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{
  "resourceType": "StructureDefinition",
  "id": "ca-on-ps-profile-composition",
  "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-composition",
  "version": "0.12.0",
  "name": "CompositionPSON",
  "title": "Composition (PS-ON)",
  "status": "active",
  "date": "2022-10-15T12:00:00+00:00",
  "publisher": "Ontario Health",
  "description": "This profile defines a set of constraints to the FHIR Composition resource for use in Ontario Patient Summaries (PS-ON).  It refines constraints applied to the Composition resource by the PS-CA project.\r\nA Canadian Patient Summary (PS-CA) document is an electronic health record extract containing essential healthcare information about a subject of care. It is informed by the IPS-UV Composition profile, but differs in its application of MS flags on some of the sections to allow for jurisdictional implementors flexibility in what sections systems must support in order to show conformance to their respective patient summaries.\r\nThe PS-CA dataset is minimal and non-exhaustive; specialty-agnostic and condition-independent; but still clinically relevant. Its informed by the requirements specified in EN 17269 and ISO/DIS 27269, it is designed for supporting the international use case scenario for ‘unplanned, cross border care’, but is also designed to support a variety of use cases for cross-jurisdiction exchange. It is intended to guide implementation nationally while ensuring international exchange of patient summaries is not impeded.\r\n\r\nThis profile is based on the ClinicalDocument profile from the base R4 FHIR standard.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Composition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Composition",
        "path": "Composition",
        "short": "Ontario Patient Summary composition",
        "definition": "Ontario Patient Summary Composition. \r\nA 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. \r\nWhile 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."
      },
      {
        "id": "Composition.meta",
        "path": "Composition.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.meta.profile",
        "path": "Composition.meta.profile",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.text",
        "path": "Composition.text",
        "mustSupport": true
      },
      {
        "id": "Composition.identifier",
        "path": "Composition.identifier",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.identifier.system",
        "path": "Composition.identifier.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.identifier.value",
        "path": "Composition.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.status",
        "path": "Composition.status",
        "comment": "If a patient summary composition is marked as withdrawn, it should never be displayed to a user without a clear visual indicator to distinguish valid from invalid documents. The flag 'entered-in-error' is why this element is labeled as a modifier of other elements.",
        "mustSupport": true
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "short": "Kind of composition (\"Patient Summary\")",
        "definition": "Specifies that this composition refers to a Patient Summary (Loinc \"60591-5\")",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "60591-5"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.category",
        "path": "Composition.category",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Composition.category.extension:ext-LOINC-ontology-axis",
        "path": "Composition.category.extension",
        "sliceName": "ext-LOINC-ontology-axis",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "Composition.category.coding",
        "path": "Composition.category.coding",
        "mustSupport": true
      },
      {
        "id": "Composition.category.coding.system",
        "path": "Composition.category.coding.system",
        "mustSupport": true
      },
      {
        "id": "Composition.category.coding.code",
        "path": "Composition.category.coding.code",
        "mustSupport": true
      },
      {
        "id": "Composition.category.coding.display",
        "path": "Composition.category.coding.display",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-type-of-service",
        "path": "Composition.category",
        "sliceName": "sliceCategory-type-of-service",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-type-of-service.extension",
        "path": "Composition.category.extension",
        "min": 1
      },
      {
        "id": "Composition.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis",
        "path": "Composition.category.extension",
        "sliceName": "ext-LOINC-ontology-axis",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis.value[x].code",
        "path": "Composition.category.extension.value[x].code",
        "fixedCode": "74478-9"
      },
      {
        "id": "Composition.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis.value[x].display",
        "path": "Composition.category.extension.value[x].display",
        "fixedString": "Type of Service"
      },
      {
        "id": "Composition.category:sliceCategory-type-of-service.coding",
        "path": "Composition.category.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-type-of-service.coding.system",
        "path": "Composition.category.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-type-of-service.coding.code",
        "path": "Composition.category.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-type-of-service.coding.display",
        "path": "Composition.category.coding.display",
        "min": 1,
        "fixedString": "Patient summary",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-kind-of-document",
        "path": "Composition.category",
        "sliceName": "sliceCategory-kind-of-document",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-kind-of-document.extension",
        "path": "Composition.category.extension",
        "min": 1
      },
      {
        "id": "Composition.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis",
        "path": "Composition.category.extension",
        "sliceName": "ext-LOINC-ontology-axis",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis.value[x].code",
        "path": "Composition.category.extension.value[x].code",
        "fixedCode": "74477-1"
      },
      {
        "id": "Composition.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis.value[x].display",
        "path": "Composition.category.extension.value[x].display",
        "fixedString": "Kind of document"
      },
      {
        "id": "Composition.category:sliceCategory-kind-of-document.coding",
        "path": "Composition.category.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-kind-of-document.coding.system",
        "path": "Composition.category.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-kind-of-document.coding.code",
        "path": "Composition.category.coding.code",
        "min": 1,
        "fixedCode": "LP173418-7",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-kind-of-document.coding.display",
        "path": "Composition.category.coding.display",
        "min": 1,
        "fixedString": "Note",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-subject-matter-domain",
        "path": "Composition.category",
        "sliceName": "sliceCategory-subject-matter-domain",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-subject-matter-domain.extension",
        "path": "Composition.category.extension",
        "min": 1
      },
      {
        "id": "Composition.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis",
        "path": "Composition.category.extension",
        "sliceName": "ext-LOINC-ontology-axis",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis.value[x].code",
        "path": "Composition.category.extension.value[x].code",
        "fixedCode": "74480-5"
      },
      {
        "id": "Composition.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis.value[x].display",
        "path": "Composition.category.extension.value[x].display",
        "fixedString": "Subject matter domain"
      },
      {
        "id": "Composition.category:sliceCategory-subject-matter-domain.coding",
        "path": "Composition.category.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-subject-matter-domain.coding.system",
        "path": "Composition.category.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-subject-matter-domain.coding.code",
        "path": "Composition.category.coding.code",
        "min": 1,
        "fixedCode": "CGTA1009-1",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-subject-matter-domain.coding.display",
        "path": "Composition.category.coding.display",
        "min": 1,
        "fixedString": "Unspecified",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-role",
        "path": "Composition.category",
        "sliceName": "sliceCategory-role"
      },
      {
        "id": "Composition.category:sliceCategory-role.extension",
        "path": "Composition.category.extension",
        "min": 1
      },
      {
        "id": "Composition.category:sliceCategory-role.extension:ext-LOINC-ontology-axis",
        "path": "Composition.category.extension",
        "sliceName": "ext-LOINC-ontology-axis",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.category:sliceCategory-role.extension:ext-LOINC-ontology-axis.value[x].code",
        "path": "Composition.category.extension.value[x].code",
        "fixedCode": "74479-7"
      },
      {
        "id": "Composition.category:sliceCategory-role.extension:ext-LOINC-ontology-axis.value[x].display",
        "path": "Composition.category.extension.value[x].display",
        "fixedString": "Role"
      },
      {
        "id": "Composition.category:sliceCategory-role.coding",
        "path": "Composition.category.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-role.coding.system",
        "path": "Composition.category.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-role.coding.code",
        "path": "Composition.category.coding.code",
        "min": 1,
        "fixedCode": "CGTA4001-1",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-role.coding.display",
        "path": "Composition.category.coding.display",
        "min": 1,
        "fixedString": "Unspecified",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-setting",
        "path": "Composition.category",
        "sliceName": "sliceCategory-setting",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-setting.extension",
        "path": "Composition.category.extension",
        "min": 1
      },
      {
        "id": "Composition.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis",
        "path": "Composition.category.extension",
        "sliceName": "ext-LOINC-ontology-axis",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ext-loinc-ontology-axis"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "Composition.category:sliceCategory-setting.coding",
        "path": "Composition.category.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-setting.coding.system",
        "path": "Composition.category.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-setting.coding.code",
        "path": "Composition.category.coding.code",
        "min": 1,
        "fixedCode": "CGTA5001-1",
        "mustSupport": true
      },
      {
        "id": "Composition.category:sliceCategory-setting.coding.display",
        "path": "Composition.category.coding.display",
        "min": 1,
        "fixedString": "Unspecified",
        "mustSupport": true
      },
      {
        "id": "Composition.subject",
        "path": "Composition.subject",
        "definition": "Who or what the composition is about. \r\nIn 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).\r\nFor the PS the subject is always the patient.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.subject.reference",
        "path": "Composition.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.encounter",
        "path": "Composition.encounter",
        "comment": "While IPS-UV considers this a MS element, policy has not yet been developed in Canada confirming the expectations for when a patient summary is created (e.g., does it have to be created by a health professional or just validated, can it be automatically assembled, does it have to occur within an encounter, etc.) Further discussion is required to determine if systems will be expected to show they can construct an encounter resource in order to be conformant to the specification"
      },
      {
        "id": "Composition.date",
        "path": "Composition.date",
        "mustSupport": true
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "Who and/or what authored the patient summary",
        "definition": "The Author is the Health Care Practitioner who reviews and signs off the Patient Summary composition before it is submitted to the repository. Where a HIC has opted into automated compilation and submission of a Patient Summary by the PoS System, the Author would instead be the PoS System.",
        "mustSupport": true
      },
      {
        "id": "Composition.author:authorPSON",
        "path": "Composition.author",
        "sliceName": "authorPSON",
        "short": "Who and/or what authored the patient summary",
        "definition": "Identifies who is responsible for the information in the patient summary, not necessarily who typed it in.\r\n\r\nThe type of author(s) contribute to determine the \"nature\"of the Patient Summary: e.g. a \"human-curated\" PS Vs. an \"automatically generated\" PS.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-practitionerrole",
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-organization"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.author:DevicePSON",
        "path": "Composition.author",
        "sliceName": "DevicePSON",
        "short": "Who and/or what authored the patient summary",
        "definition": "Identifies who is responsible for the information in the patient summary, not necessarily who typed it in.\r\n\r\nThe type of author(s) contribute to determine the \"nature\"of the Patient Summary: e.g. a \"human-curated\" PS Vs. an \"automatically generated\" PS.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-device"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.title",
        "path": "Composition.title",
        "short": "Ontario Patient Summary",
        "definition": "Official human-readable label for the composition.\r\n\r\nFor this document should be \"Ontario Patient Summary\" or any equivalent translation",
        "mustSupport": true
      },
      {
        "id": "Composition.attester",
        "path": "Composition.attester",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.attester.mode",
        "path": "Composition.attester.mode",
        "mustSupport": true
      },
      {
        "id": "Composition.attester.time",
        "path": "Composition.attester.time",
        "mustSupport": true
      },
      {
        "id": "Composition.attester.party",
        "path": "Composition.attester.party",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-practitionerrole",
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-organization"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.custodian",
        "path": "Composition.custodian",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-organization"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.event",
        "path": "Composition.event",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "rules": "open"
        },
        "definition": "The main activity being described by a PS is the provision of healthcare over a period of time. \r\nIn the CDA representation of the PS this is shown by setting the value of serviceEvent/@classCode to “PCPR” (care provision) and indicating the duration over which care was provided in serviceEvent/effectiveTime. \r\nIn the FHIR representation at lest one event should be used to record this information.\r\nAdditional data from outside this duration may also be included if it is relevant to care provided during that time range (e.g., reviewed during the stated time range). For example if the PS is generated by a GP based on information recorded in his/her EHR-S, then the start value should represent the date when the treatment relationship between the patient and the GP started; and the end value the date of the latest care event."
      },
      {
        "id": "Composition.event:careProvisioningEvent",
        "path": "Composition.event",
        "sliceName": "careProvisioningEvent",
        "short": "The care provisioning being documented",
        "definition": "The provision of healthcare over a period of time this PS is documented.",
        "max": "1"
      },
      {
        "id": "Composition.event:careProvisioningEvent.code",
        "path": "Composition.event.code",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActClass",
              "code": "PCPR"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.event:careProvisioningEvent.code.coding",
        "path": "Composition.event.code.coding",
        "min": 1
      },
      {
        "id": "Composition.event:careProvisioningEvent.code.coding.system",
        "path": "Composition.event.code.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v3-ActClass"
      },
      {
        "id": "Composition.event:careProvisioningEvent.code.coding.code",
        "path": "Composition.event.code.coding.code",
        "min": 1,
        "fixedCode": "PCPR"
      },
      {
        "id": "Composition.event:careProvisioningEvent.period",
        "path": "Composition.event.period",
        "mustSupport": true
      },
      {
        "id": "Composition.section",
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Sections composing the PS",
        "definition": "The root of the sections that make up the PS-ON composition.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section.code",
        "path": "Composition.section.code",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-codeableconcept"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section.code.coding.display.extension:translation",
        "path": "Composition.section.code.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Composition.section.code.coding.display.extension:translation.extension",
        "path": "Composition.section.code.coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "Composition.section.text",
        "path": "Composition.section.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionMedications",
        "path": "Composition.section",
        "sliceName": "sectionMedications",
        "short": "PS-ON Medication Summary Section",
        "definition": "The medication summary section contains a description of the patient's medications relevant for the scope of the patient summary.\r\nThe actual content could depend on the jurisdiction, it could report:\r\n- the currently active medications; \r\n- the current and past medications considered relevant by the authoring GP; \r\n- the patient prescriptions or dispensations automatically extracted by a regional or a national EHR.\r\n\r\n This section requires either an entry indicating the subject is known not to be on any relevant medication; an entry indicating that no information is available about medications; or entries summarizing the subject's relevant medications.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionMedications.title",
        "path": "Composition.section.title",
        "short": "Medication Summary section",
        "definition": "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.\r\n\r\nMedication Summary",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionMedications.code",
        "path": "Composition.section.code",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "10160-0"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionMedications.text",
        "path": "Composition.section.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionMedications.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "Medications relevant for the scope of the patient summary",
        "definition": "This lists the medications relevant for the scope of the patient summary, or it is used to indicate either that the subject is known not to be on any relevant medication or that no information is available about medications.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionMedications.entry:medicationInformation",
        "path": "Composition.section.entry",
        "sliceName": "medicationInformation",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-medicationstatement",
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-medicationrequest"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionMedications.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.section:sectionMedications.section",
        "path": "Composition.section.section",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.section:sectionAllergies",
        "path": "Composition.section",
        "sliceName": "sectionAllergies",
        "short": "PS-ON Allergies and Intolerances Section",
        "definition": "This section documents the relevant allergies or intolerances (conditions) for that patient, describing the kind of reaction (e.g. rash, anaphylaxis,..) and the agents that cause it; and optionally the criticality and the certainty of the allergy.\r\nAt a minimum, it should list currently active and any relevant historical allergies and adverse reactions.\r\nIf no information about allergies is available, or if no allergies are known this should be clearly documented in the section.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionAllergies.title",
        "path": "Composition.section.title",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionAllergies.code",
        "path": "Composition.section.code",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "48765-2"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionAllergies.text",
        "path": "Composition.section.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionAllergies.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "Relevant allergies or intolerances (conditions) for that patient.",
        "definition": "It lists the relevant allergies or intolerances (conditions) for that patient, describing the kind of reaction (e.g. rash, anaphylaxis,..), the agents that cause it; and optionally the criticality and the certainty of the allergy.\r\nAt a minimum, it should list currently active and any relevant historical allergies and adverse reactions.\r\n This entry shall be used to document that no information about allergies is available, or that no allergies are known.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionAllergies.entry:allergyOrIntolerance",
        "path": "Composition.section.entry",
        "sliceName": "allergyOrIntolerance",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-allergyintolerance"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionAllergies.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.section:sectionAllergies.section",
        "path": "Composition.section.section",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.section:sectionProblems",
        "path": "Composition.section",
        "sliceName": "sectionProblems",
        "short": "PS-ON Problems Section",
        "definition": "The PS problem section lists and describes clinical problems or conditions currently being monitored for the patient.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProblems.title",
        "path": "Composition.section.title",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProblems.code",
        "path": "Composition.section.code",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11450-4"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProblems.text",
        "path": "Composition.section.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProblems.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "Clinical problems or conditions currently being monitored for the patient.",
        "definition": "It lists and describes clinical problems or conditions currently being monitored for the patient.  This entry shall be used to document that no information about problems is available, or that no relevant problems are known.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProblems.entry:problem",
        "path": "Composition.section.entry",
        "sliceName": "problem",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-condition"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProblems.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.section:sectionProblems.section",
        "path": "Composition.section.section",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.section:sectionProceduresHx",
        "path": "Composition.section",
        "sliceName": "sectionProceduresHx",
        "short": "PS-ON History of Procedures Section",
        "definition": "The History of Procedures Section contains a description of the patient past procedures that are pertinent to the scope of this document.\r\nProcedures may refer for example to:\r\n1. Invasive Diagnostic procedure:e.g. Cardiac catheterization; (the results of these procedure are documented in the results section)\r\n2. Therapeutic procedure: e.g. dialysis;\r\n3. Surgical procedure: e.g. appendectomy",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProceduresHx.title",
        "path": "Composition.section.title",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProceduresHx.code",
        "path": "Composition.section.code",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "47519-4"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProceduresHx.text",
        "path": "Composition.section.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProceduresHx.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "Patient past procedures pertinent to the scope of this document.",
        "definition": "It lists the patient past procedures that are pertinent to the scope of this document.\r\nProcedures may refer for example to:\r\n1. Invasive Diagnostic procedure:e.g. Cardiac catheterization; (the results of these procedure are documented in the results section)\r\n2. Therapeutic procedure: e.g. dialysis;\r\n3. Surgical procedure: e.g. appendectomy. This entry shall be used to document that no information about past procedures is available, or that no relevant past procedures are known.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProceduresHx.entry:procedure",
        "path": "Composition.section.entry",
        "sliceName": "procedure",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-procedure"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProceduresHx.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.section:sectionProceduresHx.section",
        "path": "Composition.section.section",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.section:sectionImmunizations",
        "path": "Composition.section",
        "sliceName": "sectionImmunizations",
        "short": "PS-ON Immunizations Section",
        "definition": "The Immunizations Section defines a patient's current immunization status and pertinent immunization history.\r\nThe primary use case for the Immunization Section is to enable communication of a patient's immunization status.\r\nThe section includes the current immunization status, and may contain the entire immunization history that is relevant to the period of time being summarized.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionImmunizations.title",
        "path": "Composition.section.title",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionImmunizations.code",
        "path": "Composition.section.code",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11369-6"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionImmunizations.text",
        "path": "Composition.section.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionImmunizations.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "Patient's immunization status and pertinent history.",
        "definition": "It defines the patient's current immunization status and pertinent immunization history.\r\nThe primary use case for the Immunization Section is to enable communication of a patient's immunization status.\r\nIt may contain the entire immunization history that is relevant to the period of time being summarized. This entry shall be used to document that no information about immunizations is available, or that no immunizations are known.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionImmunizations.entry:immunization",
        "path": "Composition.section.entry",
        "sliceName": "immunization",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-immunization"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionImmunizations.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.section:sectionImmunizations.section",
        "path": "Composition.section.section",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.section:sectionPastIllnessHx",
        "path": "Composition.section",
        "sliceName": "sectionPastIllnessHx",
        "short": "PS-CA History of Past Illness Section",
        "definition": "The History of Past Illness section contains a description of the conditions the patient suffered in the past.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.title",
        "path": "Composition.section.title",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.code",
        "path": "Composition.section.code",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11348-0"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.text",
        "path": "Composition.section.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "Conditions the patient suffered in the past.",
        "definition": "It contains a description of the conditions the patient suffered in the past.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.entry:pastProblem",
        "path": "Composition.section.entry",
        "sliceName": "pastProblem",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ps-profile-condition"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.section",
        "path": "Composition.section.section",
        "max": "0",
        "mustSupport": false
      }
    ]
  }
}

name : CompositionPSON

{

}