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Source1

{
  "resourceType": "StructureDefinition",
  "id": "ext-subscriptionManagingEntity",
  "url": "http://ontariohealth.ca/fhir/pubsub/StructureDefinition/ext-subscriptionManagingEntity",
  "version": "1.0.0",
  "name": "SubscriptionManagingEntityExtension",
  "title": "OH Subscription Managing Entity (R4 Backport)",
  "status": "draft",
  "description": "Backport of the R5 Subscription.managingEntity element. This extension identifies the entity responsible for managing the subscription, constrained to be a Device referenced by its identifier.",
  "fhirVersion": "4.0.1",
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "Subscription"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Entity managing the subscription",
        "definition": "The entity responsible for managing the subscription. Backported from R5 Subscription.managingEntity and constrained to be a Device referenced by identifier."
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "max": "0"
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "fixedUri": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-subscriptionManagingEntity"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Managing entity (Must be Device by identifier)",
        "definition": "A reference to the managing Device. This reference SHALL be a logical reference (using Reference.identifier) and SHALL NOT use a literal resource URL (Reference.reference).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Device"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Extension.value[x].reference",
        "path": "Extension.valueReference.reference",
        "short": "NOT USED - Use .identifier instead",
        "definition": "Literal path references (e.g., 'Device/123') are not permitted for this extension. The Device MUST be referenced by its logical identifier.",
        "min": 0,
        "max": "0"
      },
      {
        "id": "Extension.value[x].type",
        "path": "Extension.valueReference.type",
        "short": "Fixed to 'Device'",
        "definition": "The type of the referenced resource, fixed to 'Device'.",
        "min": 1,
        "fixedUri": "Device"
      },
      {
        "id": "Extension.value[x].identifier",
        "path": "Extension.valueReference.identifier",
        "short": "Logical identifier for the managing Device",
        "definition": "The logical identifier for the managing Device. This is the required method for referencing.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Extension.value[x].identifier.system",
        "path": "Extension.valueReference.identifier.system",
        "short": "Identifier namespace",
        "definition": "Namespace for the Device's identifier (e.g., an OID or URI).",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Extension.value[x].identifier.value",
        "path": "Extension.valueReference.identifier.value",
        "short": "Identifier value",
        "definition": "The value of the Device's identifier.",
        "min": 1,
        "mustSupport": true
      }
    ]
  }
}