Section" />
      <definition value="This section documents the relevant allergies or intolerances (conditions) for that patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy.&#xD;&#xA;At a minimum, it should list currently active and any relevant historical allergies and adverse reactions.&#xD;&#xA;If no information about allergies is available, or if no allergies are known this should be clearly documented in the section." />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.section:sectionAllergies.title">
      <path value="Composition.section.title" />
      <min value="1" />
    </element>
    <element id="Composition.section:sectionAllergies.code">
      <path value="Composition.section.code" />
      <min value="1" />
    </element>
    <element id="Composition.section:sectionAllergies.code.coding">
      <path value="Composition.section.code.coding" />
      <type>
        <code value="Coding" />
        <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" />
      </type>
    </element>
    <element id="Composition.section:sectionAllergies.code.coding.system">
      <path value="Composition.section.code.coding.system" />
      <fixedUri value="http://loinc.org" />
    </element>
    <element id="Composition.section:sectionAllergies.code.coding.code">
      <path value="Composition.section.code.coding.code" />
      <fixedCode value="48765-2" />
    </element>
    <element id="Composition.section:sectionAllergies.code.coding.display.extension:translation">
      <path value="Composition.section.code.coding.display.extension" />
      <sliceName value="translation" />
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    <element id="Composition.section:sectionAllergies.code.coding.display.extension:translation.extension:lang">
      <path value="Composition.section.code.coding.display.extension.extension" />
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    <element id="Composition.section:sectionAllergies.code.coding.display.extension:translation.extension:lang.valueCode:valueCode">
      <path value="Composition.section.code.coding.display.extension.extension.valueCode" />
      <sliceName value="valueCode" />
    </element>
    <element id="Composition.section:sectionAllergies.text">
      <path value="Composition.section.text" />
      <min value="1" />
      <type>
        <code value="Narrative" />
        <profile value="http://hl7.org/fhir/ips/StructureDefinition/narrative-uv-ips" />
      </type>
    </element>
    <element id="Composition.section:sectionAllergies.entry">
      <path value="Composition.section.entry" />
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        <discriminator>
          <type value="profile" />
          <path value="reference" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="Composition.section:sectionAllergies.entry.identifier">
      <path value="Composition.section.entry.identifier" />
      <max value="0" />
    </element>
    <element id="Composition.section:sectionAllergies.entry.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Composition.section.entry.display" />
      <max value="0" />
    </element>
    <element id="Composition.section:sectionAllergies.entry:allergyOrIntolerance">
      <path value="Composition.section.entry" />
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      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://trilliumbridge.eu/fhir/StructureDefinition/allergyintolerance-uv-trillium2" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.section:sectionAllergies.entry:allergyOrIntolerance.reference">
      <path value="Composition.section.entry.reference" />
      <min value="1" />
    </element>
    <element id="Composition.section:sectionAllergies.entry:allergyOrIntolerance.identifier">
      <path value="Composition.section.entry.identifier" />
      <max value="0" />
    </element>
    <element id="Composition.section:sectionAllergies.entry:allergyOrIntolerance.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Composition.section.entry.display" />
      <max value="0" />
    </element>
    <element id="Composition.section:sectionAllergies.emptyReason">
      <path value="Composition.section.emptyReason" />
      <max value="0" />
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    <element id="Composition.section:sectionAllergies.section">
      <path value="Composition.section.section" />
      <max value="0" />
    </element>
    <element id="Composition.section:sectionProblems">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Section" />
      </extension>
      <path value="Composition.section" />
      <sliceName value="sectionProblems" />
      <short value="HCER Problems Section" />
      <definition value="The HCER problem section lists and describes clinical problems or conditions currently being monitored for the patient." />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.section:sectionProblems.title">
      <path value="Composition.section.title" />
      <min value="1" />
    </element>
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      <path value="Composition.section.code.coding" />
      <type>
        <code value="Coding" />
        <profile value="http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips" />
      </type>
    </element>
    <element id="Composition.section:sectionProblems.code.coding.system">
      <path value="Composition.section.code.coding.system" />
      <fixedUri value="http://loinc.org" />
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    <element id="Composition.section:sectionProblems.code.coding.code">
      <path value="Composition.section.code.coding.code" />
      <fixedCode value="11450-4" />
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      <path value="Composition.section.code.coding.display.extension.extension" />
      <sliceName value="lang" />
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    <element id="Composition.section:sectionProblems.code.coding.display.extension:translation.extension:lang.valueCode:valueCode">
      <path value="Composition.section.code.coding.display.extension.extension.valueCode" />
      <sliceName value="valueCode" />
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    <element id="Composition.section:sectionProblems.text">
      <path value="Composition.section.text" />
      <min value="1" />
      <type>
        <code value="Narrative" />
        <profile value="http://hl7.org/fhir/ips/StructureDefinition/narrative-uv-ips" />
      </type>
    </element>
    <element id="Composition.section:sectionProblems.entry">
      <path value="Composition.section.entry" />
      <slicing>
        <discriminator>
          <type value="profile" />
          <path value="reference" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://trilliumbridge.eu/fhir/StructureDefinition/condition-uv-trillium2" />
      </type>
    </element>
    <element id="Composition.section:sectionProblems.entry.reference">
      <path value="Composition.section.entry.reference" />
      <min value="1" />
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    <element id="Composition.section:sectionProblems.entry.identifier">
      <path value="Composition.section.entry.identifier" />
      <max value="0" />
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    <element id="Composition.section:sectionProblems.entry.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
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      <path value="Composition.section.entry.display" />
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    <element id="Composition.section:sectionProblems.entry:problem">
      <path value="Composition.section.entry" />
      <sliceName value="problem" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" />
      </type>
    </element>
    <element id="Composition.section:sectionProblems.entry:problem.identifier">
      <path value="Composition.section.entry.identifier" />
      <max value="0" />
    </element>
    <element id="Composition.section:sectionProblems.entry:problem.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Composition.section.entry.display" />
      <max value="0" />
    </element>
    <element id="Composition.section:sectionProblems.emptyReason">
      <path value="Composition.section.emptyReason" />
      <max value="0" />
    </element>
    <element id="Composition.section:sectionProblems.section">
      <path value="Composition.section.section" />
      <max value="0" />
    </element>
    <element id="Composition.section:sectionProceduresHx">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Section" />
      </extension>
      <path value="Composition.section" />
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