# Transition of Care Composition - PACIO Transitions of Care Implementation Guide v1.0.0

* [**Table of Contents**](toc.md)
* [**FHIR Artifacts**](artifacts.md)
* **Transition of Care Composition**

## Resource Profile: Transition of Care Composition 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition | *Version*:1.0.0 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 2 | *Computable Name*:TOCComposition |

 
This profile defines constraints that represent common administrative and demographic concepts for transitions of care information used in US Realm clinical documents. 

**Representation Guidance**

* Assumes that all of the Composition sections were assembled for sending at same time, identified by the `Composition.date element` because there may be too much variability in where and how each section's artifacts are timestamped.

**Usages:**

* Use this Profile: [Transition of Care Bundle](StructureDefinition-TOC-Bundle.md)
* Examples for this Profile: [Composition/BSJ-TOCComposition](Composition-BSJ-TOCComposition.md)
* CapabilityStatements using this Profile: [TOC CapabilityStatement](CapabilityStatement-toc.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.us.pacio-toc|current/StructureDefinition/TOC-Composition)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-TOC-Composition.csv), [Excel](StructureDefinition-TOC-Composition.xlsx), [Schematron](StructureDefinition-TOC-Composition.sch) 



## Resource Content

```json
{
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    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
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  },
  {
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    "valueInteger" : 2,
    "_valueInteger" : {
      "extension" : [{
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        "valueCanonical" : "http://hl7.org/fhir/us/pacio-toc/ImplementationGuide/hl7.fhir.us.pacio-toc"
      }]
    }
  },
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      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/pacio-toc/StructureDefinition/TOC-Composition",
  "version" : "1.0.0",
  "name" : "TOCComposition",
  "title" : "Transition of Care Composition",
  "status" : "active",
  "date" : "2026-05-13T05:33:53+10:00",
  "publisher" : "HL7 International / Patient Care",
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    }]
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  "description" : "This profile defines constraints that represent common administrative and demographic concepts for transitions of care information used in US Realm clinical documents.",
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        "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|8.0.1",
        "http://hl7.org/fhir/StructureDefinition/Observation",
        "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
        "http://hl7.org/fhir/us/ccda/StructureDefinition/Discharge-Summary|1.2.0",
        "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|8.0.1"]
      }]
    },
    {
      "id" : "Composition.section:reason_for_referral.emptyReason",
      "path" : "Composition.section.emptyReason",
      "mustSupport" : true
    },
    {
      "id" : "Composition.section:clinical_results",
      "path" : "Composition.section",
      "sliceName" : "clinical_results",
      "short" : "Clinical Results",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Composition.section:clinical_results.title",
      "path" : "Composition.section.title",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Composition.section:clinical_results.code",
      "path" : "Composition.section.code",
      "min" : 1,
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "30954-2"
        }]
      }
    },
    {
      "id" : "Composition.section:clinical_results.entry",
      "path" : "Composition.section.entry",
      "type" : [{
        "code" : "Reference",
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        "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|8.0.1"]
      }]
    },
    {
      "id" : "Composition.section:clinical_results.emptyReason",
      "path" : "Composition.section.emptyReason",
      "mustSupport" : true
    },
    {
      "id" : "Composition.section:social_history",
      "path" : "Composition.section",
      "sliceName" : "social_history",
      "short" : "Social History",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Composition.section:social_history.title",
      "path" : "Composition.section.title",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Composition.section:social_history.code",
      "path" : "Composition.section.code",
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      "patternCodeableConcept" : {
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    },
    {
      "id" : "Composition.section:social_history.entry",
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      "type" : [{
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        "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus|8.0.1",
        "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-narrative-history-of-status",
        "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|8.0.1",
        "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|8.0.1"]
      }]
    },
    {
      "id" : "Composition.section:social_history.emptyReason",
      "path" : "Composition.section.emptyReason",
      "mustSupport" : true
    },
    {
      "id" : "Composition.section:vital_signs",
      "path" : "Composition.section",
      "sliceName" : "vital_signs",
      "short" : "Vital Signs",
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      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Composition.section:vital_signs.title",
      "path" : "Composition.section.title",
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      "mustSupport" : true
    },
    {
      "id" : "Composition.section:vital_signs.code",
      "path" : "Composition.section.code",
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      "patternCodeableConcept" : {
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          "system" : "http://loinc.org",
          "code" : "8716-3"
        }]
      }
    },
    {
      "id" : "Composition.section:vital_signs.entry",
      "path" : "Composition.section.entry",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs|8.0.1"]
      }]
    },
    {
      "id" : "Composition.section:vital_signs.emptyReason",
      "path" : "Composition.section.emptyReason",
      "mustSupport" : true
    }]
  }
}

```
