{
  "resourceType": "StructureDefinition",
  "meta": {
    "versionId": "358e932e-d23a-44a8-ae0c-11d9a8f8b347",
    "lastUpdated": "2018-03-06T09:43:52.892+00:00"
  },
  "url": "http://trilliumbridge.eu/fhir/StructureDefinition/composition-hcer-uv-trillium2",
  "name": "Composition-HCER-uv-trillium",
  "title": "Encounter Report",
  "status": "draft",
  "experimental": true,
  "date": "2015-03-17",
  "publisher": "Trillium2 Project",
  "contact": [
    {
      "name": "Giorgio Cangioli",
      "telecom": [
        {
          "system": "email",
          "value": "giorgio.cangioli@gmail.com"
        }
      ]
    }
  ],
  "description": "Clinical document used to represent a generic Encounter Report (HCER) data set. The HCER dataset is a minimal and non-exhaustive dataset, specialty-agnostic, condition-independent, but readily usable by clinicians for the cross-border care of a patient.",
  "copyright": "HL7 International",
  "fhirVersion": "3.0.0",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "cda",
      "uri": "http://hl7.org/v3/cda",
      "name": "CDA (R2)"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/w5",
      "name": "W5 Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Composition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Composition",
        "path": "Composition",
        "short": "Encounter Report composition",
        "definition": "Encounter Report 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.identifier",
        "path": "Composition.identifier",
        "mustSupport": true
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "short": "Kind of composition (\"Patient Summary\")",
        "definition": "Specifies that this composition refer to a Patient Summary (Loinc \"60591-5\")"
      },
      {
        "id": "Composition.type.coding",
        "path": "Composition.type.coding",
        "short": "Code identifying the Patient Summary",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.type.coding.system",
        "path": "Composition.type.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.type.coding.code",
        "path": "Composition.type.coding.code",
        "fixedCode": "34133-9"
      },
      {
        "id": "Composition.type.coding.display.extension:translation",
        "path": "Composition.type.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Composition.type.coding.display.extension:translation.extension:lang",
        "path": "Composition.type.coding.display.extension.extension",
        "sliceName": "lang"
      },
      {
        "id": "Composition.type.coding.display.extension:translation.extension:lang.valueCode:valueCode",
        "path": "Composition.type.coding.display.extension.extension.valueCode",
        "sliceName": "valueCode"
      },
      {
        "id": "Composition.type.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.type.text",
        "max": "0"
      },
      {
        "id": "Composition.class",
        "path": "Composition.class",
        "max": "0"
      },
      {
        "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 HCER the subject is always the patient.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.subject.identifier",
        "path": "Composition.subject.identifier",
        "max": "0"
      },
      {
        "id": "Composition.subject.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.subject.display",
        "max": "0"
      },
      {
        "id": "Composition.encounter",
        "path": "Composition.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://trilliumbridge.eu/fhir/StructureDefinition/encounter-uv-trillium2"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.encounter.identifier",
        "path": "Composition.encounter.identifier",
        "max": "0"
      },
      {
        "id": "Composition.encounter.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.encounter.display",
        "max": "0"
      },
      {
        "id": "Composition.date",
        "path": "Composition.date",
        "mustSupport": true
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "mustSupport": true
      },
      {
        "id": "Composition.author.identifier",
        "path": "Composition.author.identifier",
        "max": "0"
      },
      {
        "id": "Composition.author.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.author.display",
        "max": "0"
      },
      {
        "id": "Composition.title",
        "path": "Composition.title",
        "definition": "Official human-readable label for the composition.\r\n\r\nFor this document should be \"Encounter Report\" or any equivalent translation"
      },
      {
        "id": "Composition.attester",
        "path": "Composition.attester",
        "mustSupport": true
      },
      {
        "id": "Composition.attester.time",
        "path": "Composition.attester.time",
        "mustSupport": true
      },
      {
        "id": "Composition.attester.party",
        "path": "Composition.attester.party",
        "mustSupport": true
      },
      {
        "id": "Composition.custodian.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.custodian.display",
        "max": "0"
      },
      {
        "id": "Composition.relatesTo.target[x]",
        "path": "Composition.relatesTo.target[x]",
        "type": [
          {
            "code": "Identifier"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Composition"
          },
          {
            "code": "Reference",
            "targetProfile": "http://trilliumbridge.eu/fhir/StructureDefinition/patientsummary-uv-trillium2"
          }
        ]
      },
      {
        "id": "Composition.event",
        "path": "Composition.event",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.event.code.coding.code",
        "path": "Composition.event.code.coding.code",
        "fixedCode": "PCPR"
      },
      {
        "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 HCER is documenting.",
        "max": "1"
      },
      {
        "id": "Composition.event:otherEvents",
        "path": "Composition.event",
        "sliceName": "otherEvents",
        "short": "Other clinical service(s) being documented",
        "definition": "Other clinical services being documented."
      },
      {
        "id": "Composition.section",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.code"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Sections composing the HCER",
        "definition": "The root of the sections that make up the HCER composition.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionMedications",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sectionMedications",
        "short": "HCER 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\nIn all those cases however medications are documented in the Patient Summary as medication statements.\r\nThis section requires either an entry indicating the subject is known not to be on any medications; either an entry indicating that no information is available about medications; or entries summarizing the subject's medications.",
        "max": "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
      },
      {
        "id": "Composition.section:sectionMedications.code",
        "path": "Composition.section.code",
        "min": 1
      },
      {
        "id": "Composition.section:sectionMedications.code.coding",
        "path": "Composition.section.code.coding",
        "type": [
          {
            "code": "Coding",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionMedications.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionMedications.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "10160-0"
      },
      {
        "id": "Composition.section:sectionMedications.code.coding.display.extension:translation",
        "path": "Composition.section.code.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Composition.section:sectionMedications.code.coding.display.extension:translation.extension:lang",
        "path": "Composition.section.code.coding.display.extension.extension",
        "sliceName": "lang"
      },
      {
        "id": "Composition.section:sectionMedications.code.coding.display.extension:translation.extension:lang.valueCode:valueCode",
        "path": "Composition.section.code.coding.display.extension.extension.valueCode",
        "sliceName": "valueCode"
      },
      {
        "id": "Composition.section:sectionMedications.text",
        "path": "Composition.section.text",
        "min": 1,
        "type": [
          {
            "code": "Narrative",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/narrative-uv-ips"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionMedications.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "reference"
            }
          ],
          "description": "NB ==> DISCRIMINATOR TO BE CHEKED !!",
          "rules": "openAtEnd"
        },
        "comment": "If there are no entries in the list, an emptyReason SHALL be provided.\r\n\r\nNOTE ==> DEFINE A CONSTRAINT FOR THIS",
        "min": 1
      },
      {
        "id": "Composition.section:sectionMedications.entry:medicationStatement",
        "path": "Composition.section.entry",
        "sliceName": "medicationStatement",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://trilliumbridge.eu/fhir/StructureDefinition/medicationstatement-uv-trillium2"
          }
        ]
      },
      {
        "id": "Composition.section:sectionMedications.entry:medicationStatement.reference",
        "path": "Composition.section.entry.reference",
        "min": 1
      },
      {
        "id": "Composition.section:sectionMedications.entry:medicationStatement.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionMedications.entry:medicationStatement.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionMedications.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionMedications.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionAllergies",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sectionAllergies",
        "short": "HCER 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,..); preferably 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.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionAllergies.title",
        "path": "Composition.section.title",
        "min": 1
      },
      {
        "id": "Composition.section:sectionAllergies.code",
        "path": "Composition.section.code",
        "min": 1
      },
      {
        "id": "Composition.section:sectionAllergies.code.coding",
        "path": "Composition.section.code.coding",
        "type": [
          {
            "code": "Coding",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionAllergies.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionAllergies.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "48765-2"
      },
      {
        "id": "Composition.section:sectionAllergies.code.coding.display.extension:translation",
        "path": "Composition.section.code.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Composition.section:sectionAllergies.code.coding.display.extension:translation.extension:lang",
        "path": "Composition.section.code.coding.display.extension.extension",
        "sliceName": "lang"
      },
      {
        "id": "Composition.section:sectionAllergies.code.coding.display.extension:translation.extension:lang.valueCode:valueCode",
        "path": "Composition.section.code.coding.display.extension.extension.valueCode",
        "sliceName": "valueCode"
      },
      {
        "id": "Composition.section:sectionAllergies.text",
        "path": "Composition.section.text",
        "min": 1,
        "type": [
          {
            "code": "Narrative",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/narrative-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionAllergies.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "reference"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Composition.section:sectionAllergies.entry.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionAllergies.entry.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionAllergies.entry:allergyOrIntolerance",
        "path": "Composition.section.entry",
        "sliceName": "allergyOrIntolerance",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://trilliumbridge.eu/fhir/StructureDefinition/allergyintolerance-uv-trillium2"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionAllergies.entry:allergyOrIntolerance.reference",
        "path": "Composition.section.entry.reference",
        "min": 1
      },
      {
        "id": "Composition.section:sectionAllergies.entry:allergyOrIntolerance.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionAllergies.entry:allergyOrIntolerance.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionAllergies.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionAllergies.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionProblems",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sectionProblems",
        "short": "HCER Problems Section",
        "definition": "The HCER problem section lists and describes clinical problems or conditions currently being monitored for the patient.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionProblems.title",
        "path": "Composition.section.title",
        "min": 1
      },
      {
        "id": "Composition.section:sectionProblems.code.coding",
        "path": "Composition.section.code.coding",
        "type": [
          {
            "code": "Coding",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionProblems.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionProblems.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "11450-4"
      },
      {
        "id": "Composition.section:sectionProblems.code.coding.display.extension:translation",
        "path": "Composition.section.code.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Composition.section:sectionProblems.code.coding.display.extension:translation.extension:lang",
        "path": "Composition.section.code.coding.display.extension.extension",
        "sliceName": "lang"
      },
      {
        "id": "Composition.section:sectionProblems.code.coding.display.extension:translation.extension:lang.valueCode:valueCode",
        "path": "Composition.section.code.coding.display.extension.extension.valueCode",
        "sliceName": "valueCode"
      },
      {
        "id": "Composition.section:sectionProblems.text",
        "path": "Composition.section.text",
        "min": 1,
        "type": [
          {
            "code": "Narrative",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/narrative-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionProblems.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "reference"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://trilliumbridge.eu/fhir/StructureDefinition/condition-uv-trillium2"
          }
        ]
      },
      {
        "id": "Composition.section:sectionProblems.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1
      },
      {
        "id": "Composition.section:sectionProblems.entry.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionProblems.entry.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionProblems.entry:problem",
        "path": "Composition.section.entry",
        "sliceName": "problem",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Condition"
          }
        ]
      },
      {
        "id": "Composition.section:sectionProblems.entry:problem.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionProblems.entry:problem.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionProblems.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionProblems.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionProceduresHx",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sectionProceduresHx",
        "short": "HCER 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
      },
      {
        "id": "Composition.section:sectionProceduresHx.code",
        "path": "Composition.section.code",
        "min": 1
      },
      {
        "id": "Composition.section:sectionProceduresHx.code.coding",
        "path": "Composition.section.code.coding",
        "type": [
          {
            "code": "Coding",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionProceduresHx.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionProceduresHx.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "47519-4"
      },
      {
        "id": "Composition.section:sectionProceduresHx.code.coding.display.extension:translation",
        "path": "Composition.section.code.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Composition.section:sectionProceduresHx.code.coding.display.extension:translation.extension:lang",
        "path": "Composition.section.code.coding.display.extension.extension",
        "sliceName": "lang"
      },
      {
        "id": "Composition.section:sectionProceduresHx.code.coding.display.extension:translation.extension:lang.valueCode:valueCode",
        "path": "Composition.section.code.coding.display.extension.extension.valueCode",
        "sliceName": "valueCode"
      },
      {
        "id": "Composition.section:sectionProceduresHx.text",
        "path": "Composition.section.text",
        "min": 1,
        "type": [
          {
            "code": "Narrative",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/narrative-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionProceduresHx.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "reference"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/ips/StructureDefinition/procedure-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionProceduresHx.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1
      },
      {
        "id": "Composition.section:sectionProceduresHx.entry.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionProceduresHx.entry.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionProceduresHx.entry:procedure",
        "path": "Composition.section.entry",
        "sliceName": "procedure",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://trilliumbridge.eu/fhir/StructureDefinition/procedure-uv-trillium2"
          }
        ]
      },
      {
        "id": "Composition.section:sectionProceduresHx.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionProceduresHx.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionImmunizations",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sectionImmunizations",
        "short": "HCER 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 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
      },
      {
        "id": "Composition.section:sectionImmunizations.code",
        "path": "Composition.section.code",
        "min": 1
      },
      {
        "id": "Composition.section:sectionImmunizations.code.coding",
        "path": "Composition.section.code.coding",
        "type": [
          {
            "code": "Coding",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionImmunizations.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionImmunizations.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "11369-6"
      },
      {
        "id": "Composition.section:sectionImmunizations.code.coding.display.extension:translation",
        "path": "Composition.section.code.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Composition.section:sectionImmunizations.code.coding.display.extension:translation.extension:lang",
        "path": "Composition.section.code.coding.display.extension.extension",
        "sliceName": "lang"
      },
      {
        "id": "Composition.section:sectionImmunizations.code.coding.display.extension:translation.extension:lang.valueCode:valueCode",
        "path": "Composition.section.code.coding.display.extension.extension.valueCode",
        "sliceName": "valueCode"
      },
      {
        "id": "Composition.section:sectionImmunizations.text",
        "path": "Composition.section.text",
        "min": 1,
        "type": [
          {
            "code": "Narrative",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/narrative-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionImmunizations.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "reference"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Immunization"
          }
        ]
      },
      {
        "id": "Composition.section:sectionImmunizations.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1
      },
      {
        "id": "Composition.section:sectionImmunizations.entry.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionImmunizations.entry.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionImmunizations.entry:immunization",
        "path": "Composition.section.entry",
        "sliceName": "immunization",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://trilliumbridge.eu/fhir/StructureDefinition/immunization-uv-trillium2"
          },
          {
            "code": "Reference",
            "targetProfile": "http://trilliumbridge.eu/fhir/StructureDefinition/immunization-basic-uv-trillium2"
          }
        ]
      },
      {
        "id": "Composition.section:sectionImmunizations.entry:immunization.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionImmunizations.entry:immunization.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionImmunizations.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionImmunizations.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionMedicalDevices",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sectionMedicalDevices",
        "short": "HCER Medical Devices Section",
        "definition": "The medical devices section contains narrative text and coded entries describing the patient history of medical device use.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionMedicalDevices.title",
        "path": "Composition.section.title",
        "min": 1
      },
      {
        "id": "Composition.section:sectionMedicalDevices.code",
        "path": "Composition.section.code",
        "min": 1
      },
      {
        "id": "Composition.section:sectionMedicalDevices.code.coding",
        "path": "Composition.section.code.coding",
        "type": [
          {
            "code": "Coding",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionMedicalDevices.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionMedicalDevices.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "46264-8"
      },
      {
        "id": "Composition.section:sectionMedicalDevices.code.coding.display.extension:translation",
        "path": "Composition.section.code.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Composition.section:sectionMedicalDevices.code.coding.display.extension:translation.extension:lang",
        "path": "Composition.section.code.coding.display.extension.extension",
        "sliceName": "lang"
      },
      {
        "id": "Composition.section:sectionMedicalDevices.code.coding.display.extension:translation.extension:lang.valueCode:valueCode",
        "path": "Composition.section.code.coding.display.extension.extension.valueCode",
        "sliceName": "valueCode"
      },
      {
        "id": "Composition.section:sectionMedicalDevices.text",
        "path": "Composition.section.text",
        "min": 1,
        "type": [
          {
            "code": "Narrative",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/narrative-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionMedicalDevices.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "reference"
            }
          ],
          "description": "NB Check the Discriminator",
          "rules": "openAtEnd"
        },
        "min": 1
      },
      {
        "id": "Composition.section:sectionMedicalDevices.entry.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionMedicalDevices.entry.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionMedicalDevices.entry:deviceStatement",
        "path": "Composition.section.entry",
        "sliceName": "deviceStatement",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://trilliumbridge.eu/fhir/StructureDefinition/deviceusestatement-uv-trillium2"
          }
        ]
      },
      {
        "id": "Composition.section:sectionMedicalDevices.entry:deviceStatement.identifier",
        "path": "Composition.section.entry.identifier",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionMedicalDevices.entry:deviceStatement.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.entry.display",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionMedicalDevices.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionMedicalDevices.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionResults",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sectionResults",
        "short": "HCER Results Section",
        "definition": "This section assembles relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Some of these results may be laboratory results, others may be anatomic pathology results, others, radiology results, and others, clinical results.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:sectionResults.title",
        "path": "Composition.section.title",
        "min": 1
      },
      {
        "id": "Composition.section:sectionResults.code.coding",
        "path": "Composition.section.code.coding",
        "type": [
          {
            "code": "Coding",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionResults.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionResults.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "30954-2"
      },
      {
        "id": "Composition.section:sectionResults.code.coding.display.extension:translation",
        "path": "Composition.section.code.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Composition.section:sectionResults.code.coding.display.extension:translation.extension:lang",
        "path": "Composition.section.code.coding.display.extension.extension",
        "sliceName": "lang"
      },
      {
        "id": "Composition.section:sectionResults.code.coding.display.extension:translation.extension:lang.valueCode:valueCode",
        "path": "Composition.section.code.coding.display.extension.extension.valueCode",
        "sliceName": "valueCode"
      },
      {
        "id": "Composition.section:sectionResults.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "reference"
            }
          ],
          "rules": "openAtEnd"
        }
      },
      {
        "id": "Composition.section:sectionResults.entry:genericResult",
        "path": "Composition.section.entry",
        "sliceName": "genericResult",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation"
          }
        ]
      },
      {
        "id": "Composition.section:sectionResults.entry:laboratoryResult",
        "path": "Composition.section.entry",
        "sliceName": "laboratoryResult",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://trilliumbridge.eu/fhir/StructureDefinition/observation-laboratory-uv-trillium2"
          }
        ]
      },
      {
        "id": "Composition.section:sectionResults.entry:imagingResult",
        "path": "Composition.section.entry",
        "sliceName": "imagingResult",
        "type": [
          {
            "code": "Reference",
            "profile": "http://trilliumbridge.eu/fhir/StructureDefinition/observation-imaging-uv-trillium2"
          }
        ]
      },
      {
        "id": "Composition.section:sectionResults.entry:pathologyResult",
        "path": "Composition.section.entry",
        "sliceName": "pathologyResult",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://trilliumbridge.eu/fhir/StructureDefinition/observation-laboratory-uv-trillium2"
          }
        ]
      },
      {
        "id": "Composition.section:sectionPastIllnessHx",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sectionPastIllnessHx",
        "short": "HCER History of Past Illness Section",
        "definition": "The History of Past Illness section contains a narrative description and coded entries of the conditions the patient suffered in the past",
        "max": "1"
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.title",
        "path": "Composition.section.title",
        "min": 1
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.code.coding",
        "path": "Composition.section.code.coding",
        "type": [
          {
            "code": "Coding",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "11348-0"
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.code.coding.display.extension:translation",
        "path": "Composition.section.code.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.code.coding.display.extension:translation.extension:lang",
        "path": "Composition.section.code.coding.display.extension.extension",
        "sliceName": "lang"
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.code.coding.display.extension:translation.extension:lang.valueCode:valueCode",
        "path": "Composition.section.code.coding.display.extension.extension.valueCode",
        "sliceName": "valueCode"
      },
      {
        "id": "Composition.section:sectionPastIllnessHx.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Condition"
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        ]
      },
      {
        "id": "Composition.section:sectionFunctionalStatus",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sectionFunctionalStatus",
        "definition": "The functional status section shall contain a narrative description of capability of the patient to perform acts of daily living, including possible needs of the patient to be continuously assessed by third parties. The invalidity status may in fact influence decisions about how to administer treatments.\r\nProfiles to express disabilities and functional assessments will be specified by future versions of this composition.",
        "max": "1"
      },
      {
        "id": "Composition.section:sectionFunctionalStatus.title",
        "path": "Composition.section.title",
        "min": 1
      },
      {
        "id": "Composition.section:sectionFunctionalStatus.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionFunctionalStatus.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "47420-5"
      },
      {
        "id": "Composition.section:sectionFunctionalStatus.text",
        "path": "Composition.section.text",
        "min": 1,
        "type": [
          {
            "code": "Narrative",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/narrative-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionFunctionalStatus.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "reference"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Composition.section:sectionFunctionalStatus.entry:disability",
        "path": "Composition.section.entry",
        "sliceName": "disability",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Condition"
          }
        ]
      },
      {
        "id": "Composition.section:sectionFunctionalStatus.entry:functionalAssessment",
        "path": "Composition.section.entry",
        "sliceName": "functionalAssessment",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
          },
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/ClinicalImpression"
          }
        ]
      },
      {
        "id": "Composition.section:sectionFunctionalStatus.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionFunctionalStatus.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:sectionPlanOfCare",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "sectionPlanOfCare",
        "short": "HCER Plan of Care Section",
        "definition": "The plan of care section contains a narrative description of the expectations for care including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient.",
        "max": "1"
      },
      {
        "id": "Composition.section:sectionPlanOfCare.title",
        "path": "Composition.section.title",
        "min": 1
      },
      {
        "id": "Composition.section:sectionPlanOfCare.code.coding",
        "path": "Composition.section.code.coding",
        "type": [
          {
            "code": "Coding",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/coding-uv-ips"
          }
        ]
      },
      {
        "id": "Composition.section:sectionPlanOfCare.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:sectionPlanOfCare.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "fixedCode": "18776-5"
      },
      {
        "id": "Composition.section:sectionPlanOfCare.text",
        "path": "Composition.section.text",
        "min": 1,
        "type": [
          {
            "code": "Narrative",
            "profile": "http://hl7.org/fhir/ips/StructureDefinition/narrative-uv-ips"
          }
        ]
      },
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