{
  "resourceType": "StructureDefinition",
  "id": "CompositionPSAB",
  "url": "https://www.alberta.ca/fhir/psab/StructureDefinition/CompositionPSAB",
  "name": "CompositionPSAB",
  "title": "Composition of PSAB",
  "status": "draft",
  "description": "A profile of Composition of PSAB derived from PSCA.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Composition",
  "baseDefinition": "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/composition-ca-ps",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Composition.id",
        "path": "Composition.id",
        "mustSupport": true
      },
      {
        "id": "Composition.identifier",
        "path": "Composition.identifier",
        "label": "Must be UUID or equivalent identifier to ensure uniqueness across all patient summary submissions.",
        "min": 1
      },
      {
        "id": "Composition.status",
        "path": "Composition.status",
        "label": "Final = first submission of a newly curated summary\nAmended = modification to a previously curated and submitted summary\nEntered-in-error = previously submitted summary that is to be removed from the patient's record, as it was entered/submitted in error (wrong patient, unintended submission, etc.)\nPreliminary - NOT USED IN ALBERTA"
      },
      {
        "id": "Composition.type.coding.system",
        "path": "Composition.type.coding.system",
        "patternUri": "http://loinc.org"
      },
      {
        "id": "Composition.type.coding.code",
        "path": "Composition.type.coding.code",
        "patternCode": "60591-5"
      },
      {
        "id": "Composition.type.text",
        "path": "Composition.type.text",
        "patternString": "Alberta Patient Summary."
      },
      {
        "id": "Composition.subject",
        "path": "Composition.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.alberta.ca/fhir/psab/StructureDefinition/PatientPSAB"
            ]
          }
        ]
      },
      {
        "id": "Composition.date",
        "path": "Composition.date",
        "label": "* date "
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.alberta.ca/fhir/psab/StructureDefinition/PractitionerPSAB",
              "https://www.alberta.ca/fhir/psab/StructureDefinition/PractitionerRolePSAB",
              "https://www.alberta.ca/fhir/psab/StructureDefinition/PatientPSAB",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ]
          }
        ]
      },
      {
        "id": "Composition.title",
        "path": "Composition.title",
        "patternString": "Patient Summary - AB"
      },
      {
        "id": "Composition.confidentiality",
        "path": "Composition.confidentiality",
        "min": 1,
        "patternCode": "R"
      },
      {
        "id": "Composition.custodian.display",
        "path": "Composition.custodian.display",
        "comment": "AH is responsible for the maintenance of the data (versions, archive rules, etc), not the maintenance of the content",
        "patternString": "Alberta Health"
      },
      {
        "id": "Composition.section:sectionMedications",
        "path": "Composition.section",
        "sliceName": "sectionMedications"
      },
      {
        "id": "Composition.section:sectionMedications.title",
        "path": "Composition.section.title",
        "patternString": "Medication Summary"
      },
      {
        "id": "Composition.section:sectionMedications.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "patternUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionMedications.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "patternCode": "10160-0"
      },
      {
        "id": "Composition.section:sectionMedications.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "patternString": "History of Medication use Narrative"
      },
      {
        "id": "Composition.section:sectionMedications.code.text",
        "path": "Composition.section.code.text",
        "patternString": "History of medication use defines a patient's current medications and history of pertinent medications. This term may also include a patient's prescription and dispense history."
      },
      {
        "id": "Composition.section:sectionMedications.entry:medicationStatement",
        "path": "Composition.section.entry",
        "sliceName": "medicationStatement",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.alberta.ca/fhir/psab/StructureDefinition/MedicationStatementPSAB"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionMedications.emptyReason",
        "path": "Composition.section.emptyReason",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionAllergies",
        "path": "Composition.section",
        "sliceName": "sectionAllergies"
      },
      {
        "id": "Composition.section:sectionAllergies.title",
        "path": "Composition.section.title",
        "patternString": "Allergies and Intolerances"
      },
      {
        "id": "Composition.section:sectionAllergies.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "patternUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionAllergies.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "patternCode": "48765-2"
      },
      {
        "id": "Composition.section:sectionAllergies.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "patternString": "Allergies and adverse reactions Document"
      },
      {
        "id": "Composition.section:sectionAllergies.code.text",
        "path": "Composition.section.code.text",
        "patternString": "Contains a list and description of any allergies or adverse reactions pertinent to current or past medical history. At a minimum this section should contain currently active and any relevant historical allergies and adverse reactions."
      },
      {
        "id": "Composition.section:sectionAllergies.entry:allergyOrIntolerance",
        "path": "Composition.section.entry",
        "sliceName": "allergyOrIntolerance",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.alberta.ca/fhir/psab/StructureDefinition/AllergyIntolerancePSAB"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionAllergies.emptyReason",
        "path": "Composition.section.emptyReason",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProblems",
        "path": "Composition.section",
        "sliceName": "sectionProblems"
      },
      {
        "id": "Composition.section:sectionProblems.title",
        "path": "Composition.section.title",
        "patternString": "Problem List"
      },
      {
        "id": "Composition.section:sectionProblems.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "patternUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionProblems.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "patternCode": "11450-4"
      },
      {
        "id": "Composition.section:sectionProblems.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "patternString": "Problem list - Reported"
      },
      {
        "id": "Composition.section:sectionProblems.code.text",
        "path": "Composition.section.code.text",
        "patternString": "Problem list - Reported"
      },
      {
        "id": "Composition.section:sectionProblems.entry:problem",
        "path": "Composition.section.entry",
        "sliceName": "problem",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.alberta.ca/fhir/psab/StructureDefinition/ConditionPSAB"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProblems.emptyReason",
        "path": "Composition.section.emptyReason",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProceduresHx",
        "path": "Composition.section",
        "sliceName": "sectionProceduresHx"
      },
      {
        "id": "Composition.section:sectionProceduresHx.title",
        "path": "Composition.section.title",
        "patternString": "History of Procedures"
      },
      {
        "id": "Composition.section:sectionProceduresHx.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "patternUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionProceduresHx.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "patternCode": "47519-4"
      },
      {
        "id": "Composition.section:sectionProceduresHx.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "patternString": "History of Procedures Document"
      },
      {
        "id": "Composition.section:sectionProceduresHx.code.text",
        "path": "Composition.section.code.text",
        "patternString": "This section defines all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically and at the time the document is generated."
      },
      {
        "id": "Composition.section:sectionProceduresHx.text",
        "path": "Composition.section.text",
        "label": "may replace the resources to contain the clinical information",
        "min": 1
      },
      {
        "id": "Composition.section:sectionProceduresHx.emptyReason",
        "path": "Composition.section.emptyReason",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionVitalSigns",
        "path": "Composition.section",
        "sliceName": "sectionVitalSigns"
      },
      {
        "id": "Composition.section:sectionVitalSigns.title",
        "path": "Composition.section.title",
        "patternString": "Vital Signs"
      },
      {
        "id": "Composition.section:sectionVitalSigns.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "patternUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionVitalSigns.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "patternCode": "8716-3"
      },
      {
        "id": "Composition.section:sectionVitalSigns.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "patternString": "Vital signs"
      },
      {
        "id": "Composition.section:sectionVitalSigns.code.text",
        "path": "Composition.section.code.text",
        "patternString": "The Vital signs section includes blood pressure, body temperature, heart rate, and respiratory rate. It may also include other clinical findings, such as height, weight, body mass index, head circumference, and pulse oximetry. In particular, notable vital signs or physical findings such as the most recent, maximum and/or minimum, baseline, or relevant trends may be included."
      },
      {
        "id": "Composition.section:sectionVitalSigns.entry:BMI",
        "path": "Composition.section.entry",
        "sliceName": "BMI",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.alberta.ca/fhir/psab/StructureDefinition/ObservationBMIPSAB"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionVitalSigns.entry:BodyHeight",
        "path": "Composition.section.entry",
        "sliceName": "BodyHeight",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.alberta.ca/fhir/psab/StructureDefinition/ObservationBodyHeightPSAB"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionVitalSigns.entry:BodyWeight",
        "path": "Composition.section.entry",
        "sliceName": "BodyWeight",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.alberta.ca/fhir/psab/StructureDefinition/ObservationBodyWeightPSAB"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionVitalSigns.entry:HeadCircum",
        "path": "Composition.section.entry",
        "sliceName": "HeadCircum",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.alberta.ca/fhir/psab/StructureDefinition/ObservationHeadCircumPSAB"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionVitalSigns.emptyReason",
        "path": "Composition.section.emptyReason",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionSocialHistory",
        "path": "Composition.section",
        "sliceName": "sectionSocialHistory"
      },
      {
        "id": "Composition.section:sectionSocialHistory.title",
        "path": "Composition.section.title",
        "patternString": "Social History"
      },
      {
        "id": "Composition.section:sectionSocialHistory.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "patternUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionSocialHistory.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "patternCode": "29762-2"
      },
      {
        "id": "Composition.section:sectionSocialHistory.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "patternString": "Social history Narrative"
      },
      {
        "id": "Composition.section:sectionSocialHistory.code.text",
        "path": "Composition.section.code.text",
        "patternString": "The Social history section contains data defining the patient's occupational, personal (e.g. lifestyle), social, and environmental history and health risk factors, as well as administrative data such as marital status, race, ethnicity and religious affiliation."
      },
      {
        "id": "Composition.section:sectionSocialHistory.entry:generalSocialHistory",
        "path": "Composition.section.entry",
        "sliceName": "generalSocialHistory",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.alberta.ca/fhir/psab/StructureDefinition/ObservationSocialHistoryPSAB"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionSocialHistory.emptyReason",
        "path": "Composition.section.emptyReason",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionFamilyHistory",
        "path": "Composition.section",
        "sliceName": "sectionFamilyHistory"
      },
      {
        "id": "Composition.section:sectionFamilyHistory.title",
        "path": "Composition.section.title",
        "patternString": "Family History"
      },
      {
        "id": "Composition.section:sectionFamilyHistory.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "patternUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionFamilyHistory.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "patternCode": "10157-6"
      },
      {
        "id": "Composition.section:sectionFamilyHistory.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "patternString": "History of family member diseases Narrative"
      },
      {
        "id": "Composition.section:sectionFamilyHistory.code.text",
        "path": "Composition.section.code.text",
        "patternString": "History of family member diseases is a report of health information, including medical, genetic, environmental, and lifestyle factors, pertaining to the patient and his or her genetic relatives (living or deceased). The family history information is used to determine possible or relevant health risk factors that may have a potential impact on the patient's healthcare risk profile."
      },
      {
        "id": "Composition.section:sectionFamilyHistory.entry:FamilyMemberHistory",
        "path": "Composition.section.entry",
        "sliceName": "FamilyMemberHistory",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.alberta.ca/fhir/psab/StructureDefinition/FamilyMemberHistoryPSAB"
            ]
          }
        ]
      },
      {
        "id": "Composition.section:sectionFamilyHistory.emptyReason",
        "path": "Composition.section.emptyReason",
        "mustSupport": true
      }
    ]
  }
}