<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="profile-composition-submission" />
  <url value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-composition-submission" />
  <version value="1.0.0-Ballot" />
  <name value="CompositionOCRESubmission" />
  <title value="OCRE Composition Profile (Submission)" />
  <status value="active" />
  <description value="OCRE Composition Profile (Submission)" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Composition" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Composition" />
  <derivation value="constraint" />
  <differential>
    <element id="Composition.extension">
      <path value="Composition.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="Composition.extension:copiedParticipants">
      <path value="Composition.extension" />
      <sliceName value="copiedParticipants" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Extension" />
        <profile value="http://ontariohealth.ca/StructureDefinition/oh-ehr-copied-participants-EXT" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.extension:Recipients">
      <path value="Composition.extension" />
      <sliceName value="Recipients" />
      <min value="1" />
      <max value="*" />
      <type>
        <code value="Extension" />
        <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-recipient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.extension:Recipients.value[x].identifier">
      <path value="Composition.extension.value[x].identifier" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.identifier">
      <path value="Composition.identifier" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.identifier.system">
      <path value="Composition.identifier.system" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.identifier.value">
      <path value="Composition.identifier.value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.status">
      <path value="Composition.status" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.type">
      <path value="Composition.type" />
      <type>
        <code value="CodeableConcept" />
        <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" />
      </type>
      <mustSupport value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding">
          <extension url="purpose">
            <valueCode value="extensible" />
          </extension>
          <extension url="valueSet">
            <valueCanonical value="http://ontariohealth.ca/fhir/ehr/ValueSet/local-document-type" />
          </extension>
          <extension url="documentation">
            <valueMarkdown value="This value set contains all Local Codes contributed by over 160 sending systems (code systems) in HL7v2 OBR-4 and/or OBX-3 to identify the local document type/section." />
          </extension>
          <extension url="key">
            <valueString value="acCDRLocalDocumentType" />
          </extension>
        </extension>
        <strength value="extensible" />
        <description value="This value set contains all document type codes used to represent clinical documents and/or reports in the EHR." />
        <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/provincial-document-type" />
      </binding>
    </element>
    <element id="Composition.type.coding">
      <path value="Composition.type.coding" />
      <min value="1" />
    </element>
    <element id="Composition.type.coding.system">
      <path value="Composition.type.coding.system" />
      <min value="1" />
    </element>
    <element id="Composition.subject">
      <path value="Composition.subject" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-patient-submission" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.encounter">
      <path value="Composition.encounter" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-encounter-submission" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.encounter.reference">
      <path value="Composition.encounter.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.date">
      <path value="Composition.date" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.author">
      <path value="Composition.author" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-practitionerRole-submission" />
        <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-practitioner-submission" />
        <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-organization-submission" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.author.reference">
      <path value="Composition.author.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.title">
      <path value="Composition.title" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.custodian">
      <path value="Composition.custodian" />
      <comment value="This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document." />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-organization-submission" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.custodian.reference">
      <path value="Composition.custodian.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.relatesTo">
      <path value="Composition.relatesTo" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.relatesTo.code">
      <path value="Composition.relatesTo.code" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.relatesTo.target[x]">
      <path value="Composition.relatesTo.target[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.event">
      <path value="Composition.event" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.event.period">
      <path value="Composition.event.period" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.event.period.start">
      <path value="Composition.event.period.start" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.event.period.end">
      <path value="Composition.event.period.end" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.event.detail">
      <path value="Composition.event.detail" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-serviceRequest-submission" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.event.detail.reference">
      <path value="Composition.event.detail.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.section">
      <path value="Composition.section" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.section.id">
      <path value="Composition.section.id" />
      <min value="1" />
    </element>
    <element id="Composition.section.code">
      <path value="Composition.section.code" />
      <type>
        <code value="CodeableConcept" />
        <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.section.code.coding">
      <path value="Composition.section.code.coding" />
      <min value="1" />
    </element>
    <element id="Composition.section.code.coding.system">
      <path value="Composition.section.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Composition.section.text">
      <path value="Composition.section.text" />
      <mustSupport value="true" />
    </element>
    <element id="Composition.section.entry">
      <path value="Composition.section.entry" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-binary-submission" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Composition.section.entry.reference">
      <path value="Composition.section.entry.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>