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{
"resourceType": "StructureDefinition",
"id": "19510ffd-474a-49ed-87f4-92c293f90e56",
"meta": {
"lastUpdated": "2025-02-20T18:34:13.2737829+00:00"
},
"url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Composition",
"name": "CDRComposition",
"status": "draft",
"date": "2024-05-30T17:24:34.5642117+00:00",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "CDR-data-in-v2",
"name": "CDR-data-in-v2"
}
],
"kind": "resource",
"abstract": false,
"type": "Composition",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Composition.meta",
"path": "Composition.meta",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.meta.lastUpdated",
"path": "Composition.meta.lastUpdated",
"mustSupport": true
},
{
"id": "Composition.meta.profile",
"path": "Composition.meta.profile",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.extension:ext-Recipient",
"path": "Composition.extension",
"sliceName": "ext-Recipient",
"type": [
{
"code": "Extension",
"profile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-ext-recipient"
]
}
]
},
{
"id": "Composition.identifier",
"path": "Composition.identifier",
"min": 1,
"mustSupport": true,
"mapping": [
{
"identity": "CDR-data-in-v2",
"map": "OBR.2"
}
]
},
{
"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",
"mustSupport": true,
"mapping": [
{
"identity": "CDR-data-in-v2",
"map": "OBR.25"
}
]
},
{
"id": "Composition.type",
"path": "Composition.type",
"mustSupport": true
},
{
"id": "Composition.type.coding",
"path": "Composition.type.coding",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "extension.value.code"
}
],
"rules": "open"
},
"min": 1
},
{
"id": "Composition.type.coding.extension",
"path": "Composition.type.coding.extension",
"min": 1
},
{
"id": "Composition.type.coding.extension:ext-accdr-document-type",
"path": "Composition.type.coding.extension",
"sliceName": "ext-accdr-document-type",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ext-accdr-document-code-type"
]
}
],
"isModifier": false
},
{
"id": "Composition.type.coding:slice-local-document-type",
"path": "Composition.type.coding",
"sliceName": "slice-local-document-type",
"min": 1,
"max": "1",
"binding": {
"strength": "extensible",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/local-document-type"
}
},
{
"id": "Composition.type.coding:slice-local-document-type.extension",
"path": "Composition.type.coding.extension",
"min": 1
},
{
"id": "Composition.type.coding:slice-local-document-type.extension:ext-accdr-document-type",
"path": "Composition.type.coding.extension",
"sliceName": "ext-accdr-document-type",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ext-accdr-document-code-type"
]
}
],
"isModifier": false
},
{
"id": "Composition.type.coding:slice-local-document-type.extension:ext-accdr-document-type.value[x]",
"path": "Composition.type.coding.extension.value[x]"
},
{
"id": "Composition.type.coding:slice-local-document-type.extension:ext-accdr-document-type.value[x].code",
"path": "Composition.type.coding.extension.value[x].code",
"fixedCode": "local"
},
{
"id": "Composition.type.coding:slice-local-document-type.system",
"path": "Composition.type.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.type.coding:slice-local-document-type.code",
"path": "Composition.type.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.type.coding:slice-provincial-document-type",
"path": "Composition.type.coding",
"sliceName": "slice-provincial-document-type",
"short": "Provincial document type",
"comment": "This is only populated in the document retrieval. It should not be used for document submission",
"max": "1",
"binding": {
"strength": "extensible",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/provincial-document-type"
}
},
{
"id": "Composition.type.coding:slice-provincial-document-type.extension",
"path": "Composition.type.coding.extension",
"min": 1
},
{
"id": "Composition.type.coding:slice-provincial-document-type.extension:ext-accdr-document-type",
"path": "Composition.type.coding.extension",
"sliceName": "ext-accdr-document-type",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ext-accdr-document-code-type"
]
}
],
"isModifier": false
},
{
"id": "Composition.type.coding:slice-provincial-document-type.extension:ext-accdr-document-type.value[x]",
"path": "Composition.type.coding.extension.value[x]"
},
{
"id": "Composition.type.coding:slice-provincial-document-type.extension:ext-accdr-document-type.value[x].code",
"path": "Composition.type.coding.extension.value[x].code",
"fixedCode": "provincial"
},
{
"id": "Composition.type.coding:slice-provincial-document-type.system",
"path": "Composition.type.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.type.coding:slice-provincial-document-type.code",
"path": "Composition.type.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category",
"path": "Composition.category",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "extension.value[x].code"
}
],
"rules": "open"
},
"comment": "This is only populated on document retrieval. It should not be used in document submission.",
"mustSupport": true
},
{
"id": "Composition.category.extension",
"path": "Composition.category.extension",
"min": 1
},
{
"id": "Composition.category.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"
]
}
],
"isModifier": false
},
{
"id": "Composition.category.extension:ext-LOINC-ontology-axis.value[x]",
"path": "Composition.category.extension.value[x]",
"mustSupport": true
},
{
"id": "Composition.category.extension:ext-LOINC-ontology-axis.value[x].system",
"path": "Composition.category.extension.value[x].system",
"mustSupport": true
},
{
"id": "Composition.category.extension:ext-LOINC-ontology-axis.value[x].code",
"path": "Composition.category.extension.value[x].code",
"mustSupport": true
},
{
"id": "Composition.category.extension:ext-LOINC-ontology-axis.value[x].display",
"path": "Composition.category.extension.value[x].display",
"mustSupport": true
},
{
"id": "Composition.category.coding",
"path": "Composition.category.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Composition.category.coding.system",
"path": "Composition.category.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category.coding.code",
"path": "Composition.category.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category.coding.display",
"path": "Composition.category.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-kind-of-document",
"path": "Composition.category",
"sliceName": "sliceCategory-kind-of-document",
"mustSupport": true,
"binding": {
"strength": "required",
"description": "The document-kind property in LOINC Characterizes the general structure of the document at a macro level.",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/document-kind-of-document"
}
},
{
"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]",
"path": "Composition.category.extension.value[x]",
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-kind-of-document.extension:ext-LOINC-ontology-axis.value[x].system",
"path": "Composition.category.extension.value[x].system",
"mustSupport": true
},
{
"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",
"mustSupport": true
},
{
"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",
"mustSupport": true
},
{
"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,
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-kind-of-document.coding.code",
"path": "Composition.category.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-kind-of-document.coding.display",
"path": "Composition.category.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-subject-matter-domain",
"path": "Composition.category",
"sliceName": "sliceCategory-subject-matter-domain",
"mustSupport": true,
"binding": {
"strength": "required",
"description": "The document-subject-matter-domain property in LOINC characterizes the general focus or domain of knowledge represented within the content of the note",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/documentsubject-matter-domain"
}
},
{
"id": "Composition.category:sliceCategory-subject-matter-domain.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"
]
}
],
"mustSupport": true,
"isModifier": false
},
{
"id": "Composition.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis.value[x]",
"path": "Composition.category.extension.value[x]",
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-subject-matter-domain.extension:ext-LOINC-ontology-axis.value[x].system",
"path": "Composition.category.extension.value[x].system",
"mustSupport": true
},
{
"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",
"mustSupport": true
},
{
"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",
"mustSupport": true
},
{
"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,
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-subject-matter-domain.coding.code",
"path": "Composition.category.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-subject-matter-domain.coding.display",
"path": "Composition.category.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-type-of-service",
"path": "Composition.category",
"sliceName": "sliceCategory-type-of-service",
"mustSupport": true,
"binding": {
"strength": "required",
"description": "The document-type-of-service property in LOINC characterizes the healthcare service or activity provided to/for the patient (or other subject of the service) that is described in the document.",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/document-type-of-service"
}
},
{
"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]",
"path": "Composition.category.extension.value[x]",
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-type-of-service.extension:ext-LOINC-ontology-axis.value[x].system",
"path": "Composition.category.extension.value[x].system",
"mustSupport": true
},
{
"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",
"mustSupport": true
},
{
"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",
"mustSupport": true
},
{
"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,
"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,
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-role",
"path": "Composition.category",
"sliceName": "sliceCategory-role",
"mustSupport": true,
"binding": {
"strength": "required",
"description": "The document-role property in LOINC characterizes the general function, responsibility, or capabilities of the author in relation to a document",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/document-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]",
"path": "Composition.category.extension.value[x]",
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-role.extension:ext-LOINC-ontology-axis.value[x].system",
"path": "Composition.category.extension.value[x].system",
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-role.extension:ext-LOINC-ontology-axis.value[x].code",
"path": "Composition.category.extension.value[x].code",
"fixedCode": "74479-7",
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-role.extension:ext-LOINC-ontology-axis.value[x].display",
"path": "Composition.category.extension.value[x].display",
"fixedString": "Role",
"mustSupport": true
},
{
"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,
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-role.coding.code",
"path": "Composition.category.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-role.coding.display",
"path": "Composition.category.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-setting",
"path": "Composition.category",
"sliceName": "sliceCategory-setting",
"binding": {
"strength": "required",
"description": "The document-setting property in LOINC is a coarse definition of the Care Setting",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/document-setting"
}
},
{
"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"
]
}
],
"isModifier": false
},
{
"id": "Composition.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis.value[x]",
"path": "Composition.category.extension.value[x]",
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis.value[x].system",
"path": "Composition.category.extension.value[x].system",
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis.value[x].code",
"path": "Composition.category.extension.value[x].code",
"fixedCode": "74476-3"
},
{
"id": "Composition.category:sliceCategory-setting.extension:ext-LOINC-ontology-axis.value[x].display",
"path": "Composition.category.extension.value[x].display",
"fixedString": "setting"
},
{
"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,
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-setting.coding.code",
"path": "Composition.category.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category:sliceCategory-setting.coding.display",
"path": "Composition.category.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.subject",
"path": "Composition.subject",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Patient"
]
}
],
"mustSupport": true
},
{
"id": "Composition.encounter",
"path": "Composition.encounter",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Encounter"
]
}
],
"mustSupport": true
},
{
"id": "Composition.encounter.reference",
"path": "Composition.encounter.reference",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.date",
"path": "Composition.date",
"mustSupport": true
},
{
"id": "Composition.author",
"path": "Composition.author",
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-PractitionerRole",
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Practitioner",
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Organization"
]
}
],
"mustSupport": true
},
{
"id": "Composition.author.reference",
"path": "Composition.author.reference",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.title",
"path": "Composition.title",
"mustSupport": true
},
{
"id": "Composition.custodian",
"path": "Composition.custodian",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-Organization"
]
}
],
"mustSupport": true
},
{
"id": "Composition.custodian.reference",
"path": "Composition.custodian.reference",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.relatesTo",
"path": "Composition.relatesTo",
"mustSupport": true
},
{
"id": "Composition.relatesTo.code",
"path": "Composition.relatesTo.code",
"mustSupport": true
},
{
"id": "Composition.relatesTo.target[x]",
"path": "Composition.relatesTo.target[x]",
"mustSupport": true
},
{
"id": "Composition.event",
"path": "Composition.event",
"mustSupport": true,
"mapping": [
{
"identity": "CDR-data-in-v2",
"map": "PV1.10"
}
]
},
{
"id": "Composition.event.period",
"path": "Composition.event.period",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.event.period.start",
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"mustSupport": true
},
{
"id": "Composition.event.period.end",
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},
{
"id": "Composition.event.detail",
"path": "Composition.event.detail",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-accdr-profile-ServiceRequest"
]
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"mustSupport": true
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{
"id": "Composition.event.detail.reference",
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},
{
"id": "Composition.section.id",
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"comment": "This is used to maintain the order of sections in the document. SMILE will generate this id that follows the order of OBX sequence (e.g. incremental, 1,2,3)",
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{
"id": "Composition.section.code",
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{
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{
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"mustSupport": true
},
{
"id": "Composition.section.code.coding.display",
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{
"id": "Composition.section.text",
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{
"id": "Composition.section.entry",
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{
"code": "Reference",
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{
"id": "Composition.section.entry.reference",
"path": "Composition.section.entry.reference",
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}
]
}
}
FHIR
FHIRsmith