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{
  "resourceType": "StructureDefinition",
  "id": "profile-consultation-note",
  "url": "http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-consultation-note",
  "version": "1.0.0-Ballot",
  "name": "ConsultationNoteOCRE",
  "title": "Experimental OCRE Consultation Note",
  "status": "active",
  "description": "The Consultation Note is generated by a request from a clinician for an opinion or advice from another clinician. Consultations may involve face-to-face time with the patient or may fall under the auspices of telemedicine visits. Consultations may occur while the patient is inpatient or ambulatory. The Consultation Note should also be used to summarize an Emergency Room or Urgent Care encounter.\n\nA Consultation Note includes the reason for the referral, history of present illness, physical examination, and decision-making components (Assessment and Plan).",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Composition",
  "baseDefinition": "http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-header",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "label": "Consultation Note",
        "short": "Consultation Note",
        "binding": {
          "strength": "required",
          "valueSet": "http://ontariohealth.ca/fhir/ocre/ValueSet/document-type-consult"
        }
      },
      {
        "id": "Composition.encounter",
        "path": "Composition.encounter",
        "label": "encompassingEncounter",
        "short": "encompassingEncounter",
        "min": 1
      },
      {
        "id": "Composition.section",
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        },
        "min": 3
      },
      {
        "id": "Composition.section:allergies_and_intolerances_section",
        "path": "Composition.section",
        "sliceName": "allergies_and_intolerances_section",
        "label": "Allergies and Intolerances Section",
        "short": "Allergies and Intolerances Section",
        "comment": "Allergies and Intolerances Section",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergies_and_intolerances_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergies_and_intolerances_section.code",
        "path": "Composition.section.code",
        "label": "Allergies and adverse reactions",
        "short": "Allergies and adverse reactions",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "48765-2",
              "system": "http://loinc.org"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergies_and_intolerances_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergies_and_intolerances_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:allergies_and_intolerances_section.entry:allergy_intolerance_entry",
        "path": "Composition.section.entry",
        "sliceName": "allergy_intolerance_entry",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-allergyIntolerance"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:history_of_present_illness_section",
        "path": "Composition.section",
        "sliceName": "history_of_present_illness_section",
        "label": "History of Present Illness Section",
        "short": "History of Present Illness Section",
        "comment": "History of Present Illness Section",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:history_of_present_illness_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:history_of_present_illness_section.code",
        "path": "Composition.section.code",
        "label": "History of present illness",
        "short": "History of present illness",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "10164-2",
              "system": "http://loinc.org"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:history_of_present_illness_section.text",
        "path": "Composition.section.text",
        "short": "This section contains only human readable content",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:problem_section",
        "path": "Composition.section",
        "sliceName": "problem_section",
        "label": "Problem Section",
        "short": "Problem Section",
        "comment": "Problem Section",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Composition.section:problem_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:problem_section.code",
        "path": "Composition.section.code",
        "label": "Problem list",
        "short": "Problem list",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "11450-4",
              "system": "http://loinc.org"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:problem_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:problem_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:problem_section.entry:problem_section_entry",
        "path": "Composition.section.entry",
        "sliceName": "problem_section_entry",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-condition"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:medications_section",
        "path": "Composition.section",
        "sliceName": "medications_section",
        "label": "Medications Section",
        "short": "Medications Section",
        "comment": "Medications Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:medications_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:medications_section.code",
        "path": "Composition.section.code",
        "label": "History of medication use",
        "short": "History of medication use",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "10160-0",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:medications_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:medications_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:medications_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
              "http://hl7.org/fhir/StructureDefinition/Medication",
              "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:physical_exam_section",
        "path": "Composition.section",
        "sliceName": "physical_exam_section",
        "label": "Physical Exam Section",
        "short": "Physical Exam Section",
        "comment": "Physical Exam Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:physical_exam_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:physical_exam_section.code",
        "path": "Composition.section.code",
        "label": "Physical findings",
        "short": "Physical findings",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "29545-1",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:physical_exam_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:physical_exam_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:physical_exam_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "short": "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Observation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:results_section",
        "path": "Composition.section",
        "sliceName": "results_section",
        "label": "Results Section",
        "short": "Results Section",
        "comment": "Results Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:results_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:results_section.code",
        "path": "Composition.section.code",
        "label": "Relevant diagnostic tests/laboratory data",
        "short": "Relevant diagnostic tests/laboratory data",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "30954-2",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:results_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:results_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:results_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Observation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:advance_directives_section",
        "path": "Composition.section",
        "sliceName": "advance_directives_section",
        "label": "Advance Directives Section",
        "short": "Advance Directives Section",
        "comment": "Advance Directives Section",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:advance_directives_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:advance_directives_section.code",
        "path": "Composition.section.code",
        "label": "Advance directives",
        "short": "Advance directives",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "42348-3",
              "system": "http://loinc.org"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:advance_directives_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:advance_directives_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.section:advance_directives_section.entry:advance_directive_entry",
        "path": "Composition.section.entry",
        "sliceName": "advance_directive_entry",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Consent"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:assessment_and_plan_section",
        "path": "Composition.section",
        "sliceName": "assessment_and_plan_section",
        "label": "Assessment and Plan Section",
        "short": "Assessment and Plan Section. This section represents the clinicianâ€™s conclusions and working assumptions that will guide treatment of the patient. The Assessment and Plan Section may be combined or separated to meet local policy requirements.",
        "comment": "Assessment and Plan Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:assessment_and_plan_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:assessment_and_plan_section.code",
        "path": "Composition.section.code",
        "label": "Assessment (evaluation) and plan",
        "short": "Assessment (evaluation) and plan",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "51847-2",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:assessment_and_plan_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:assessment_and_plan_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.section:assessment_and_plan_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "short": "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-condition",
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/Communication"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:assessment_section",
        "path": "Composition.section",
        "sliceName": "assessment_section",
        "label": "Assessment Section",
        "short": "Assessment Section",
        "comment": "Assessment Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:assessment_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:assessment_section.code",
        "path": "Composition.section.code",
        "label": "Assessments (evaluation)",
        "short": "Assessments (evaluation)",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "51848-0",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:assessment_section.text",
        "path": "Composition.section.text",
        "short": "This section contains only human readable content",
        "min": 1
      },
      {
        "id": "Composition.section:chief_complaint_and_reason_for_visit_section",
        "path": "Composition.section",
        "sliceName": "chief_complaint_and_reason_for_visit_section",
        "label": "Chief Complaint and Reason for Visit Section",
        "short": "Chief Complaint and Reason for Visit Section. This section records the patient's chief complaint (the patientâ€™s own description) and/or the reason for the patient's visit (the providerâ€™s description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes.",
        "comment": "Chief Complaint and Reason for Visit Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:chief_complaint_and_reason_for_visit_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:chief_complaint_and_reason_for_visit_section.code",
        "path": "Composition.section.code",
        "label": "Chief complaint and reason for visit",
        "short": "Chief complaint and reason for visit",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "46239-0",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:chief_complaint_and_reason_for_visit_section.text",
        "path": "Composition.section.text",
        "short": "This section contains only human readable content",
        "min": 1
      },
      {
        "id": "Composition.section:chief_complaint_section",
        "path": "Composition.section",
        "sliceName": "chief_complaint_section",
        "label": "Chief Complaint Section",
        "short": "Chief Complaint Section",
        "comment": "Chief Complaint Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:chief_complaint_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:chief_complaint_section.code",
        "path": "Composition.section.code",
        "label": "Chief complaint",
        "short": "Chief complaint",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "10154-3",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:chief_complaint_section.text",
        "path": "Composition.section.text",
        "short": "This section contains only human readable content",
        "min": 1
      },
      {
        "id": "Composition.section:family_history_section",
        "path": "Composition.section",
        "sliceName": "family_history_section",
        "label": "Family History Section",
        "short": "Family History Section",
        "comment": "Family History Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:family_history_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:family_history_section.code",
        "path": "Composition.section.code",
        "label": "Family history",
        "short": "Family history",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "10157-6",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:family_history_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:family_history_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:family_history_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "short": "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:functional_status_section",
        "path": "Composition.section",
        "sliceName": "functional_status_section",
        "label": "Functional Status Section",
        "short": "Functional Status Section",
        "comment": "Functional Status Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:functional_status_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:functional_status_section.code",
        "path": "Composition.section.code",
        "label": "Functional status",
        "short": "Functional status",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "47420-5",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:functional_status_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:functional_status_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:functional_status_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "short": "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Observation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:general_status_section",
        "path": "Composition.section",
        "sliceName": "general_status_section",
        "label": "General Status Section",
        "short": "General Status Section",
        "comment": "General Status Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:general_status_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:general_status_section.code",
        "path": "Composition.section.code",
        "label": "Physical findings of General status",
        "short": "Physical findings of General status",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "10210-3",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:general_status_section.text",
        "path": "Composition.section.text",
        "short": "This section contains only human readable content",
        "min": 1
      },
      {
        "id": "Composition.section:past_medical_history_section",
        "path": "Composition.section",
        "sliceName": "past_medical_history_section",
        "label": "Past Medical History Section",
        "short": "Past Medical History Section",
        "comment": "Past Medical History Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:past_medical_history_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:past_medical_history_section.code",
        "path": "Composition.section.code",
        "label": "Past Medical History",
        "short": "Past Medical History",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "11348-0",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:past_medical_history_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:past_medical_history_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:past_medical_history_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-condition"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:immunizations_section",
        "path": "Composition.section",
        "sliceName": "immunizations_section",
        "label": "Immunizations Section",
        "short": "Immunizations Section",
        "comment": "Immunizations Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:immunizations_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:immunizations_section.code",
        "path": "Composition.section.code",
        "label": "History of immunization",
        "short": "History of immunization",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "11369-6",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:immunizations_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:immunizations_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:immunizations_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Immunization"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:medical_equipment_section",
        "path": "Composition.section",
        "sliceName": "medical_equipment_section",
        "label": "Medical Equipment Section",
        "short": "Medical Equipment Section",
        "comment": "Medical Equipment Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:medical_equipment_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:medical_equipment_section.code",
        "path": "Composition.section.code",
        "label": "History of medical device use",
        "short": "History of medical device use",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "46264-8",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:medical_equipment_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:medical_equipment_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:medical_equipment_section.entry:medical_equipment_entry",
        "path": "Composition.section.entry",
        "sliceName": "medical_equipment_entry",
        "short": "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Procedure"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:mental_status_section",
        "path": "Composition.section",
        "sliceName": "mental_status_section",
        "label": "Mental Status Section",
        "short": "Mental Status Section",
        "comment": "Mental Status Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:mental_status_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:mental_status_section.code",
        "path": "Composition.section.code",
        "label": "Mental status",
        "short": "Mental status",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "10190-7",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:mental_status_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:mental_status_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:mental_status_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "short": "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Observation"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:nutrition_section",
        "path": "Composition.section",
        "sliceName": "nutrition_section",
        "label": "Nutrition Section",
        "short": "Nutrition Section",
        "comment": "Nutrition Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:nutrition_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:nutrition_section.code",
        "path": "Composition.section.code",
        "label": "Diet and nutrition",
        "short": "Diet and nutrition",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "61144-2",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:nutrition_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:nutrition_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:nutrition_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "short": "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
              "http://hl7.org/fhir/StructureDefinition/ClinicalImpression"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:plan_of_treatment_section",
        "path": "Composition.section",
        "sliceName": "plan_of_treatment_section",
        "label": "Plan of Treatment Section",
        "short": "Plan of Treatment Section",
        "comment": "Plan of Treatment Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:plan_of_treatment_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:plan_of_treatment_section.code",
        "path": "Composition.section.code",
        "label": "Plan of treatment",
        "short": "Plan of treatment",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "18776-5",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:plan_of_treatment_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:plan_of_treatment_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:plan_of_treatment_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "short": "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Goal",
              "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-encounter",
              "http://hl7.org/fhir/StructureDefinition/Communication",
              "http://hl7.org/fhir/StructureDefinition/Appointment",
              "http://hl7.org/fhir/StructureDefinition/CommunicationRequest",
              "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
              "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
              "http://hl7.org/fhir/StructureDefinition/Task",
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-serviceRequest",
              "http://hl7.org/fhir/StructureDefinition/VisionPrescription",
              "http://hl7.org/fhir/StructureDefinition/RequestGroup"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:procedures_section",
        "path": "Composition.section",
        "sliceName": "procedures_section",
        "label": "Procedures Section",
        "short": "Procedures Section",
        "comment": "Procedures Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:procedures_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:procedures_section.code",
        "path": "Composition.section.code",
        "label": "History of Procedures",
        "short": "History of Procedures",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "47519-4",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:procedures_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:procedures_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:procedures_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Procedure"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:reason_for_visit_section",
        "path": "Composition.section",
        "sliceName": "reason_for_visit_section",
        "label": "Reason for Visit Section",
        "short": "Reason for Visit Section",
        "comment": "Reason for Visit Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:reason_for_visit_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:reason_for_visit_section.code",
        "path": "Composition.section.code",
        "label": "Reason for visit",
        "short": "Reason for visit",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "29299-5",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:reason_for_visit_section.text",
        "path": "Composition.section.text",
        "short": "This section contains only human readable content",
        "min": 1
      },
      {
        "id": "Composition.section:review_of_systems_section",
        "path": "Composition.section",
        "sliceName": "review_of_systems_section",
        "label": "Review of Systems Section",
        "short": "Review of Systems Section",
        "comment": "Review of Systems Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:review_of_systems_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:review_of_systems_section.code",
        "path": "Composition.section.code",
        "label": "Review of systems",
        "short": "Review of systems",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "10187-3",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:review_of_systems_section.text",
        "path": "Composition.section.text",
        "short": "This section contains only human readable content",
        "min": 1
      },
      {
        "id": "Composition.section:social_history_section",
        "path": "Composition.section",
        "sliceName": "social_history_section",
        "label": "Social History Section",
        "short": "Social History Section",
        "comment": "Social History Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:social_history_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:social_history_section.code",
        "path": "Composition.section.code",
        "label": "Social history",
        "short": "Social history",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "29762-2",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:social_history_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:social_history_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:social_history_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "short": "Smoking status",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-observation-smokingstatus"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:vital_signs_section",
        "path": "Composition.section",
        "sliceName": "vital_signs_section",
        "label": "Vital Signs Section",
        "short": "Vital Signs Section",
        "comment": "Vital Signs Section",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Composition.section:vital_signs_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:vital_signs_section.code",
        "path": "Composition.section.code",
        "label": "Vital signs",
        "short": "Vital signs",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "8716-3",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Composition.section:vital_signs_section.text",
        "path": "Composition.section.text",
        "short": "text",
        "min": 1
      },
      {
        "id": "Composition.section:vital_signs_section.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "entry"
      },
      {
        "id": "Composition.section:vital_signs_section.entry:sliceEntry",
        "path": "Composition.section.entry",
        "sliceName": "sliceEntry",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/vitalsigns"
            ]
          }
        ]
      }
    ]
  }
}

name : ConsultationNoteOCRE

{

}