C-CDA on FHIR
2.0.0-ballot - STU 2 Ballot United States of America flag

C-CDA on FHIR, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ccda-on-fhir/ and changes regularly. See the Directory of published versions

Resource Profile: Discharge Summary

Official URL: http://hl7.org/fhir/us/ccda/StructureDefinition/Discharge-Summary Version: 2.0.0-ballot
Active as of 2025-02-12 Computable Name: DischargeSummary

The Discharge Summary is a document which synopsizes a patient's admission to a hospital, LTPAC provider, or other setting. It provides information for the continuation of care following discharge. The Joint Commission requires the following information to be included in the Discharge Summary (http://www.jointcommission.org/):

The reason for hospitalization (the admission)

The procedures performed, as applicable

The care, treatment, and services provided

The patients condition and disposition at discharge

Information provided to the patient and family

Provisions for follow-up care

The best practice for a Discharge Summary is to include the discharge disposition in the display of the header.

2025 Ballot of C-CDA ↔ FHIR US Core Mapping

The current release of this IG adds relevant mapping content from C-CDA ↔ FHIR mapping project which was related to the original C-CDA on FHIR work. These mappings are included under the "Mapping" heading and will undergo future updates for additional content.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* USRealmHeader A set of resources composed into a single coherent clinical statement with clinical attestation
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... language S 1..1 code language
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding

ele-1: All FHIR elements must have a @value or children
... Slices for extension Content/Rules for all slices
.... versionNumber 0..* string Version-specific identifier for composition
URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... version_number_extension S 0..1 integer Extension
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... data_enterer_extension S 0..1 Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) Extension
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... informant_extension S 0..* Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) informant
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/InformantExtension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... information_recipient_extension S 0..* Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile) informationRecipient
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/InformationRecipientExtension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... participant_extension S 0..* Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Patient Profile | RelatedPerson) participant
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/ParticipantExtension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... performer_extension S 0..* Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) performer
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/PerformerExtension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... authorization_extension S 0..* Reference(Consent) authorization
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/AuthorizationExtension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... order_extension S 0..* Reference(ServiceRequest) authorization
URL: http://hl7.org/fhir/us/ccda/StructureDefinition/OrderExtension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... identifier SΣ 1..1 Identifier identifier
ele-1: All FHIR elements must have a @value or children
... status ?!Σ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


ele-1: All FHIR elements must have a @value or children
... type SΣ 1..1 CodeableConcept Discharge Summary
Binding: DischargeSummaryDocumentTypeCode (required)
ele-1: All FHIR elements must have a @value or children
... subject SΣ 0..1 Reference(US Core Patient Profile | Group) Who and/or what the composition is about
ele-1: All FHIR elements must have a @value or children
... encounter SΣ 0..1 Reference(US Core Encounter Profile) Context of the Composition
ele-1: All FHIR elements must have a @value or children
... date SΣ 1..1 dateTime date
ele-1: All FHIR elements must have a @value or children
... author SΣ 1..* Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | PractitionerRole | US Core Patient Profile | Device | RelatedPerson) Who and/or what authored the composition
ele-1: All FHIR elements must have a @value or children
... title SΣ 1..1 string Document Title
ele-1: All FHIR elements must have a @value or children
... Slices for attester 0..* BackboneElement Attests to accuracy of composition
Slice: Unordered, Open by value:mode
ele-1: All FHIR elements must have a @value or children
.... attester:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


ele-1: All FHIR elements must have a @value or children
.... attester:legal_attester S 0..1 BackboneElement attester
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... mode S 1..1 code mode
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


ele-1: All FHIR elements must have a @value or children
Fixed Value: legal
..... party S 1..1 Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) party
ele-1: All FHIR elements must have a @value or children
.... attester:professional_attester S 0..* BackboneElement attester
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... mode S 1..1 code mode
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


ele-1: All FHIR elements must have a @value or children
Fixed Value: professional
..... party S 1..1 Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) party
ele-1: All FHIR elements must have a @value or children
.... attester:personal_attester S 0..* BackboneElement attester
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... mode S 1..1 code mode
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


ele-1: All FHIR elements must have a @value or children
Fixed Value: personal
..... party S 1..1 Reference(US Core Patient Profile | RelatedPerson) party
ele-1: All FHIR elements must have a @value or children
... custodian SΣ 1..1 Reference(US Core Organization Profile) custodian
ele-1: All FHIR elements must have a @value or children
... Slices for section C 0..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by value:code
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... section:allergies_and_intolerances_section SC 1..1 BackboneElement Allergies and Intolerances Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Allergies and adverse reactions
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:allergy_entry SC 0..* Reference(US Core AllergyIntolerance Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:hospital_course_section SC 1..1 BackboneElement Hospital Course Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8648-8
..... text SC 1..1 Narrative This section contains only human readable content
ele-1: All FHIR elements must have a @value or children
.... section:discharge_diagnosis_section SC 1..1 BackboneElement Discharge Diagnosis Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Hospital discharge diagnosis
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11535-2
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:discharge_diagnosis_entry SC 0..* Reference(US Core Condition Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:plan_of_treatment_section SC 0..1 BackboneElement Plan of Treatment Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Plan of treatment
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18776-5
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:sliceEntry C 0..* Reference(US Core Goal Profile | US Core MedicationRequest Profile | US Core Encounter Profile | Communication | Appointment | CommunicationRequest | DeviceRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup) This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
ele-1: All FHIR elements must have a @value or children
.... section:discharge_medications_section SC 0..1 BackboneElement Discharge Medications Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Hospital discharge medications
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10183-2
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:discharge_medications_entry SC 0..* Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:admission_diagnosis_section SC 0..1 BackboneElement Admission Diagnosis Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Hospital admission diagnosis
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46241-6
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:admission_diagnosis_entry SC 0..* Reference(US Core Condition Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:admission_medications_section SC 0..1 BackboneElement Admission Medications Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Medications on admission
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 42346-7
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:admission_medications_entry SC 0..* Reference(MedicationStatement | US Core Medication Profile | US Core MedicationRequest Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:chief_complaint_and_reason_for_visit_section SC 0..1 BackboneElement Chief Complaint and Reason for Visit Section. This section records the patient's chief complaint (the patient’s own description) and/or the reason for the patient's visit (the provider’s description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes.
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 46239-0
..... text SC 1..1 Narrative This section contains only human readable content
ele-1: All FHIR elements must have a @value or children
.... section:chief_complaint_section SC 0..1 BackboneElement Chief Complaint Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10154-3
..... text SC 1..1 Narrative This section contains only human readable content
ele-1: All FHIR elements must have a @value or children
.... section:family_history_section SC 0..1 BackboneElement Family History Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10157-6
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:family_history_entry SC 0..* Reference(FamilyMemberHistory) This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
ele-1: All FHIR elements must have a @value or children
.... section:functional_status_section SC 0..1 BackboneElement Functional Status Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Functional status
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47420-5
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:functional_status_entry SC 0..* Reference(US Core Condition Profile | Observation | ClinicalImpression) This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
ele-1: All FHIR elements must have a @value or children
.... section:history_of_present_illness_section SC 0..1 BackboneElement History of Present Illness Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10164-2
..... text SC 1..1 Narrative This section contains only human readable content
ele-1: All FHIR elements must have a @value or children
.... section:hospital_consultations_section SC 0..1 BackboneElement Hospital Consultations Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Hospital consultations
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18841-7
..... text SC 1..1 Narrative This section contains only human readable content
ele-1: All FHIR elements must have a @value or children
.... section:hospital_discharge_instructions_section SC 0..1 BackboneElement Hospital Discharge Instructions Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Hospital discharge instructions
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8653-8
..... text SC 1..1 Narrative This section contains only human readable content
ele-1: All FHIR elements must have a @value or children
.... section:hospital_discharge_physical_section SC 0..1 BackboneElement Hospital Discharge Physical Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Hospital discharge physical
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10184-0
..... text SC 1..1 Narrative This section contains only human readable content
ele-1: All FHIR elements must have a @value or children
.... section:hospital_discharge_studies_section SC 0..1 BackboneElement Hospital Discharge Studies Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Hospital discharge studies summary
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11493-4
..... text SC 1..1 Narrative This section contains only human readable content
ele-1: All FHIR elements must have a @value or children
.... section:immunizations_section SC 0..1 BackboneElement Immunizations Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Immunizations
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11369-6
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:immunizations_entry SC 0..* Reference(US Core Immunization Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:nutrition_section SC 0..1 BackboneElement Nutrition Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Diet and nutrition
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 61144-2
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:nutrition_entry SC 0..* Reference(Observation) This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
ele-1: All FHIR elements must have a @value or children
.... section:past_medical_history_section SC 0..1 BackboneElement Past Medical History Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11348-0
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:past_medical_history_entry SC 0..* Reference(US Core Condition Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:problem_section SC 0..1 BackboneElement Problem Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Problem list
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:problem_entry SC 0..* Reference(US Core Condition Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:procedures_section SC 0..1 BackboneElement Procedures Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept History of procedures
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:procedure_entry SC 0..* Reference(US Core Procedure Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:reason_for_visit_section SC 0..1 BackboneElement Reason for Visit Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29299-5
..... text SC 1..1 Narrative This section contains only human readable content
ele-1: All FHIR elements must have a @value or children
.... section:review_of_systems_section SC 0..1 BackboneElement Review of Systems Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Review of systems
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10187-3
..... text SC 1..1 Narrative This section contains only human readable content
ele-1: All FHIR elements must have a @value or children
.... section:social_history_section SC 0..1 BackboneElement Social History Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Social history
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 29762-2
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:smoking_status_entry SC 0..* Reference(US Core Smoking Status Observation Profile) Smoking status
ele-1: All FHIR elements must have a @value or children
.... section:vital_signs_section SC 0..1 BackboneElement Vital Signs Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Vital signs
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8716-3
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:vital_signs_entry SC 0..* Reference(Vital Signs Profile) A reference to data that supports this section
ele-1: All FHIR elements must have a @value or children
.... section:goals_section SC 0..1 BackboneElement Goals Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Goals
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 61146-7
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:goals_entry SC 0..* Reference(US Core Goal Profile) entry
ele-1: All FHIR elements must have a @value or children
.... section:health_concerns_section SC 0..1 BackboneElement Health Concerns Section
cmp-1: A section must contain at least one of text, entries, or sub-sections
cmp-2: A section can only have an emptyReason if it is empty
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... title S 1..1 string title
ele-1: All FHIR elements must have a @value or children
..... code S 1..1 CodeableConcept Health concerns section code
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75310-3
..... text SC 1..1 Narrative text
ele-1: All FHIR elements must have a @value or children
..... Slices for entry C 0..* Reference(Resource) entry
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
...... entry:health_concerns_entry SC 0..* Reference(US Core AllergyIntolerance Profile | US Core Condition Profile | US Core Laboratory Result Observation Profile | US Core Smoking Status Observation Profile | Vital Signs Profile | ClinicalImpression | Observation | RiskAssessment | List | DocumentReference) This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredDischargeSummaryDocumentTypeCode
http://hl7.org/fhir/us/ccda/ValueSet/2.16.840.1.113883.11.20.4.1
from this IG
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:legal_attester.moderequiredFixed Value: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:professional_attester.moderequiredFixed Value: professional
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.attester:personal_attester.moderequiredFixed Value: personal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.section:allergies_and_intolerances_section.codeexamplePattern: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:hospital_course_section.codeexamplePattern: LOINC Code 8648-8
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:discharge_diagnosis_section.codeexamplePattern: LOINC Code 11535-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:plan_of_treatment_section.codeexamplePattern: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:discharge_medications_section.codeexamplePattern: LOINC Code 10183-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admission_diagnosis_section.codeexamplePattern: LOINC Code 46241-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:admission_medications_section.codeexamplePattern: LOINC Code 42346-7
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:chief_complaint_and_reason_for_visit_section.codeexamplePattern: LOINC Code 46239-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:chief_complaint_section.codeexamplePattern: LOINC Code 10154-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:family_history_section.codeexamplePattern: LOINC Code 10157-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:functional_status_section.codeexamplePattern: LOINC Code 47420-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:history_of_present_illness_section.codeexamplePattern: LOINC Code 10164-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:hospital_consultations_section.codeexamplePattern: LOINC Code 18841-7
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:hospital_discharge_instructions_section.codeexamplePattern: LOINC Code 8653-8
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:hospital_discharge_physical_section.codeexamplePattern: LOINC Code 10184-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:hospital_discharge_studies_section.codeexamplePattern: LOINC Code 11493-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:immunizations_section.codeexamplePattern: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:nutrition_section.codeexamplePattern: LOINC Code 61144-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:past_medical_history_section.codeexamplePattern: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:problem_section.codeexamplePattern: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:procedures_section.codeexamplePattern: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:reason_for_visit_section.codeexamplePattern: LOINC Code 29299-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:review_of_systems_section.codeexamplePattern: LOINC Code 10187-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:social_history_section.codeexamplePattern: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:vital_signs_section.codeexamplePattern: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:goals_section.codeexamplePattern: LOINC Code 61146-7
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:health_concerns_section.codeexamplePattern: LOINC Code 75310-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:allergies_and_intolerances_section, Composition.section:hospital_course_section, Composition.section:discharge_diagnosis_section, Composition.section:plan_of_treatment_section, Composition.section:discharge_medications_section, Composition.section:admission_diagnosis_section, Composition.section:admission_medications_section, Composition.section:chief_complaint_and_reason_for_visit_section, Composition.section:chief_complaint_section, Composition.section:family_history_section, Composition.section:functional_status_section, Composition.section:history_of_present_illness_section, Composition.section:hospital_consultations_section, Composition.section:hospital_discharge_instructions_section, Composition.section:hospital_discharge_physical_section, Composition.section:hospital_discharge_studies_section, Composition.section:immunizations_section, Composition.section:nutrition_section, Composition.section:past_medical_history_section, Composition.section:problem_section, Composition.section:procedures_section, Composition.section:reason_for_visit_section, Composition.section:review_of_systems_section, Composition.section:social_history_section, Composition.section:vital_signs_section, Composition.section:goals_section, Composition.section:health_concerns_sectionA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:allergies_and_intolerances_section, Composition.section:hospital_course_section, Composition.section:discharge_diagnosis_section, Composition.section:plan_of_treatment_section, Composition.section:discharge_medications_section, Composition.section:admission_diagnosis_section, Composition.section:admission_medications_section, Composition.section:chief_complaint_and_reason_for_visit_section, Composition.section:chief_complaint_section, Composition.section:family_history_section, Composition.section:functional_status_section, Composition.section:history_of_present_illness_section, Composition.section:hospital_consultations_section, Composition.section:hospital_discharge_instructions_section, Composition.section:hospital_discharge_physical_section, Composition.section:hospital_discharge_studies_section, Composition.section:immunizations_section, Composition.section:nutrition_section, Composition.section:past_medical_history_section, Composition.section:problem_section, Composition.section:procedures_section, Composition.section:reason_for_visit_section, Composition.section:review_of_systems_section, Composition.section:social_history_section, Composition.section:vital_signs_section, Composition.section:goals_section, Composition.section:health_concerns_sectionA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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